Nimesulide is a pain-relieving medicine. It is used to treat acute pain, inflam
mation and fever. It is used in patients with inflammation & pain associated with joint disorders such as arthritis, soft tissue, ENT, dental pain, post-traumatic and post-operative painful conditions. It belongs to a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). Nimesulide is available in the form of a tablet, capsule, suspension, injection.
Uses of Nimesulide
- Nimesulide is used to relieve pain, inflammation and swelling in joint disorders such as arthritis.
- It also provides relief from dental pain, minor strain/sprain, pain in the ear, nose and throat, pain after surgery.
- It is also helpful in reducing fever.
Contraindications of Nimesulide
When should one not use Nimesulide
- If you are allergic to nimesulide or similar medicines (NSAIDs)
- If you are suffering from any heart problems such as heart failure
- If you have any history or suffer from any liver or kidney problems
- If you have an ulcer in your stomach or small intestine, history of bleeding in the digestive tract and stomach, history of recurrent ulcers in the stomach.
- If you are suffering from a blood clotting disorder
Side effects of Nimesulide
Common side effects of this drug are:
- Injection site reactions
Precautions and Warnings of Nimesulide
Can I take nimesulide during pregnancy?
Nimesulide must not be used during pregnancy especially in the third trimester. Proper birth control measures should be taken while consuming it. Consult your doctor before using it.
Can I take nimesulide while breastfeeding?
It is unknown if nimesulide passes into breast milk, thus it should not be used while breastfeeding.
Can I drive if I have consumed nimesulide?
Nimesulide may cause dizziness, drowsiness and vertigo, you should avoid driving if you experience any of these side effects.
Can I consume alcohol with nimesulide?
Avoid consuming alcohol while taking nimesulide as alcohol can exaggerate the side effects of this medicine.
Other General Warnings
Talk to your doctor if
- You have severe heart, liver or kidney problems
- You are pregnant, planning a pregnancy or are breastfeeding
- You develop an allergic reaction after taking nimesulide
- You have experienced abnormal bleeding issues
- You experience decreased hunger, nausea, vomiting, headache, stomach pain, tiredness and dark urine. Immediately contact your doctor.
- You are suffering from digestive system or sores in the upper portion of the small intestine, disorders like ulceration or bleeding in stomach.
- You consume alcohol regularly
- You are taking pain killers
- You have fever
- Nimesulide should be given to elderly patients with caution.
- It is not recommended for use in patient below 12 years of age.
Mode of Action of Nimesulide
How Does It Work?
Nimesulide relieves pain by blocking the production of a substance known as prostaglandin, which is produced by the body causing symptoms like pain and swelling.
Interactions of Nimesulide
Interactions with other medicines
- Some medicines can affect the way nimesulide works, or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
- Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
- Especially if you are taking medicines to treat diabetes, blood thinners and other non-steroidal anti-inflammatory drugs (NSAIDs), water pills, methotrexate (an anti-cancer medicine).
Dosage of Nimesulide
Symptoms of overdose are fatigue, drowsiness, nausea, vomiting, stomach pain. If you have taken too much of nimesulide, contact your doctor or visit a nearby clinic.
Missed a Dose
If you have missed any dose of nimesulide then take it as soon as you remember. If it is already time for the next dose then skip the missed dose and follow the regular dosing schedule. Do not take a double dose to compensate for the missed one....
Dr. Arpit Verma
MBBS, MD (Pharmacology)
Dr. Ritu Budania
MBBS, MD (Pharmacology)
Frequently Asked Questions (FAQs)
Q: What are the side effects of taking nimesulide?
A: One may experience side effects like diarrhoea, nausea, vomiting after taking nimesulide, but not everyone gets them. However, if you feel that the side effects persist, you should consult your doctor
Q: Can nimesulide be given to children?
A: No, nimesulide is not meant for use in children.
Q: Is nimesulide an antibiotic?
A: No, nimesulide is not an antibiotic, it is a pain-relieving medicine.
- Nimesulide - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2021 [cited 5 October 2021]
- Nimesulide - Patient Information Leaflet (PIL) - (emc) [Internet]. Medicines.org.uk. 2021 [cited 5 October 2021]
- CDSCO - Nimesulide [Internet]. Cdscoonline.gov.in. 2021 [cited 5 October 2021]
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