Tolby D Tablet

Tolby D Tablet is a pain relieving medicine. It is used to treat pain and inflammation in conditions like rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It is also used to relieve muscle pain, back pain, toothache, or pain in the ear and throat.

Tolby D Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose will depend on what you are taking it for and how well it helps your symptoms. You should take it as advised by your doctor. Do not take more or use it for longer duration than recommended by the doctor.

The most common side effects of this medicine include nausea, vomiting, heartburn, diarrhea, stomach pain, and loss of appetite. If any of these side effects bother you or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the side effects.

Before taking it, you should let your doctor know if you have a history of ulcer or bleeding in your stomach, high blood pressure, or have any trouble with your heart, kidneys, or liver. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine.

Pregnant or breastfeeding women should consult their doctor before starting treatment. You should also avoid drinking alcohol while you are taking this medicine, as alcohol can cause excessive drowsiness.

• Pain relief

Pain relief
Tolby D Tablet relieves pain, reduce swelling and ease inflammation in conditions like rheumatoid arthritis, osteoarthritis and ankylosing spondolytis. It also gives relief from muscle and back pain, toothache, or pain in the ear and throat. Taking Tolby D Tablet will help in speedy recovery due to its anti- inflammatory and antioxidant properties. Take it as it is prescribed to get the most benefit. This will help you to go about your daily activities more easily and have a better, more active, quality of life.

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Chymotech BR

• Nausea
• Vomiting
• Heartburn
• Diarrhea
• Stomach pain
• Loss of appetite
• Indigestion

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. Tolby D Tablet is to be taken with food.

Tolby D Tablet is a combination of four medicines: Bromelain, Diclofenac, Rutoside and Trypsin Chymotrypsin. Bromelain and Trypsin Chymotrypsin are enzymes. They increase blood supply and make the body produce substances that fight pain and swelling. Diclofenac is a non-steroidal antiinflammatory drug (NSAID) which works by blocking the release of certain chemical messengers (prostaglandins) in the brain that cause pain and inflammation (redness and swelling). Rutoside is an antioxidant which protects the body from damage by chemicals (free radicals) and further reduces swelling.

• You have been prescribed this combination medicine for relieving pain and inflammation.
• Take it with food to avoid getting an upset stomach.
• Do not take it with any other pain medicine without asking your doctor first.
• It may change the color, consistency, and odor of your stool. This is harmless. Inform your doctor if this bothers you.
• It may increase the severity of your condition at the start of treatment. Continue using it as prescribed by your doctor.
• Your doctor may regularly monitor your kidney function, liver function, and levels of blood components if you are taking this medicine for long-term treatment.

ScienceDirect. Bromelain. [Accessed 18 Apr. 2019] (online) Available from:

Diclofenac. Daventry, Northamptonshire: Dexcel Pharma Ltd.; 1996 [revised 20 Dec. 2017]. [Accessed 18 Apr. 2019] (online) Available from:

Drugs.com. Rutin. [Accessed 18 Apr. 2019] (online) Available from:

Shah D, Mital K. The Role of Trypsin:Chymotrypsin in Tissue Repair. Adv Ther. 2018;35(1):31-42. [Accessed 18 Apr. 2019] (online) Available from: