Diclomol-SP

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Diclomol-SP

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Diclomol-SP

Property Description
Active Ingredients Diclofenac and Serrapeptase
Form Oral Tablet (Fixed-Dose Combination)
Pharmacological Class Nonsteroidal Anti-Inflammatory Drug (NSAID) and Systemic Enzyme Preparation
General Purpose Managing Pain, Inflammation, and Swelling
Origin Synthetic (Diclofenac) and Biologically derived (Serrapeptase)

Diclomol-SP is a prescription-only Fixed-Dose Combination (FDC) pharmaceutical preparation administered via the oral route of administration in a tablet form. This medicine is classified as a combination of an NSAID and a Systemic Enzyme Preparation. The use of FDC products is supported globally to enhance both therapeutic efficacy and patient compliance compared to administering the two components separately.


Composition and Origin: Diclofenac and Serrapeptase

The medicine contains two distinct active ingredients: Diclofenac and Serrapeptase. Diclofenac is a synthetic compound classified as an established NSAID, known for its primary analgesic and anti-inflammatory agent effects, acting through the inhibition of cyclooxygenase. Serrapeptase, the second component, is a biologically derived proteolytic enzyme that supports the resolution of inflammation.

Serrapeptase possesses fibrinolytic and anti-edemic properties, which aids the reduction of tissue swelling. The unique feature of this combination is its dual action: while the NSAID works to chemically block the formation of inflammatory compounds, the enzyme component provides a physical mechanism for tissue resolution.


What is the General Purpose of Combining These Ingredients?

The general purpose of combining Diclofenac and Serrapeptase is to achieve a strong synergistic effect to manage both pain and associated swelling. This dual-action approach aims to provide robust relief from painful symptoms while supporting the body's natural process of clearing inflammatory fluid.

The final formulation is intended to target both the chemical triggers of pain and the physical manifestation of swelling concurrently, making it suitable for adult patients requiring comprehensive inflammatory management.

Regulatory References

  1. NIH: Serrapeptase review

What side effects are possible with Diclomol-SP?

Possible Side Effects and Safety Information

The safety profile for Diclomol-SP (containing Diclofenac and Serrapeptase) is defined by the official adverse reactions and restrictions documented in government regulatory labeling for its active ingredients.

Official Adverse Reactions by Frequency

Side effects are categorized by frequency based on regulatory standards. The Diclofenac component is primarily associated with adverse events in the following categories:

Frequency Classification Representative Adverse Reactions
Common Headache, dizziness, nausea, vomiting, diarrhoea, dyspepsia, rash.
Rare Hypersensitivity, asthma, gastrointestinal bleeding, ulceration, hepatitis.
Very Rare Agranulocytosis, acute renal failure, hepatic failure, Stevens-Johnson Syndrome (SJS), Toxic Epidermal Necrolysis (TEN).

Serious Safety Risks

Regulatory documents emphasize the potential for serious risks associated with the NSAID component, including life-threatening events that can occur at any time during treatment:

  • Serious Cardiovascular Thrombotic Events: Documented risks include Myocardial Infarction (MI) and Stroke, which may increase with duration of use and higher doses.
  • Serious Gastrointestinal Adverse Events: Risks include potentially fatal bleeding, ulceration, and perforation of the stomach or intestines.

Population-Specific Safety Statements

Official labeling includes specific warnings for certain groups. Elderly patients are documented to be at greater risk for serious gastrointestinal events. Use is strictly advised against in pregnant women during the third trimester due to potential fetal risks. Monitoring of renal and hepatic function is indicated during prolonged treatment.


Safety Restrictions and Limitations

The medicine is subject to official contraindications. It is restricted for use in patients with established Congestive Heart Failure (NYHA class II-IV) or other severe cardiovascular diseases. It is also contraindicated for the treatment of pain following Coronary Artery Bypass Graft (CABG) surgery and in individuals with a history of asthma or allergic reactions after taking other NSAIDs.

Overdose and Emergency Response

Overdose and When to Seek Help

This section outlines the officially documented overdose information based on regulatory labels for the Diclofenac component of Diclomol-SP. Treatment is primarily supportive and symptomatic as no specific antidote is officially documented.

