Product image of Menadex (Dexketoprofen) supplied by GNH India

Menadex

Active Ingredient:
Dexketoprofen
Origin:
EU

Menadex (Dexketoprofen)

Dexketoprofen, the active ingredient in Menadex, is a non‑steroidal anti‑inflammatory drug (NSAID) presented as an injectable solution for intramuscular and intravenous use. It provides analgesic and anti‑inflammatory effects for moderate acute pain, postoperative pain, musculoskeletal pain and dental pain in adult patients.

GNH India supplies Menadex as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for cross‑border distribution. Customers benefit from reliable logistics, temperature‑controlled shipping where required, and responsive technical support.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

  • Dexketoprofen is an NSAID that reduces pain and inflammation in several acute pain settings.
  • Moderate acute pain: provides rapid analgesia for sudden, severe pain episodes.
  • Postoperative pain: helps control pain after surgical procedures.
  • Musculoskeletal pain: alleviates pain associated with strains, sprains and injuries.
  • Dental pain: reduces pain following dental extractions or procedures.

How It Works

  • Dexketoprofen exerts its effect by selectively inhibiting cyclooxygenase‑1 and cyclooxygenase‑2 enzymes, which blocks the conversion of arachidonic acid to prostaglandins. The reduction in prostaglandin synthesis diminishes peripheral sensitisation of nociceptors and lowers inflammatory mediators, resulting in analgesic, anti‑inflammatory and antipyretic actions. By limiting prostaglandin‑mediated vasodilation and edema, dexketoprofen also contributes to decreased swelling and improved tissue perfusion at the site of injury.

Side Effects

Dexketoprofen may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea or mild gastrointestinal discomfort.
  • Headache or dizziness.
  • Injection‑site pain or erythema.
  • Transient increase in blood pressure.
  • Mild renal function changes.
  • Fatigue or somnolence.

Serious or Rare Side Effects

  • Severe gastrointestinal bleeding or ulcer perforation.
  • Acute renal impairment or failure.
  • Hypersensitivity reactions including anaphylaxis or Stevens‑Johnson syndrome.
  • Hepatic dysfunction or elevated liver enzymes.
  • Cardiovascular events such as myocardial infarction or stroke.
  • Hematologic abnormalities like thrombocytopenia.

Precautions & Warnings

  • When prescribing Menadex, clinicians should evaluate patient‑specific risk factors and monitor for adverse events.
  • Renal function: assess baseline kidney function and monitor during therapy.
  • Cardiovascular risk: avoid in patients with uncontrolled hypertension or recent myocardial infarction.
  • Gastrointestinal history: use with caution in patients with ulcer disease or bleeding.
  • Concomitant anticoagulants: monitor for increased bleeding risk.
  • Pregnancy and lactation: use only if benefits outweigh risks, as safety data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Dexketoprofen can interact with several drug classes, requiring careful assessment.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Other NSAIDs or COX‑2 inhibitors: additive gastrointestinal toxicity.
  • Selective serotonin reuptake inhibitors (SSRIs): heightened bleeding risk.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or diuretics: may reduce renal function.
  • Lithium: NSAIDs can increase lithium levels.
  • Methotrexate: reduced clearance may cause toxicity.

Frequently Asked Questions

Menadex, containing dexketoprofen, is indicated for the relief of moderate acute pain, postoperative pain, musculoskeletal pain such as strains or sprains, and dental pain following extractions or procedures. It is used in adult patients when a rapid, injectable analgesic is required.

Dexketoprofen inhibits the cyclooxygenase‑1 and cyclooxygenase‑2 enzymes, reducing the synthesis of prostaglandins that mediate inflammation, fever, and pain. By lowering prostaglandin levels, it diminishes peripheral nociceptor sensitisation and decreases inflammatory swelling, producing analgesic, anti‑inflammatory and antipyretic effects.

The exact dose of Menadex is determined by the prescribing clinician based on the severity of pain, the patient’s weight, renal and hepatic function, and the intended route of administration (intramuscular or intravenous). No fixed regimen is provided here; the prescriber sets the appropriate amount.

Safety data for dexketoprofen in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and only under the guidance of a qualified healthcare professional.

To place an order, submit an enquiry on the Menadex product page at gnhindia.com, specifying 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 cold‑chain where required) and any necessary import documentation.

Dexketoprofen is the S‑enantiomer of ketoprofen and offers a faster onset of analgesia compared with many oral NSAIDs, including ibuprofen. Its injectable form allows rapid plasma concentrations, making it useful for acute procedural pain, whereas ibuprofen is typically administered orally and has a slower peak effect.

Menadex should be stored in a refrigerator at 2‑8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If the product must be transported, maintain the cold‑chain to preserve stability.

Menadex is supplied as a sterile injectable solution and is administered by a qualified healthcare professional either intramuscularly or intravenously, depending on the clinical situation. The injection is given under aseptic conditions, and the dose is adjusted by the prescriber according to the patient’s needs.

Serious adverse events include gastrointestinal bleeding or ulcer perforation, acute renal impairment, severe hypersensitivity reactions such as anaphylaxis, hepatic dysfunction, and cardiovascular events like myocardial infarction or stroke. Patients should be monitored closely for signs of these complications, especially if they have pre‑existing risk factors.

Menadex should be avoided in individuals with known hypersensitivity to dexketoprofen or other NSAIDs, active gastrointestinal ulcer or bleeding, severe renal or hepatic impairment, uncontrolled hypertension, and in patients who have recently experienced a myocardial infarction or stroke unless specifically advised by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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