Product image of Nolxado (Naloxone Hydrochloride, Oxycodone Hydrochloride) supplied by GNH India

Nolxado

Active Ingredient:
Naloxone Hydrochloride, Oxycodone Hydrochloride
Origin:
EU

Nolxado (Naloxone Hydrochloride, Oxycodone Hydrochloride)

Naloxone Hydrochloride, the active ingredient in Nolxado, is an opioid analgesic combination presented as an oral tablet for oral use. It is indicated for the management of moderate to severe pain and incorporates an opioid antagonist to reduce abuse potential.

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

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Nolxado, a combination opioid analgesic, is used to manage pain that involves the mu‑opioid receptor pathway.

  • Moderate to severe acute pain: provides effective analgesia while limiting opioid‑related abuse risk.
  • Post‑operative pain: controls pain following surgical procedures.
  • Chronic cancer pain: offers sustained relief for patients requiring opioid therapy.

How It Works

  • Nolxado contains oxycodone hydrochloride, a mu‑opioid receptor agonist that activates central analgesic pathways, and naloxone hydrochloride, an opioid receptor antagonist with low oral bioavailability that blocks peripheral mu‑receptors, thereby reducing the potential for abuse and mitigating opioid‑induced gastrointestinal effects.

Side Effects

Nolxado may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Constipation: reduced bowel movements.
  • Dizziness: sensation of light‑headedness.
  • Drowsiness: increased sleepiness.
  • Dry mouth: reduced salivation.
  • Headache: mild to moderate head pain.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing.
  • Severe hypotension: marked drop in blood pressure.
  • Allergic reaction: rash, itching, swelling, or anaphylaxis.
  • Hepatic dysfunction: abnormal liver enzymes or jaundice.
  • Seizures: rare convulsive episodes.
  • Opioid withdrawal: signs of dependence reversal when misused.

Precautions & Warnings

Before prescribing Nolxado, clinicians should evaluate patient‑specific factors and monitor for potential complications.

  • Assess pain severity: ensure opioid therapy is appropriate for the level of pain.
  • Monitor for dependence: watch for signs of opioid misuse or addiction.
  • Avoid in severe respiratory depression: the drug can exacerbate breathing difficulties.
  • Use caution in hepatic impairment: metabolism may be altered.
  • Avoid concomitant CNS depressants: increased risk of sedation and respiratory effects.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Nolxado can interact with other medications; some combinations require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Other strong opioids: additive risk of respiratory depression.
  • Benzodiazepines or barbiturates: heightened central nervous system depression.
  • Monoamine oxidase inhibitors (MAOIs): potential for hypertensive crisis.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may increase oxycodone plasma levels.
  • CYP3A4 inducers (e.g., rifampin): may reduce analgesic efficacy.
  • Anticholinergic agents: can worsen constipation associated with opioid use.

Frequently Asked Questions

Nolxado is prescribed for the treatment of moderate to severe pain, including acute postoperative pain, cancer‑related pain, and other conditions where strong opioid analgesia is required. The combination of oxycodone and naloxone provides pain relief while helping to limit the potential for opioid misuse.

Oxycodone acts as a mu‑opioid receptor agonist, binding to receptors in the central nervous system to produce analgesia. Naloxone, included in the same tablet, has very low oral absorption but blocks peripheral mu‑receptors, reducing opioid‑induced constipation and decreasing the likelihood of abuse when the tablet is tampered with.

The appropriate dose of Nolxado is individualized by the prescribing clinician based on the patient’s pain intensity, prior opioid exposure, age, renal and hepatic function, and overall clinical condition. No fixed dosing regimen is provided here; the prescriber sets the dosage and titration schedule.

Safety data for Nolxado in pregnancy and lactation are limited. Opioids can cross the placenta and may cause neonatal respiratory depression, while naloxone’s effects are less clear. Clinicians should weigh potential benefits against risks and consider alternative therapies when treating pregnant or breastfeeding patients.

To request Nolxado, 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 needs), and required import documentation.

Standard oxycodone provides potent analgesia but carries a higher risk of constipation and abuse. Nolxado combines oxycodone with naloxone, which mitigates opioid‑induced bowel dysfunction and adds an abuse‑deterrent element, while delivering comparable pain relief in most patients.

Nolxado tablets should be stored at ambient temperature, below 25 °C (77 °F). Keep them in the original packaging, protect from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability.

Nolxado is taken orally as a whole tablet. Patients should swallow the tablet with a full glass of water and may take it with or without food, following the prescribing clinician’s instructions regarding timing and frequency.

The most serious risks include respiratory depression, severe hypotension, allergic reactions such as anaphylaxis, hepatic dysfunction, and, in rare cases, opioid withdrawal symptoms if the formulation is misused. Immediate medical attention is required if any of these events occur.

Nolxado is contraindicated in patients with known hypersensitivity to oxycodone, naloxone, or any excipients, as well as those with severe respiratory depression, acute or severe asthma, and paralytic ileus. Caution is also advised for individuals with significant hepatic impairment or those taking prohibited concomitant medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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