Sun Pharmaceutical Industries Ltd

Toficalm 50mg Tablet 10'S

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Introduction About TOFICALM 50MG TABLET

Toficalm 50mg Tablet contains Tofisopam, an oral anxiolytic medicine commonly included in medical care plans to support the management of anxiety-related symptoms. It is often considered in individuals experiencing stress, nervousness, tension, or anxiety that may interfere with daily activities and overall well-being. Tofisopam works by influencing specific chemical messengers in the brain that help regulate mood and emotional balance, promoting a calming effect without causing significant sedation in many individuals. Regular use as advised by a healthcare professional may help improve day-to-day functioning and emotional comfort.

This tablet is generally considered suitable for adults who require medical management of anxiety symptoms under professional supervision. It may be recommended for individuals experiencing generalized anxiety, stress-related symptoms, or psychosomatic complaints associated with anxiety. Toficalm 50mg Tablet is for oral use only and is usually taken as prescribed by the doctor, with or without food. It should be swallowed whole with water and taken at the same time each day to help maintain consistent levels in the body. Do not alter the dose or discontinue the medicine without consulting your healthcare provider.

While using Toficalm 50mg Tablet, certain precautions and directions for use should be followed. Avoid consuming alcohol during treatment, as it may increase the risk of unwanted effects. Inform your doctor about all prescription medicines, over-the-counter products, and herbal supplements you are taking, as interactions may occur. Follow the prescribed dosage carefully and avoid self-medication or sharing the medicine with others.

Toficalm 50mg Tablet should be used cautiously in individuals with liver or kidney impairment, respiratory disorders, or a history of hypersensitivity to tofisopam or related medicines. Use during pregnancy or breastfeeding should only be considered after consultation with a healthcare professional. Common side effects may include headache, dizziness, nausea, dry mouth, or mild stomach discomfort. If severe allergic reactions, persistent side effects, or unusual symptoms occur, seek medical attention promptly.

Uses Of TOFICALM 50MG TABLET

  • Helps manage symptoms of anxiety disorders.
  • Aids in reducing stress, nervousness, and emotional tension.
  • Provides support in managing anxiety associated with psychosomatic conditions.
  • Offers relief from anxiety-related symptoms when used under medical supervision.

Benefits of TOFICALM 50MG TABLET

Toficalm 50mg Tablet for Anxiety Symptom Management

Toficalm 50mg Tablet is formulated to support the management of anxiety-related symptoms such as excessive worry, nervousness, and emotional tension. It helps promote a sense of calm and improves overall daily functioning when used under medical supervision.

Toficalm 50mg Tablet for Stress-Related Symptoms

The tablet may help manage stress-associated symptoms, including restlessness, irritability, and difficulty relaxing. It supports emotional well-being as part of a comprehensive care plan.

Toficalm 50mg Tablet for Psychosomatic Complaints

It is often prescribed for individuals experiencing physical symptoms associated with anxiety, such as palpitations, gastrointestinal discomfort, or muscle tension, helping improve overall comfort.

Toficalm 50mg Tablet for Long-Term Anxiety Management

When taken consistently as advised by a healthcare professional, Toficalm 50mg Tablet may help maintain stable control of anxiety symptoms and support better quality of life.

How TOFICALM 50MG TABLET Works

How Toficalm 50mg Tablet Works in the Body

Toficalm 50mg Tablet contains Tofisopam, which acts on specific neurotransmitter systems in the brain involved in regulating anxiety and emotional balance. Its action helps reduce anxiety symptoms without producing marked sedation in many individuals.

Action of Tofisopam on the Nervous System

Tofisopam belongs to the 2,3-benzodiazepine class and helps modulate brain signalling involved in anxiety. Unlike conventional benzodiazepines, it generally has minimal muscle relaxant and sedative effects when used at recommended doses.

How the Tablet Supports Symptom Control

By helping restore balanced nerve signalling, Toficalm 50mg Tablet reduces feelings of anxiety, tension, and nervousness, supporting improved emotional stability and day-to-day functioning.

How to use TOFICALM 50MG TABLET

How to take Toficalm 50mg Tablet

  • Take Toficalm 50mg Tablet exactly as prescribed by your healthcare professional.
  • Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
  • It may be taken with or without food, preferably at the same time each day to maintain consistent levels in the body.
  • Follow the prescribed dose and duration of treatment without missing doses.
  • Do not stop taking the medicine abruptly or change the dose without consulting your doctor.
  • Avoid consuming alcohol while taking Toficalm 50mg Tablet, as it may increase the risk of unwanted side effects such as dizziness or drowsiness.

