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Painkillers

Metamizole

Also sold as: Novalgin

Prescription neededPainkillers
Comes as:TabletDropsInjection

Usual adult dose

Usual adult dose: 500 mg to 1 g up to 3 or 4 times a day when needed. Do not take more than 4 g in 24 hours. Use only for a short time and only if a doctor advises it.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • sweating
  • low blood pressure after injection

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • sudden fever
  • sore throat or mouth ulcers (sign of very low white blood cells)
  • severe allergic reaction
  • severe skin rash

Do not take it, or take care, if

  • Previous reaction to metamizole or similar medicines
  • Blood disorders or low white blood cell count
  • Pregnancy, especially the last 3 months
  • Breastfeeding
  • G6PD deficiency

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Methotrexate

    Both can lower blood cell counts; using them together raises the risk of serious blood problems.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Not established

Not established. Ask your doctor before using it in pregnancy or while trying to get pregnant.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Paracetamol
No prescription needed
  • IbuprofenNo prescription needed
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.