Product image of Nolotil (Metamizole Magnesium) supplied by GNH India

Nolotil

Active Ingredient:
Metamizole Magnesium
Origin:
EU

Nolotil (Metamizole Magnesium)

Metamizole magnesium, the active ingredient in Nolotil, is a pyrazolone analgesic presented as an injectable solution for intramuscular and intravenous use. It treats pain and fever, including postoperative pain and colic, in adult patients.\n\nGNH India supplies Nolotil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to strict quality standards.

Manufacturer / TM Owner

Boehringer Ingelheim Espana S.A.

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Indications & Clinical Uses

  • Nolotil (metamizole magnesium) is employed for acute pain and fever management across several clinical situations.\n\n- Pain: provides rapid analgesia for moderate to severe acute pain.\n- Fever: reduces elevated body temperature in febrile states.\n- Post‑operative pain: controls pain following surgical procedures.\n- Colic: alleviates visceral pain associated with intestinal or biliary colic.

How It Works

  • Metamizole magnesium inhibits cyclooxygenase enzymes, decreasing prostaglandin synthesis, and also modulates central pain pathways in the spinal cord and brain. This dual action reduces the perception of pain and lowers body temperature, producing its analgesic and antipyretic effects without significant anti‑inflammatory activity.

Side Effects

  • Metamizole magnesium may cause a range of adverse reactions, varying from mild to severe.\n\nCommon Side Effects:\n- Nausea: mild gastrointestinal upset.\n- Vomiting: occasional emesis.\n- Dizziness: feeling of light‑headedness.\n- Injection site reactions: pain or erythema at the administration site.\n\nSerious or Rare Side Effects:\n- Agranulocytosis: severe reduction in white blood cells.\n- Anaphylaxis: acute allergic reaction with potential airway compromise.\n- Stevens‑Johnson syndrome: rare severe skin reaction.

Precautions & Warnings

  • Before using Nolotil, clinicians should consider several safety measures.\n\n- Indication assessment: confirm pain or fever requiring parenteral therapy before use.\n- Blood monitoring: perform regular complete blood count to detect agranulocytosis.\n- Renal function: evaluate kidney function in patients with impairment.\n- Concomitant drugs: avoid use with other myelotoxic agents.\n- Pregnancy and lactation: use only if potential benefit outweighs risk, as safety data are limited.\n- Store at ambient temperature: keep vials in original packaging, protect from light and moisture, and do not freeze.

Avoid Interactions

  • Metamizole magnesium can interact with several medicines, altering efficacy or safety.\n\nMajor Interactions (Avoid):\n- Anticoagulants: may increase bleeding risk.\n- Immunosuppressants (e.g., azathioprine): heightened risk of bone marrow suppression.\n\nModerate Interactions (Monitor Closely):\n- NSAIDs: additive gastrointestinal irritation.\n- ACE inhibitors: possible potentiation of hypotensive effects.\n- Diuretics: may enhance risk of electrolyte imbalance.

Frequently Asked Questions

Nolotil, containing metamizole magnesium, is indicated for the relief of moderate to severe acute pain, reduction of fever, management of postoperative pain, and treatment of colic. It is administered by intramuscular or intravenous injection in hospital or clinical settings.

Metamizole magnesium works by inhibiting cyclooxygenase enzymes, which lowers prostaglandin production, and by modulating central pain pathways in the spinal cord and brain. This combination reduces the perception of pain and helps lower elevated body temperature.

The dose of Nolotil is determined by the prescribing clinician based on the patient’s condition, age, weight, and clinical response. Healthcare professionals adjust the amount and frequency according to standard medical guidelines and individual patient needs.

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

To order Nolotil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and import documentation.

Compared with traditional NSAIDs, Nolotil offers potent analgesic and antipyretic effects with less anti‑inflammatory activity. Unlike opioids, it does not act on opioid receptors, reducing the risk of dependence, but it carries a rare risk of agranulocytosis, which requires blood‑count monitoring.

Nolotil should be stored at ambient temperature, protected from light and moisture, and kept in its original packaging. Vials must not be frozen or shaken vigorously. Follow standard aseptic techniques when preparing for intramuscular or intravenous administration.

Nolotil is supplied as a sterile injectable solution and is administered by a qualified healthcare professional either intramuscularly or intravenously, depending on the clinical situation and physician’s judgment.

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. Prompt medical attention is required if signs of infection, rash, or breathing difficulty occur.

Nolotil should be avoided in patients with known hypersensitivity to metamizole or other pyrazolones, those with existing severe bone‑marrow suppression, and individuals with a history of agranulocytosis. Caution is also advised for patients with renal impairment or those receiving other myelotoxic drugs.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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