What if I forgot to take TOFICALM 50MG TABLET

  • Take the missed dose of Toficalm 50mg Tablet as soon as you remember.
  • If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
  • Do not take two doses at the same time or an extra dose to make up for the missed one.
  • Continue taking the medicine exactly as prescribed by your healthcare professional.
  • If you miss doses frequently or have missed multiple doses, consult your doctor for further guidance.

Overdose

If more than the prescribed amount of Toficalm 50mg Tablet is taken, seek immediate medical attention. Overdose may increase the risk of side effects such as severe drowsiness, dizziness, confusion, slurred speech, impaired coordination, low blood pressure, breathing difficulties, or loss of consciousness. Prompt medical evaluation is recommended if an overdose is suspected.

Side Effects Of TOFICALM 50MG TABLET

Common side effects of Toficalm 50mg Tablet

  • Dizziness
  • Headache
  • Nausea
  • Dry mouth
  • Drowsiness or mild sleepiness

When to Seek Medical Attention?

Stop using Toficalm 50mg Tablet and contact your doctor immediately if you experience

  • Severe allergic reactions such as rash, itching, or hives
  • Difficulty breathing or shortness of breath
  • Swelling of the face, lips, tongue, or throat
  • Severe or persistent dizziness, confusion, or excessive drowsiness
  • Unusual mood or behaviour changes, including agitation, hallucinations, or suicidal thoughts

How To Manage Side Effects

Dry Mouth

  • Stay Well Hydrated: Sip water frequently throughout the day to keep your mouth moist. Carry a water bottle and take small sips regularly.
  • Sugar-Free Lozenges or Gum: Chewing sugar-free gum or sucking on lozenges can stimulate saliva production and reduce dryness.
  • Natural Saliva Stimulation: Sucking on a slice of lemon or citrus fruit (if tolerated) may help trigger saliva flow. Avoid if it causes irritation.
  • Coconut Oil Pulling: Swish a small amount of coconut oil in your mouth for a few minutes to help soothe dryness and support oral comfort.
  • Maintain Good Oral Hygiene: Brush gently twice daily and use an alcohol-free mouthwash to prevent further dryness and irritation.
  • Use a Humidifier: Adding moisture to the air, especially at night, can help prevent dryness in the mouth and throat.
  • Avoid Dehydrating Substances: Limit caffeine, alcohol, and smoking, as they can worsen dry mouth symptoms.
  • Eat Moist Foods: Include water-rich foods like cucumber, watermelon, and soups to support hydration.
  • Breathe Through Your Nose: Try to avoid mouth breathing, as it can dry out the oral cavity further.

Headache

  • Stay Hydrated: Dehydration is a common cause of headaches. Drink plenty of water throughout the day to maintain proper hydration and reduce discomfort.
  • Cold or Warm Compress: Apply a cold compress on the forehead for tension or migraine-type headaches. Use a warm compress on the neck or back of the head to relax tight muscles.
  • Rest in a Quiet, Dark Room: Lie down in a calm, dimly lit space. Reducing noise and light exposure can help ease headache intensity, especially in migraine.
  • Limit or Use Caffeine Carefully: A small amount of caffeine (like tea or coffee) may help relieve some headaches, but excessive intake can worsen or trigger headaches.
  • Aromatherapy: Inhaling soothing essential oils like peppermint or lavender may help relax the mind and reduce headache discomfort.
  • Relaxation Techniques: Practice deep breathing, meditation, or gentle yoga to reduce stress-related headaches.
  • Gentle Massage: Massage your temples, neck, and shoulders to relieve tension and improve blood circulation.
  • Eat on Time: Skipping meals can trigger headaches. Maintain regular eating habits to keep blood sugar levels stable.
  • Get Adequate Sleep: Aim for 7–8 hours of quality sleep daily, as poor sleep can contribute to frequent headaches.

Warning & Precautions

Pregnancy

Consult your doctor

Use Toficalm 50mg Tablet during pregnancy only if prescribed by your doctor after carefully assessing the potential benefits and risks.

Breastfeeding

Consult your doctor

It should be used during breastfeeding only on medical advice, as it is not known whether tofisopam passes into breast milk.

Driving and Using Machines

Use with Caution

 Toficalm may cause dizziness or drowsiness in some individuals. Avoid driving or operating machinery if you experience these effects.

Kidney

Use with Caution

 Use with caution in patients with kidney impairment. Dose adjustments may be required based on your doctor's advice.

