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compositionComposition:FLUPIRTINE-100MG+THIOCOLCHICOSIDE-4MG
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Prescription Medicine
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Ketoflam-T 4 Tablet is used to relieve pain and muscle spasms. It contains Flupirtine and Thiocolchicoside which work by blocking the transmission of pain signs to the brain and relieving muscle stiffness. In some cases, this medicine may cause side effects such as nausea, drowsiness, dizziness, dry mouth, and itching. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

FLUPIRTINE-100MG+THIOCOLCHICOSIDE-4MG

Manufacturer/Marketer :

Lupin Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Ketoflam-T 4 Tablet

Ketoflam-T 4 Tablet is an oral prescription medicine used to treat acute, painful muscle spasms and the severe discomfort that comes with them. It helps manage sudden muscle stiffness, severe backaches, and neck strains, allowing your body to rest and heal. This medicine is specifically prescribed when both pain relief and muscle relaxation are needed at the same time.

For the best results, you must take Ketoflam-T 4 Tablet consistently and exactly as directed by your doctor. It is typically taken for a short period to ensure safety and prevent unwanted side effects. You should take this medicine with or immediately after food to protect your stomach from irritation. Incorporating light, low-impact movements and staying well-hydrated can also help support your recovery.

While taking Ketoflam-T 4 Tablet , some people may experience mild side effects like drowsiness, dry mouth, or lightheadedness. However, you must contact your doctor immediately if you notice serious symptoms such as yellowing of your eyes or skin, unusually dark urine, severe stomach pain, or persistent nausea.

Do not take this medicine if you have pre-existing liver damage, severe kidney issues or if you are pregnant, planning to become pregnant, or breastfeeding. Always talk to your doctor before starting Ketoflam-T 4 Tablet if you have a history of liver disease or active muscle weakness conditions.

This medicine can interact with other substances, especially alcohol, which can cause extreme drowsiness and increase the risk of liver damage. It is also important to tell your healthcare provider if you are taking other pain relievers, sleeping aids, or muscle relaxants. Elderly individuals should talk to their doctor before starting this medicine, as they may be more sensitive to its effects.

Uses of Ketoflam-T 4 Tablet

Ketoflam-T 4 Tablet is used to treat acute, painful muscle spasms and the severe discomfort that comes with them. The detailed uses of Ketoflam-T 4 Tablet are as follows:

  • Acute muscle spasms: It helps relieve sudden, painful muscle contractions and physical tightness in the body.
  • Severe low back pain: It targets the intense discomfort and accompanying stiffness in the lower back, helping you regain mobility.
  • Post-injury muscle pain: It manages localised pain and spasm following severe muscle strains, sprains, or direct physical injuries.

Key Benefits

Ketoflam-T 4 Tablet helps relieve painful muscle conditions by reducing pain and easing muscle stiffness. Its dual-action effect improves comfort, restores mobility, and supports recovery from musculoskeletal injuries and related conditions.

  • Helps Relieve Pain and Muscle Stiffness: By reducing pain while relaxing tight muscles, Ketoflam-T 4 Tablet helps improve comfort and makes everyday movements easier.
  • Improves Mobility and Physical Function: As muscle stiffness and discomfort decrease, Ketoflam-T 4 Tablet helps restore flexibility and range of motion, allowing you to move more freely during recovery.
  • Supports Faster Recovery: By relieving muscle spasm and breaking the cycle of pain and muscle tightness, Ketoflam-T 4 Tablet helps you participate more comfortably in physical therapy and rehabilitation, supporting long-term healing.
Side effects of Ketoflam-T 4 Tablet
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Eat a healthy diet and exercise regularly.
  • Manage stress with yoga or meditation.
  • Limit alcohol and caffeine.
  • Avoid driving or operating machinery unless you are alert.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Notify your doctor immediately if you experience tremors or involuntary shaking after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen or recommend alternative techniques like relaxation, meditation, or journaling to alleviate tremor symptoms.
  • Your doctor may direct you to practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling.
  • Regular physical activity, such as walking or jogging, can help reduce anxiety and alleviate tremor symptoms.
  • Your doctor may recommend lifestyle changes, such as avoiding caffeine, getting enough sleep, and staying hydrated, to help manage tremors.
  • Maintain regular follow-up appointments with your doctor to monitor tremor symptoms and adjust treatment plans as needed.

