Product image of Neo Nisidina (Paracetamol, Acetylsalicylic Acid, Caffeine) supplied by GNH India

Neo Nisidina

Active Ingredient:
Paracetamol, Acetylsalicylic Acid, Caffeine
Origin:
EU

Neo Nisidina (Paracetamol, Acetylsalicylic Acid, Caffeine)

Paracetamol, Acetylsalicylic Acid and Caffeine, the active ingredients in Neo Nisidina, are analgesic and antipyretic agents presented as an oral dosage form for oral use. They provide relief of mild to moderate pain, headache and fever in adults and children.

GNH India supplies Neo Nisidina as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality‑controlled manufacturing and reliable distribution. The company adheres to stringent regulatory standards and provides comprehensive logistics support for global markets, with appropriate documentation and temperature control where required.

Manufacturer / TM Owner

Pharmaidea S.R.L.

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Indications & Clinical Uses

Neo Nisidina combines three agents that act on pain and fever pathways, offering symptomatic relief for common conditions such as headache, fever, and various types of mild to moderate pain. It is suitable for adult and adolescent use.

  • Headache: reduces pain intensity and associated discomfort.
  • Fever: lowers elevated body temperature to normal range.
  • Mild to moderate pain: alleviates aches such as muscular, dental or menstrual pain.
  • Dental pain: provides effective relief following dental procedures.
  • Musculoskeletal pain: eases discomfort from strains, sprains and backache.

How It Works

  • Paracetamol exerts its analgesic and antipyretic effect by centrally inhibiting cyclo‑oxygenase enzymes, reducing prostaglandin synthesis in the brain. Acetylsalicylic acid irreversibly blocks COX‑1 and COX‑2, decreasing prostaglandin and thromboxane production, which contributes to pain relief, fever reduction and anti‑inflammatory activity. Caffeine acts as an adenosine‑receptor antagonist, enhancing the analgesic potency of the other components and providing a mild stimulant effect that counteracts fatigue.

Side Effects

Neo Nisidina may cause adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea: mild stomach upset that may resolve with food.
  • Gastric discomfort: transient indigestion or heartburn.
  • Insomnia: difficulty falling or staying asleep due to caffeine.
  • Headache: paradoxical headache in some individuals.
  • Increased heart rate: mild palpitations.

Serious or Rare Side Effects

  • Gastrointestinal bleeding: serious bleeding in stomach or intestines.
  • Allergic reactions: rash, itching, swelling, or anaphylaxis.
  • Liver toxicity: elevated liver enzymes or hepatitis with excessive paracetamol.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Thrombocytopenia: low platelet count leading to bruising.

Precautions & Warnings

When using Neo Nisidina, consider the following precautions to minimize risks.

  • Assess liver function: avoid in patients with severe hepatic impairment.
  • Check aspirin allergy: contraindicated in individuals with known hypersensitivity to acetylsalicylic acid.
  • Avoid in children with viral infections: risk of Reye's syndrome with combined agents.
  • Limit caffeine intake: monitor for insomnia, tachycardia or anxiety.
  • Use with caution in pregnancy: consult a healthcare professional before use.
  • Store at room temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Neo Nisidina can interact with other medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Other NSAIDs or aspirin: additive gastrointestinal toxicity.
  • Alcohol: heightened risk of liver injury.

Moderate Interactions (Monitor Closely)

  • CYP1A2 inhibitors (e.g., fluvoxamine): may raise caffeine levels causing side effects.
  • Diuretics: caffeine can enhance diuretic effect leading to electrolyte imbalance.
  • Antihypertensive agents: caffeine may reduce blood pressure‑lowering efficacy.

Frequently Asked Questions

Neo Nisidina is an over‑the‑counter oral product that combines paracetamol, acetylsalicylic acid and caffeine to provide relief from mild to moderate pain, headache and fever. It is intended for use in adults and adolescents who need rapid symptomatic control of these common conditions.

Paracetamol acts centrally to inhibit cyclo‑oxygenase and lower prostaglandin synthesis, producing analgesic and antipyretic effects. Acetylsalicylic acid irreversibly blocks COX‑1 and COX‑2, further reducing prostaglandins and adding anti‑inflammatory activity. Caffeine antagonises adenosine receptors, which enhances the pain‑relieving action of the other two agents and reduces fatigue.

The appropriate dose of Neo Nisidina is determined by the prescribing healthcare professional based on the patient’s age, weight, clinical condition and any concomitant medications. Because the product contains a fixed combination of three active ingredients, the prescriber selects the dosage that balances efficacy with safety for each individual.

Safety in pregnancy and lactation has not been fully established for this fixed‑dose combination. Paracetamol is generally considered low risk, but acetylsalicylic acid can affect fetal circulation and platelet function, and caffeine crosses the placenta. Women who are pregnant, planning pregnancy or breastfeeding should discuss use with their doctor before taking Neo Nisidina.

To place an enquiry, visit the Neo Nisidina product page on gnhindia.com and submit the required quantity using the online form. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any temperature‑control requirements) and the necessary import documentation.

Compared with single‑ingredient products such as plain paracetamol or ibuprofen, Neo Nisidina adds acetylsalicylic acid for additional anti‑inflammatory effect and caffeine to boost analgesia and reduce fatigue. This multi‑component formulation can provide faster and more pronounced pain relief for certain patients, but it also introduces the need to consider aspirin‑related contraindications and caffeine‑related side effects.

Neo Nisidina should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and excessive heat. Keep the container tightly closed and out of direct sunlight. Do not store in a refrigerator or freezer, as temperature extremes can affect tablet integrity.

Neo Nisidina is taken orally, usually with a full glass of water. The tablet should be swallowed whole and not chewed or crushed, unless otherwise directed by a healthcare professional. It is intended for use as needed for pain or fever, following the dosage instructions provided by the prescriber.

Serious risks include gastrointestinal bleeding, especially when combined with other NSAIDs or anticoagulants; severe allergic reactions such as anaphylaxis; liver toxicity from excessive paracetamol exposure; and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they notice unusual bleeding, rash, jaundice or breathing difficulties.

Neo Nisidina is contraindicated in individuals with known hypersensitivity to aspirin, paracetamol or caffeine, in patients with active peptic ulcer disease, severe liver impairment, or in children with viral infections due to the risk of Reye's syndrome. It should also be avoided by anyone taking anticoagulant therapy without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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