Documented Overdose Manifestations

Clinical manifestations of a potentially toxic overdose are often non-specific but may include:

  • Gastrointestinal Effects: Vomiting, Nausea, Abdominal Pain, and Epigastric Hemorrhage.
  • Central Nervous System (CNS) Effects: Headache, Drowsiness (somnolence), Agitation, Convulsions, and Tinnitus.

Serious Outcomes and Required Action

Official regulatory documents list the potential for Severe Gastrointestinal Bleeding, Acute Renal Failure, and Liver Damage (Hepatotoxicity) following a significant overdose.

Emergency Requirement Official Description (Regulatory Basis)
Urgent Help-Seeking Seek immediate medical attention for any suspected overdose. Emergency services should be contacted for life-threatening symptoms, such as Convulsions or Severe Gastrointestinal Bleeding.
Management Supportive care and symptomatic treatment. Procedures like Activated Charcoal and Gastric Lavage may be considered within one hour of ingestion for potentially toxic amounts.
Monitoring Close clinical monitoring, including monitoring of Renal Function and Hepatic Function, is required.

Patients with pre-existing Renal Impairment or Hepatic Impairment may face an increased risk of severe outcomes following an overdose.

Therapeutic Uses of Diclomol-SP

Diclomol-SP is formulated to offer symptomatic relief and supportive assistance in situations marked by significant discomfort and pronounced symptoms. It is applied across domains where additional symptomatic support is needed, particularly for conditions associated with acute or disruptive episodes. The core therapeutic focus is to contribute to easing the overall symptom load and support patients during difficult episodes.

The combination's therapeutic components are primarily relevant for the symptomatic treatment of acute pain and inflammation in conditions like osteoarthritis and rheumatoid arthritis, confirming its role in managing musculoskeletal discomfort.

Symptomatic Management of Acute Discomfort and Pain

This domain is generally used when symptoms related to physical discomfort become intense and short-term supportive relief is needed. Common scenarios involve help with symptoms associated with inflammatory conditions, acute soft tissue injuries, and certain forms of musculoskeletal discomfort.

“The primary goal is to assist with maintaining functional stability and support general well-being during symptomatic phases.”

Support for Intense Manifestations and Functional Strain

This area is relevant in conditions characterized by periods of heightened symptoms where groups of symptoms appear suddenly or fluctuate. It is applicable within clinical settings that involve acute or unstable symptom patterns. By targeting symptoms that interfere with daily functioning, the medication contributes to improved comfort during periods of heightened symptoms and supports patients during episodes of increased discomfort or tension.


Quick Fact: Relief for Acute Discomfort The medicine may assist with managing symptoms that create noticeable functional strain during flares or short-term episodes.

Regulatory References

  1. CDSCO Approved Fixed Dose Combination List

Eligibility and Restrictions for Use

Official Eligibility Rules for Diclomol-SP

This section summarizes the official population eligibility and non-eligibility rules for Diclomol-SP, which is a fixed-dose combination containing Diclofenac (an NSAID) and Serrapeptase, as defined in government regulatory documents.


Eligibility Scope

Category Official Regulatory Classification
Populations for whom use is allowed Adults are the generally approved population with an established profile.
Populations for whom use is not recommended Children and adolescents (typically under 18 years); Lactating/Breastfeeding mothers.
Populations for whom use is contraindicated Individuals with known hypersensitivity to the active substances; Patients with active gastrointestinal ulceration or bleeding; Patients with severe hepatic, severe renal, or severe heart failure (NYHA Class II-IV); Patients with history of NSAID-induced asthma or urticaria; and patients undergoing Coronary Artery Bypass Graft (CABG) surgery.

Key Eligibility Restrictions

Category Regulatory Status
Age-related eligibility rules Use in the pediatric population is not recommended. Older adults require closer monitoring.
Condition-specific eligibility rules Severe organ impairment (hepatic/renal) is contraindicated. Mild to moderate impairment requires conditional use.
Pregnancy and lactation eligibility Contraindicated during the third trimester of pregnancy. Use during the first and second trimesters is restricted.