Directions for Use

  • Ketoflam-T 4 Tablet can be taken after meals.
  • Ketoflam-T 4 Tablet is usually taken twice a day, or as prescribed by your doctor.
  • Swallow Ketoflam-T 4 Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Ketoflam-T 4 Tablet Works

Ketoflam-T 4 Tablet combines two active components that work together in the body to relieve discomfort. The first component, flupirtine, is a specialised pain reliever that works through the central nervous system and acts differently from common pain relievers such as NSAIDs or opioids. It helps reduce pain by calming overactive nerve cells and decreasing the transmission of pain signals, making it useful in selected patients when prescribed by a doctor. The second component, thiocolchicoside, acts as a muscle relaxant. It interacts with specific receptors in the brain and spinal cord that control muscle tone and stiffness. By relaxing these tight muscle fibres, it reduces spasms and restores ease of movement. Together, these two actions provide comprehensive relief from both the pain and the physical tension.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Ketoflam-T 4 Tablet as it may increase drowsiness and may cause unpleasant side effects.

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Pregnancy

Unsafe

Ketoflam-T 4 Tablet is unsafe during pregnancy. Please consult your doctor if you have any concerns regarding this.

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Breast Feeding

Caution

Please consult your doctor before taking Ketoflam-T 4 Tablet ; your doctor will prescribe only if the benefits outweigh the risks.

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Driving

Caution

Ketoflam-T 4 Tablet may cause dizziness and drowsiness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Unsafe

Ketoflam-T 4 Tablet may cause severe side effects if you have a history of kidney disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Ketoflam-T 4 Tablet should not be given to children below 18 years of age as the safety and effectiveness were not established.

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Heart

Unsafe

Ketoflam-T 4 Tablet is not recommended in cardiac patients due to its adverse effects. However, if prescribed, extreme caution should be exercised.

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Geriatrics

Caution

Ketoflam-T 4 Tablet should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Ketoflam-T 4 Tablet

If you suspect an overdose, seek immediate medical attention or contact an emergency helpline. Watch out for severe symptoms such as extreme drowsiness, confusion, severe nausea, or difficulty breathing.

Diet & Lifestyle Advise

  • Drink plenty of water throughout the day to keep your muscles hydrated and reduce the risk of cramping.
  • Apply a warm compress or heat pad to the stiff muscle area for 15–20 minutes to encourage blood flow and relaxation.
  • Incorporate potassium- and magnesium-rich foods into your diet, such as bananas, leafy greens, and nuts, to support normal muscle function.
  • Avoid heavy lifting, sudden twisting movements, or high-impact exercises while your muscles are actively healing.
  • Perform gentle, doctor-approved stretches daily to prevent muscle stiffness from returning.
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Have a query?

How Soon It Starts Working

The time required for Ketoflam-T 4 Tablet to start to work: Ketoflam-T 4 Tablet ideally shows its action within 30 to 60 minutes of administration. The time for which the effects of Ketoflam-T 4 Tablet last: Ketoflam-T 4 Tablet effect lasts for 6 to 8 hours.

What if you forget to take Ketoflam-T 4 Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store Ketoflam-T 4 Tablet at room temperature, ideally between 15°C and 30°C, in a dry place away from direct sunlight and excess moisture.

Drug Warnings

  • Keep your treatment short: Take this medicine only for the duration prescribed by your doctor. Thiocolchicoside is generally recommended only for short-term use (often up to 7 days where applicable), while flupirtine should also be used for the shortest appropriate duration because prolonged treatment may increase the risk of serious side effects, including liver injury.
  • Avoid driving: Do not drive, operate machinery, or perform tasks requiring sharp mental focus until you know how this medicine affects your alertness.
  • Monitor your liver: Stop the medicine and contact your doctor immediately if you notice signs of liver strain, such as yellowing skin or dark urine.
  • Do not drink alcohol: Avoid all alcohol while taking this medicine, as it can cause dangerous levels of drowsiness and place heavy strain on your liver.
  • Do not share this medicine: This is a prescription medication selected specifically for your condition and should never be shared with anyone else.
  • Important regulatory note: Ketoflam-T 4 Tablet is a prescription-only medicine and should only be used under the supervision of a qualified doctor. Flupirtine has been withdrawn or its use has been restricted in several countries because of concerns about serious liver toxicity. Your doctor will decide whether this medicine is appropriate based on current regulatory recommendations, approved indications, and your individual clinical situation.

