Vivian Plus (50/500 mg) Tablet is a combination of Diclofenac and Paracetamol. It is used to reduce pain due to various conditions such as headache, toothache, backache, menstrual pain, sprains, and strains. It also provides effective relief from pain, stiffness, and swelling due to ankylosing spondylitis (pain due to fusing of bones in the spine), osteoarthritis (pain on movement due to wearing of the protective covering at the ends of the bones) and rheumatoid arthritis (a type of arthritis affecting the small joints). This medicine blocks the release of a chemical that causes pain and swelling, thus providing pain relief.