Product image of Norgesic (Orphenadrine Citrate, Paracetamol) supplied by GNH India

Norgesic

Active Ingredient:
Orphenadrine Citrate, Paracetamol
Origin:
EU

Norgesic (Orphenadrine Citrate, Paracetamol)

Orphenadrine citrate and paracetamol, the active ingredients in Norgesic, are a muscle relaxant and analgesic combination presented as oral tablets for oral use. It provides relief of musculoskeletal pain and associated muscle spasm in adult patients and is intended for short‑term management of acute musculoskeletal conditions under professional supervision.

GNH India supplies Norgesic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to stringent quality standards and offering reliable global logistics.

Manufacturer / TM Owner

Viatris Austria Gmbh

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Indications & Clinical Uses

  • Norgesic, containing orphenadrine citrate and paracetamol, is used to manage conditions involving musculoskeletal pain and muscle spasm.
  • Acute low back pain: reduces pain intensity and improves mobility.
  • Muscle spasm associated with strain: relaxes skeletal muscle and alleviates discomfort.
  • Post‑operative pain: provides analgesic effect to aid recovery.

How It Works

  • Orphenadrine citrate acts centrally as an anticholinergic agent, blocking muscarinic receptors and decreasing neuronal excitability, which leads to skeletal muscle relaxation. Paracetamol exerts analgesic and antipyretic actions primarily by inhibiting cyclooxygenase enzymes in the central nervous system, reducing prostaglandin synthesis and modulating pain pathways. The combined effect addresses both muscle spasm and pain perception.

Side Effects

Norgesic may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Drowsiness
  • Dry mouth
  • Dizziness
  • Nausea
  • Blurred vision
  • Constipation

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis)
  • Hepatotoxicity
  • Cardiac arrhythmia
  • Hallucinations
  • Severe skin reactions (Stevens‑Johnson syndrome)
  • Elevated liver enzymes

Precautions & Warnings

  • Before prescribing Norgesic, clinicians should consider several precautionary measures to ensure safe use.
  • Assess hepatic function: avoid use in patients with severe liver impairment.
  • Monitor for anticholinergic effects: caution in elderly or those with glaucoma.
  • Avoid concurrent CNS depressants: may enhance sedation.
  • Review cardiovascular status: use cautiously in patients with arrhythmias.
  • Pregnancy and lactation: use only if benefits outweigh risks, as safety data are limited.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protected from moisture.

Avoid Interactions

Norgesic can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other anticholinergic agents: additive anticholinergic burden.
  • CYP450 inhibitors (e.g., ketoconazole): may increase paracetamol levels.
  • Alcohol: enhances CNS depression and hepatotoxic risk.
  • Warfarin: paracetamol may potentiate anticoagulant effect.

Moderate Interactions (Monitor Closely)

  • CNS depressants (benzodiazepines, opioids): increased sedation.
  • Other analgesics containing paracetamol: risk of overdose.
  • Antihistamines: may increase anticholinergic side effects.
  • Beta‑blockers: may mask tachycardia from anticholinergic effect.
  • Lithium: potential for increased lithium levels.

Frequently Asked Questions

Norgesic is a prescription medication that combines a muscle relaxant with an analgesic. It is indicated for the short‑term relief of acute musculoskeletal pain and associated muscle spasm, such as low back pain, strain‑related discomfort, and postoperative pain, when prescribed by a qualified healthcare professional.

Orphenadrine citrate acts centrally as an anticholinergic agent. By blocking muscarinic receptors in the central nervous system, it reduces neuronal excitability and produces skeletal muscle relaxation, helping to alleviate muscle spasm and improve mobility in affected patients.

The dosage of Norgesic is individualized and set by the prescribing clinician based on the patient’s condition, age, weight, and response to therapy. Healthcare providers determine the appropriate strength, frequency, and duration according to current clinical guidelines.

Safety data for Norgesic in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To order Norgesic, 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 requirements), and necessary import documentation.

Norgesic combines a central anticholinergic muscle relaxant (orphenadrine) with an analgesic (paracetamol), offering both spasm relief and pain control in a single tablet. Compared with single‑ingredient muscle relaxants, it may reduce the need for additional analgesics, but the combined profile also introduces the safety considerations of both components.

Norgesic tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original packaging, protect from moisture and direct sunlight, and ensure they are out of reach of children.

Norgesic is taken orally, usually with a glass of water. The tablet should be swallowed whole and not chewed or crushed, unless otherwise directed by a healthcare professional.

Serious risks include severe allergic reactions such as anaphylaxis, hepatotoxicity especially in patients with pre‑existing liver disease, cardiac arrhythmias, hallucinations, and rare severe skin reactions like Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience any of these symptoms.

Norgesic should be avoided in patients with known hypersensitivity to orphenadrine, paracetamol, or any excipients, as well as in individuals with severe liver impairment, uncontrolled glaucoma, or significant cardiac conduction disorders. Caution is also advised for the elderly and those taking multiple anticholinergic or CNS‑depressant drugs.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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