{"id":56629,"date":"2024-02-27T17:01:45","date_gmt":"2024-02-27T17:01:45","guid":{"rendered":"https:\/\/medsname.com\/intagesic-mr\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"intagesic-mr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/intagesic-mr\/","title":{"rendered":"Intagesic MR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Intagesic MR?<\/h3>\n<p style=\"margin:0;\"><strong>Intagesic MR<\/strong> je <strong>three-ingredient muscle-relaxant analgesic tablet<\/strong> \u2014 <strong>diclofenac 50&nbsp;mg + paracetamol 325&nbsp;mg + chlorzoxazone 250&nbsp;mg<\/strong>. It is formulated for short-term treatment of <strong>moderate-to-severe musculoskeletal pain with muscle spasm<\/strong>: acute low back pain, neck pain, muscle strain, and post-traumatic soft-tissue injury. Usual adult dose is <strong>one tablet two to three times daily with food<\/strong>, for 3 to 7 days. The triple combination targets pain (paracetamol), inflammation (diclofenac), and muscle spasm (chlorzoxazone) simultaneously.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<p><strong>Intagesic MR<\/strong> is a fixed-dose combination tablet manufactured by Intas Pharmaceuticals. &ldquo;MR&rdquo; stands for <em>Muscle Relaxant<\/em> &mdash; distinguishing it from the plain Intagesic (diclofenac + paracetamol) variant by the addition of <strong>chlorzoxazone<\/strong>, a centrally-acting skeletal muscle relaxant.<\/p>\n<p>The rationale is that most acute non-radicular low back and neck pain involves three pathways: (1) local tissue inflammation, (2) nociceptive pain signalling, and (3) protective muscle spasm that amplifies and sustains the pain cycle. A three-drug tablet addresses all three in one dose:<\/p>\n<ul>\n<li><strong>Diclofenac 50&nbsp;mg<\/strong> &mdash; non-selective NSAID; reduces inflammation at the site of injury<\/li>\n<li><strong>Paracetamol 325&nbsp;mg<\/strong> &mdash; central analgesic and antipyretic; adds pain relief on a different pathway<\/li>\n<li><strong>Chlorzoxazone 250&nbsp;mg<\/strong> &mdash; centrally-acting muscle relaxant; reduces protective muscle spasm<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">What Is Intagesic MR Used For?<\/h2>\n<ul>\n<li>Acute low back pain with muscle spasm<\/li>\n<li>Acute neck pain, torticollis<\/li>\n<li>Muscle strain &mdash; hamstring, calf, trapezius<\/li>\n<li>Post-traumatic soft-tissue injury (with inflammatory pain + spasm)<\/li>\n<li>Whiplash-type injury<\/li>\n<li>Myofascial pain with trigger points<\/li>\n<li>Sciatica flare (short course, alongside other therapy)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">How Does Intagesic MR Work?<\/h2>\n<p>The three ingredients act on complementary pathways:<\/p>\n<ul>\n<li><strong>Diclofenac<\/strong> blocks COX-1 and COX-2, reducing prostaglandin-driven inflammation and peripheral pain<\/li>\n<li><strong>Paracetamol<\/strong> modulates pain perception centrally (spinal cord and brain) and lowers body temperature via the hypothalamus<\/li>\n<li><strong>Chlorzoxazone<\/strong> acts at the brainstem and spinal cord to reduce the involuntary tonic muscle contraction that maintains musculoskeletal pain<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Intagesic MR Dosing<\/h2>\n<ul>\n<li><strong>Dosp\u011bl\u00ed:<\/strong> one tablet two to three times daily, with food; maximum 3 tablets\/day<\/li>\n<li><strong>Duration:<\/strong> short-term only &mdash; typically 3 to 7 days; muscle relaxants are not for chronic use<\/li>\n<li><strong>Paracetamol ceiling:<\/strong> each tablet contains 325 mg paracetamol. Three tablets = 975 mg. Do not take additional paracetamol-containing products (Panadol, Crocin, cold remedies) without counting total daily paracetamol &mdash; the liver-safety ceiling is 4&nbsp;g (4,000 mg) per day.<\/li>\n<li><strong>Star\u0161\u00ed pacienti:<\/strong> lowest effective dose; chlorzoxazone and diclofenac have age-related risks<\/li>\n<\/ul>\n<p>Swallow with water after food. Do not lie down immediately after a dose. If you miss a dose, take it when you remember unless the next dose is due within 4 hours &mdash; then skip.