Product image of Novalgine (Metamizole Sodium) supplied by GNH India

Novalgine

Active Ingredient:
Metamizole Sodium
Origin:
EU

Novalgine (Metamizole Sodium)

Metamizole sodium, the active ingredient in Novalgine, is a non‑opioid analgesic presented as an oral formulation for systemic use. It is employed to relieve moderate to severe pain and to reduce high fever in adult patients, providing an alternative when opioid therapy is not required.

GNH India supplies Novalgine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality, regulatory compliance, and reliable logistics for global healthcare providers.

Manufacturer / TM Owner

Opella Healthcare Belgium (Handelsnaam Sanofi Belgium)

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Indications & Clinical Uses

Novalgine (metamizole sodium) is used in the management of acute pain and fever, acting within the prostaglandin pathway.

  • Pain: provides rapid analgesic relief for moderate to severe acute pain.
  • Fever: lowers elevated body temperature in febrile conditions.
  • Post‑operative pain: helps control pain after surgical procedures.
  • Colicky abdominal pain: alleviates spasmodic pain associated with gastrointestinal cramps.

How It Works

  • Metamizole sodium exerts its analgesic and antipyretic actions primarily by inhibiting cyclooxygenase (COX) enzymes, which reduces the synthesis of prostaglandins involved in pain signaling and fever generation. Although the exact mechanism is not fully understood, the drug may also modulate central nervous system pathways and affect inflammatory mediators, contributing to its overall therapeutic effect.

Side Effects

Metamizole sodium may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Dizziness: transient light‑headedness.
  • Rash: mild skin irritation.
  • Hypotension: temporary low blood pressure.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cell count.
  • Anaphylaxis: acute, potentially life‑threatening allergic reaction.
  • Stevens‑Johnson syndrome: severe skin and mucous membrane disorder.
  • Hepatotoxicity: liver injury or enzyme elevation.

Precautions & Warnings

When using Novalgine, several safety considerations should be observed to minimize risk.

  • Blood count monitoring: perform regular complete blood counts to detect early signs of agranulocytosis.
  • Hypersensitivity avoidance: discontinue if any allergic reaction such as rash or swelling occurs.
  • Renal impairment caution: adjust use in patients with reduced kidney function.
  • Hepatic impairment caution: use carefully in patients with liver disease.
  • Concomitant NSAID use: avoid combining with other non‑steroidal anti‑inflammatory drugs to reduce toxicity.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Metamizole sodium can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Anticoagulants: may increase bleeding risk when used together.
  • Other myelosuppressive agents: combined use can potentiate bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive hypotensive effect may require dose adjustment.
  • Diuretics: concurrent use may affect renal clearance.
  • Lithium: metamizole may raise lithium serum levels, necessitating monitoring.

Frequently Asked Questions

Novalgine contains metamizole sodium, which is indicated for the relief of moderate to severe acute pain and for the reduction of high fever. It is commonly prescribed when rapid analgesia or antipyresis is needed, especially in settings where opioid use is not preferred.

Metamizole sodium works by inhibiting cyclooxygenase enzymes, leading to decreased prostaglandin production. This reduction dampens the pain signaling pathways and lowers the hypothalamic set‑point for temperature, thereby providing analgesic and antipyretic effects. The precise mechanisms are still being studied, but the COX inhibition is central to its action.

The dosage of Novalgine is determined by the prescribing healthcare professional based on the patient’s age, weight, severity of pain or fever, and overall clinical condition. Physicians tailor the regimen to achieve optimal therapeutic effect while minimizing risk, and patients should follow the specific instructions provided on the prescription label.

Safety data for metamizole sodium in pregnancy and lactation are limited, and the product’s pregnancy category is not established. Healthcare providers generally weigh the potential benefits against unknown risks before prescribing it to pregnant or nursing women. Consultation with a physician is essential to make an informed decision.

To place an order, submit an enquiry on the Novalgine product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details—including any cold‑chain requirements—and assists with import documentation.

Novalgine (metamizole sodium) belongs to the non‑opioid analgesic class and offers rapid pain relief and fever reduction, similar to NSAIDs such as ibuprofen. Unlike many NSAIDs, metamizole has a lower incidence of gastrointestinal irritation but carries a unique risk of agranulocytosis. Choice of therapy depends on the patient’s risk profile, comorbidities, and the clinician’s judgment.

Novalgine should be stored at temperatures below 25 °C in its original packaging. Protect the product from moisture, direct sunlight, and extreme heat. Keep it out of reach of children and ensure the container is tightly closed after each use to maintain stability and potency.

Novalgine is administered orally. The tablet should be swallowed whole with a glass of water and may be taken with or without food, as directed by the prescriber. Patients should not crush, chew, or split the tablet unless explicitly instructed, to preserve its intended release characteristics.

The most serious adverse reactions linked to Novalgine include agranulocytosis, a potentially life‑threatening drop in white blood cells; severe allergic reactions such as anaphylaxis; and rare but serious skin conditions like Stevens‑Johnson syndrome. Prompt medical attention is required if symptoms such as unexplained fever, sore throat, rash, or breathing difficulty develop.

Novalgine should be avoided in individuals with known hypersensitivity to metamizole or any of its excipients, patients with existing severe bone‑marrow disorders, and those who have experienced agranulocytosis with prior metamizole exposure. Caution is also advised for patients with significant renal or hepatic impairment, and it should not be combined with other NSAIDs without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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