Hivolt 4X Nano Gel 30 gm is a combination medicine used to relieve pain and inflammation associated with musculoskeletal disorders, strain, sprain, tendonitis, joint pain, muscle stiffness, back pain, bursitis (inflammation of the bursae), lumbago (low back pain), neck, hand, and shoulder pain. Musculoskeletal pain could occur due to arthritis, osteoporosis, fractures, dislocations, problems with the bone structure, or injury to the bones, joints, tendons, muscles, and ligaments. 
 
Hivolt 4X Nano Gel 30 gm contains Diclofenac diethylamine, oleum lini, methyl salicylate, and menthol. Diclofenac diethylamine and Methyl salicylate work by blocking the effect of chemical messengers that cause pain and inflammation. Oleum lini prevents inflammation by improving blood circulation. Menthol provides a cooling sensation by dilating the blood vessels, followed by an analgesic effect. Together, Hivolt 4X Nano Gel 30 gm helps in providing relief from pain.
 
You are advised to use Hivolt 4X Nano Gel 30 gm for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience common side-effects such as application site reactions like itching, irritation, redness, and burning sensation. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if the side effects persist or worsen.
 
Hivolt 4X Nano Gel 30 gm is for external use only. Inform your doctor if you have had any recent heart surgery, stomach ulcers, and bleeding problems. Consult your doctor if you are pregnant or breastfeeding. Hivolt 4X Nano Gel 30 gm is not recommended for children as safety and efficacy have not been established. Avoid contact of Hivolt 4X Nano Gel 30 gm with eyes, nose, or mouth. If contact occurs, rinse with water thoroughly.

Hivolt 4X Nano Gel 30 gm is used to relieve pain and inflammation associated with musculoskeletal disorders, strain, sprain, tendonitis, joint pain, muscle stiffness, back pain, bursitis, lumbago (low back pain), neck, hand, and shoulder pain. Hivolt 4X Nano Gel 30 gm contains Diclofenac diethylamine, oleum lini, methyl salicylate, and menthol. Diclofenac and Methyl salicylate are non-steroidal anti-inflammatory drugs that work by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzymes that make another chemical prostaglandin. By blocking the effect of COX enzymes, lesser prostaglandins are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. Oleum lini is an emollient which prevents inflammation by preventing the action of COX enzymes on arachidonic acid, thus reducing its conversion to PGE2, a highly inflammatory agent. Menthol provides a cooling sensation by dilating the blood vessels, followed by an analgesic effect. It also enhances the penetration of drugs. Together, Hivolt 4X Nano Gel 30 gm helps in providing relief from pain.

• Itching
• Irritation
• Redness
• Burning sensation

Do not use Hivolt 4X Nano Gel 30 gm if you are allergic to any of its contents. Inform your doctor if you have/had severe heart problems, stomach ulcer or perforation, bleeding problems such as bleeding from the stomach, intestine, or brain, bypass surgery, heart attack, blood circulation problems, or inflammation of the intestines. Do not use Hivolt 4X Nano Gel 30 gm if you experience asthma, urticaria, or allergy after taking NSAIDs. Inform your doctor if you are taking any NSAID/pain killers orally. Consult your doctor if you are pregnant or breastfeeding. 

Drug-Drug Interactions: No interactions found/established.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions:No interactions found/established.

• Exercising regularly helps in muscle stretching so that they are less likely to spasm, tear and sprain. Mild exercises such as jogging and walking are helpful for muscle stretching.
• Massages can also be helpful.
• Avoid freezing and hot temperatures.
• Avoid wearing tight-fitting clothes; instead, wear loose garments.
• Rest well, and get plenty of sleep.
• To avoid developing pressure sores, change your position at least every two hours.
• Hot or cold therapy can help treat muscle spasms. Apply an ice pack or hot pack on the muscle for 15-20minutes.
• Stay hydrated, and drink plenty of water.

Musculoskeletal pain: Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute or chronic, can be localised or widespread. The pain can be mild or severe enough to interfere with your daily routine. Musculoskeletal pain could occur due to arthritis, osteoporosis, fractures, dislocations, problems with the bone structure or injury to the bones, joints, tendons, muscles, and ligaments. Symptoms of musculoskeletal pain include stiffness, swelling, redness, weakness, muscle spasms or twitching, trouble moving the affected area, and soreness.

Arthritis: It is a joint disease in which the two ends of the joints come together due to the breakdown of a protective covering called cartilage. Due to the absence of this protective covering, the joints rub against each other, leading to pain and stiffness. Symptoms include pain, stiffness, inflammation and tenderness.