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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.

  • ParacetamolNo 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.