Product image of Nefopam Holsten (Nefopam Hydrochloride) supplied by GNH India

Nefopam Holsten

Active Ingredient:
Nefopam Hydrochloride
Origin:
EU

Nefopam Holsten (Nefopam Hydrochloride)

Nefopam, the active ingredient in Nefopam Holsten, is a non‑opioid analgesic presented as an oral formulation for oral use. It treats moderate acute pain, post‑operative pain and musculoskeletal pain in adult patients.

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

Manufacturer / TM Owner

Holsten Pharma Gmbh

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Indications & Clinical Uses

Nefopam is a non‑opioid analgesic used to manage pain conditions.

  • Moderate acute pain: provides relief of pain of moderate intensity in adult patients.
  • Post‑operative pain: reduces pain following surgical procedures.
  • Musculoskeletal pain: alleviates pain associated with muscle and joint disorders.

How It Works

  • Nefopam inhibits the reuptake of serotonin, norepinephrine and dopamine while also blocking voltage‑dependent sodium and calcium channels in the central nervous system. This multimodal action reduces neuronal excitability and modulates pain pathways, producing an overall central analgesic effect without opioid receptor involvement.

Side Effects

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

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Dry mouth: reduced salivation.
  • Sweating: increased perspiration.
  • Dizziness: transient light‑headedness.

Serious or Rare Side Effects

  • Seizures: rare occurrence of convulsive episodes.
  • Tachycardia: rapid heart rate that may require medical attention.
  • Hypotension: significant drop in blood pressure.

Precautions & Warnings

When prescribing Nefopam, clinicians should consider several safety factors.

  • Renal impairment: adjust use in patients with reduced kidney function.
  • Hepatic dysfunction: caution in liver disease.
  • Cardiovascular disease: monitor heart rate and blood pressure.
  • Seizure history: avoid in patients with epilepsy.
  • Concomitant MAO inhibitors: contraindicated due to risk of hypertensive crisis.
  • Store at ambient temperature: keep below 25°C in the original pack, protect from moisture.

Avoid Interactions

Nefopam interacts with several drug classes; awareness of the interaction level is essential.

Major Interactions (Avoid)

  • MAO inhibitors: risk of severe hypertension.
  • Antidepressants (SSRIs, SNRIs): may increase serotonergic effects.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: may potentiate blood‑pressure lowering.
  • Anticholinergic drugs: additive dry‑mouth effect.
  • CNS stimulants: may increase seizure risk.

Frequently Asked Questions

Nefopam Holsten is indicated for the relief of moderate acute pain, post‑operative pain and musculoskeletal pain. It is prescribed for adult patients when a non‑opioid analgesic is appropriate to manage pain of moderate intensity.

Nefopam works by inhibiting the reuptake of serotonin, norepinephrine and dopamine, and by blocking voltage‑dependent sodium and calcium channels in the central nervous system. This combination reduces neuronal excitability and modulates pain transmission, providing analgesia without engaging opioid receptors.

The specific dose of Nefopam Holsten is determined by the prescribing clinician based on the patient’s condition, age, weight and overall health. Dosage regimens are individualized and should follow the prescriber’s instructions and local regulatory guidelines.

Safety data for Nefopam during pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Nefopam Holsten, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Compared with opioid analgesics, Nefopam provides pain relief without the risk of dependence or respiratory depression. Relative to NSAIDs, it lacks anti‑inflammatory activity and does not cause gastrointestinal ulceration, but it may have a higher incidence of central nervous system side effects such as dizziness or seizures.

Nefopam Holsten should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Nefopam Holsten is administered orally. The tablet or capsule should be swallowed whole with a glass of water, unless the prescribing information advises otherwise. It is not intended for parenteral or topical use.

The most serious adverse reactions include seizures, tachycardia and significant hypotension. Patients experiencing these symptoms should seek immediate medical attention, and clinicians should monitor cardiovascular and neurological status, especially in individuals with pre‑existing conditions.

Nefopam Holsten is contraindicated in patients currently taking monoamine oxidase inhibitors, those with a known seizure disorder, and individuals with uncontrolled severe cardiovascular disease. It should also be avoided in patients with known hypersensitivity to nefopam or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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