Tolby D Strip Of 10 Tablets

• If you are allergic to bromelain, chymotrypsin-trypsin, rutoside, diclofenac or any other component of Tolby D Tablet.
• If you have a blood disorder (haemophilia) or liver disorder.
• If you have a kidney disorder and are undergoing hemodialysis.
• If you have active stomach or intestinal bleeding, ulcer, perforations or peptic ulcers.
• If you have a history of stomach or intestinal bleeding or perforations.
• If you have any heart conditions such as heart failure.

• Headache
• Dizziness
• Nausea
• Vomiting
• Stomach discomfort
• Indigestion
• Fatigue
• Rash
• Vertigo
• Dark-coloured stools
• Increase liver enzyme

How Does It Work?

• In Tolby D Tablet, chymotrypsin-trypsin & bromelain have anti-inflammatory properties. It acts by increasing the blood supply to the affected area, thus reducing the pain and swelling. It decreases th...

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• Rutoside has an antioxidant and anti-platelet aggregation property, which prevents the formation of free radical thus prevents cell damage and avoids gathering of the platelets, further improving bloo...

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• Diclofenac inhibits the synthesis of chemical substance prostaglandins, which are responsible for causing pain, swelling and inflammation thus offering anti-inflammatory properties.

• Tolby D Tablet should be taken as directed by your doctor.
• Swallow it whole with a glass of water, do not cut, break or chew the medicine.
• It would be best if you took it at a fixed time for optimal results.
• You should not consume it more than that prescribed by your doctor.

Interactions with other medicines

• Tolby D Tablet may alter the effect of an antibiotic such as amoxicillin when used concomitantly.
• Medicine known to retain potassium level in the blood such as spironolactone, ciclosporin, tacrolimus or trimethoprim should be used with caution and monitored.
• Medicine used as a blood thinner such as warfarin should be used with caution as it can cause an increased risk of bleeding when used along with Tolby D Tablet.
• Taking any other medicines containing Diclofenac or NSAIDs and citalopram, sertraline (mood enhancer) increases the risk of stomach or intestinal bleeding.
• Immunosuppressive medicine such as methotrexate, cyclosporine and tacrolimus effect increases and can cause kidney damage when used along with Tolby D Tablet.
• Concurrent use of digoxin (heart medicine), ramipril (anti-hypertensive), lithium (anti-psychotic medicine) along with Tolby D Tablet may alter the effect of either medicine.
• Antimicrobials medicine like ciprofloxacin, lomefloxacin should be used with caution as they can cause fits.
• The phenytoin level should be monitored when taking it along with Tolby D Tablet. Cholestyramine (lipid-lowering medicine) decreases the effect of Tolby D Tablet when used along.
• Discuss with your doctor about any other medicine, herbal preparation and supplements you are taking currently to avoid any possible interactions.

• Store Tolby D Tablet at temperature below 30°C in a cool dry place.
• Keep out of reach of children and pets.

Overdose

• Excess of Tolby D Tablet can cause symptoms such as headache, nausea, vomiting, chest pain, stomach or intestinal bleeding, diarrhoea, dizziness, excitation, coma, drowsiness, fainting or convulsions.
• However, if you have taken too much of Tolby D Tablet then contact your doctor or reach out to the nearest hospital immediately.

Missed a Dose