Drug-Drug Interactions

verifiedApollotooltip
  • Other central nervous system depressants (like sleeping pills or anxiety medicines): May cause severe drowsiness, slowed breathing, and extreme tiredness when taken together.
  • Medicines that strain the liver: Combining Ketoflam-T 4 Tablet with other medications known to affect liver function can increase the risk of liver damage.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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Alcohol: Significantly increases the risk of severe drowsiness, dizziness, and liver irritation.

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANALGESICS]

FAQs

Ketoflam-T 4 Tablet is used to treat muscle spasms, menstrual cramps, headaches due to stress and tension, pain due to cancer chemotherapy, pain due to injuries and postoperative pain.
Ketoflam-T 4 Tablet is a combination of two medicines: Flupirtine (painkiller) and Thiocolchicoside (muscle relaxant). Flupirtine is a painkiller/ non-opioid analgesic. It reduces the awareness of pain by blocking the transmission of pain signs to the brain. Thiocolchicoside is a muscle relaxant that works on the centers of the spinal cord and brain. This helps relieve muscle stiffness and improves muscle movements, thereby helping relieve pain due to muscle spasms. This Ketoflam-T 4 Tablet is thus better efficient in relieving pain and relax muscles.
Yes, Ketoflam-T 4 Tablet can be given to cancer patients to relieve the pain due to cancer chemotherapy. Although, you are advised not to take more than the doctor's prescribed dose of Ketoflam-T 4 Tablet . If you experience vomiting, severe nausea, heartburn or stomach upset, please inform your doctor.
Ketoflam-T 4 Tablet is stored at room temperature. Try to store Ketoflam-T 4 Tablet away from direct sunlight and in a dry place. Keep Ketoflam-T 4 Tablet away from children. Check the expiry date on the packet from time to time. Please do not store expired Ketoflam-T 4 Tablet .
Ketoflam-T 4 Tablet is generally prescribed for short durations. Do not discontinue Ketoflam-T 4 Tablet without consulting your doctor. To treat your condition effectually continue taking Ketoflam-T 4 Tablet for as long as prescribed. Do not be hesitant to speak with your doctor if you feel any difficulty while taking Ketoflam-T 4 Tablet .
The most common side effects of Ketoflam-T 4 Tablet are nausea, drowsiness, dizziness, sleep disturbance, dryness in the mouth, stomach fullness, itching, and tremor (shaking of the hands and feet). Most of these side effects of Ketoflam-T 4 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
No, you should not take Ketoflam-T 4 Tablet if you are pregnant, planning to become pregnant, or breastfeeding, as it may cause harm to the developing baby. Talk to your doctor to discuss safer treatment options.
It is highly recommended that you avoid driving or operating machinery while taking Ketoflam-T 4 Tablet , as this medicine frequently causes drowsiness and lightheadedness. Talk to your doctor if you have questions about your daily activities.
This medicine is kept to a short duration to minimise the risk of serious side effects, particularly potential strain on your liver. Talk to your doctor about the safest timeline for your specific recovery.
No, you must completely avoid alcohol while taking this medicine. Alcohol significantly increases the risk of severe sleepiness and can lead to serious liver damage. Talk to your doctor if you need advice on managing this.
To help prevent stomach upset, always take Ketoflam-T 4 Tablet with food or immediately after a meal. If you experience persistent nausea or stomach pain, talk to your doctor or pharmacist right away.
Stop taking the medicine and seek immediate medical care if you develop yellowing of your skin or eyes, unusually dark urine, pale stools, severe nausea, or persistent pain in the upper right side of your stomach.
You should not combine Ketoflam-T 4 Tablet with other pain relievers or muscle relaxants without checking first, as this can increase the risk of side effects like liver strain. Talk to your doctor or pharmacist before taking any new medicines together.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India Country of Origin: India
Other Info - KET0189

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