It sounds like Trypsin, bromelain, rutoside trihydrate tab is a prescription drug, but I see these same individual enzymes? sold as supplements. I ve been looking for some help for controlling pain from Ankylosing spondylitis Scoliosis & Kyphosis Fibromyalgia Cervical Spondylosis Cervical Pain with Radiculopathy Brachial Neuritis or Radiculitis Nos Neuropathic Pain Chronic - Myofascial Pain Syndrome MPS Degeneration of Thoracic & Lumbar Intervertebral Disc Lumbosacral Spondylosis & Myalgia & Myositis. Pain doctor will not prescribe any pain meds only give corticosteroid injection (that are Great, but not enough). So I m looking into other options.