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>GI safety.<\/strong> Intagesic MR (or its NSAID component) carries real risk of gastritis, peptic ulcer, and upper-GI bleeding. Risk is highest in patients over 65, in those with prior ulcer disease, and in anyone also on low-dose aspirin, corticosteroids, SSRIs, or anticoagulants. Take with food, at the lowest effective dose for the shortest reasonable time, and ask your doctor about adding a proton pump inhibitor (omeprazole, pantoprazole) for courses over 2&ndash;4 weeks.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Paracetamol and the liver.<\/strong> Paracetamol is extremely safe at recommended doses but is the single most common cause of acute liver failure worldwide at higher doses. <strong>Do not exceed 4&nbsp;g (4,000&nbsp;mg) per day from all sources combined.<\/strong> That is 8 tablets of 500&nbsp;mg. Be careful not to double-dose by combining branded paracetamol (Calpol, Anacin, Panadol, Crocin, Tylenol) with cold\/flu preparations that often also contain paracetamol. Liver risk rises with regular alcohol use, chronic liver disease, and prolonged fasting &mdash; reduce the daily limit to 2&nbsp;g in those cases.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Chlorzoxazone hepatotoxicity.<\/strong> Chlorzoxazone has a small but recognised risk of idiosyncratic liver injury &mdash; usually in the first 2&ndash;4 weeks of therapy. This risk is part of why the muscle-relaxant component of Intagesic MR is a short-term drug. Stop the tablet and seek medical advice if you develop yellow skin\/eyes, dark urine, unexplained nausea, or right-upper-abdominal pain during or just after a course.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Who Should Not Take Intagesic MR?<\/h2>\n<ul>\n<li>Known hypersensitivity to diclofenac, paracetamol, chlorzoxazone, or any NSAID<\/li>\n<li>Active peptic ulcer or GI bleed<\/li>\n<li>Severe hepatic or renal impairment<\/li>\n<li>Severe heart failure, established ischaemic heart disease<\/li>\n<li>Recent CABG surgery<\/li>\n<li>Third trimester of pregnancy<\/li>\n<li>Aspirin- or NSAID-induced asthma, urticaria, or angioedema<\/li>\n<li>Chronic alcohol use (paracetamol and chlorzoxazone hepatotoxicity risk)<\/li>\n<li>Concurrent use of another paracetamol-containing product, another NSAID, or another muscle relaxant<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9:<\/strong> drowsiness, dizziness, dyspepsia, nausea, abdominal pain, headache, dry mouth<\/li>\n<li><strong>Important to recognise:<\/strong> peptic ulcer\/GI bleed (diclofenac), liver injury (paracetamol or chlorzoxazone), hypertension and fluid retention (diclofenac), orange or red-tinged urine (chlorzoxazone metabolite &mdash; harmless)<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> severe hepatotoxicity, Stevens-Johnson syndrome, myocardial infarction, acute kidney injury, anaphylaxis<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase offers worldwide shipping on every order. Orders are dispatched in discreet packaging and arrive in branded manufacturer packs. If your preferred pack size is out of stock, contact customer support for an ETA.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> The information on this page is provided for general education only. It is not a substitute for advice from your own doctor or pharmacist. Talk to a qualified healthcare professional before starting, stopping, or changing therapy, especially if you have a history of ulcer disease, heart disease, kidney disease, asthma, liver disease, or are pregnant.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">What is Intagesic MR used for?<\/h3>\n<p>Intagesic MR is used for acute musculoskeletal pain with muscle spasm &mdash; low back pain, neck pain, torticollis, muscle strain, whiplash, and post-traumatic soft-tissue injury.<\/p>\n<h3 class=\"wp-block-heading\">Why does Intagesic MR have three ingredients?