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4-Steps Gel

Written By Dr. Sakshi Sharma, BDS
Reviewed By Dr. Ashish Ranjan, MD (Pharmacology), MBBS
Last updated on 09 Nov 2024 | 01:00 AM (IST)
4-Steps Gel is a pain relieving medicine. It is applied topically to treat moderate to severe pain. It works by blocking the release of certain chemical messengers and helps relieve pain and swelling on the joints and muscles.
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General Information

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4-Steps Gel image

Product introduction

4-Steps Gel is only meant for external use and should be used strictly as advised by your doctor. Apply a thin layer of the medicine on the aeefceted area and massage with clean and dry hands. Avoid getting in contact with your eyes, nose, or mouth. In case of accidental contact, rinse it thoroughly with plenty of clean water.


It is usually safe with little or no side effects. However, it may cause allergic reactions such as rashes, itching, redness, increased sensitivity to light, contact dermatitis, and eczema in some people. They are usually temporary and resolve with time. If they do not get better with time or worsen, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms.


Before using the medicine, it is important to tell your doctor if you are using or have recently used any other medicines for the same disease or other diseases. To make sure the medicine is safe, pregnant and breastfeeding women should consult their doctor before using the medicine.

Uses of 4-Steps Gel

Benefits of 4-Steps Gel

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
  • Skin pigmentation
  • Contact dermatitis
  • Eczema
  • Itching
  • Erythema (skin redness)
  • Increased sensitivity to light
  • Skin rash
  • Allergic reaction

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.

How 4-Steps Gel works

4-Steps Gel is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that are responsible for inflammation (pain and swelling).

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.

Safety advice

Alcohol

Alcohol

No interaction found/established
Pregnancy

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

Breast feeding

CONSULT YOUR DOCTOR
4-Steps Gel is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm 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

Driving

No interaction found/established
Kidney

Kidney

No interaction found/established
Liver

Liver

No interaction found/established

Frequently asked questions

Yes. 4-Steps Gel is a non-steroidal anti-inflammatory drug (NSAID).
No. 4-Steps Gel is not a drug to treat allergy. It is a pain killer.

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)

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. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
  5. Piroxicam (Topical Gel) [Product Label]. Pfizer Inc., USA; 2021. [Accessed 30 May 2024] (online) Available from:
  6. MIMS, Indonesia: Piroxicam [Generic Medicine Info]. [Accessed 06 Apr. 2024] (online) Available from:
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Patient concerns

Knee pain,walking &climbing steps very painful.

Dr. Akshat Goel
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

last 4 years on words i m suffering knee pains ,when sitting and standing.and using steps .now 1 year onwards my hand fingers also getting pain

Dr. Vipul Aggarwal
Dr. Vipul Aggarwal
Orthopaedics
please get ur vitamind level checked and start with quadriceps exercises
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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.

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.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver 4-Steps Gel. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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