Europe — EMA
Neomercazole 5 (Carbimazole)
GNH USA supplies Neomercazole (Carbimazole), a thionamide for hyperthyroidism and Graves disease. Request a quote for global supply.
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What is Carbimazole?
Carbimazole, the active ingredient in Neomercazole 5, is a thionamide presented as oral tablets for oral use. It is used to treat hyperthyroidism, including Graves disease, by reducing excess thyroid hormone production in adults. GNH USA supplies Neomercazole 5 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Carbimazole used for?
Neomercazole (carbimazole) is employed in the management of disorders characterized by excess thyroid hormone production. - Hyperthyroidism: normalises elevated thyroid hormone levels and alleviates associated symptoms. - Graves disease: controls autoimmune over‑activity of the thyroid gland. - Toxic multinodular goitre: reduces hormone output from autonomously functioning nodules.
What are the side effects of Carbimazole?
Carbimazole may cause a range of adverse reactions, from mild to potentially life‑threatening.
Common Side Effects: - Rash or mild skin irritation - Nausea or vomiting - Taste disturbance or loss of taste - Arthralgia or muscle aches - Headache - Mild abdominal discomfort
Serious or Rare Side Effects: - Agranulocytosis (dangerously low white‑blood‑cell count) - Severe liver injury or hepatitis - Vasculitis (inflammation of blood vessels) - Aplastic anemia - Stevens‑Johnson syndrome or toxic epidermal necrolysis - Severe neutropenia with risk of infection
What precautions apply to Carbimazole?
Before initiating therapy, clinicians should consider several safety measures. - Thyroid function monitoring: check TSH, free T4 and free T3 regularly to adjust dose. - Dose adjustment: titrate based on clinical response and laboratory values. - Pregnancy caution: use only when benefits outweigh risks, as carbimazole is category D. - Liver disease: avoid or use with caution in patients with hepatic impairment. - Infection vigilance: advise patients to report fever or sore throat promptly. - Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture.
What does Carbimazole interact with?
Carbimazole can affect, and be affected by, several other medicines.
Major Interactions (Avoid): - Levothyroxine: concurrent use may require careful dose balancing to avoid over‑ or under‑replacement. - Warfarin: carbimazole can potentiate anticoagulant effect, increasing INR. - Amiodarone: may exacerbate thyroid dysfunction when used together.
Moderate Interactions (Monitor Closely): - Cimetidine: can increase carbimazole plasma levels, necessitating monitoring. - Sulfonylureas: enhanced hypoglycaemic effect may occur. - Oral contraceptives: may alter thyroid hormone binding and require thyroid function checks.



