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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Saksham Pharmaceuticals India Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Etosak-MR 4 Tablet

Etosak-MR 4 Tablet is a prescription combination tablet used to treat acute muscle spasms, back pain, and joint inflammation. By combining pain relief with a muscle relaxant, it targets both local muscle stiffness and severe inflammatory pain in the joints or back. This combined approach helps to ease your discomfort and restore your physical range of motion.

To achieve the best results, it is important to take Etosak-MR 4 Tablet consistently exactly as directed by your healthcare provider. You can take this tablet with or without food, though taking it with a meal may help protect your stomach if you are prone to indigestion. Combining your treatment with low-impact recovery exercises and avoiding sudden, heavy lifting will greatly support your healing process.

While taking Etosak-MR 4 Tablet , some people may experience mild side effects such as a temporary upset stomach, diarrhoea, or slight drowsiness. However, you should contact your doctor immediately if you experience serious side effects like severe abdominal pain, chest pain, difficulty breathing, or yellowing of your skin and eyes. Your safety is paramount, and these symptoms require immediate clinical evaluation.

Talk to your doctor before starting Etosak-MR 4 Tablet if you have a history of high blood pressure, heart disease, kidney impairment, liver issues, or stomach ulcers. Do not take this medicine if you have an active bleeding stomach ulcer, severe heart failure, or a history of epilepsy or fits. One of the active components in this medicine can lower the seizure threshold, making it unsafe for individuals predisposed to seizures.

Avoid drinking alcohol while taking Etosak-MR 4 Tablet , as it can worsen drowsiness and significantly increase your risk of stomach irritation or bleeding. Additionally, check with your doctor before combining this medicine with other pain relievers or blood-thinning treatments to avoid harmful interactions. Pregnant women, those planning to conceive, breastfeeding mothers, and elderly individuals must consult their doctor before using this medication.

Uses of Etosak-MR 4 Tablet

Etosak-MR 4 Tablet is used in the treatment of pain, inflammation, arthritis and muscle spasms. The detailed uses of Etosak-MR 4 Tablet are as follows:

  • Acute painful muscle spasms: Relaxes stiff, painful, and involuntary muscle contractions in the neck, back, or limbs to make daily movement comfortable.
  • Musculoskeletal pain: Eases severe pain and localized inflammation caused by muscle strains, ligament sprains, or soft tissue injuries.
  • Osteoarthritis flare-ups: Helps manage painful inflammatory episodes in the joints, enabling better participation in physical rehabilitation.

Key Benefits

  • This combined therapeutic approach offers direct benefits by breaking the painful cycle of muscle tightness and swelling.
  • Instead of taking multiple separate pills, you receive a coordinated dual action that streamlines your recovery process.
  • This combination medicine simultaneously targets inflammatory joint pain and severe muscle stiffness to provide comprehensive physical comfort.
  • By relaxing locked muscle fibers, it allows you to start light stretching and physical therapy exercises much sooner.
  • Reduces swelling and stiffness in your joints and muscles, helping you bend, walk, and perform daily tasks with less restriction.
     

Directions for Use

Please use this medication safely by following these steps:

  • Swallow the tablet whole with a full glass of water.
  • Do not crush, chew, or break the tablet, as this can alter how the medicine is absorbed into your body.
  • You can take your dose with or without food, but taking it with or after a meal is recommended if you have a sensitive stomach.
  • Try to take your dose at the same time each day to maintain a steady level of the medicine in your bloodstream.

Always follow your doctor's exact instructions regarding your treatment plan and how long you should continue taking Etosak-MR 4 Tablet .
 

How Etosak-MR 4 Tablet Works

The medication Etosak-MR 4 Tablet utilizes a dual-action mechanism to target musculoskeletal pain and muscle spasms at their source. • Etoricoxib belongs to a class of medicines called selective COX-2 inhibitors. It works by blocking the production of certain chemical messengers that contribute to pain, swelling, and inflammation at the site of muscle or joint injury. Reducing these inflammatory signals helps relieve pain and improve comfort and movement. • Thiocolchicoside is a muscle relaxant that acts through both the central and peripheral nervous systems. Its exact mechanism is not fully understood and is still being studied, but it is known to influence nerve pathways involving natural calming chemicals such as GABA and glycine, which help regulate muscle activity. By reducing excessive nerve signals that contribute to muscle tightness and spasms, it helps the affected muscles relax and improves mobility.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Etosak-MR 4 Tablet as it may increase drowsiness. It can also increase the risk of stomach bleeding.

