GRAVI-TH GEL is a combination of Diclofenac, Linseed Oil, Menthol, Methyl Salicylate, and Thiocolchicoside which belongs to the group of medicines called Non-steroidal Anti-inflammatory Drug (NSAID), Cooling agents and Muscle Relaxant respectively. It is used to relieve muscle pain and spasms. It provides fast and lasting relief from back pain, osteoarthritis pain, rheumatologic disorders, and related conditions. This medicine is non-greasy and non-staining formulation, which gets absorbed quickly and has fast pain-relieving action.
Avoid exposure to the sun after using GRAVI-TH GEL
Consult your doctor for advice. GRAVI-TH GEL is not recommended for use in patients who have kidney diseases, had asthma, flaccid paralysis (sagging of face), muscular hypotonia (weak muscles), urticaria (allergic reaction) after use of NSAIDs such as aspirin, setting of coronary artery bypass graft surgery, or broken or irritated skin.
GRAVI-TH GEL is not recommended for use among women who are pregnant and breastfeeding. GRAVI-TH GEL is not recommended to use in children and adolescents below 15 years of age and children having flu, chickenpox, or fever. Caution must be exercised while using GRAVI-TH GEL in elderly patients. The most common side effects of using GRAVI-TH GEL are skin irritation, redness of the skin, rashes, dermatitis, burning or stinging sensation at the site of application. Consult your doctor’s advice if any of these doesn’t improve or worsen.
USES OF GRAVI-TH GEL
It is used to relieve:
• Muscle pain and spasms
• Back pain
• Osteoarthritis pain, rheumatologic disorders and related conditions
HOW GRAVI-TH GEL WORKS
GRAVI-TH helps in relieving muscle pains and spasms whereas Diclofenac is an NSAID that causes relief in pain and inflammation by inhibiting the factors that cause inflammation and pain called prostaglandins. Linseed oil helps in minimizing skin irritation, soothes and calms the skin. Methyl salicylate acts by dilating the blood vessels and increasing blood flow. It causes irritation of the skin and because of counter-irritation, there is a sensation of warmth and relief in musculoskeletal pain. Menthol acts by acting as an irritant and imparts coolness to the skin and then warmth. Thiocolchicoside works through selective binding to the GABA-A receptor (neurotransmitter) which prevents muscle contractions by activating the GABA inhibitory motor pathway and inhibiting the glycine receptors (neurotransmitters). Thus, relaxing the muscle pain and spasms.
DIRECTIONS FOR USE
Apply GRAVI-TH as advised by your physician. It is for external use only. Gently rub GRAVI-TH on the affected area till it disappears. Your doctor will prescribe the right dose depends on your age, body weight and severity of the infection.
SIDE EFFECTS OF GRAVI-TH
• Skin irritation
• Redness of the skin
• Rashes, dermatitis, burning or stinging sensation at the site of application
WARNING & PRECAUTIONS
PREGNANCY
CONSULT YOUR DOCTOR
There are no well-controlled studies of GRAVI-TH in pregnant women. Consult your doctor before using it.
BREASTFEEDING
CONSULT YOUR DOCTOR
It is not known whether GRAVI-TH is excreted in human milk. Consult your doctor before using it.
ALCOHOL
CONSULT YOUR DOCTOR
Intake of alcoholic beverages while using GRAVI-TH may increase the risk of stomach bleeding. So, limit the consumption of alcohol. Consult your doctor before using.
KIDNEY
CONTRAINDICATED GRAVI-TH is not recommended for use in patients having advanced renal diseases. Consult your doctor before using.
ALLERGY
CONTRAINDICATED
Do not use GRAVI-TH if you are allergic to Diclofenac, Linseed Oil, Menthol, Methyl Salicylate, Thiocolchicoside or any other ingredients of this medicine.
LUNGS
CONTRAINDICATED GRAVI-TH is not recommended for use in patients who have or had an asthmatic attack. Consult your doctor before using.
HEART DISEASE
CONTRAINDICATED GRAVI-TH is not recommended for use in patients having heart diseases such as the setting of coronary artery bypass graft surgery. Consult your doctor before using.
USE IN PEDIATRICS
CONTRAINDICATED GRAVI-TH is contraindicated in infants below 2 years of age. Consult your doctor before using.
USE IN GERIATRICS
USE WITH CAUTION
In elderly patients, GRAVI-TH should be used with caution. Your doctor will decide the correct dose and duration of the treatment with GRAVI-TH depending on your age, disease condition and body weight. Consult your doctor before using.
OTHERS GRAVI-TH is not recommended for use if you have:
• Flaccid paralysis (sagging of face)
• Muscular hypotonia (weak muscles)
INTERACTIONS
A. Drug-Drug Interactions:
Before using GRAVI-TH inform your doctor if you are taking any of the following medicines:
• Aspirin, ibuprofen (used to treat pain and inflammation), cyclo-oxygenase-2 (COX2) inhibitors such as celebrex, bextra (used to treat osteoarthritis or rheumatoid arthritis)
• Spironolactone, furosemide (used to treat excess fluid in the body)
• Cyclosporine, tacrolimus (used to supress immune system such as after transplants)
• Lithium, citalopram, sertraline (used to treat anxiety and depression)
• Digoxin, amiodarone (medicine used in treating an irregular heartbeat or heart failure)
• Ramipril, azilsartan (used to lower down the blood pressure)
• Warfarin (used as blood-thinning agents that reduces blood clotting)
• Metformin, sitagliptin (used to control blood sugar)
• Prednisolone (used as anti-inflammatory medicines)
• Magnesium sulphate (used to treat heartburn, indigestion)
• Chloramphenicol, ciprofloxacin, moxifloxacin (used to treat some infections)
• Ketoconazole, fluconazole, miconazole, voriconazole (used to treat fungal infections)
• Sulfinpyrazone (used to treat gout)
• Mifepristone (used to terminate pregnancy)
• Metoclopramide, domperidone (used for nausea)
• Cholestyramine (used to treat high cholesterol or high blood fats)
• Imatinib, methotrexate (used to treat cancer)
MORE INFORMATION
• Keep GRAVI-TH out of reach of children
• Store below 30°C
FAQs ABOUT GRAVI-TH
Q: Can GRAVI-TH be used in pregnant and breastfeeding women?
A: There are no well-controlled studies of GRAVI-TH in pregnant and breastfeeding women. Consult your doctor before using it.
Q: Does GRAVI-TH cause skin irritation?
A: Yes, GRAVI-TH may cause skin irritation. GRAVI-TH contains Methyl Salicylate which acts by dilating the blood vessels and increasing blood flow. It causes irritation of the skin and because of counter-irritation, there is a sensation of warmth and relief in musculoskeletal pain.
Q: Is GRAVI-TH safe for use in children?
A: GRAVI-TH is contraindicated in infants below 2 years of age. Consult your doctor before using.
Q: In which condition GRAVI-TH should not be used?
A: GRAVI-TH is not recommended for use in patients who have kidney diseases, had asthma, flaccid paralysis (sagging of face), muscular hypotonia (weak muscles), urticaria (allergic reaction), coronary artery bypass graft surgery, or broken or irritated skin. Consult your doctor before using.
Q: Can I take alcohol while using GRAVI-TH ?
A: Intake of alcoholic beverages while using GRAVI-TH may increase the risk of stomach bleeding. So, limit the consumption of alcohol. Consult your doctor before using.
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