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

Metamizol Noridem

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Metamizol Noridem (Metamizole Sodium Monohydrate)

Metamizole, the active ingredient in Metamizol Noridem, is a pyrazolone analgesic presented as an injection solution for intramuscular and intravenous use. It treats acute pain, postoperative pain, fever, and colic in adult patients.

GNH India supplies Metamizol Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

  • Metamizole is used for managing pain and fever through inhibition of prostaglandin synthesis and central pain modulation.
  • Acute pain: provides rapid analgesia for severe short‑term pain episodes.
  • Post‑operative pain: reduces discomfort following surgical procedures.
  • Fever: lowers elevated body temperature in febrile states.
  • Colic: alleviates abdominal cramping associated with gastrointestinal colic.

How It Works

  • Metamizole sodium monohydrate acts as a non‑opioid analgesic by inhibiting cyclooxygenase enzymes, which reduces prostaglandin synthesis. It also modulates central pain pathways in the spinal cord and brain, contributing to its antipyretic and analgesic effects without engaging opioid receptors.

Side Effects

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

Common Side Effects

  • Injection site pain: mild discomfort at the site of administration.
  • Transient hypotension: temporary drop in blood pressure after injection.
  • Nausea or vomiting: gastrointestinal upset occurring shortly after dosing.
  • Dizziness or flushing: mild circulatory sensations.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cells, potentially life‑threatening.
  • Anaphylactic reaction: rapid onset of severe allergic symptoms.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: serious skin reactions.
  • Severe blood dyscrasias: including thrombocytopenia or hemolytic anemia.
  • Profound hypotension: marked blood pressure fall requiring medical intervention.

Precautions & Warnings

  • Metamizole should be used with caution in specific clinical situations.
  • Renal impairment: assess kidney function before use.
  • Hepatic dysfunction: monitor liver enzymes during therapy.
  • History of blood disorders: avoid in patients with prior agranulocytosis.
  • Concomitant NSAIDs: increase risk of gastrointestinal bleeding.
  • Pregnancy and breastfeeding: use only if clearly needed after risk assessment.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Metamizole can interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Bone‑marrow suppressants: may potentiate agranulocytosis.
  • Strong vasodilators: increase risk of severe hypotension.
  • Anticoagulants: elevate bleeding risk.
  • Sulfonamides: may heighten blood‑cell toxicity.

Moderate Interactions (Monitor Closely)

  • Other NSAIDs: additive gastrointestinal irritation.
  • Diuretics: enhanced hypotensive effect.
  • Certain antidepressants: potential for serotonin syndrome.

Frequently Asked Questions

Metamizol Noridem is indicated for the short‑term relief of moderate to severe acute pain, postoperative pain, high fever, and abdominal colic. It is administered by injection and is typically used in hospital or clinical settings where rapid analgesia or antipyresis is required.

Metamizole acts by inhibiting cyclooxygenase enzymes, which reduces the synthesis of prostaglandins that mediate pain and fever. In addition, it influences central pain pathways in the spinal cord and brain, providing analgesic and antipyretic effects without engaging opioid receptors.

The specific dose of Metamizol Noridem is determined by the prescribing clinician based on the patient’s condition, age, weight, and clinical response. Healthcare professionals calculate the appropriate amount and route—intravenous or intramuscular—according to established medical guidelines.

Safety data for Metamizol Noridem in pregnancy and lactation are limited. It should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider after careful assessment.

To request Metamizol Noridem, 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 cold‑chain if needed), and necessary import documentation.

Metamizol provides potent analgesia and antipyresis without the gastrointestinal ulcer risk commonly associated with traditional NSAIDs and without the respiratory depression linked to opioids. However, it carries a rare but serious risk of agranulocytosis, which is not typical for most NSAIDs, so patient monitoring differs.

Metamizol Noridem should be stored at ambient temperature, preferably below 25 °C. Keep the vials in their original packaging, protect them from direct light, and avoid exposure to moisture to maintain product stability.

Metamizol Noridem is supplied as a sterile injection solution for intramuscular or intravenous administration. The healthcare professional selects the appropriate route, prepares the dose under aseptic conditions, and injects the medication according to standard clinical protocols.

The most serious risks include agranulocytosis, a potentially fatal drop in white‑blood‑cell count, and severe allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome. Patients should be monitored for signs of infection, skin changes, or sudden hypotension, and treatment should be stopped immediately if these occur.

Metamizol Noridem is contraindicated in individuals with a known hypersensitivity to metamizole or other pyrazolones, patients with a history of agranulocytosis, and those with severe liver or kidney impairment where the risk outweighs benefit. It should also be avoided in pregnant or breastfeeding women unless clearly indicated by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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