4-Steps Gel belongs to the group of medications known as NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) used to treat pain and inflammation associated with osteoarthritis and musculoskeletal disorders including tenosynovitis, tendinitis, periarthritis, strains, sprains, and low back pain.  

4-Steps Gel contains 'Piroxicam' that works by blocking the effect of a chemical messenger in the body, known as prostaglandins. Prostaglandins are produced at injury sites and cause pain and swelling. By blocking the effect of prostaglandins, 4-Steps Gel helps treat mild to moderate pain and inflammation at the injured or damaged site.

4-Steps Gel is for external use only. In some cases, 4-Steps Gel may cause common side-effects such as mild skin irritation, redness, and itching. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to speak to your doctor if you experience these side effects persistently.

Do not use 4-Steps Gel if you are allergic to any of its contents. Inform your doctor if you are pregnant, planning for pregnancy, or breastfeeding. 4-Steps Gel is not recommended for use in children. Stop using 4-Steps Gel and consult your doctor immediately if you develop rashes, blisters, peeling of the skin, flu-like symptoms, ulcers in the mouth, nose, throat, connective tissue of the eye or reproductive organs.

4-Steps Gel belongs to the group of medications known as NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) used to treat pain and inflammation associated with osteoarthritis and musculoskeletal disorders, including tenosynovitis, tendinitis, periarthritis, strains, sprains, and low back pain. 4-Steps Gel works by blocking the effect of a chemical messenger known as prostaglandins. Prostaglandins are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, fewer prostaglandins are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site.

• Itching
• Irritation
• Redness

Do not use 4-Steps Gel if you are allergic to any of its contents, if you are hypersensitive to acetylsalicylic acid or other NSAIDs. Inform your doctor if you have/had peptic ulcers, heart surgery, high blood pressure, high cholesterol, diabetes, stomach ulcers, bleeding problems, asthma, eczema, fluid retention, inflammatory bowel disease, kidney or liver problems. Consult a doctor before using 4-Steps Gel if you are pregnant or breastfeeding. 4-Steps Gel is not recommended for children. Inform your doctor if you are taking any NSAID/pain killers orally. 4-Steps Gel may cause Stevens-Johnson syndrome or toxic epidermal necrolysis. Stop using 4-Steps Gel and consult your doctor immediately if you develop rashes, blisters, peeling of the skin, flu-like symptoms, ulcers in the mouth, nose, throat, connective tissue of the eye or reproductive organs.

Drug-Drug Interactions: No interactions found/established.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interaction: No interactions found/established.

• Physical activity helps in strengthening muscles and relieves joint stiffness. Gentle activities like 20-30minutes of walking or swimming would be helpful.
• Performing yoga may also help in improving joint flexibility and pain management.
• Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
• Get adequate sleep as resting the muscles can help in reducing inflammation and swelling.
• De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
• Acupuncture, massage and physical therapy may also be helpful.
• Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
• Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
• Avoid smoking and alcohol consumption.

• Do not apply 4-Steps Gel on cuts, wounds, broken skin, infected skin, or rashes.
• If 4-Steps Gel comes in contact with eyes, mouth or nose, wash with water immediately. Consult a doctor if irritation persists.
• If you are due to undergo any surgery, dental procedure, or laboratory tests, inform the doctor that you are using 4-Steps Gel.

Musculoskeletal pain: Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute or chronic, can be localized 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.