Tolpa-D

Composition of Tolpa-D

Tolpa-D contains Diclofenac + Serratiopeptidase. It belongs to the Non-steroidal anti-inflammatory drug and Enzyme / disease-modifying anti-rheumatic agent class of medicines.

Uses of Tolpa-D

• This medicine is used in the treatment of pain
• inflammation
• arthritis
• fever
• period pain
• pain and swelling
• inflammatory arthritis
• gout and recovery after injury or surgery.

Key benefits

• Relieves pain and the swelling that causes it
• Effective in arthritis and injury
• Reduces swelling and joint damage over time
• Improves function in inflammatory disease

How Tolpa-D works

This medicine combines 2 active ingredients: Diclofenac and Serratiopeptidase. Diclofenac blocks the chemicals your body makes at a site of injury or inflammation, which reduces pain, swelling and fever. Serratiopeptidase reduces inflammation and the swelling that comes with injury, surgery or an inflammatory joint disease.

How to take Tolpa-D

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

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.

If you take too much

An overdose of this medicine can cause stomach bleeding, kidney failure, drowsiness and fits. It can seriously suppress the bone marrow and damage the liver. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Tolpa-D

Most side effects of Tolpa-D are mild and settle as the body adjusts. Reported side effects include:

• Indigestion
• Stomach pain
• Nausea
• Heartburn
• Dizziness
• Swelling of the ankles and feet
• Stomach upset
• Loose motions
• Rash
• Raised liver enzymes

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.

Safety advice for Tolpa-D

Warnings and precautions

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. Medicines that suppress the immune system need regular blood tests — do not miss them. Report fever, sore throat, mouth ulcers or unusual bruising promptly if you are on an immune-suppressing medicine. Tell your doctor about any infection, and before any vaccination. Methotrexate for arthritis is taken ONCE A WEEK. Taking it daily by mistake is dangerous — check the day on your pack.

Do not take Tolpa-D if

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 an active serious infection, or with severe liver or bone-marrow disease. Several of these medicines must not be used in pregnancy.

Interactions with other medicines

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. Tell your doctor about all other medicines, especially anti-inflammatory painkillers and antibiotics. Live vaccines are generally avoided while on immune-suppressing treatment.

How to store Tolpa-D

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Tolpa-D

Use the lowest dose for the shortest period. If you need a painkiller regularly, see your doctor rather than continuing on your own. Paracetamol is the safer choice for simple fever and headache. Keep every monitoring blood test appointment. Carry a note of the medicine and its schedule, especially for weekly dosing.

Manufacturer and class

Manufacturer:

MICRO LABS

Therapeutic class:

Analgesic and anti-inflammatory

Drug class:

Non-steroidal anti-inflammatory drug and Enzyme / disease-modifying anti-rheumatic agent