Zerodal th 4 tab

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Zerodal TH 4 tablet composition uses dosage

Here is a complete overview of Zerodol TH 4 Tablet (note: the correct brand name is Zerodol, not "Zerodal"):

Zerodol TH 4 Tablet

Manufacturer: IPCA Laboratories Schedule: Prescription (Rx) only

Composition

IngredientDoseRole
Aceclofenac100 mgNSAID - blocks prostaglandin synthesis to reduce pain and inflammation
Thiocolchicoside4 mgCentrally-acting muscle relaxant - relieves muscle spasm

Uses / Indications

  • Pain due to muscle spasms
  • Musculoskeletal pain (sprains, strains, muscle aches)
  • Post-traumatic or post-surgical pain with muscle spasm
  • Back pain, neck pain, and other spasm-related conditions

How It Works

  • Aceclofenac (NSAID) inhibits the COX enzyme, reducing prostaglandin synthesis - this blocks pain signals and reduces local inflammation
  • Thiocolchicoside acts on GABA receptors in the spinal cord and brain to reduce abnormal muscle tone and relieve spasm

Dosage

  • Typical adult dose: 1 tablet twice daily (as directed by physician)
  • Take with food to reduce risk of stomach upset
  • Do not exceed prescribed dose or duration

Common Side Effects

  • Nausea, vomiting, heartburn
  • Stomach pain, indigestion, loss of appetite
  • Diarrhea
  • Dizziness, drowsiness
  • Headache

Contraindications (When NOT to use)

  • Known allergy to aceclofenac, thiocolchicoside, or other NSAIDs
  • History of peptic ulcer or gastrointestinal bleeding
  • Severe liver, kidney, or heart disease
  • Asthma triggered by NSAIDs
  • Pregnancy (especially 3rd trimester) and breastfeeding - consult doctor first

Important Drug Interactions

  • Warfarin / blood thinners - increased risk of bleeding; dose adjustment may be needed
  • Antihypertensives - NSAIDs can reduce their effectiveness
  • Lithium / Digoxin - aceclofenac can raise blood levels of these drugs
  • Corticosteroids - increased risk of GI bleeding
  • Ciprofloxacin - potential interaction

Key Precautions

  • Avoid alcohol (increases GI bleed risk)
  • Avoid driving/operating machinery if dizziness occurs
  • Not recommended for long-term use without medical supervision
  • Monitor renal function in elderly patients

Price (approx.): ~Rs. 211-275 per strip of 10 tablets
This information is for reference only. Always follow your prescribing doctor's instructions for dose and duration.

Zerodal p and zerodal sp

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Zerodol P tablet composition uses dosage side effects

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Zerodol SP tablet composition uses dosage side effects serratiopeptidase

Here is a detailed side-by-side comparison of both tablets:

Zerodol P vs Zerodol SP - Complete Overview

Manufacturer: IPCA Laboratories (both) Schedule: Prescription (Rx) only (both)

Composition Comparison

IngredientZerodol PZerodol SP
Aceclofenac100 mg100 mg
Paracetamol325 mg325 mg
Serratiopeptidase❌ Not present✅ 15 mg (30,000 units)
Key difference: Zerodol SP has the additional enzyme Serratiopeptidase, which provides extra anti-swelling and tissue-healing action.

How Each Ingredient Works

IngredientMechanism
Aceclofenac (NSAID)Blocks COX enzyme → reduces prostaglandin synthesis → reduces pain and inflammation
ParacetamolInhibits central pain pathways + acts on hypothalamus → reduces pain and fever
Serratiopeptidase (only in SP)Proteolytic enzyme → breaks down fibrin and inflammatory proteins → reduces swelling and fluid accumulation, promotes faster healing

Zerodol P

Uses

  • Rheumatoid arthritis, osteoarthritis, ankylosing spondylitis
  • Mild to moderate pain (headache, muscle pain, joint pain)
  • Toothache, menstrual pain (dysmenorrhea)
  • Post-operative pain
  • Fever

Dosage

  • Adults: 1 tablet twice daily (with food)
  • Onset of action: ~10-30 minutes

Side Effects

  • Nausea, vomiting, stomach pain, heartburn, diarrhea
  • Dizziness, drowsiness
  • Skin rash, allergic reactions (rare)
  • Stomach/mouth ulcer (with prolonged use)

Zerodol SP

Uses (broader than Zerodol P)

  • All conditions of Zerodol P, PLUS:
  • Post-surgical/post-injury swelling and edema
  • Wound healing support
  • Conditions with significant tissue swelling (oedematous conditions)
  • Dental pain with swelling
  • Gynecological and orthopedic inflammatory conditions

Dosage

  • Adults: 1 tablet twice daily (with or after food)
  • Swallow whole - do not crush or chew (enteric-coated)

Side Effects

  • All side effects of Zerodol P, PLUS:
  • Bloating, flatulence
  • Stomach ulcers (with prolonged use)
  • Increased liver enzymes (monitor with long-term use)

Contraindications (Both tablets)

  • History of peptic ulcer or GI bleeding
  • Severe liver, kidney, or heart disease
  • Known allergy to NSAIDs or paracetamol
  • Pregnancy (especially 3rd trimester) - consult doctor
  • Not for children (safety not established)

Important Drug Interactions (Both)

  • Warfarin - increased bleeding risk
  • Lithium / Digoxin - aceclofenac raises their blood levels
  • Antihypertensives - reduced BP-lowering effect
  • Corticosteroids - increased GI bleed risk
  • Other NSAIDs or paracetamol-containing products - avoid (overdose risk)

When to Choose Which?

SituationPreferred
Simple pain/fever (arthritis, headache, period pain)Zerodol P
Pain with significant swelling/edema (post-surgery, injury, dental)Zerodol SP
Wound healing or tissue repair neededZerodol SP

Price (approx.):
  • Zerodol P: ~Rs. 90-110 per strip of 10
  • Zerodol SP: ~Rs. 112-140 per strip of 10
Always take as prescribed by your doctor. Do not self-medicate or exceed recommended doses.
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