thiamine + pyridoxine + cyanocobalamin + diclofenac + tizanidine

This is a fixed-dose **combination drug** of **thiamine**, **pyridoxine**, **cyanocobalamin**, **diclofenac**, and **tizanidine**. - **Diclofenac** is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits cyclooxygenase (COX) enzymes, blocking prostaglandin synthesis, thus reducing pain and inflammation[1][4][5]. - **Tizanidine** is a centrally acting skeletal muscle relaxant that is an agonist at α2-adrenergic receptors, reducing muscle tone by inhibiting spinal polysynaptic reflexes[1][4][5]. - **Thiamine (vitamin B1)**, **pyridoxine (vitamin B6)**, and **cyanocobalamin (vitamin B12)** are B group vitamins often included for their roles in nerve health and metabolism but have no direct analgesic or muscle relaxant effect; their addition is generally to support nerve health during the management of musculoskeletal pain and neuropathy. The primary indication for this combination is the **symptomatic treatment of musculoskeletal pain with associated muscle spasms**—such as acute low back pain, neck pain, joint pain, and spasticity. It also provides supportive micronutrients that may assist in nerve regeneration or recovery.