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Tolunac 50mg/2mg Tablet is used to treat spasticity (muscle stiffness and spasms) associated with pain. It contains Diclofenac (NSAID) and Tizanidine (muscle relaxant). Diclofenac blocks prostaglandins (PGs) that cause pain and swelling. Tizanidine works on the centres of the spinal cord and brain. This helps relieve muscle stiffness and improves muscle movements. As a result, it helps to reduce muscle stiffness, spasms, and pain.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Consume Type :

Oral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About Tolunac 50mg/2mg Tablet

Tolunac 50mg/2mg Tablet is an oral prescription medication used to relieve painful muscle spasms and associated physical discomfort. It is commonly prescribed to treat conditions where muscle stiffness, tension, and severe pain occur together, such as lower back pain, neck pain, or muscle injuries. This medication helps ease muscle tightness while simultaneously reducing swelling and pain in the affected area.

To get the best results, you should take Tolunac 50mg/2mg Tablet regularly at the exact times prescribed by your doctor. It is highly recommended to take this tablet with food or a glass of milk to protect your stomach from irritation. Additionally, incorporating gentle stretching exercises and maintaining proper posture can significantly support your recovery.

While taking Tolunac 50mg/2mg Tablet, some people may experience mild side effects like drowsiness, dry mouth, or mild stomach upset. However, if you notice serious signs such as severe abdominal pain, yellowing of your skin or eyes, or dark urine, you must stop taking the medicine and contact your doctor immediately.

Do not take this if you have a history of stomach ulcers, severe liver damage, or kidney disease. It is also unsafe for individuals with severe heart failure or those who have experienced allergic reactions to similar pain relievers. Always talk to your doctor before starting Tolunac 50mg/2mg Tablet if you have high blood pressure or bleeding disorders.

Avoid drinking alcohol while taking this medicine because it can increase drowsiness, dizziness, and the risk of stomach bleeding. Tell your doctor if you are taking blood thinners, other pain relievers, medicines for high blood pressure, or medicines such as fluvoxamine or ciprofloxacin, as these can increase the effects of tizanidine or raise the risk of side effects. If you are pregnant, breastfeeding, an older adult, or have any long-term medical condition, talk to your doctor before using Tolunac 50mg/2mg Tablet to make sure it is safe for you.

Uses of Tolunac 50mg/2mg Tablet

Tolunac 50mg/2mg Tablet is used in the treatment of spasticity and associated musculoskeletal pain. The detailed uses of Tolunac 50mg/2mg Tablet are as follows:

  • Painful muscle spasms: Tolunac 50mg/2mg Tablet helps by relaxing tight muscles and blocking the pain signals sent to your brain, providing rapid relief from severe muscle cramping.
  • Lower back pain (Lumbago): This medicine reduces local inflammation and eases stiffness in the lower back muscles, allowing you to move more freely.
  • Neck stiffness and pain: It targets the painful tension in neck muscles, helping to restore normal range of motion and reduce discomfort.
  • Post-operative muscle pain: It relieves spasm-related pain and inflammatory swelling after orthopedic surgeries or musculoskeletal procedures.

Key Benefits

  • Relieves pain and muscle spasms together: Combines a muscle relaxant with a pain reliever to reduce muscle tightness, pain, and inflammation at the same time.
  • Improves movement: Helps relax stiff muscles and reduce swelling, making it easier to walk, bend, sit, and carry out everyday activities.
  • Supports faster recovery: By easing pain and muscle spasms, it helps you participate more comfortably in physical therapy and daily activities, promoting a quicker return to your normal routine.

Directions for Use

  • Take Tolunac 50mg/2mg Tablet with food to avoid stomach upset.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Tolunac 50mg/2mg Tablet Works

Tolunac 50mg/2mg Tablet contains two active ingredients that work together to relieve muscle pain, stiffness, and inflammation. Tizanidine is an alpha-2 adrenergic agonist (a type of centrally acting muscle relaxant). It works on the brain and spinal cord to reduce the nerve signals that cause muscles to tighten and go into spasm. As these signals decrease, the muscles relax, helping relieve stiffness and painful muscle spasms. Diclofenac is a non-steroidal anti-inflammatory drug (NSAID). It reduces the production of natural substances called prostaglandins, which are responsible for pain, swelling, and inflammation at the site of injury. Together, these two medicines help relieve muscle spasms, reduce pain and inflammation, and improve movement and comfort.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Tolunac 50mg/2mg Tablet as it may cause increased drowsiness. It may also increase the risk of stomach bleeding.

