Product image of Mesulid (Nimesulide) supplied by GNH India

Mesulid

Active Ingredient:
Nimesulide
Origin:
EU

Mesulid (Nimesulide)

Nimesulide, the active ingredient in Mesulid, is a NSAID presented as an oral dosage form for oral use. It treats pain and inflammation in conditions such as osteoarthritis and dysmenorrhea, primarily in adult patients.

GNH India supplies Mesulid as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Angelini Pharma Oesterreich Gmbh

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Indications & Clinical Uses

Mesulid (nimesulide) is used to manage pain and inflammation associated with musculoskeletal and gynecologic conditions.

  • Osteoarthritis: reduces joint pain and improves mobility.
  • Dysmenorrhea: alleviates menstrual pain and cramps.
  • Acute pain: provides relief for short‑term postoperative or injury‑related pain.
  • Inflammatory conditions: decreases swelling and discomfort in soft‑tissue inflammation.

How It Works

  • Nimesulide selectively inhibits the cyclooxygenase‑2 (COX‑2) enzyme, which reduces the synthesis of prostaglandins responsible for pain, fever, and inflammation. By sparing COX‑1 activity, it aims to maintain gastric mucosal protection while providing anti‑inflammatory and analgesic effects. The inhibition is reversible and occurs primarily at therapeutic concentrations, leading to decreased sensitization of nociceptors and reduced inflammatory mediator release.

Side Effects

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

Common Side Effects

  • Nausea: mild stomach upset.
  • Headache: transient cranial discomfort.
  • Dizziness: occasional light‑headedness.
  • Abdominal pain: discomfort in the stomach area.
  • Diarrhoea: loose stools.
  • Rash: mild skin irritation.

Serious or Rare Side Effects

  • Hepatotoxicity: liver injury presenting with jaundice or elevated enzymes.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Gastrointestinal bleeding: ulceration or bleeding in the digestive tract.
  • Renal impairment: reduced kidney function or acute failure.
  • Anaphylaxis: life‑threatening allergic reaction with airway compromise.
  • Blood dyscrasias: agranulocytosis or thrombocytopenia.

Precautions & Warnings

When prescribing Mesulid, clinicians should observe several safety precautions to minimize risk.

  • Medical supervision: use only under a prescriber's direction.
  • Liver disease: avoid in patients with known hepatic impairment.
  • Renal function: monitor kidney function and adjust use in renal insufficiency.
  • Concomitant NSAIDs: do not combine with other non‑steroidal anti‑inflammatory drugs.
  • Gastro‑intestinal protection: consider taking with food to reduce stomach irritation.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Nimesulide can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased bleeding risk.
  • Other NSAIDs: additive gastrointestinal toxicity.
  • Corticosteroids: heightened risk of ulceration and bleeding.
  • Lithium: elevated lithium serum levels.
  • Methotrexate: reduced clearance leading to toxicity.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors: possible reduction in antihypertensive effect.
  • Diuretics: risk of renal function decline.
  • SSRIs: potential for increased bleeding.
  • Antihypertensives: may diminish blood pressure control.
  • Oral hypoglycemics: possible alteration of glucose levels.

Frequently Asked Questions

Mesulid contains the NSAID nimesulide and is prescribed to relieve pain and reduce inflammation. It is commonly used for conditions such as osteoarthritis, dysmenorrhea, and short‑term acute pain following surgery or injury.

Nimesulide works by selectively inhibiting the cyclooxygenase‑2 (COX‑2) enzyme, which lowers the production of prostaglandins that cause pain, fever, and inflammation. This selective action helps provide analgesic and anti‑inflammatory effects while sparing COX‑1 activity that protects the stomach lining.

The appropriate dose of Mesulid is determined by the prescribing healthcare professional based on the patient’s condition, age, weight, and response to therapy. Dosage regimens may vary, and patients should follow the specific instructions given by their prescriber.

Safety data for nimesulide in pregnancy and lactation are limited. It is generally advised to avoid using Mesulid during pregnancy, especially in the third trimester, and while breastfeeding unless the benefits clearly outweigh the potential risks as assessed by a qualified clinician.

To order Mesulid, submit an enquiry on the 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 any cold‑chain requirements), and necessary import documentation.

Mesulid (nimesulide) is a selective COX‑2 inhibitor, whereas ibuprofen is a non‑selective NSAID that blocks both COX‑1 and COX‑2. This selectivity may reduce the risk of gastrointestinal irritation compared with ibuprofen, but both share similar analgesic and anti‑inflammatory properties and carry comparable risks of liver and renal effects.

Mesulid should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and avoid using it after the expiry date indicated on the label.

Mesulid is taken orally, usually with a full glass of water. It can be taken with food or a light meal to lessen possible stomach discomfort. Patients should swallow the tablet whole and not split, crush, or chew it unless specifically instructed by a healthcare professional.

The most serious risks associated with Mesulid include liver injury (hepatotoxicity), severe skin reactions such as Stevens‑Johnson syndrome, gastrointestinal bleeding or ulceration, and acute renal failure. Patients should seek immediate medical attention if they notice symptoms like jaundice, rash, vomiting blood, or sudden decrease in urine output.

Mesulid should be avoided in individuals with known hypersensitivity to nimesulide or other NSAIDs, those with active peptic ulcer disease, severe liver or kidney impairment, and patients who are currently taking anticoagulants, other NSAIDs, or corticosteroids without medical supervision. Pregnant women, especially in the third trimester, should also refrain from using it unless directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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