Z Cox TH 90mg/4mg Tablet is a combination of two medicines used in the treatment of pain due to muscle spasms. It improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms.
Z Cox TH 90mg/4mg Tablet is a combination of two medicines used in the treatment of pain due to muscle spasms. It improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms.
Z Cox TH 90mg/4mg Tablet may be taken with or without food. Take it in the dose and duration as precribed by the doctor. Do not take more or use it for a longer duration than recommended by your doctor.
Common side effects of this medicine include abdominal pain, constipation, diarrhea, nausea, vomiting, dizziness, and drowsiness. If any of these side effects persit or bother you, you should let your doctor know. Your doctor may help with ways to reduce or prevent these side effects.
The medicine may not be suitable for everybody. Before taking it, let your doctor know if you have any problems with your heart, kidneys, and liver. To make sure it is safe for you, let your doctor also know all the other medicines you are taking. Pregnant and breastfeeding mothers should first consult their doctors before using the medicine.
Treatment of Pain due to muscle spasm
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Z Cox TH 90mg/4mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Z Cox TH 90mg/4mg Tablet is a combination of two medicines: Etoricoxib and Thiocolchicoside, which relieves pain and relaxes the muscles. Etoricoxib is a non-steroidal anti-inflammatory drug (NSAID) which works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Thiocolchicoside is a muscle relaxant. It works on the centers in the brain and spinal cord to relieve muscle stiffness or spasm and to improve pain and movement of muscles.
Q: What if you forget to take Z Cox TH Tablet?
A: If you miss a dose of Z Cox TH 90mg/4mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Z Cox TH 90mg/4mg Tablet helps relieve pain due to muscle spasm.
It may cause dizziness and fatigue. Do not drive or do anything requiring concentration until you know how it affects you.
Avoid consuming alcohol when taking Z Cox TH 90mg/4mg Tablet as it may cause excessive drowsiness.
Regularly monitor your blood pressure while taking this medicine, particularly in the first two weeks after starting treatment.
Inform your doctor if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease.
Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.
Q. Can I stop taking Z Cox TH 90mg/4mg Tablet when my pain is relieved?
Z Cox TH 90mg/4mg Tablet, when used for long-term pain relief, should be continued for as long as advised by your physician. It can be discontinued if you are using it for short-term pain relief.
Q. Can the use of Z Cox TH 90mg/4mg Tablet cause dizziness?
Yes, the use of Z Cox TH 90mg/4mg Tablet can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded it is better to rest for some time and resume once you feel better.
Q. Are there any specific contraindications associated with the use of Z Cox TH 90mg/4mg Tablet?
The use of Z Cox TH 90mg/4mg Tablet is considered to be harmful for patients with known allergy to painkillers (NSAIDS) or any of the components or excipients of this medicine. The use of this medicine should preferably be avoided in patients with a history of stomach ulcers or in patients with active, recurrent stomach ulcer / bleeding It should also be avoided in patients with history of heart failure, high blood pressure, and liver or kidney disease.
Q. Can I take Z Cox TH 90mg/4mg Tablet with Vitamin B-complex?
Yes, Z Cox TH 90mg/4mg Tablet can be taken with Vitamin B-complex preparations. While Z Cox TH 90mg/4mg Tablet helps to relieve pain, Vitamin B-complex can help to correct the vitamin deficiency that might be causing your symptoms.
Q. Can the use of Z Cox TH 90mg/4mg Tablet cause damage to kidneys?
Yes, the long-term use of Z Cox TH 90mg/4mg Tablet can cause damage to the kidneys. Normal kidneys produce a chemical called prostaglandins that protects them from damage. Use of painkillers lowers the levels of prostaglandins in the body leading to kidney damage on long-term use. Use of painkillers is not recommended to patients with underlying kidney disease.
Q. Will Z Cox TH 90mg/4mg Tablet be more effective if taken in higher doses?
No, taking more of this medicine will not make it more effective, rather it can lead to increased side effects. If the symptoms are getting severe, please consult the doctor for re-evaluation.
Q. What is the recommended storage condition for Z Cox TH 90mg/4mg Tablet?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
In Treatment of Pain due to muscle spasm
Z Cox TH 90mg/4mg Tablet is a combination medicine that contains a painkiller as well as a muscle relaxant. It is used to relieve pain, inflammation, and swelling in conditions that affect muscles. Also, it effectively relieves muscle stiffness or spasm, thereby improving muscle movement. It works by blocking chemical messengers in the brain that tell us we have pain. Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.
Abdominal pain
Constipation
Flatulence
Stomach inflammation
Diarrhea
Nausea
Vomiting
Mouth ulcer
Dizziness
Drowsiness
Headache
Palpitations
High blood pressure
Bronchospasm
Abnormal liver enzyme
Alcohol:UNSAFE
It is unsafe to consume alcohol with Z Cox TH 90mg/4mg Tablet.
Pregnancy:CONSULT YOUR DOCTOR
Z Cox TH 90mg/4mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding:CONSULT YOUR DOCTOR
Information regarding the use of Z Cox TH 90mg/4mg Tablet during breastfeeding is not available. Please consult your doctor.
Driving:UNSAFE
Z Cox TH 90mg/4mg Tablet may cause side effects which could affect your ability to drive.If you experience dizziness, vertigo or somnolence while on treatment with Z Cox TH 90mg/4mg Tablet, avoid driving.
Kidney:SAFE IF PRESCRIBED
Z Cox TH 90mg/4mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Z Cox TH 90mg/4mg Tablet may not be needed in these patients. Please consult your doctor.Use of Z Cox TH 90mg/4mg Tablet is not recommended in patients with severe kidney disease.
Liver:CAUTION
Z Cox TH 90mg/4mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Z Cox TH 90mg/4mg Tablet may be needed. Please consult your doctor.Use of Z Cox TH 90mg/4mg Tablet is not recommended in patients with severe liver disease.
Etoricoxib & Thiocolchicoside Tablets [Pacakge Insert]. Jammu, India: Ravenbhel Healthcare Pvt Ltd.; 2013. [Accessed 06 Sept. 2023]. (online) Available from: View
Etoricoxib. Haarlem, The Netherlands: Merck Sharp & Dohme B.V.; 2018. [Accessed 23 Jan. 2019] (online) Available from: View
European Medicine Agency. European Medicines Agency recommends restricting use of thiocolchicoside by mouth or injection: Thiocolchicoside; 2014. [Accessed 02 Apr. 2019] (online) Available from: View
Etoricoxib. Hoddesdon, Hertfordshire: Merck Sharp & Dohme Limited; 2016. [Accessed 02 Apr. 2019] (online) Available from: View
Etoricoxib & Thiocolchicoside [patient Information Sheet]. Bari Brahmana, Jammu: Ravenbhel Healthcare Pvt Ltd.; 2013. [Accessed 14 Aug. 2024] (online) Available from: View
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