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Albert David Ltd - Drop - 60 ml
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Aceclofenac (100mg) + Paracetamol (325mg) + Thiocolchicoside (4mg)
Anaflam-Th4 Tablet is used for anaflam TH 4 Tablet is used for muscular pain.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Medicines with the same active ingredient and strength as Anaflam-Th4 Tablet.
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Anaflam-Th4 Tablet
tablet - 10 S
₹208
₹20.84 per tablet
East India Pharmaceutical Works Ltd · tablet - 10 S · Rx
₹183
₹18.26 per tablet
A substitute contains the same active ingredient (salt), in the same strength, as Anaflam-Th4 Tablet. The medicine inside is the same — the brand name, manufacturer and price are what differ.
All medicines sold in India, branded or generic, must meet the quality standards set by the national drug regulator (CDSCO). A lower price does not mean lower quality.
Please confirm with your doctor or pharmacist before switching brands — they will check that the strength and form match your prescription.
Anaflam-Th4 Tablet contains Aceclofenac (100mg) + Paracetamol (325mg) + Thiocolchicoside (4mg). It belongs to the Non-steroidal anti-inflammatory drug, Para-aminophenol derivative and Centrally acting muscle relaxant class of medicines.
Anaflam TH 4 Tablet is used for muscular pain.
Anaflam TH 4 Tablet is a combination of a muscle relaxant (Thiocolchicoside) and two pain relievers (Aceclofenac, Paracetamol/Acetaminophen). The muscle relaxant works on the centers in the brain and spinal cord to relieve muscle stiffness or spasm and improve movement of muscles. The pain relievers work by blocking the release of certain chemical messengers in the brain that cause pain and inflammation (redness and swelling).
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Anaflam TH 4 Tablet is to be taken with food.<br>This will help to avoid acidity and heartburn.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause stomach bleeding, kidney failure, drowsiness and fits. It can cause severe and sometimes fatal liver damage, often with no symptoms at all for the first day. It can cause deep drowsiness, muscle weakness, a fall in blood pressure and slowed breathing. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Anaflam-Th4 are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Anaflam TH 4 Tablet may be unsafe to use during pregnancy.<br>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor. |
|---|---|
| Breastfeeding | No information is available on the use of Anaflam TH 4 Tablet during lactation. Please consult your doctor. |
| Alcohol | Taking Thiocolchicoside+Aceclofenac+Paracetamol/Acetaminophen with alcohol can cause liver damage. |
| Driving | Do not drive or operate machinery while taking this medicine. |
| Kidney | Anaflam TH 4 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Anaflam TH 4 Tablet may be needed. Please consult your doctor.<br>Use of Anaflam TH 4 Tablet is not recommended in patients with severe kidney disease. |
| Liver | Anaflam TH 4 Tablet should be used with caution in patients with liver disease. Dose adjustment of Anaflam TH 4 Tablet may be needed. Please consult your doctor.<br>However, the use of Anaflam TH 4 Tablet is not recommended in patients with severe liver disease and active liver disease. |
| Habit forming | No |
Take it with or just after food, and for the shortest time that works. Stop and seek urgent care for black or tarry stools, vomiting blood, or severe stomach pain — this group can cause bleeding from the stomach. Long or high-dose use raises the risk of heart attack, stroke and kidney injury, particularly in older people and those already at risk. Avoid if you are dehydrated or have an illness with vomiting or loose motions — the kidneys are vulnerable then. Must be avoided in the last three months of pregnancy. Never exceed the daily maximum printed on the pack. Paracetamol overdose damages the liver, and the damage can be silent for a day or two before it becomes serious. Check every other medicine you are taking. Paracetamol is in a very large number of cold, flu and pain combinations, and the doses add together. If you drink alcohol regularly, or have liver disease, ask your doctor what daily limit is safe for you. See a doctor if fever lasts more than three days, or pain more than five. This medicine causes drowsiness. Do not drive or operate machinery until you know how it affects you. Use it for the short course your doctor has prescribed — these are not intended for long-term use. Do not stop a long course abruptly without asking your doctor.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an active stomach ulcer, severe kidney or heart failure, or asthma triggered by aspirin or anti-inflammatory painkillers. Not in the third trimester of pregnancy. Not for people with severe liver disease, except under medical supervision. Not for people with myasthenia gravis or severe liver disease.
Combining with a blood thinner or aspirin sharply raises the bleeding risk. Reduces the effect of blood pressure medicines and water tablets, and together with them can harm the kidneys. Never take two anti-inflammatory painkillers at the same time. Regular alcohol use increases the risk of liver injury. Tell your doctor if you are on warfarin — regular high-dose paracetamol can affect it. Alcohol, sleeping tablets, antihistamines and opioid painkillers all add to the drowsiness, sometimes dangerously.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
<div class="style__desktop-container___1hcBT"><div class="style__desktop-video___2GTR9"><div class="styles__video-img___1rCzR"><div class=""/><div class=""/></div></div><div><div><div><div><div class="ExpertAdviceItem__content___1Djk2"><ul><li>You have been prescribed Anaflam TH4 Tablet to relieve pain due to muscle spasm.</li> <li>This medicine is most effective when taken along with proper rest and physical therapy.</li> <li>Avoid consuming alcohol when taking Anaflam TH4 Tablet as it may cause excessive drowsiness and increase the risk of liver damage.</li> <li>Older adults may have increased drowsiness, confusion, and higher risk of falling as a result of taking Anaflam TH4 Tablet .</li> <li>Do not take it with any other medicine containing acetaminophen (drugs for pain/fever or cough-and-cold) without asking your doctor first. </li></ul></div></div></div></div></div></div>
Medicines with the same active ingredient (Aceclofenac (100mg) + Paracetamol (325mg) + Thiocolchicoside (4mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Anaflam-Th4 Tablet |
|---|---|---|---|
| Pyrigesic MR TabletEast India Pharmaceutical Works Ltd | tablet · 10`S | ₹183 | 12% cheaper |
| Anafast-Th 4 TabletOVERSEAS HEALTHCARE | tablet · 10`S | ₹244 | 17% more |
| Zerodol Th Max 8IPCA LABORATORIES LTD` | 10`S | ₹312 | 50% more |
Albert David Ltd - Drop - 60 ml
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Prescription required

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The information on Anaflam-Th4 Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.