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Pregnancy

Caution

Tolunac 50mg/2mg Tablet is not recommended for use in pregnant women. If you are pregnant or planning pregnancy, inform your doctor before taking Tolunac 50mg/2mg Tablet.

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Breast Feeding

Caution

Tolunac 50mg/2mg Tablet is not recommended for use in breastfeeding mothers. If you are breastfeeding, consult your doctor before taking Tolunac 50mg/2mg Tablet.

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Driving

Caution

Tolunac 50mg/2mg Tablet may cause dizziness or drowsiness. So, do not drive or operate machinery unless you are alert.

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Liver

Caution

Inform your doctor before receiving Tolunac 50mg/2mg Tablet if you have a liver impairment/disorder history. Tolunac 50mg/2mg Tablet is not recommended for use in severely impaired liver function patients.

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Kidney

Caution

Inform your doctor before receiving Tolunac 50mg/2mg Tablet if you have a kidney impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Unsafe

Tolunac 50mg/2mg Tablet is not recommended for children as safety and effectiveness are not established.

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Heart

Caution

Inform your doctor before receiving Tolunac 50mg/2mg Tablet if you have a heart impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Please consult a doctor if you have any concerns regarding the use of Tolunac 50mg/2mg Tablet in elderly patients.

What if I have taken an overdose of Tolunac 50mg/2mg Tablet

If you suspect an overdose, seek immediate medical attention or contact a poison control center. Symptoms of an overdose may include severe dizziness, extreme drowsiness, fainting, slow breathing, or severe stomach pain.

Diet & Lifestyle Advise

  • Stay well-hydrated: Drink plenty of water throughout the day, as dehydration can worsen muscle cramps and spasms.
  • Apply heat or cold therapy: Use a warm compress to relax tight muscles or an ice pack to reduce acute swelling and inflammation in the painful area.
  • Maintain gentle movement: Avoid prolonged bed rest. Gentle walks and light stretching, as approved by your physical therapist, can prevent joint stiffness.
  • Protect your stomach: Avoid spicy, highly acidic, or greasy foods while taking this medication, as they can increase the risk of stomach irritation.
  • Practice good ergonomics: Ensure your workspace is set up to support good posture, which reduces strain on your neck and back muscles.
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How Soon It Starts Working

The time required for Tolunac 50mg/2mg Tablet to start to work: The time required for Tolunac 50mg/2mg Tablet to show its action is unknown. The time for which the effects of Tolunac 50mg/2mg Tablet last: The duration of action for Tolunac 50mg/2mg Tablet is unknown.

What if you forget to take Tolunac 50mg/2mg Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Tolunac 50mg/2mg Tablet tablets in their original packaging at room temperature, protected from moisture, heat, and direct sunlight.

Drug Warnings

  • Avoid driving or operating machinery: Tolunac 50mg/2mg Tablet can make you very sleepy or dizzy. Do not drive or do dangerous tasks until you know how this medicine affects you.
  • Do not take with other NSAIDs: Avoid taking other pain relievers like ibuprofen or naproxen alongside Tolunac 50mg/2mg Tablet unless directed by your doctor, as this increases the risk of stomach ulcers and bleeding.
  • Check for skin reactions: Stop taking the medicine immediately and call your doctor if you develop a skin rash, peeling skin, or blisters.
  • Rise slowly from sitting or lying positions: Tizanidine can lower your blood pressure in some people, especially when standing up suddenly. Rise slowly to reduce the risk of dizziness, lightheadedness, or fainting.
  • Monitor your blood pressure: If you have high blood pressure, check it regularly, as the pain-relieving component can sometimes raise blood pressure or cause fluid retention.