<\/h3>\n<p>Acute musculoskeletal pain involves inflammation, pain signalling, and muscle spasm all at once. The three ingredients address each pathway: diclofenac (inflammation), paracetamol (pain perception), and chlorzoxazone (muscle spasm). One tablet covers what would otherwise be three separate medicines.<\/p>\n<h3 class=\"wp-block-heading\">Does Intagesic MR cause drowsiness?<\/h3>\n<p>Yes &mdash; the chlorzoxazone component can cause drowsiness, dizziness, and slowed reaction time. Do not drive or operate machinery until you know how you respond.<\/p>\n<h3 class=\"wp-block-heading\">How long can I take Intagesic MR?<\/h3>\n<p>Short courses of 3 to 7 days are typical. Do not use for longer than 2 weeks without medical review &mdash; both the NSAID and the muscle relaxant are short-term medications.<\/p>\n<h3 class=\"wp-block-heading\">Can I take additional paracetamol with Intagesic MR?<\/h3>\n<p>Only with care. Each tablet already contains 325 mg paracetamol. Combining Intagesic MR with Panadol, Crocin, Calpol, Anacin, or cold\/flu remedies can push your daily paracetamol dose above the 4 g safety ceiling. Check every label.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Intagesic MR with ibuprofen or another NSAID?<\/h3>\n<p>No. The diclofenac component already provides NSAID coverage. Adding another NSAID sharply increases GI bleed and kidney injury risk.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Intagesic MR?<\/h3>\n<p>Avoid alcohol. It increases drowsiness (chlorzoxazone), raises liver risk (paracetamol and chlorzoxazone), and worsens GI bleed risk (diclofenac).<\/p>\n<h3 class=\"wp-block-heading\">Why is my urine orange?<\/h3>\n<p>A metabolite of chlorzoxazone can give urine a harmless orange or red-tinged colour. This is not blood and resolves within a day or two of stopping the tablet.<\/p>\n<h3 class=\"wp-block-heading\">Is Intagesic MR safe in pregnancy?<\/h3>\n<p>No &mdash; the diclofenac component is avoided after 20 weeks and contraindicated in the third trimester. Chlorzoxazone data in pregnancy are limited. Paracetamol alone is the first-line pain medicine in pregnancy.<\/p>\n<h3 class=\"wp-block-heading\">Can children take Intagesic MR?<\/h3>\n<p>No &mdash; the triple combination is for adults. Paediatric dosing would need individual component titration, not a fixed-combination tablet.<\/p>\n<h3 class=\"wp-block-heading\">What if I miss a dose of Intagesic MR?<\/h3>\n<p>Take it when you remember, unless the next dose is due within 4 hours &mdash; then skip. Never double up.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/liveril-suspension\/\">Liveril Suspension<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ventocortil\/\">Ventocortil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lomoother\/\">Lomoother<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montair\/\">Montair<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/losar\/\">Losar<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Fast Pain Relief<br \/>\n\u2705 Muscle Relaxation<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Effective for Fever<br \/>\n\u2705 Triple Action Formula<\/p>\n<p>Intagesic MR contains Diclofenac, Paracetamol, and Chlorzoxazone.<\/p>","protected":false},"featured_media":56630,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4134,4128,4135,4136],"class_list":{"0":"post-56629","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-pain-relief-medication","9":"product_tag-chlorzoxazone","10":"product_tag-diclofenac","11":"product_tag-intagesic-mr","12":"product_tag-paracetamol","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/56629","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=56629"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56630"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56629"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56629"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56629"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}