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Trypsin + Bromelain + Rutoside + Diclofenac is a combination of four medicines: Trypsin + Bromelain + Rutoside + Diclofenac1, Trypsin + Bromelain + Rutoside + Diclofenac2, Trypsin + Bromelain + Rutoside + Diclofenac3 and Trypsin + Bromelain + Rutoside + Diclofenac4. Trypsin + Bromelain + Rutoside + Diclofenac1 and Trypsin + Bromelain + Rutoside + Diclofenac2 are enzymes. They increase blood supply and make the body produce substances that fight pain and swelling. Trypsin + Bromelain + Rutoside + Diclofenac3 is an antioxidant which protects the body from damage by chemicals (free radicals) and further reduces swelling. Trypsin + Bromelain + Rutoside + Diclofenac4 is a non-steroidal antiinflammatory drug (NSAID) which works by blocking the release of certain chemical messengers (prostaglandins) in the brain that cause pain and inflammation (redness and swelling).