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Pregnancy

Consult your doctor

Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Please consult your doctor before taking Etosak-MR 4 Tablet ; your doctor will decide whether Etosak-MR 4 Tablet can be taken by breastfeeding mothers or not.

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Driving

Unsafe

Etosak-MR 4 Tablet may cause dizziness and sleepiness. Do not drive or operate machinery unless you are alert.

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Liver

Consult your doctor

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Consult your doctor

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Etosak-MR 4 Tablet should not be given to children as the safety and effectiveness were not established.

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Heart

Unsafe

This medicine is not recommended in cardiac patients due to its adverse effects. However, if prescribed extreme caution should be exercised.

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Geriatrics

Caution

Etosak-MR 4 Tablet should be administered with caution in elderly patients. If you have any concerns, please consult your doctor.

What if I have taken an overdose of Etosak-MR 4 Tablet

If you suspect an overdose, seek immediate medical attention or contact a poison control center right away. Symptoms of an overdose may include severe drowsiness, intense stomach pain, nausea, vomiting, or breathing difficulties.

Diet & Lifestyle Advise

  • Increase water intake: Drink plenty of fluids throughout the day to support healthy muscle function, prevent dehydration, and reduce stress on your kidneys.
  • Apply targeted heat or cold: Use a warm heating pad to relax tight, stiff muscles, or use ice packs on swollen joints to help control inflammation.
  • Practice gentle mobility: Once cleared by your doctor, perform light stretching or low-impact exercises like walking to maintain flexibility, but avoid sudden or heavy lifting.
  • Protect your digestive system: Avoid eating highly spicy, acidic, or greasy foods while taking this medicine, as they can worsen potential stomach irritation.
  • Optimize your posture: Adjust your desk chair and computer screen to support your back and neck, preventing further strain and spasms.

Have a query?

How Soon It Starts Working

  • The time required for Etosak-MR 4 Tablet to start to work: The time required for Etosak-MR 4 Tablet to show its action is unknown.
  • The time for which the effects of Etosak-MR 4 Tablet last: The duration of action for Etosak-MR 4 Tablet is unknown.

What if you forget to take Etosak-MR 4 Tablet

If you miss a dose, take it as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not drive, ride a bicycle, or operate heavy machinery if you feel dizzy, lightheaded, or excessively sleepy after taking this medicine.
  • Avoid taking other anti-inflammatory pain relievers (such as ibuprofen, naproxen, or aspirin) at the same time without consulting your doctor, as this drastically increases your risk of stomach ulcers and bleeding.
  • Check your blood pressure regularly while on this medication, as it can occasionally cause fluid retention and raise your blood pressure.
  • Inform your doctor immediately if you have a history of fits or seizures before starting this medication, as one of the active ingredients can increase the risk of seizures in predisposed patients.
  • Avoid smoking while using this medicine, as tobacco use significantly increases the risk of serious stomach bleeding.

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Drug-Drug Interactions:

  • Blood thinners (like warfarin or aspirin): Can significantly increase the risk of serious stomach bleeding.
  • Blood pressure medications (like ACE inhibitors, beta-blockers, and diuretics): May have reduced effectiveness when taken alongside this medication, and may increase the risk of kidney strain.
  • Other pain relievers (NSAIDs): Can double the risk of severe gastrointestinal issues, including stomach ulcers.
  • Lithium or Methotrexate: This medicine may raise the levels of these drugs in your bloodstream, potentially causing toxicity.

Drug-Food Interactions:

Alcohol: Avoid alcohol entirely, as it greatly increases your risk of stomach ulcers, bleeding, liver strain, and severe drowsiness.

Drug-Disease Interactions:

  • Stomach ulcers or bleeding: Use with extreme caution as this medication can worsen or reactivate bleeding.
  • Seizure disorders: Avoid this medication if you have a history of epilepsy or fits, as it can trigger seizures.
  • Cardiovascular diseases: May cause fluid retention and rise in blood pressure, requiring careful monitoring.
  • Kidney or liver impairment: Requires cautious dosing and close clinical monitoring to avoid further organ strain.

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Habit Forming

No

Therapeutic Class

[ANTI- INFLAMMATORY AGENTS]

FAQs

Etosak-MR 4 Tablet is used to relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis, gouty arthritis and ankylosing spondylitis, acute pain, chronic low back pain‚ and muscle spasms.

Etosak-MR 4 Tablet is used to reduce and relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis, gouty arthritis and ankylosing spondylitis. Arthritis is tenderness and swelling in the joints.

