Product image of Metamizol Kalceks (Metamizole Sodium Monohydrate) supplied by GNH India

Metamizol Kalceks

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Metamizol Kalceks (Metamizole Sodium Monohydrate)

Metamizole, the active ingredient in Metamizol Kalceks, is a pyrazolone presented as an injectable solution for intramuscular and intravenous use. It is employed to relieve moderate to severe pain and to reduce fever in adult patients, offering rapid onset of action in acute clinical settings.

GNH India supplies Metamizol Kalceks as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to stringent quality standards and regulatory requirements. The company ensures compliance with EU Good Manufacturing Practice and provides reliable cold‑chain logistics for temperature‑sensitive products.

Manufacturer / TM Owner

Kalceks

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Indications & Clinical Uses

Metamizole is an analgesic/antipyretic that acts on pain and fever pathways.

  • Pain: provides rapid relief of moderate to severe pain.
  • Fever: lowers elevated body temperature.
  • Postoperative pain: controls pain following surgical procedures.
  • Cancer‑related pain: helps manage pain associated with malignancies.
  • Acute musculoskeletal pain: alleviates pain from injuries or strains.

How It Works

  • Metamizole exerts its effect primarily by inhibiting the synthesis of prostaglandins through blockade of cyclooxygenase enzymes, although the exact binding site is not fully defined. This reduction in prostaglandin levels diminishes peripheral sensitization and central pain transmission, leading to analgesia, while also acting on thermoregulatory centers in the hypothalamus to produce antipyretic effects. The drug may also influence other inflammatory mediators, contributing to its overall clinical profile.

Side Effects

Metamizole may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Injection site pain: discomfort at the site of intramuscular or intravenous administration.
  • Transient hypotension: brief drop in blood pressure after injection.
  • Nausea: feeling of sickness often accompanied by stomach upset.
  • Vomiting: expulsion of stomach contents.
  • Dizziness: light‑headed sensation.
  • Mild skin rash: limited erythema or itching.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction of white blood cells that can lead to infection.
  • Anaphylactic reaction: life‑threatening allergic response with airway compromise.
  • Stevens‑Johnson syndrome: severe skin and mucous membrane disorder.
  • Severe neutropenia: markedly low neutrophil count increasing infection risk.
  • Blood dyscrasias: abnormal blood cell formation.
  • Hypotensive shock: profound circulatory collapse.

Precautions & Warnings

When using Metamizole, several precautions should be observed to minimize risk.

  • Renal function assessment: evaluate kidney status before initiating therapy.
  • Hematologic monitoring: perform regular complete blood counts to detect early blood dyscrasias.
  • Hypersensitivity avoidance: do not administer to patients with known allergy to pyrazolones.
  • Cardiovascular caution: use carefully in patients with unstable blood pressure or heart disease.
  • Concomitant myelosuppressants: avoid combining with other agents that suppress bone marrow.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metamizole can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Myelosuppressive agents: concurrent use may increase risk of agranulocytosis.
  • ACE inhibitors: combined therapy can enhance hypotensive effects.
  • Other NSAIDs or pyrazolones: additive risk of renal and gastrointestinal toxicity.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: may increase bleeding tendency.
  • Diuretics: potential for altered renal clearance.
  • Lithium: Metamizole may affect lithium plasma levels.

Frequently Asked Questions

Metamizol Kalceks contains the pyrazolone analgesic Metamizole and is indicated for the treatment of moderate to severe pain and for reduction of fever. It is administered by intramuscular or intravenous injection in hospital or clinical settings where rapid symptom control is required.

Metamizole reduces pain and fever primarily by inhibiting prostaglandin synthesis through blockade of cyclooxygenase enzymes, which lowers peripheral sensitisation and central pain signalling. The decrease in prostaglandins also affects the hypothalamic thermoregulatory centre, producing an antipyretic effect. The precise molecular target is not fully defined.

The dosage of Metamizol Kalceks is determined by the prescribing clinician based on the patient’s condition, age, weight and clinical response. The prescriber selects the appropriate volume and concentration for intramuscular or intravenous administration, following local guidelines and product labeling.

Safety data for Metamizole in pregnancy and lactation are limited, and the drug is generally classified as contraindicated or used only when the potential benefit outweighs the risk. Healthcare providers should evaluate the individual situation and consider alternative therapies when treating pregnant or nursing patients.

To place an order, visit the product page on gnhindia.com, enter the required quantity and submit the enquiry form. 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 logistics if needed—and assistance with import documentation.

Compared with traditional non‑steroidal anti‑inflammatory drugs (NSAIDs), Metamizole offers potent analgesic and antipyretic effects with a lower incidence of gastric irritation, but it carries a risk of rare blood dyscrasias such as agranulocytosis. Unlike opioids, it does not cause respiratory depression, making it a useful alternative in certain acute pain scenarios.

Metamizol Kalceks should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. The product must not be frozen or shaken vigorously. Maintain the cold‑chain during transport and keep the vial in its original packaging until use to preserve stability.

The medication is supplied as a sterile injectable solution for intramuscular or intravenous injection. Administration is performed by qualified healthcare professionals using aseptic technique. The dose volume is drawn into a syringe, and the injection site is selected according to clinical guidelines, ensuring proper dilution if required.

The most serious adverse reactions include agranulocytosis, severe neutropenia, and life‑threatening allergic responses such as anaphylaxis or Stevens‑Johnson syndrome. These conditions can be fatal if not identified promptly, so regular blood‑count monitoring and immediate medical attention for signs of infection or hypersensitivity are essential.

Metamizole is contraindicated in patients with known hypersensitivity to pyrazolones or any component of the formulation. It should also be avoided in individuals with a history of severe blood dyscrasias, uncontrolled hypertension, or those receiving concurrent myelosuppressive therapy. Clinicians must assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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