Europe — EMA
Norgesic (Orphenadrine Citrate, Paracetamol)
GNH USA supplies Norgesic (Orphenadrine citrate and paracetamol), a central acting muscle relaxant and analgesic for acute musculoskeletal pain and spasm.
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What is Orphenadrine Citrate, Paracetamol?
Orphenadrine citrate and paracetamol, the active ingredients in Norgesic, are a central acting muscle relaxant and an analgesic presented as oral tablets for oral use. They are used to relieve muscle‑spasm related pain and associated discomfort in adult patients.
GNH USA supplies Norgesic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Orphenadrine Citrate, Paracetamol used for?
Norgesic combines a muscle relaxant and an analgesic and is indicated for conditions involving musculoskeletal pain and spasm.
- Acute musculoskeletal pain: reduces pain intensity and improves functional mobility. - Muscle spasm due to strains or sprains: relaxes skeletal muscles and eases discomfort. - Low back pain: alleviates spasm‑related tension and pain. - Post‑traumatic injury pain: provides analgesia while relaxing contracted muscles.
What are the side effects of Orphenadrine Citrate, Paracetamol?
Common side effects are generally mild and transient.
Common Side Effects: - Drowsiness: feeling unusually sleepy or fatigued. - Dry mouth: reduced salivation leading to throat discomfort. - Dizziness: light‑headed sensation, especially when standing quickly. - Nausea: mild stomach upset or urge to vomit.
Serious or Rare Side Effects: - Severe allergic reaction: rash, swelling, or difficulty breathing. - Hepatotoxicity: liver injury, particularly with excessive paracetamol exposure. - Cardiac arrhythmia: irregular heartbeat that may require medical attention.
What precautions apply to Orphenadrine Citrate, Paracetamol?
Before prescribing Norgesic, clinicians should consider several safety aspects.
- Liver function assessment: evaluate hepatic health due to paracetamol content. - Elderly patients: start with lower doses and monitor for increased sedation. - Glaucoma or urinary retention: use cautiously as anticholinergic effects may exacerbate these conditions. - Alcohol consumption: advise patients to limit alcohol to reduce liver risk. - Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.
What does Orphenadrine Citrate, Paracetamol interact with?
Norgesic may interact with other medicines; awareness of interaction severity helps guide safe use.
Major Interactions (Avoid): - MAO inhibitors: risk of hypertensive crisis. - Other anticholinergics: increased anticholinergic burden. - CNS depressants (e.g., benzodiazepines, opioids): additive sedation and respiratory depression. - Alcohol: heightened liver toxicity and sedation.
Moderate Interactions (Monitor Closely): - Warfarin: possible alteration of anticoagulant effect. - Antihypertensive agents: may enhance blood‑pressure lowering. - Antihistamines: could increase drowsiness and anticholinergic side effects.



