Europe — EMA
Nofebran (Metamizole Sodium Monohydrate)
GNH USA supplies Nofebran (Metamizole Sodium), a pyrazolone analgesic for pain relief and fever reduction. Request a quote for global supply.
Request sourcing
What is Metamizole Sodium Monohydrate?
Metamizole sodium, the active ingredient in Nofebran, is a pyrazolone analgesic presented as an oral tablet for oral use. It provides pain relief and reduces fever in adult and pediatric patients when prescribed by a healthcare professional.
GNH USA supplies Nofebran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.
What is Metamizole Sodium Monohydrate used for?
Metamizole sodium is used to manage pain and fever across several clinical situations.
- Pain relief: Provides analgesia for moderate to severe acute pain. - Fever reduction: Lowers elevated body temperature in febrile states. - Post‑operative pain: Controls pain following surgical procedures. - Colic: Relieves visceral pain associated with gastrointestinal colic.
What are the side effects of Metamizole Sodium Monohydrate?
Metamizole sodium may cause a range of adverse reactions, varying from mild to severe.
Common Side Effects: - Nausea - Vomiting - Dizziness - Headache - Skin rash - Transient hypotension
Serious or Rare Side Effects: - Agranulocytosis (severe neutropenia) - Anaphylactic or severe allergic reactions - Other blood dyscrasias - Hepatic dysfunction - Renal impairment
What precautions apply to Metamizole Sodium Monohydrate?
Before prescribing Metamizole sodium, clinicians should consider several safety measures.
- Assess blood counts before initiating therapy: monitor for neutropenia. - Avoid use in patients with known hypersensitivity to pyrazolones: discontinue if reaction occurs. - Use cautiously in patients with hepatic or renal impairment: dose adjustment may be required. - Do not combine with other NSAIDs or anticoagulants without medical supervision: increased bleeding risk. - Store at ambient temperature below 25°C: keep in original container, protect from moisture and light.
What does Metamizole Sodium Monohydrate interact with?
Metamizole sodium can interact with other medicines; some combinations require avoidance while others need close monitoring.
Major Interactions (Avoid): - Concurrent use with other strong COX inhibitors (e.g., high‑dose NSAIDs): may increase gastrointestinal toxicity. - Co‑administration with anticoagulants (warfarin, heparin): heightened bleeding risk. - Use with drugs causing bone‑marrow suppression (e.g., chlorpromazine): risk of agranulocytosis.
Moderate Interactions (Monitor Closely): - Combination with diuretics: may enhance hypotensive effect. - Interaction with antihypertensives: possible additive blood‑pressure lowering. - Use with other antipyretics (paracetamol): monitor for overlapping toxicity.



