PAINKAND MR TAB
Diclofenac Potassium 50 mg + Paracetamol 325 mg + Chlorzoxazone 500 mg
PAINKAND MR TAB is a combination medicine containing a non-steroidal anti-inflammatory drug (diclofenac potassium), a pain reliever (paracetamol) and a muscle relaxant (chlorzoxazone). It may be prescribed for selected painful musculoskeletal conditions involving inflammation and muscle spasm.
This combination is intended for appropriate short-term symptom management under professional guidance. Its suitability depends on the cause of the pain, the patient's medical history and any other medicines being taken.
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Composition
- Diclofenac Potassium — 50 mg: An NSAID that reduces pain and inflammation.
- Paracetamol — 325 mg: An analgesic that helps relieve pain and can reduce fever.
- Chlorzoxazone — 500 mg: A centrally acting muscle relaxant used to help relieve discomfort associated with certain painful musculoskeletal conditions.
Product Introduction
Muscle pain and stiffness can occur after strains, sprains or other musculoskeletal problems. When inflammation, pain and muscle spasm occur together, a clinician may consider a combination medicine containing an anti-inflammatory, an analgesic and a muscle relaxant.
Diclofenac potassium helps reduce inflammation and pain, paracetamol provides additional pain relief, and chlorzoxazone may help ease muscle-related discomfort. This medicine does not treat every cause of back pain or muscle pain and should not replace assessment when symptoms are severe or persistent.
Uses of PAINKAND MR TAB
Musculoskeletal Pain
May be prescribed for selected muscle and joint pain conditions where the combination of pain relief and muscle relaxation is considered appropriate.
Muscle Spasm and Stiffness
Chlorzoxazone may help relieve discomfort associated with acute, painful muscle conditions when used as part of an appropriate treatment plan.
Back and Neck Discomfort
A clinician may consider this type of combination for selected episodes of painful back or neck muscle spasm after assessing the cause and severity.
Pain with Inflammation
Diclofenac and paracetamol may help manage pain associated with inflammation in suitable patients. The underlying injury or condition may still require other treatment.
These are general uses associated with the ingredients, not a confirmation of every approved indication for PAINKAND MR TAB. The prescribing clinician should determine whether this combination is appropriate.
Potential Benefits
- Combines ingredients that work through different mechanisms to relieve pain.
- Diclofenac potassium may reduce inflammation and associated discomfort.
- Paracetamol provides additional analgesic action.
- Chlorzoxazone may help reduce discomfort associated with painful muscle spasm.
- May support comfortable movement while the underlying musculoskeletal condition is managed.
Response varies between individuals. The medicine does not repair every injury or replace appropriate rest, rehabilitation or clinical treatment when needed.
Possible Side Effects
Commonly Reported Effects
- Stomach discomfort, indigestion or nausea.
- Dizziness, sleepiness or light-headedness.
- Diarrhoea or other digestive discomfort.
- General weakness or tiredness.
Serious Potential Effects
- Stomach or intestinal ulcers, bleeding or perforation associated with diclofenac.
- Liver injury associated with paracetamol, diclofenac or chlorzoxazone.
- Kidney problems, fluid retention or increased blood pressure.
- Serious allergic or skin reactions.
- Excessive sedation or impaired coordination.
How to Use PAINKAND MR TAB
- Take the tablet only as prescribed by your healthcare professional.
- Follow the prescribed frequency and duration; do not take extra tablets for uncontrolled pain.
- Follow the package leaflet or pharmacist's instructions about taking the tablet with food.
- Do not combine it with other diclofenac-containing medicines or other NSAIDs, such as ibuprofen or naproxen, unless your clinician specifically directs you to do so.
- Check cold, flu and pain medicines for paracetamol or acetaminophen to avoid taking duplicate doses.
- Avoid driving, cycling in traffic or operating machinery if you feel sleepy, dizzy or less alert.
No individual dosage schedule is provided here because safe use depends on the patient's condition, other medicines and risk factors.
How It Works
Diclofenac Potassium
Diclofenac reduces the production of prostaglandins by inhibiting cyclooxygenase enzymes. These substances contribute to pain and inflammation, so reducing their production may relieve symptoms.
Paracetamol
Paracetamol acts primarily through central pain-processing pathways to reduce pain and fever. Excessive intake can cause serious liver injury.
Chlorzoxazone
Chlorzoxazone acts on the central nervous system to help relieve discomfort associated with acute muscle spasm. It can cause drowsiness or dizziness and has also been associated with rare serious liver injury.
Safety Advice and Precautions
Stomach Ulcers and Bleeding
Diclofenac can cause serious stomach or intestinal irritation, ulcers and bleeding. Tell your clinician if you have a history of ulcers, gastrointestinal bleeding or persistent stomach problems.
Liver Health
Paracetamol, diclofenac and chlorzoxazone can each be associated with liver injury. Avoid exceeding the prescribed dose, disclose liver disease and seek advice before use if you regularly consume alcohol.
Kidney and Heart Conditions
Diclofenac may worsen kidney function, cause fluid retention, increase blood pressure and increase cardiovascular risks in some patients. Seek medical advice if you have kidney disease, heart failure, hypertension or a history of cardiovascular disease.
Drowsiness and Alcohol
Chlorzoxazone may cause sleepiness or dizziness. Alcohol and other sedating medicines can increase impairment and may add to safety risks. Avoid alcohol and ask your clinician about possible interactions.
Other Medicines
Tell your clinician about all medicines, especially anticoagulants, antiplatelet medicines, steroids, blood pressure medicines, diuretics, other NSAIDs and products containing paracetamol.
Pregnancy and Breastfeeding
Diclofenac and other NSAIDs can pose risks during pregnancy, particularly from around 20 weeks onward, and are generally avoided later in pregnancy unless specifically directed by a specialist. Seek professional advice before use while pregnant, planning pregnancy or breastfeeding.
Asthma and Drug Allergies
Tell your clinician if aspirin or other NSAIDs have triggered asthma, wheezing, swelling or an allergic reaction. Do not use the medicine if you have a known allergy to any of its ingredients unless a qualified clinician has assessed the situation.
Older Adults and Children
Older adults may be more vulnerable to gastrointestinal bleeding, kidney problems and dizziness. This combination should not be given to children unless a qualified clinician has specifically determined that it is appropriate.
Quick Tips for Responsible Use
- Use PAINKAND MR TAB only for the condition for which it was prescribed.
- Do not take additional paracetamol or anti-inflammatory medicines without checking with a healthcare professional.
- Avoid alcohol and activities requiring full alertness if you experience drowsiness or dizziness.
- Seek medical advice if pain persists, worsens or repeatedly returns.
- Store the tablets according to the package instructions and keep them out of children's reach.
- Seek urgent assessment for severe pain after a significant injury, new weakness or numbness, or loss of bladder or bowel control.
