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Last updated
05 Dec 2023 | 06:14 PM (IST)

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Product introduction

4-Steps Gel is a pain relieving medicine. It is applied topically to treat moderate to severe pain. It helps relieve pain and swelling or various joints and muscles.

It is a non-steroidal anti-inflammatory drug (NSAID).

Uses of 4-Steps Gel

Benefits of 4-Steps Gel

In Pain relief

4-Steps Gel is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. It works by blocking chemical messengers in the brain that tell us we have pain. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis or even after a dental (tooth-related) surgery.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.

Side effects of 4-Steps Gel

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 4-Steps

  • No common side effects seen
  • Vomiting
  • Stomach pain
  • Nausea
  • Headache
  • Dizziness

How to use 4-Steps Gel

This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the gel. Wash your hands after applying, unless hands are the affected area.

Safety advice

Alcohol
No interaction found/established
Pregnancy
CONSULT YOUR DOCTOR
4-Steps Gel may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
4-Steps Gel is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
The baby's skin should not come into direct contact with the treated area of skin. Water-miscible cream/gel is preferred as ointments may expose the baby to harmful effects of 4-Steps Gel via licking.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
4-Steps Gel
₹95.23/Gel
Dolonex Gel
Pfizer Ltd
₹78.75/gel
17% cheaper
Pirox Gel
Cipla Ltd
₹67.5/gel
29% cheaper
Pirox Gel
Cipla Ltd
₹41.31/gel
57% cheaper
Piricam Gel
Zydus Cadila
₹27/gel
72% cheaper
Dupox Gel
Bennet Pharmaceuticals Limited
₹40/gel
58% cheaper

Quick tips

  • 4-Steps Gel helps relieve pain and swelling of various joints and muscles.
  • Rub it gently over the affected area, until it is absorbed.
  • Do not apply to broken, diseased, infected or irritated skin, or to open wounds.
  • Do not cover the area being treated with airtight dressings such as bandages, as these may increase the risk of side effects.
  • Avoid contact with your eyes, nose or mouth. Rinse it off with water if you accidentally get the gel in these areas.
  • Stop using 4-Steps Gel and immediately inform your doctor if you notice skin rashes, sores, blisters or ulcers in the mouth, nose, throat or genitals.
  • Do not use it for longer than four weeks without talking to to your doctor first.

Fact Box

Chemical Class
Enolic acid Derivatives
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
NSAID's- Non-Selective COX 1&2 Inhibitors (enolic acids)

Patient concerns

arrow
Knee pain,walking &climbing steps very painful.
Dr. Akshat Goel
Orthopaedics
Get an Xray done of both knees (AP and Lateral views) in standing positionTake Tab Altraday and Tab Flotrip-plus twice daily
Heart pain slowly pls suggest next steps
Dr. Nabajit Talukdar
Interventional Cardiology
Get a tmt done
arrow

FAQs

Can 4-Steps Gel be used in the treatment of chikungunya?

Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking 4-Steps Gel or any painkiller in the case of any fever with joint pain. Consult your doctor before starting 4-Steps Gel.

Can 4-Steps Gel be used along with dexamethasone?

No. 4-Steps Gel should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.

Is 4-Steps Gel a NSAID?

Yes. 4-Steps Gel is a non-steroidal anti-inflammatory drug (NSAID).

Is 4-Steps Gel a sulfa drug?

4-Steps Gel is a sulphur containing compound. 4-Steps Gel can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.

Is 4-Steps Gel a blood thinner?

No. 4-Steps Gel is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

Can 4-Steps Gel be used in the treatment of allergy?

No. 4-Steps Gel is not a drug to treat allergy. It is a pain killer.

Can you donate blood when on the medication with 4-Steps Gel?

Yes. You can donate blood when on 4-Steps Gel. Do inform your doctor before donating blood.

Can I use 4-Steps Gel if I have a deranged renal function?

No. 4-Steps Gel should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.

Can I use 4-Steps Gel if I am pregnant?

No. 4-Steps Gel should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.

Can I use 4-Steps Gel if I have peptic ulcer disease?

No. 4-Steps Gel is contraindicated in cases of active peptic ulcer disease. 4-Steps Gel is known to cause gastric ulceration and bleeding.

Can 4-Steps Gel be used with warfarin?

No. 4-Steps Gel should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.

Who should not take 4-Steps Gel?

4-Steps Gel should not be taken by patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine. It should not be given for treating pain right before or after heart bypass surgery as well.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 628.
  2. Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 989-90.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1127-28.
  4. PubChem. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:External Link
  5. ScienceDirect. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:External Link

Marketer details

Name: Aeran Lab India Pvt Ltd
Address: Prathmesh Ashish, A wing,1st Floor, Kanakia Road,Mira Road(E), Thane(Mumbai), Pin :- 401104, Maharashtra, India.
Country of origin: India

MRP
95.23
Inclusive of all taxes
100.0 gm in 1 tube
SOLD OUT

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