Connection to the Overall Eligibility Profile

Official regulatory documents define who can and cannot use Diclomol-SP by formally listing contraindications and prescribing special population restrictions, primarily driven by the established risks associated with the NSAID component. The eligibility profile establishes non-negotiable exclusions for patients with severe organ impairment, active gastrointestinal disease, and specific cardiovascular conditions. Eligibility is generally confined to the adult population, with use in pediatric, pregnant, and lactating populations either prohibited or strongly restricted.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Because Diclomol-SP contains diclofenac, a Non-Steroidal Anti-Inflammatory Drug (NSAID), its use requires caution with several classes of medicines due to the potential for severe interactions. The primary concerns involve an increased risk of bleeding and altered effectiveness of certain drugs.

Key Interaction Categories

Interacting Product Category Potential Effect (Mechanism) Recommendation
Other NSAIDs (e.g., Aspirin, Ibuprofen) Markedly increased risk of gastrointestinal (stomach) bleeding or ulceration. Concomitant use is generally not recommended.
Anticoagulants (Blood Thinners) Enhanced effect of blood-thinning medications (e.g., Warfarin), leading to a high risk of excessive bleeding. Use requires close medical supervision and monitoring.
Diuretics & Antihypertensives Decreased effectiveness of medicines used to control blood pressure or remove excess fluid (e.g., Furosemide). Monitoring of blood pressure and kidney function may be necessary.
Lithium or Methotrexate May increase the plasma levels of Lithium or Methotrexate, raising the risk of toxicity. Dosage adjustments and frequent monitoring are required.

Other Important Interaction Notes

  • Alcohol: Avoid consuming alcohol, as this combination significantly increases the risk of stomach bleeding and other gastrointestinal side effects.
  • Procedural Risk: Use of this medicine should be stopped prior to major surgery, particularly due to the enhanced risk of excessive bleeding.
  • Older Patients: Elderly patients may have increased susceptibility to these interaction risks, necessitating careful use under a healthcare professional's guidance.

Mechanism of Action

How Diclomol-SP Works


Chemical Blockade of Inflammatory Synthesis

This mechanism is primarily driven by the Diclofenac component, which uses non-selective, reversible inhibition to suppress the activity of the Cyclooxygenase (COX) enzymes. This critical molecular action halts the body's synthesis of inflammatory mediators, specifically the prostaglandins and thromboxanes, modulating the Arachidonic Acid Cascade to reduce the sensitization of peripheral nociceptors.


Enzymatic Resolution of Tissue Swelling

This complementary action is provided by Serrapeptase, a proteolytic enzyme that targets and cleaves proteins like fibrin and kininogens found in the inflamed tissue. By breaking down these structural components, the mechanism reduces the viscosity and volume of tissue exudate, permitting its reabsorption and clearance from the extravascular space.


Coordinated Dual-Action Synergy

The mechanism integrates a dual-action synergy where the inhibitory component (Diclofenac) suppresses the generation of inflammatory signals, and the enzymatic component (Serrapeptase) promotes the physical resolution of accumulated exudate. This parallel engagement of distinct mechanistic domains results in a simultaneous modulation of chemical synthesis and physical clearance.

Dosage and Administration Information

How to Use Diclomol-SP

Diclomol-SP is a fixed-dose combination (FDC) drug containing Diclofenac and Serrapeptase. Its administration must strictly follow the defined instructions to ensure proper use.


Official Administration Guidelines

Instruction Detail
Route of Administration The drug is for oral use as a tablet.
Dosage Form and Strength Typically formulated as a tablet containing Diclofenac 50 mg and Serrapeptase 10 mg.
Standard Dosing Schedule The standard adult regimen generally involves the administration of one tablet per dose, usually in two to three divided doses per day. The total daily intake of the Diclofenac component should not exceed the maximum recommended dose (e.g., 150 mg).
Course Duration Principle Consistent with NSAID guidelines, use the lowest effective dose for the shortest duration necessary to control acute symptoms.
Timing in Relation to Meals The tablet must be taken with or immediately after food to minimize potential gastrointestinal irritation.
Handling Requirements The tablet must be swallowed whole with a full glass of water. It must not be crushed, chewed, or broken to preserve its intended release mechanism.
Missed Dose Rule If a dose is missed, it should be taken as soon as remembered; however, if it is almost time for the next scheduled dose, skip the missed dose and return to the regular schedule. A double dose must not be taken.

