Product image of Kartal (Nimesulide) supplied by GNH India

Kartal

Active Ingredient:
Nimesulide
Origin:
EU

Kartal (Nimesulide)

Nimesulide, the active ingredient in Kartal, is a non‑steroidal anti‑inflammatory drug (NSAID) presented as an oral tablet for systemic use. It is employed to relieve pain, reduce fever, and diminish inflammation in adult patients requiring short‑term symptom control. The medication is marketed in the European Union and requires a prescription.\n\nGNH India supplies Kartal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Novimed S.A.

1
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Indications & Clinical Uses

  • Nimesulide is an NSAID that reduces inflammation and pain by inhibiting the cyclooxygenase‑2 enzyme.\n\nAcute pain: provides short‑term analgesic relief for conditions such as dental pain, postoperative discomfort, or musculoskeletal aches.\nFever: lowers elevated body temperature associated with infections or inflammatory processes.\nInflammatory conditions: diminishes swelling and discomfort in disorders like bursitis or tendonitis.

How It Works

  • Nimesulide selectively inhibits the cyclooxygenase‑2 (COX‑2) isoenzyme, which blocks the conversion of arachidonic acid to prostaglandins. By reducing prostaglandin synthesis at sites of inflammation, it decreases pain signaling, fever generation, and inflammatory edema while sparing COX‑1 mediated protective gastric functions.

Side Effects

  • Nimesulide may cause a range of adverse reactions, which are categorized by frequency and severity.\n\nCommon Side Effects:\n- Gastrointestinal discomfort: nausea, dyspepsia, or abdominal pain.\n- Headache: mild to moderate intensity.\n- Dizziness: transient sensation of light‑headedness.\n- Rash: mild skin irritation or itching.\n\nSerious or Rare Side Effects:\n- Hepatotoxicity: elevated liver enzymes or severe liver injury.\n- Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.\n- Renal impairment: reduced kidney function or acute renal failure.\n- Anaphylaxis: life‑threatening allergic reaction with airway compromise.

Precautions & Warnings

  • Before prescribing Nimesulide, clinicians should consider several safety precautions to minimize risk.\n\nAssess liver function: obtain baseline hepatic enzymes and monitor periodically during treatment.\nEvaluate renal status: check kidney function especially in patients with pre‑existing impairment.\nUse lowest effective dose: limit duration to the shortest period required for symptom control.\nAvoid in patients with known hypersensitivity to NSAIDs or sulfonamides.\nConcurrent anticoagulant therapy: monitor bleeding risk closely.\nStore at ambient temperature: keep below 25°C in the original packaging, protected from moisture.

Avoid Interactions

  • Nimesulide can interact with other medicines, and some combinations should be avoided or closely monitored.\n\nMajor Interactions (Avoid):\n- Anticoagulants (e.g., warfarin): increased risk of bleeding.\n- Other NSAIDs or COX‑2 inhibitors: additive gastrointestinal toxicity.\n- Lithium: elevated lithium levels leading to toxicity.\n\nModerate Interactions (Monitor Closely):\n- Methotrexate: reduced clearance may enhance toxicity.\n- ACE inhibitors or diuretics: possible reduction in antihypertensive effect and renal function.

Frequently Asked Questions

Kartal contains Nimesulide, an NSAID indicated for the short‑term relief of mild to moderate pain, reduction of fever, and mitigation of inflammation associated with conditions such as musculoskeletal aches, dental pain, and acute inflammatory disorders.

Nimesulide selectively blocks the cyclooxygenase‑2 (COX‑2) enzyme, decreasing the production of prostaglandins that mediate pain, fever, and inflammation. This targeted inhibition provides anti‑inflammatory and analgesic effects while sparing COX‑1 activity that protects the gastric lining.

The appropriate dosage of Kartal is determined by the prescribing healthcare professional based on the patient’s condition, age, weight, and overall health. Physicians tailor the regimen to achieve optimal symptom control while minimizing potential risks.

Safety data for Nimesulide in pregnancy and lactation are limited, and the drug is generally avoided unless clearly needed. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternative therapies with their healthcare provider.

To request Kartal, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain needs), and import documentation.

Compared with non‑selective NSAIDs such as ibuprofen, Kartal’s selective COX‑2 inhibition may offer a lower risk of gastrointestinal irritation but still carries potential hepatic and renal concerns. Choice of therapy depends on individual risk factors, efficacy requirements, and physician judgment.

Kartal should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date.

Kartal is administered orally, usually with a full glass of water. It may be taken with or without food, but taking it with meals can help reduce possible gastrointestinal discomfort.

The most serious adverse events associated with Kartal include hepatotoxicity (liver injury), severe skin reactions such as Stevens‑Johnson syndrome, renal impairment, and anaphylactic allergic responses. Patients should seek immediate medical attention if they notice jaundice, rash, swelling, or breathing difficulties.

Kartal is contraindicated in individuals with known hypersensitivity to Nimesulide, other NSAIDs, or sulfonamide derivatives, as well as patients with active peptic ulcer disease, severe liver or kidney impairment, and those receiving anticoagulant therapy without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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