Tolpidol D Tablet

• If you are allergic to Tolperisone, Diclofenac or any other ingredient of Tolpidol D Tablet.
• If you are suffering from myasthenia gravis, an autoimmune disease characterized by muscle weakness.
• If you are a breastfeeding mother.
• 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.
• If you have kidney or liver diseases.

• Nausea, vomiting, diarrhoea, indigestion, abdominal pain, flatulence
• Dizziness, headache
• Dryness of the mouth
• Itching, rash
• Muscle pain, muscle weakness
• Increased liver enzymes

How Does It Work?

• Tolperisone acts on the spinal cord and by blocking the exchange of sodium and calcium ions within the cells, thereby relaxing the muscle.
• Decreased blood supply to various small blood vessels due to muscle contraction can cause trauma to the blood vessels leading to the release of a chemical substance responsible to cause pain. However,...

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• Diclofenac inhibits the synthesis of prostaglandins, which are responsible for causing pain, swelling and inflammation thus offers anti-inflammatory property.

Interactions with other medicines

• When Tolpidol D Tablet is used along with another muscle relaxant medicine such as Methocarbamol can cause visual disturbances.
• Concurrent use of other painkillers such as niflumic acid and other NSAIDs increases the effect of Tolpidol D Tablet.
• Tolpidol D Tablet increases the effect of lithium (anti-anxiety medicine) and digoxin (heart failure medicine) when used concomitantly.
• Tolpidol D Tablet might decrease the effectiveness of medicine used to lower blood pressure such as furosemide, enalapril and it can even lead to kidney damage.
• 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 Tolpidol 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 Tolpidol D Tablet.
• Antimicrobials medicine like ciprofloxacin, lomefloxacin should be used with caution as it can cause fits.
• The phenytoin level should be monitored when taking it along with Tolpidol D Tablet.
• Cholestyramine (lipid-lowering medicine) decreases the effect of Tolpidol 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 drug interactions.

Interactions with food items

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

Overdose

• Excess of Tolpidol D Tablet can cause symptoms such as headache, nausea, vomiting, chest pain, stomach or intestinal bleeding, diarrhoea, dizziness, excitation, coma, drowsiness, fainting or convulsio...

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• However, if you have taken too much of Tolpidol D Tablet then contact your doctor or reach out to the nearest hospital immediately.

Missed a Dose