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Etobix-T

10 × 10 Tablets
Analgesic and Muscle Relaxant Combination

Etobix-T is a fixed-dose combination of a selective COX-2 inhibitor (Etoricoxib) and a muscle relaxant (Thiocolchicoside). It provides dual relief from pain and muscle spasm, commonly used in acute and chronic musculoskeletal conditions.

Composition (Each Film-Coated Tablet Contains):

Ingredient Strength Functional Role
Etoricoxib 60 mg Selective COX-2 inhibitor that reduces pain and inflammation with fewer gastric side effects
Thiocolchicoside 4 mg Muscle relaxant that relieves spasm and stiffness associated with musculoskeletal pain

General Information:

Musculoskeletal pain often involves both inflammation and muscle spasm, causing restricted mobility and discomfort.
Etobix-T provides synergistic action by combining:

  • Etoricoxib, which blocks COX-2 enzyme, reducing prostaglandin-mediated inflammation and pain.
  • Thiocolchicoside, a semi-synthetic muscle relaxant that acts on GABA-A and glycine receptors, decreasing muscle stiffness and promoting comfort and mobility.

This combination ensures faster recovery, improved flexibility, and better patient compliance with minimal gastric irritation.

Indications and Uses:

Etobix-T is recommended for:

  • Acute low back pain and cervical spondylosis
  • Muscle spasm associated with sprain or strain
  • Painful musculoskeletal disorders
  • Osteoarthritis and rheumatoid arthritis
  • Post-operative orthopedic pain and stiffness
  • Ankylosing spondylitis
  • Sports injuries involving muscle contraction

Mechanism of action & benefits:

  • Etoricoxib: Selectively inhibits the cyclooxygenase-2 (COX-2) enzyme responsible for pain and inflammation, providing effective analgesia with lower risk of gastric ulcers compared to traditional NSAIDs.
  • Thiocolchicoside: Acts as a centrally acting skeletal muscle relaxant by modulating GABA-ergic neurotransmission, reducing involuntary muscle contraction without excessive sedation.

Dosage and Administration:

  • Recommended Dose: 1 tablet once or twice daily after meals, as directed by your doctor.
  • Route: Oral
  • Duration: Short-term use (5–10 days) unless otherwise prescribed. Long-term use should be under medical supervision.

Common Side Effects (Usually Mild & Temporary):

  • Gastric discomfort, nausea, or acidity
  • Dizziness or mild drowsiness
  • Headache or fatigue
  • Mild diarrhea or abdominal pain

These symptoms usually resolve with continued use or after meals.

Less Common / Rare Side Effects:

  • Elevated blood pressure (rare with prolonged use)
  • Fluid retention or swelling of feet
  • Skin rash or allergic reaction
  • Hepatic enzyme elevation (rare with Etoricoxib)
  • Muscle weakness or mild sedation (rare with Thiocolchicoside)

Seek medical advice if any severe or persistent symptom occurs.

Warnings and Precaution:

  • Not intended to diagnose, treat, cure, or prevent any disease.
  • Avoid prolonged use without medical advice.
  • Caution in patients with hypertension, heart disease, liver or kidney impairment, or gastric ulcer history.
  • Pregnant and lactating women should consult their physician before use (Thiocolchicoside is not recommended in pregnancy).
  • Use with care in elderly patients and those on chronic medications.
  • Avoid driving or operating machinery if dizziness occurs.

Drug / Nutrient Interactions:

  • Antihypertensives / Diuretics: Etoricoxib may reduce efficacy.
  • Anticoagulants (Warfarin, Aspirin): Increased bleeding tendency—monitor INR.
  • Corticosteroids / Alcohol: Increase risk of gastric irritation.
  • Other NSAIDs: Avoid concurrent use.
  • Sedatives or alcohol: May enhance drowsiness due to Thiocolchicoside.

Contraindications:

  • Hypersensitivity to Etoricoxib, Thiocolchicoside, or any component of the formulation
  • Active peptic ulcer or gastrointestinal bleeding
  • Severe hepatic, renal, or cardiac impairment
  • Pregnancy and lactation (especially 1st trimester and during breastfeeding)
  • Known history of seizures (Thiocolchicoside may lower seizure threshold)

Storage:

Store below 25 °C in a cool, dry place, away from direct sunlight.
Keep out of reach of children.

Do’s and Don’ts:

Do’s
  • Take the tablet after meals to minimize gastric irritation.
  • Follow physiotherapy or rehabilitation exercises as advised.
  • Stay hydrated and maintain adequate rest for muscle recovery.
  • Monitor blood pressure regularly if used long-term.
Don’ts
  • Do not exceed the recommended dose or duration.
  • Avoid taking with alcohol or other painkillers without medical advice.
  • Do not drive or operate machinery if you feel drowsy or dizzy.
  • Do not use during pregnancy or breastfeeding.

Disclaimer:

This information is provided for educational purposes only.
Etobix-T Tablets must be consumed strictly under the guidance of your doctor or healthcare professional.
Do not alter or discontinue the prescribed therapy without medical advice.