MUSKEL is indicated for symptomatic relief in acute musculoskeletal disorders associated with muscle spasm.

MUSKEL should be administered with caution in patients with acid-peptic disease, impaired renal or liver functions, blood dyscrasias, and in patients with hypersensitivity to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs).

MUSKEL should be used in pregnant women and nursing mothers only if absolutely required. Data on safety and efficacy of diclofenac in children is not adequate.

Avoid alcoholic beverages whilst taking MUSKEL.

The most common side effects are gastric pain, nausea, vomiting and diarrhea; rarely peptic ulcer and gastrointestinal bleeding occur. Infrequently, hypersensitivity reactions, malaise, change in appetite and weight, and eye disorders are possible due to diclofenac / paracetamol (in MUSKEL). Neurological reactions possible include headache, drowsiness, insomnia, irritability and mood disturbances.

MUSKEL can rarely cause hepatitis, renal dysfunction and blood dyscrasias. Chlorzoxazone (in MUSKEL) can cause allergic reactions, drowsiness, dizziness, light-headedness, malaise, over stimulation, and skin changes.

Concomitant use of MUSKEL with aspirin, methotrexate, digoxin, cyclosporin, triamterene and lithium is not advocated due to possibility of drug interaction.

ADULTS: I MUSKEL Tablet thrice daily, or as prescribed.

ELDERLY CHILDREN: As prescribed.