Avoid taking Etosak-MR 4 Tablet if you have stomach ulcers, bleeding problems or heart problems. Talk to your doctor regarding your concerns, he/she may prescribe alternate medicine.

Diarrhoea might be a side-effect of Etosak-MR 4 Tablet . Drink enough fluids and eat non-spicy food if you experience diarrhoea. If you find blood in stools (tarry stools) or if you experience severe diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.

Etosak-MR 4 Tablet might cause swelling of feet and hands due to fluid retention (oedema). While lying down, raise your legs above by putting a pillow below them. Follow a low-salt diet as it might help in reducing fluid build-up.

Etosak-MR 4 Tablet , if taken along with birth control pills, might increase the risk of side-effects. Please consult your doctor, he/she may suggest an alternate method of contraception.

Etosak-MR 4 Tablet should be used with extreme caution in patients suffering from the infection since it may mask the symptoms of an infection, such as a fever. Frequent clinical monitoring is recommended for such patients.

Etosak-MR 4 Tablet should be continued for as long as advised by your doctor, when used for long-term pain relief. It can be discontinued if you are using it for short-term pain relief.

Yes, the use of Etosak-MR 4 Tablet can cause dizziness (feeling faint, lightheaded, weak, or unsteady) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better.

The side effects of Etosak-MR 4 Tablet include stomach pain, indigestion, nausea, diarrhoea, flatulence, irregular heartbeat or swelling of hands and feet. If these side effects persist or worsen, please consult your doctor.

Etosak-MR 4 Tablet is contraindicated in patients with known allergy to painkillers (NSAIDS) or any of the components or excipients of this medicine, in patients with a history of stomach ulcers or in patients with active, recurrent stomach ulcer / bleeding. Also, it should be avoided in patients with history of high blood pressure, heart failure, and kidney or liver disease.

Yes, you can take Etosak-MR 4 Tablet with Vitamin B-complex. While Etosak-MR 4 Tablet helps to relieve pain, Vitamin B-complex can help to correct the vitamin deficiency that might be causing your symptoms.

Yes, the long-term use of Etosak-MR 4 Tablet can cause damage to the kidneys. Normal kidneys produce prostaglandins, a chemical that protects them from damage. Long term use of painkillers lowers the prostaglandins levels in the body leading to kidney damage. Therefore, painkillers are not recommended to patients with underlying kidney disease.

No, taking Etosak-MR 4 Tablet in higher doses will not make it more effective, rather it can increase the side effects. If the symptoms worsen, please consult the doctor for re-evaluation.

No, you are recommended to avoid alcohol consumption while taking Etosak-MR 4 Tablet as it may increase drowsiness and the risk of stomach bleeding.

No, Etosak-MR 4 Tablet is generally prescribed for painful muscle spasms, lower back pain, neck pain, cervical spondylosis, and certain joint-related conditions. It is not usually recommended for mild headaches, minor injuries, or routine body aches. Talk to your doctor about more appropriate options for general pain relief.

Many people begin to notice relief from muscle spasms and pain within a few hours of taking the first dose. However, the full benefit may take a few days of regular use, depending on the severity of the condition. Talk to your doctor if your symptoms do not improve as expected.

Yes, this muscle spasm tablet may cause drowsiness, dizziness, or reduced alertness in some people because of its muscle-relaxing component. Avoid driving, cycling, or operating machinery until you know how the medicine affects you. Talk to your doctor if these effects interfere with your daily activities.

You should use this medicine with caution if you have acid reflux, gastritis, or a history of stomach ulcers. Taking the tablet with food may help reduce stomach irritation. Talk to your doctor before starting treatment so they can assess whether it is suitable for you.

Older adults may be more sensitive to certain side effects, including stomach bleeding, kidney problems, dizziness, and falls. Your doctor may recommend closer monitoring or dosage adjustments based on your overall health. Talk to your doctor to determine whether this medicine is appropriate for you.

Moderate amounts of coffee or tea are generally acceptable while taking this medicine. However, excessive caffeine may worsen stomach irritation in some people. Staying well-hydrated and maintaining a balanced diet can help support your recovery. Talk to your doctor if you have specific dietary concerns.

Yes, this combination may be prescribed to help relieve pain, inflammation, and muscle spasms associated with conditions such as lower back pain, cervical spondylosis, and other musculoskeletal disorders. Your doctor will determine whether it is appropriate for your specific condition.

Disclaimer

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Country of origin

India

Manufacturer/Marketer address

C-110/2, First Floor, Naraina Industrial Area Phase 1, Naraina, New Delhi, Delhi 110028
Other Info - ETO0201
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