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

Metamizol Zentiva

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Metamizol Zentiva (Metamizole Sodium Monohydrate)

Metamizole sodium, the active ingredient in Metamizol Zentiva, is a pyrazolone analgesic presented as an injectable solution for intravenous use. It treats pain and fever, including postoperative pain and colic, in adult patients.

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

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Metamizol Zentiva is a pyrazolone analgesic used in conditions where pain or fever require rapid control.
  • Pain: Provides analgesic relief for acute and moderate pain conditions.
  • Fever: Reduces elevated body temperature in febrile states.
  • Post‑operative pain: Controls surgical pain during the immediate recovery period.
  • Colic: Alleviates severe abdominal cramping and associated discomfort.

How It Works

  • Metamizole sodium exerts its effect by non‑selective inhibition of cyclooxygenase enzymes, leading to decreased prostaglandin synthesis. The reduced prostaglandin levels diminish peripheral nociceptive signaling and central pain perception, while also producing antipyretic activity through hypothalamic temperature regulation. Additionally, the compound has spasmolytic properties that contribute to relief of visceral colic.

Side Effects

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

Common Side Effects

  • Hypotension: transient drop in blood pressure after injection.
  • Nausea: mild gastrointestinal upset.
  • Dizziness: sensation of light‑headedness.
  • Injection site reactions: redness or mild pain at the site.
  • Flushing: temporary skin reddening.
  • Headache: mild to moderate headache.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cells.
  • Anaphylactic reactions: life‑threatening allergic response.
  • Stevens‑Johnson syndrome: severe skin and mucous membrane disorder.
  • Blood dyscrasias: abnormal blood cell counts.
  • Severe hypotension: profound blood pressure fall requiring medical intervention.

Precautions & Warnings

  • Before using Metamizol Zentiva, consider the following safety measures.
  • Assess renal function: adjust use in patients with severe renal impairment.
  • Monitor blood counts: regularly check for agranulocytosis during therapy.
  • Avoid in known hypersensitivity: contraindicated for patients with prior allergic reactions to pyrazolones.
  • Use cautiously in cardiovascular disease: risk of hypotensive episodes.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Metamizol Zentiva can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Concurrent myelosuppressive agents: increased risk of severe bone‑marrow suppression.
  • Combination with other NSAIDs: heightened gastrointestinal toxicity.
  • Co‑administration with potent hypotensives: additive blood‑pressure lowering effects.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: monitor for enhanced bleeding risk.
  • Diuretics: may potentiate hypotensive response.
  • CYP450 substrates: possible alteration of metabolism, though data are limited.

Frequently Asked Questions

Metamizol Zentiva is an intravenous pyrazolone analgesic used to relieve moderate to severe pain, reduce fever, manage postoperative discomfort, and treat colic. It is administered under medical supervision in hospital or clinical settings for rapid symptom control.

Metamizole sodium works by non‑selectively inhibiting cyclooxygenase enzymes, which lowers prostaglandin production. This reduction diminishes peripheral pain signaling, central pain perception, and hypothalamic temperature regulation, providing both analgesic and antipyretic effects. It also has spasmolytic activity that helps relieve visceral cramping.

The dosage of Metamizol Zentiva is determined by the prescribing clinician based on the patient’s condition, weight, and response. Healthcare professionals calculate the appropriate intravenous volume and rate according to local guidelines and individual therapeutic needs.

Safety data for Metamizole sodium in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used if the potential benefit justifies the potential risk, and a healthcare provider must evaluate each case individually.

To order, 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.

Compared with traditional NSAIDs, Metamizol offers strong analgesic and antipyretic effects with a lower incidence of gastrointestinal irritation but carries a risk of rare blood dyscrasias such as agranulocytosis. Its rapid intravenous onset makes it useful for acute postoperative pain where oral agents are unsuitable.

Metamizol Zentiva should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and extreme temperature fluctuations. Do not freeze the solution, and ensure the vial is kept sealed until use.

The medication is given by intravenous injection or infusion under the supervision of qualified healthcare personnel. The solution is typically diluted in compatible IV fluids and administered over a short period, following the prescriber’s instructions regarding rate and total dose.

The most serious risks include agranulocytosis, a potentially life‑threatening drop in white blood cells, and severe allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome. Immediate medical attention is required if signs of infection, rash, breathing difficulty, or sudden hypotension occur.

Patients with known hypersensitivity to Metamizole sodium or other pyrazolones should avoid the drug. It is also contraindicated in individuals with a history of severe blood dyscrasias, uncontrolled cardiovascular instability, or those receiving concurrent myelosuppressive therapy without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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