Use in Specific Populations

Information advises that use in older adults should be approached with caution, recommending the use of the lowest effective dose. The standard adult FDC strength is not typically recommended for children.

This instruction map formalizes the protocol for Diclomol-SP, dictating the precise route, dosage limits, timing with meals, and handling of the tablet to standardize its use.

Recent Clinical Evidence

Diclomol-SP: Recent Clinical Evidence

Clinical evidence concerning the fixed-dose combination of Diclofenac, Paracetamol, and Serratiopeptidase often focuses on its use for managing pain, inflammation, and swelling associated with various conditions. Research has primarily investigated its application in acute pain settings, such as post-operative recovery and musculoskeletal injuries.


Effectiveness in Pain and Inflammation

Studies involving combination therapies containing Diclofenac and Serratiopeptidase suggest a potential reduction in post-operative pain and swelling within the first 24 hours following certain surgical procedures. For example, some clinical trials in dental or gynecological surgery settings observed a statistically significant decrease in pain scores (Visual Analogue Scale or VAS) and a reduction in post-operative swelling compared to baseline. However, other studies examining the combination of Diclofenac and Serratiopeptidase did not find a significant difference in analgesic or anti-inflammatory effects compared to Diclofenac used alone in clean surgical wounds.


Comparative Findings and Enzyme Component

The inclusion of Paracetamol (Acetaminophen) contributes to overall pain relief, complementing the anti-inflammatory action of Diclofenac. The enzyme Serratiopeptidase is theorized to aid in reducing edema and potentially support the breakdown of inflammatory byproducts. However, regulatory committees have noted a need for more robust, adequately powered clinical trials to conclusively demonstrate that the three-drug combination (Diclofenac + Paracetamol + Serratiopeptidase) offers a superior benefit over two-drug combinations (e.g., Diclofenac + Paracetamol) for short-term acute pain management.


Safety and Tolerability Observations

In studies where this combination (or similar three-drug formulations) was evaluated, common side effects reported were generally mild to moderate, primarily involving the gastrointestinal tract, such as nausea, vomiting, indigestion, and stomach discomfort. The long-term safety profile of this specific three-drug fixed-dose combination, particularly concerning chronic use, has been the subject of regulatory caution, with recommendations often limiting its use to short-term, acute symptoms.

Frequently Asked Questions (FAQ)

Common questions about Diclomol-SP (FAQ)


Q: How quickly should I expect Diclomol-SP to start working for pain?

A: Studies and official information indicate that Diclofenac, a main component, is quickly absorbed into the body. While peak concentrations in the blood may be reached within two hours, significant pain reduction is often evaluated within the first mathbf24 , hours of starting administration. Individual response times to pain relief may vary.


Q: How long does the pain relief from Diclomol-SP usually last?

A: The Diclofenac component has a short elimination half-life, meaning it is processed relatively quickly by the body. The recommended adult dosing frequency for this combination is typically two to three times per day, which helps maintain the intended effect.


Q: Does Diclomol-SP cause drowsiness or make you feel sleepy?

A: Official product information for Diclomol-SP’s components lists dizziness and headache as common side effects. Less commonly, regulatory reports have also noted cases of drowsiness and insomnia (difficulty sleeping) in some users.


Q: How should Diclomol-SP be stored at home?

A: Official regulatory documents specify that the tablets must be stored at a temperature below mathbf30 C and protected from moisture and heat. It is important to always keep the medicine in its original container and out of the sight and reach of children and pets.


Q: What are the signs of an overdose of Diclomol-SP?