Liver

Use with Caution

Patients with liver disorders should use Toficalm cautiously under medical supervision, as dose modification may be necessary.

Allergy

Contraindicated

Do not use this medicine if you are allergic to tofisopam or any of its ingredients.

Lungs

Use with Caution

 Use cautiously in patients with severe respiratory disorders and follow your doctor's recommendations.

Heart Disease

Monitoring required

 Inform your doctor if you have any heart condition before taking Toficalm, as careful monitoring may be required.

Use In Pediatrics

Consult your doctor

The safety and effectiveness of Toficalm in children have not been well established. Use only if specifically prescribed by a doctor.

Use In Geriatrics

Use with Caution

 Elderly patients should use Toficalm with caution, as they may be more sensitive to its effects and require closer monitoring.

Other Warnings for TOFICALM 50MG TABLET

Before using Toficalm 50mg Tablet, inform your doctor if you

  • Are allergic to tofisopam or any of the ingredients in the tablet.
  • Have liver, kidney, or breathing problems.
  • Have a history of depression, mood disorders, or substance abuse.
  • Are pregnant, planning to become pregnant, or breastfeeding.
  • Are taking any other prescription medicines, over-the-counter medicines, or herbal supplements.

Safety Advice

  • Use as Prescribed: Take Toficalm 50mg Tablet only as directed by your healthcare professional. Do not exceed the recommended dose or stop the medicine without medical advice.
  • Maintain Proper Timing: Take the tablet at the same time each day to help maintain consistent medicine levels and achieve the best therapeutic effect.
  • Check for Allergies: Do not use this medicine if you are allergic to tofisopam or any of its ingredients. Seek immediate medical attention if you develop rash, swelling, or difficulty breathing.
  • Monitor for Side Effects: Toficalm may cause dizziness, drowsiness, headache, or nausea in some individuals. Consult your doctor if these effects persist or become severe.
  • Avoid Alcohol and Sedatives: Avoid consuming alcohol or taking other medicines that cause drowsiness unless advised by your doctor, as they may increase unwanted effects.
  • Inform Healthcare Providers: Tell your doctor or pharmacist about all prescription medicines, over-the-counter products, and herbal supplements you are taking to help avoid potential drug interactions.

Diet and Lifestyle Advice

  • ?????Avoid Alcohol: Do not consume alcohol while taking Toficalm 50mg Tablet, as it may increase dizziness, drowsiness, and impair alertness.
  • Take with Plain Water: Swallow the tablet whole with water. It may be taken with or without food, preferably at the same time each day.
  • Stay Well Hydrated: Drink adequate water throughout the day to support overall health and help reduce dry mouth.
  • Eat a Balanced Diet: Include fresh fruits, vegetables, whole grains, and lean proteins to support overall physical and mental well-being.
  • Limit Excess Caffeine: Reduce excessive intake of coffee, tea, and energy drinks, as they may worsen anxiety or nervousness in some individuals.
  • Exercise Regularly: Engage in regular physical activity such as walking, yoga, or stretching to support emotional well-being and reduce stress.
  • Manage Stress Levels: Practice relaxation techniques such as meditation, deep breathing exercises, or mindfulness alongside your prescribed treatment.
  • Get Adequate Sleep: Aim for 7–8 hours of quality sleep each night to support mental health and recovery.
  • Avoid Driving if Affected: If you experience dizziness or drowsiness after taking the medicine, avoid driving or operating heavy machinery.
  • Maintain a Consistent Routine: Take your medicine as prescribed at the same time each day and follow your healthcare provider's advice for the best results.

1.Toficalm 50mg Tablet and Alprazolam – Anxiety Symptom Management

Feature

Toficalm 50mg Tablet (Tofisopam)

Alprazolam

Drug Class

2,3-Benzodiazepine anxiolytic

Benzodiazepine anxiolytic

Primary Use

Anxiety symptom management

Anxiety disorders and panic disorders

Mechanism of Action

Modulates neurotransmitter activity involved in anxiety regulation with minimal sedative effect

Enhances GABA activity in the brain to produce a calming effect

Sedation

Generally causes minimal sedation at recommended doses

Commonly causes drowsiness and sedation

Muscle Relaxant Effect

Minimal or absent

Present

Risk of Dependence

Lower compared to conventional benzodiazepines

Higher risk with prolonged use

Effect on Daily Activities

May be more suitable for individuals requiring daytime alertness

May impair alertness, driving, and concentration

Common Side Effects

Dizziness, headache, nausea, dry mouth

Drowsiness, dizziness, fatigue, impaired coordination

Use During Pregnancy

Only if clearly prescribed by a doctor

Generally avoided unless the potential benefit outweighs the risk

Prescription Status

Prescription medicine

Prescription medicine

Drug - Drug interaction

1.Other Anti-Anxiety Medicines (e.g., diazepam, alprazolam, lorazepam)

  • Interaction: Combining Toficalm with other anxiolytics may increase the risk of excessive sedation, dizziness, and impaired coordination.
  • Management: Use only if prescribed by your doctor and follow the recommended dosage.

