Trypsin + Bromelain + Rutoside + Diclofenac is a combination of four medicines: Trypsin, Bromelain, Rutoside, and Diclofenac. Trypsin and Bromelain are enzymes. They increase blood supply and make the body produce substances that fight swelling and pain. Rutoside is an antioxidant that protects the body from damage by chemicals and further reduces swelling. Diclofenac is a non-steroidal anti-inflammatory drug it works by blocking the release of certain chemical messengers in the brain that cause pain and inflammation.