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

Metamizole Noridem

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Metamizole Noridem (Metamizole Sodium Monohydrate)

Metamizole Sodium Monohydrate, the active ingredient in Metamizole Noridem, is a pyrazolone analgesic presented as a sterile powder for reconstitution for intramuscular or intravenous use. It is employed to relieve moderate to severe pain and to reduce fever in adult patients.

GNH India supplies Metamizole Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality and regulatory compliance across markets.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

  • Metamizole is a pyrazolone analgesic used primarily for pain and fever management.
  • Acute pain: provides analgesia for moderate to severe pain.
  • Post‑operative pain: reduces discomfort following surgical procedures.
  • Fever: lowers elevated body temperature in febrile patients.

How It Works

  • Metamizole inhibits cyclooxygenase activity, reducing prostaglandin synthesis, and also modulates endogenous opioid pathways. The combined effect diminishes nociceptive signaling and thermoregulatory responses, producing analgesic and antipyretic actions, although the precise mechanisms are not fully elucidated.

Side Effects

Metamizole may cause a range of adverse reactions.

Common Side Effects

  • Injection site pain: local discomfort at the site of administration.
  • Nausea: mild to moderate upset stomach.
  • Dizziness: transient light‑headedness.
  • Transient leukopenia: temporary reduction in white blood cells.

Serious or Rare Side Effects

  • Agranulocytosis: severe depletion of neutrophils, potentially life‑threatening.
  • Severe allergic reactions: including anaphylaxis and angioedema.
  • Stevens‑Johnson syndrome: rare but serious skin and mucous membrane disorder.

Precautions & Warnings

  • Use Metamizole with caution in specific clinical situations.
  • Renal impairment: monitor kidney function and adjust use as needed.
  • Hepatic disease: avoid or use only under close supervision.
  • History of blood disorders: contraindicated due to risk of agranulocytosis.
  • Concurrent myelosuppressive therapy: monitor complete blood counts regularly.
  • Pregnancy and lactation: safety not established; avoid unless clearly indicated.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Metamizole can interact with several drug classes.

Major Interactions (Avoid)

  • Cytotoxic chemotherapy agents: increased risk of severe neutropenia.
  • Anticoagulants: potential enhancement of bleeding tendency.
  • Other pyrazolone derivatives: additive toxicity and blood dyscrasias.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors: possible additive hypotensive effect.
  • Diuretics: monitor electrolytes and renal function.
  • NSAIDs: increased risk of renal impairment and gastrointestinal irritation.

Frequently Asked Questions

Metamizole Noridem is indicated for the relief of moderate to severe pain, reduction of fever, and management of post‑operative discomfort. It is commonly employed in hospital settings for acute pain control and febrile conditions where rapid antipyretic effect is required.

Metamizole exerts its effect by inhibiting cyclooxygenase enzymes, which lowers prostaglandin production, and by influencing endogenous opioid pathways. This dual action reduces pain signaling and helps reset the body’s temperature set‑point, providing both analgesic and antipyretic benefits.

The dosage of Metamizole Noridem is determined by the prescribing clinician based on the patient’s condition, age, weight, and renal or hepatic function. Healthcare professionals calculate the appropriate amount and frequency according to local guidelines and individual therapeutic needs.

Safety data for Metamizole in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used when the potential benefit justifies the potential risk, and it is generally avoided unless no safer alternatives are available.

To place an 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.

Unlike traditional NSAIDs, Metamizole has a distinct pyrazolone structure and a lower incidence of gastrointestinal irritation, but it carries a unique risk of severe blood dyscrasias like agranulocytosis. Clinicians may choose Metamizole when NSAIDs are contraindicated or when a rapid antipyretic effect is needed.

Metamizole Noridem should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. The product must remain sealed until reconstitution, and any unused portion should be discarded according to local pharmaceutical waste regulations.

The medication is supplied as a sterile powder that is reconstituted with a suitable diluent. It is then administered by intramuscular or intravenous injection under the supervision of qualified healthcare personnel, following aseptic technique and appropriate dosing calculations.

The most critical safety concerns include agranulocytosis, which can lead to severe infections, and life‑threatening allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome. Prompt recognition of symptoms and immediate medical intervention are essential to mitigate these risks.

Metamizole is contraindicated in patients with known hypersensitivity to pyrazolones, a history of agranulocytosis or other severe blood disorders, and in individuals with severe hepatic or renal impairment unless closely monitored. It should also be avoided in pregnant or breastfeeding women unless the therapeutic benefit outweighs potential risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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