2. Sleeping Pills and Sedatives (e.g., zolpidem, phenobarbital)

  • Interaction: Concomitant use may enhance central nervous system depression, causing excessive drowsiness or reduced alertness.
  • Management: Avoid combining these medicines unless specifically advised by your healthcare provider.

3. Opioid Pain Medicines (e.g., tramadol, morphine, codeine)

  • Interaction: Taking opioids with Toficalm may increase the risk of excessive drowsiness, respiratory depression, and impaired mental function.
  • Management: Use together only under close medical supervision.

4. Antidepressants (e.g., fluoxetine, sertraline)

  • Interaction: Some antidepressants may increase central nervous system side effects such as dizziness or drowsiness when taken with Toficalm.
  • Management: Inform your doctor if you are taking antidepressants so appropriate monitoring can be arranged.

5. Muscle Relaxants (e.g., baclofen, tizanidine)

  • Interaction: Combined use may increase dizziness, drowsiness, and reduced coordination.
  • Management: Use cautiously and avoid activities requiring mental alertness if affected.

6. Herbal Supplements (e.g., valerian, kava)

  • Interaction: Herbal products with calming or sedative properties may enhance the effects of Toficalm, increasing drowsiness and dizziness.
  • Management: Consult your doctor before taking any herbal supplements while using Toficalm 50mg Tablet.

Drug - Food interaction

1. Alcohol

  • Interaction: Alcohol may enhance the sedative effects of Toficalm (Tofisopam), increasing the risk of dizziness, drowsiness, and impaired judgment.
  • Management: Avoid consuming alcohol while taking Toficalm 50mg Tablet.

2. Caffeinated Beverages (e.g., coffee, tea, energy drinks)

  • Interaction: Excessive caffeine may worsen anxiety, nervousness, or restlessness, which can reduce the desired calming effect of the medicine.
  • Management: Limit caffeine intake and monitor your response while on treatment.

3. Grapefruit and Grapefruit Juice

  • Interaction: Grapefruit may affect the metabolism of certain medicines, including anxiolytics, although evidence with tofisopam is limited.
  • Management: Avoid excessive consumption of grapefruit or grapefruit juice unless advised otherwise by your doctor.

4. Herbal Supplements (e.g., valerian, kava)

  • Interaction: Herbal products with sedative properties may increase drowsiness or dizziness when taken with Toficalm.
  • Management: Consult your doctor before using herbal supplements during treatment.

5. Heavy or Fatty Meals

  • Interaction: Food does not significantly affect the absorption of Toficalm, but very heavy meals may delay stomach emptying and the onset of action in some individuals.
  • Management: Take the tablet with or without food as prescribed and maintain a consistent routine for best results.

Synopsis

Drug

Tofisopam

Product Category

Anxiolytics (2,3-Benzodiazepine)

Therapeutic Indication

Anxiety symptom management

Dosage Forms

Tablet

More Information

Storage

  • Store Toficalm 50mg Tablet at room temperature, preferably below 25°C, in a cool and dry place.
  • Keep out of the reach and sight of children and pets.

References

1.KD Tripathi. Drugs for Anxiety and Sleep Disorders (Anxiolytics and Hypnotics). Essentials of Medical Pharmacology. 9th Edition. Jaypee Brothers Medical Publishers; 2024.

2.Brunton LL, Hilal-Dandan R, Knollmann BC, editors. Goodman & Gilman's The Pharmacological Basis of Therapeutics. 14th Edition. McGraw-Hill Education; 2022. Chapter: Sedative-Hypnotic and Anxiolytic Drugs.

3. Chris Rundfeldt, Katarzyna Socala, Piotr Wlaz. The atypical anxiolytic drug tofisopam selectively blocks phosphodiesterase isoenzymes and is active in the mouse model of negative symptoms of psychosis. NIH National Library of Medicine. National centre for biotechnology information. PubMed. [Revised in November 2010]. [Accessed on 20th July 2026] 

Lab updated