A: Symptoms of an overdose of the Diclofenac component can include severe stomach pain, nausea, vomiting (sometimes with blood), and drowsiness. In rare, severe cases, official information warns of serious complications involving the kidneys or nervous system.


Q: What is the maximum time someone is typically advised to take Diclomol-SP?

A: Consistent with guidelines for Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), the medicine is intended to be used for the shortest duration necessary to control acute symptoms. For these reasons, the medicine is generally intended for the management of acute symptoms over a short period.


Q: Can I take Diclomol-SP if I am lactose intolerant?

A: Regulatory documents for some Diclofenac formulations state that the tablets contain an inactive ingredient such as lactose. If you have lactose intolerance, you should discuss this ingredient with a healthcare professional.


Q: Is it safe to drive or operate machinery after taking Diclomol-SP?

A: Because the medicine may cause side effects like dizziness or headache, patients are officially advised to exercise caution. If a user experiences these effects, official guidance advises against driving or operating machinery.


Q: Can women who are planning pregnancy take Diclomol-SP?

A: According to official regulatory sources, the Diclofenac component may impair female fertility. The medicine is not recommended for women who are actively trying to conceive or are currently undergoing investigation for infertility.


Q: How is Diclomol-SP different from just regular Diclofenac?

A: Diclomol-SP is a Fixed-Dose Combination (FDC) product. This means it contains Diclofenac (an NSAID) combined with Serrapeptase (a systemic enzyme). Regular Diclofenac typically contains only the NSAID ingredient.


Q: Can Diclomol-SP be used for headaches or migraines?

A: Some specific formulations of Diclofenac are indicated (approved) for the acute treatment of migraines. However, the approved uses for this specific combination product (Diclomol-SP) must be confirmed in its local regulatory prescribing information.


Q: Is it normal to feel a little dizzy when first starting Diclomol-SP?

A: Dizziness is listed in official regulatory documents as a common side effect of the Diclofenac component. This means it is among the more frequently reported adverse reactions experienced by users.


Q: Are there any specific foods or drinks I should avoid while on Diclomol-SP?

A: Official guidance on the NSAID component recommends avoiding alcohol consumption, as this combination increases the risk of stomach bleeding. Furthermore, the tablet should be taken with or immediately after food to minimize gastrointestinal irritation.


Q: Is Diclomol-SP the same type of medicine as ibuprofen or naproxen?

A: Diclomol-SP contains Diclofenac, which belongs to the same class of medicines, the Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), as ibuprofen and naproxen. Due to the risk of severe side effects, combining Diclomol-SP with other NSAIDs requires careful consideration and consultation.


Q: What happens if I forget to take a dose of Diclomol-SP?

A: The official protocol for a missed dose specifies that if the time for the next scheduled dose is near, the user should return to the regular schedule. If a dose is missed, it should not be doubled.


Q: Does Diclomol-SP interact with high blood pressure medicines?

A: Yes, official interaction data indicates that Diclomol-SP can decrease the effectiveness of medicines used to control blood pressure (antihypertensives) and remove excess fluid (diuretics). Monitoring of blood pressure may be necessary when these medicines are used together.


Q: What research is available about the effectiveness of Diclomol-SP?

A: Clinical studies suggest a potential reduction in post-operative pain and swelling within the first mathbf24 , hours in some settings. While some trials observed a statistically significant decrease in pain, regulatory caution notes a need for more robust evidence demonstrating superiority over two-drug combinations.


Q: Why is Diclomol-SP sometimes prescribed for dental pain?

A: This combination is intended to manage both acute pain and swelling, which are common in post-procedure settings. Clinical trials evaluating the combination have included its use in dental surgical settings, where studies observed a decrease in post-operative pain and swelling.


Q: Does Diclomol-SP show up on standard drug tests?

A: The active ingredient, Diclofenac, is a Non-Steroidal Anti-Inflammatory Drug (NSAID) and is not a controlled substance. Standard drug tests typically screen for controlled substances (like opioids) and do not screen for diclofenac.


Q: Are there any long-term risks associated with Diclomol-SP use?

