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

Nofebran

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Nofebran (Metamizole Sodium Monohydrate)

Metamizole sodium, the active ingredient in Nofebran, is a pyrazolone analgesic presented as an oral tablet for oral use. It provides pain relief and reduces fever in adult and pediatric patients when prescribed by a healthcare professional.

GNH India supplies Nofebran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Metamizole sodium is used to manage pain and fever across several clinical situations.

  • Pain relief: Provides analgesia for moderate to severe acute pain.
  • Fever reduction: Lowers elevated body temperature in febrile states.
  • Post‑operative pain: Controls pain following surgical procedures.
  • Colic: Relieves visceral pain associated with gastrointestinal colic.

How It Works

  • Metamizole sodium exerts its effect primarily by inhibiting cyclooxygenase (COX) enzymes, which reduces the synthesis of prostaglandins involved in pain and fever pathways. The exact mechanism is not fully elucidated, but COX inhibition leads to decreased peripheral sensitization and central temperature regulation, contributing to its analgesic and antipyretic actions.

Side Effects

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

Common Side Effects

  • Nausea
  • Vomiting
  • Dizziness
  • Headache
  • Skin rash
  • Transient hypotension

Serious or Rare Side Effects

  • Agranulocytosis (severe neutropenia)
  • Anaphylactic or severe allergic reactions
  • Other blood dyscrasias
  • Hepatic dysfunction
  • Renal impairment

Precautions & Warnings

Before prescribing Metamizole sodium, clinicians should consider several safety measures.

  • Assess blood counts before initiating therapy: monitor for neutropenia.
  • Avoid use in patients with known hypersensitivity to pyrazolones: discontinue if reaction occurs.
  • Use cautiously in patients with hepatic or renal impairment: dose adjustment may be required.
  • Do not combine with other NSAIDs or anticoagulants without medical supervision: increased bleeding risk.
  • Store at ambient temperature below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Metamizole sodium can interact with other medicines; some combinations require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Concurrent use with other strong COX inhibitors (e.g., high‑dose NSAIDs): may increase gastrointestinal toxicity.
  • Co‑administration with anticoagulants (warfarin, heparin): heightened bleeding risk.
  • Use with drugs causing bone‑marrow suppression (e.g., chlorpromazine): risk of agranulocytosis.

Moderate Interactions (Monitor Closely)

  • Combination with diuretics: may enhance hypotensive effect.
  • Interaction with antihypertensives: possible additive blood‑pressure lowering.
  • Use with other antipyretics (paracetamol): monitor for overlapping toxicity.

Frequently Asked Questions

Nofebran contains Metamizole sodium and is prescribed to relieve moderate to severe pain and to reduce fever. It is commonly used after surgery, for acute colic, and in other situations where rapid analgesic and antipyretic effects are needed.

Metamizole sodium works mainly by inhibiting cyclooxygenase (COX) enzymes, which lowers prostaglandin production. This reduction diminishes the signals that cause pain and fever, providing analgesic and antipyretic effects even though the full mechanism is not completely understood.

The dose of Nofebran is determined by the prescribing clinician based on the patient’s age, weight, severity of pain or fever, and overall health status. Only a qualified healthcare professional should set the dosage and frequency.

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

To order Nofebran, 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 and any necessary import documentation.

Compared with traditional NSAIDs such as ibuprofen, Metamizole sodium often provides stronger analgesia and antipyretic effects with a different safety profile. However, it carries a risk of rare but serious blood‑cell disorders, which are less common with many other NSAIDs.

Nofebran should be stored at ambient temperature below 25 °C, in its original packaging, protected from moisture and direct light. Keeping the tablets in a dry, cool place helps maintain their potency throughout the shelf life.

Nofebran is taken orally. The tablets should be swallowed whole with a glass of water, preferably after a meal to reduce gastrointestinal discomfort, unless the prescriber advises otherwise.

The most serious adverse reactions include agranulocytosis, a severe drop in white‑blood‑cell count, and life‑threatening allergic reactions such as anaphylaxis. Patients should be monitored for signs of infection or hypersensitivity, and treatment should be stopped immediately if these occur.

Nofebran is contraindicated in individuals with known hypersensitivity to Metamizole or other pyrazolones, those with existing blood‑cell disorders, severe liver or kidney impairment, and patients who are currently receiving other strong COX inhibitors without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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