Tilda tablets are a combined non-steroidal drug based on diclofenac sodium, paracetamol and chlorzoxazone. This medicine has pronounced analgesic, anti-inflammatory and antipyretic effects. Few people know why diclofenac helps. The mechanism of its work is explained by the ability to inhibit the biosynthesis of prostaglandins. The latter play a serious role in the genesis of inflammation, pain and heat.
In recommended dosages, the active substance does not inhibit the biosynthesis of proteoglycans of cartilaginous tissues. From what diclofenac helps is now clear. Paracetamol, which is part of the drug in question, is an antipyretic-analgesic derivative of aminophenol. The substance chlorzoxazone causes muscle relaxation and eliminates spasms of various origins.
The composition and format of the drug
The main active ingredients in Tilda tablets are ingredients such as diclofenac sodium in combination with paracetamol and chlorzoxazone. The auxiliary components are corn starch along with magnesium stearate, silicon dioxide, hypromellose and so on. A medication is produced in the form of sustained-release tablets with a dosage of 50 milligrams of diclofenac. As for paracetamol, its dosage is 500 milligrams, and chlorzoxazone - 250 in one tablet.
Pharmacological efficacy
Tilda tablets are a combined drug that demonstrates analgesic, antipyretic, anti-inflammatory and muscle relaxant properties. Paracetamol, which is part of this drug, has antipyretic, analgesic, and mild anti-inflammatory effects. Diclofenac can have a pronounced analgesic, anti-inflammatory and moderate antipyretic property.
In postoperative and traumatic pains, the use of diclofenac can help reduce pain and swelling with inflammation. Chlorzoxazone blocks multisynaptic reflexes at the level of the spinal cord, which are involved in the formation and support of skeletal muscle spasm of various origins.
Indications for use of Tilda tablets
This medicine is prescribed for the treatment of symptoms of pain, inflammation and fever, in the case when the following pathologies are diagnosed in patients:
- With rheumatoid arthritis.
- In the case of ankylosing spondylitis.
- Against the background of osteoarthritis or spondylitis.
- In case of pain syndrome of different localization, including spinal injury, as part of a dental or gynecological practice against adnexitis, dysmenorrhea, and so on.
- With the development of extraarticular rheumatism.
- In the case of edema with pain.
- Against the background of post-traumatic inflammatory processes, pain, including due to a fracture, dislocation, torticollis and other orthopedic injuries.
Only the attending physician can prescribe the drug and determine the dosage after a thorough examination of the patient and a comprehensive examination.
Tilda tablets for sprain
The drug in question is particularly appropriate for injuries to the ligaments. Diclofenac sodium is endowed with the property of lowering blood coagulability and enhancing the effect of anticoagulants, which has a beneficial effect on well-being during stretching.
The use of this drug for such injuries reduces the pathological change in tissues in the area of inflammation, while the pain sensation decreases, morning joint stiffness and swelling disappears, and the functional state of the musculoskeletal system increases. This is confirmed by the instructions for use attached to the Tilda medicine. Chlorzoxazone does not have a sedative effect.
Contraindications
Are there any contraindications to Tilda tablets? It is not recommended to take this medication if the patient is allergic to diclofenac or other ingredients that are part of it, as well as in cases where the use of acetylsalicylic acid or other non-steroidal drugs causes an attack of asthma, urticaria, or acute rhinitis. Do not prescribe Tilda tablets:
- Against the background of a stomach or intestinal ulcer.
- With gastrointestinal bleeding or perforation.
- In the case of proctitis or hemorrhoids.
- Against the background of rectal bleeding.
- With other active bleeding.
- Against the background of impaired functions of the heart, kidneys or liver.
- With violations of hematopoiesis, characterized by an unknown origin.
- In the case of peripheral artery disease and anemia.
- If the patient has alcoholism.
In addition, the drug in question is not prescribed for children under the age of 14 years.
Pregnancy and lactation
During the bearing of a child, the administration of the drug in question is contraindicated for women. Breastfeeding during the period of use of this medicine should also be suspended.
Dosage and administration
Reception of the drug "Tilda" is usually prescribed one tablet three times a day after meals. With moderate symptoms, two tablets per day are sufficient. The interval between therapeutic doses should be no less than four hours. The duration of treatment, as a rule, in patients lasts no more than 5-7 days. And in situations where the drug is used without a doctor's prescription - no more than three days. However, self-medication is not recommended, since the drug has many contraindications. The maximum daily dosage is no more than three tablets per day.
Overdose
Against the background of an overdose of diclofenac sodium, the human body, as a rule, does not react with any specific symptoms. The most common signs of poisoning are, for example, vomiting, digestive bleeding, diarrhea (diarrhea), tinnitus, seizures, or a drop in blood pressure. Acute renal failure in combination with an upset liver function can occur in cases of severe poisoning. Therapy in this case, the patient will need symptomatic. Hemodialysis in combination with forced diuresis is ineffective.
Side effects
Taking the medication in question can cause various side effects in patients, for example, epigastric pain in combination with nausea, vomiting, diarrhea, abdominal cramps, dyspepsia, digestive bleeding, stomach and intestinal ulcers, glossitis, stomatitis and damage to the esophagus.
Among other things, intestinal adhesions are not excluded in combination with constipation, pancreatitis, headaches, drowsiness, anxiety, nightmares and hair loss. Sometimes patients who use this drug complain of skin rashes, urticaria, eczema, erythema multiforme, edema, renal failure, hematuria and nephrotic syndrome.
Adverse reactions in the form of papillary necrosis, agranulocytosis, hepatitis, leukopenia, thrombocytopenia, anemia, tachycardia, chest pain and lowering of pressure are not excluded.
Presented medication can be stored for up to three years at a temperature not exceeding 25 degrees.
additional information
The drug in question can affect the speed of mental and motor reactions, which must be taken into account when working with moving complex mechanisms and against the background of driving any vehicles.
When prescribing the medicine to patients who have a history of liver, kidney and digestive system in general, as well as to those who suffer from dyspeptic disorders, it is advisable to be careful after surgery and elderly people by conducting regular regular medical supervision.
Women during lactation are allowed to take this drug only after the doctor evaluates the risk ratio for the child and the benefits for the mother (self-medication is strictly unacceptable). The instructions say that while breastfeeding the medication should not be used.
Against the background of prolonged use of such a drug, it is advisable to monitor the indicator of the functional state of peripheral blood and liver. Now we learn that people write about this drug in the comments.
Drug Reviews
Comments on these pills on the Internet are very different. It is worth saying that basically people praise the medication presented and consider it very effective for the treatment of rheumatoid arthritis, in case of ankylosing spondylitis, as well as with osteoarthritis or spondylitis. Often, the dignity of this tool as an assistant for sprain is noted.
But on the World Wide Web, sometimes there are also dissatisfied comments in which patients complain about the frequent occurrence of side effects from paracetamol and sodium diclofenac. For example, symptoms such as diarrhea, abdominal cramps and constipation are mainly reported. Therefore, before taking the drug, you need to consult with specialists.