A: Yes. Official safety risks for the NSAID component, such as serious cardiovascular events (like heart attack or stroke) and serious gastrointestinal events (like bleeding), may increase with duration of use. Therefore, its use is typically limited to acute symptoms.


Q: Can Diclomol-SP be taken with other types of over-the-counter pain relievers?

A: It is generally safe to take Diclomol-SP with acetaminophen (Paracetamol). However, combining it with other NSAIDs like ibuprofen or naproxen is generally avoided due to a heightened risk of serious side effects.


Q: Why do some people say Diclomol-SP helps with joint stiffness?

A: Diclomol-SP is classified for managing pain, inflammation, and swelling, which are common symptoms of conditions that cause joint stiffness, such as arthritis. The Diclofenac component works to reduce the inflammation that contributes to this stiffness.


Q: What should I do if a side effect from Diclomol-SP feels unusual?

A: Official regulatory guidance states that medical attention should be sought promptly if any symptoms of serious adverse events occur. This includes signs like chest pain, shortness of breath, or any indicators of internal bleeding, such as black or tarry stools.


Q: Does Diclomol-SP affect blood sugar levels?

A: Regulatory documents on the Diclofenac component have rarely noted fluctuations in blood glucose levels in some individuals. As a precaution, patients with diabetes are advised to monitor their blood sugar levels while the medicine is in use.


Q: Why do doctors prescribe Diclomol-SP instead of a single-ingredient medicine?

A: The use of this Fixed-Dose Combination (FDC) product is supported to enhance both therapeutic efficacy and patient compliance. By combining an analgesic/anti-inflammatory with an enzyme to reduce swelling, it offers a dual-action approach in a single tablet.


Q: What kind of pain is Diclomol-SP best for?

A: The combination is intended to manage acute pain, inflammation, and swelling concurrently. This makes it suitable for short-term management of conditions like post-operative recovery, dental procedures, and musculoskeletal injuries.


Q: Can Diclomol-SP interact with antacids or acid reflux medications?

A: Official information indicates that certain antacids containing aluminum hydroxide may increase aluminum absorption, especially in patients with impaired kidney function. Any combination with acid reflux medications should be discussed with a healthcare professional.


Q: Can Diclomol-SP be used by people with asthma?

A: Official regulatory documents strictly contraindicate (prohibit) the use of Diclomol-SP in individuals with a history of asthma or other allergic-type reactions (like hives) after taking aspirin or other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).


Q: Are there different strengths or formulations of Diclomol-SP?

A: The standard adult tablet is typically a Fixed-Dose Combination (FDC). It usually contains Diclofenac mathbf50 , mg and Serrapeptase mathbf10 , mg. The specific available strengths should always be checked against the locally approved product label.


Q: Is Diclomol-SP used for chronic pain or only acute pain?

A: Official safety data and regulatory caution recommend limiting its use to short-term, acute symptoms only. Due to the serious risks associated with the NSAID component, the long-term safety profile for chronic use is a subject of regulatory caution.


Q: Can Diclomol-SP cause changes in mood or anxiety?

A: Regulatory documents on the Diclofenac component rarely note adverse reactions involving the central nervous system, such as confusion or nervousness. Changes in mood or anxiety are not commonly reported, but these effects should be discussed with a healthcare professional if they occur.


Q: How does the combination of ingredients in Diclomol-SP benefit post-operative recovery?

A: The medicine provides a dual benefit: analgesic and anti-inflammatory action (Diclofenac) and promoting the resolution of swelling and edema (Serrapeptase). This simultaneous action addresses both pain and the physical side effects common after surgery.

How should Diclomol-SP be stored and disposed of?

The storage and disposal of Diclomol-SP must strictly follow the conditions defined in official regulatory labeling to maintain product stability and ensure safety. The tablets must be stored at a temperature below 30 C, in a location that is protected from moisture and heat. To preserve integrity, the medicine must be kept in its original container and the container must remain tightly closed. For safety, Diclomol-SP must be stored out of the sight and reach of children and pets. Disposal of any unused or expired medicine must be carried out according to the instructions mentioned on the pack or label, ensuring it is not consumed by other people or animals.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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