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

Novalgin

Active Ingredient:
Metamizole Sodium Monohydrate
Origin:
EU

Novalgin (Metamizole Sodium Monohydrate)

Metamizole Sodium Monohydrate, the active ingredient in Novalgin, is a pyrazolone presented as a rectal formulation for analgesic and antipyretic use. It is employed to relieve moderate to severe pain and to reduce fever in adult patients. The drug is commonly used in clinical settings where rapid onset of pain relief is required.

GNH India supplies Novalgin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures consistent quality and regulatory compliance across EU and global markets.

Manufacturer / TM Owner

A. Nattermann & Cie. Gmbh

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Indications & Clinical Uses

  • Novalgin (metamizole sodium monohydrate) is used for pain and fever management within the pyrazolone analgesic class.
  • Pain: provides effective relief of moderate to severe acute pain.
  • Fever: reduces elevated body temperature in febrile conditions.
  • Post‑operative pain: helps control pain following surgical procedures.

How It Works

  • Metamizole sodium monohydrate inhibits cyclooxygenase activity, leading to reduced synthesis of prostaglandins that mediate pain and fever. While the exact pathway is not fully elucidated, the suppression of prostaglandin formation diminishes peripheral nociceptor sensitization and central thermoregulatory signals, resulting in analgesic and antipyretic effects.

Side Effects

Novalgin may cause a range of adverse reactions, from mild to severe. Awareness of these effects helps clinicians monitor patients appropriately.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Vomiting: occasional episodes after administration.
  • Dizziness: transient light‑headedness.
  • Hypotension: drop in blood pressure, especially with rapid absorption.
  • Skin rash: mild erythema or itching.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cells, requiring immediate medical attention.
  • Anaphylactic reaction: sudden, life‑threatening allergic response.
  • Stevens‑Johnson syndrome: severe skin and mucous membrane disorder.
  • Hepatic injury: abnormal liver function tests.
  • Blood dyscrasias: other serious blood cell abnormalities.

Precautions & Warnings

  • Before prescribing Novalgin, clinicians should consider several safety measures.
  • Assess renal function: adjust use in severe renal impairment.
  • Monitor blood counts: risk of agranulocytosis warrants periodic CBC.
  • Avoid in known hypersensitivity: contraindicated for patients with prior metamizole reactions.
  • Use with caution in elderly: increased sensitivity to hypotensive effects.
  • Avoid concomitant use with other pyrazolones or NSAIDs: may increase toxicity.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Novalgin can interact with other medicines, requiring careful assessment.

Major Interactions (Avoid)

  • Concurrent pyrazolones: additive toxicity and heightened risk of blood dyscrasias.
  • Co‑administration with bone‑marrow suppressing agents (e.g., chemotherapy): may exacerbate hematologic suppression.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase gastrointestinal irritation.
  • ACE inhibitors: potential enhancement of hypotensive effect.
  • Lithium: possible increase in serum lithium concentrations.

Frequently Asked Questions

Novalgin contains metamizole sodium monohydrate and is used to treat moderate to severe pain and to lower high fever. It is commonly prescribed when rapid analgesic or antipyretic effect is needed, such as after surgery or in acute febrile illnesses.

Metamizole sodium monohydrate works by inhibiting cyclooxygenase enzymes, which reduces the production of prostaglandins. Lower prostaglandin levels decrease peripheral pain signaling and reset the hypothalamic set‑point for temperature, providing analgesic and antipyretic effects.

The specific dose of Novalgin is determined by the prescribing clinician based on the patient’s condition, age, weight, and renal function. Healthcare professionals tailor the regimen to achieve optimal pain relief or fever control while minimizing risk.

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

To order Novalgin, submit an enquiry on the product page at gnhindia.com with 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.

Novalgin belongs to the pyrazolone class, offering strong analgesic and antipyretic activity similar to NSAIDs but with a distinct safety profile. Unlike some NSAIDs, it has a lower risk of gastrointestinal ulceration but carries a rare risk of agranulocytosis, which must be weighed against alternatives.

Novalgin should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container remains tightly closed to maintain stability.

Novalgin is supplied as a rectal formulation, typically a suppository. The healthcare professional inserts the suppository into the rectum, where it dissolves and is absorbed, providing rapid systemic analgesic and antipyretic effects.

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. Patients should be monitored for signs of infection, rash, or breathing difficulty, and treatment should be stopped immediately if these occur.

Novalgin should be avoided in individuals with known hypersensitivity to metamizole or other pyrazolones, in patients with severe bone‑marrow suppression, and in those taking other pyrazolone‑containing medications. Caution is also advised for patients with severe renal impairment or a history of severe allergic reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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