Drug-Drug Interactions

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  • Blood thinners (e.g., warfarin): May significantly increase the risk of stomach and intestinal bleeding.
  • Blood pressure medicines: Using these with tizanidine may increase the risk of low blood pressure, dizziness, or fainting. Diclofenac may also reduce the effectiveness of some blood pressure medicines and increase strain on the kidneys.
  • Fluvoxamine or ciprofloxacin: These medicines can greatly increase the amount of tizanidine in your body by slowing its breakdown, leading to excessive drowsiness, very low blood pressure, or slow heart rate. They should generally not be used together.
  • Other NSAIDs or oral corticosteroids: Taking these together increases the risk of stomach ulcers and gastrointestinal bleeding.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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  • Alcohol: Consuming alcohol with this medication increases the risk of stomach bleeding and severely worsens drowsiness and dizziness.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANALGESICS]

FAQs

Tolunac 50mg/2mg Tablet is used to treat Spasticity (muscle stiffness and spasms) associated with pain.
Tolunac 50mg/2mg Tablet contains Diclofenac (NSAID) and Tizanidine (muscle relaxant). Diclofenac inhibits the production of prostaglandins (PGs), which induce pain and swelling. Tizanidine modulates the spinal cord and brain centres. This aids in the relief of muscle stiffness and the improvement of muscle movements. As a result, Tolunac 50mg/2mg Tablet aids in relieving muscle stiffness, spasms, and pain.
Diarrhoea might be a side-effect of Tolunac 50mg/2mg 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.
Dry mouth could be a side-effect of Tolunac 50mg/2mg Tablet. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent mouth drying.
Taking Tolunac 50mg/2mg Tablet can elevate symptoms of gastric ulcer and bleeding. So, talk to your doctor before taking Tolunac 50mg/2mg Tablet if you have gastrointestinal bleeding or other bleeding problems before using Tolunac 50mg/2mg Tablet.
It is not advisable to take Tolunac 50mg/2mg Tablet and ciprofloxacin simultaneously. Inform your doctor if you are now using or have recently used ciprofloxacin. Your doctor may advise you to take these two medications at different times.
It is highly recommended to take Tolunac 50mg/2mg Tablet with food or milk. Taking it on an empty stomach increases the risk of developing stomach irritation, pain, or heartburn. Talk to your doctor if you experience persistent stomach upset.
Yes, drowsiness is a common side effect of this medicine due to its muscle-relaxing component. Avoid driving, operating machinery, or performing tasks that require full alertness until you know how it affects you. Talk to your doctor if the sleepiness is severe.
You should avoid alcohol completely while taking Tolunac 50mg/2mg Tablet. Alcohol can dangerously increase the sedative effects, causing severe drowsiness, and it significantly increases the risk of stomach bleeding. Talk to your doctor if you have concerns.
No, Tolunac 50mg/2mg Tablet is generally not recommended during pregnancy, especially in the third trimester, as it can harm the unborn baby or cause complications during delivery. Always talk to your doctor to discuss safer alternatives if you are pregnant or planning to become pregnant.
This medicine is typically prescribed for short-term relief of acute pain and spasms. Taking it long-term can increase the risk of serious side effects like stomach ulcers, liver issues, or kidney problems. Always follow the exact duration prescribed by your healthcare provider and talk to your doctor before extending use.
Use this medicine only under your doctor's supervision if you have high blood pressure. Tizanidine may lower blood pressure and cause dizziness or fainting in some people, while diclofenac may increase blood pressure or cause fluid retention in others. Your doctor may monitor your blood pressure and adjust your treatment if needed.
Do not take ibuprofen, naproxen, or other NSAIDs with Tolunac 50mg/2mg Tablet as it greatly increases the risk of stomach ulcers and bleeding. While paracetamol may sometimes be used, you should always talk to your doctor or pharmacist before combining any pain medications.

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Country of origin

India

Manufacturer/Marketer address

Waksman Selman Pharmaceuticals Pvt Ltd 306, Jayabharathi Meadows, Suchitra 'X' Road, Hyderabad, Telengana - 500055.
Other Info - TO36130
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