Nizer

Nizer Uses, Dosage, Side Effects, Food Interaction and all others data.

Nizer is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory, anti-pyretic, and analgesic properties. It inhibits prostaglandin synthetase/cyclooxygenase, which limits prostaglandin production. Its cyclooxygenase inhibiting potency is intermediate, but is relatively selective for the cyclo-oxygenase-2 (COX-2) thus the potential for gastric injury and intolerance is less. It is also a free radical scavenger, and helps protect against the tissue damage that occurs during inflammation.

Food, gender and advanced age have negligible effects on nimesulide pharmacokinetics.

Trade Name Nizer
Generic Nimesulide
Nimesulide Other Names Nimesulida, Nimesulide, Nimesulidum
Type Gel, Tablet
Formula C13H12N2O5S
Weight Average: 308.31
Monoisotopic: 308.046692194
Protein binding

>97.5%

Groups Approved, Investigational, Withdrawn
Therapeutic Class Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Manufacturer Usv Pvt Ltd
Available Country India
Last Updated: September 19, 2023 at 7:00 am
Nizer
Nizer

Uses

Nizer is used for acute pain; extra-articular disorders; osteoarthritis; post-op pain; primary dysmenorrhoea

Nizer is also used to associated treatment for these conditions: Menstrual Distress (Dysmenorrhea), Pain, Pain, Acute, NSAIDs

How Nizer works

The therapeutic effects of Nizer are the result of its complete mode of action which targets a number of key mediators of the inflammatory process such as: COX-2 mediated prostaglandins, free radicals, proteolytic enzymes and histamine.

Dosage

Nizer dosage

100 mg twice daily.Should be taken with food. Take after meals.

Side Effects

Epigastric discomfort, heartburn or abdominal cramps, nausea, vomiting and diarrhoea; skin rash, pruritus, oedema, headache, dizziness, drowsiness; hypersensitivity reactions (e.g. bronchospasm, rhinitis, angioedema urticaria); GI haemorrhage/perforation; bullous/erosive stomatitis, purpura, thrombocytopenia, toxic epidermal necrolysis, haematuria, oliguria, and renal failure; increases in liver enzymes.

Toxicity

Oral TDLO (human): 1.429 mg/kg; Oral TDLO (woman): 2 mg/kg; Oral LD50 (rat): 200 mg/kg; Oral LD50 (mouse): 392 mg/kg

Precaution

History of GI tract disease, infections, oedema, hypertension, elderly, lactation.

Interaction

Additive hepatotoxic effects with known hepatotoxins: anti-convulsants (e.g. valproic acid), anti-fungals (e.g. ketoconazole), anti-tuberculous drugs (e.g. isoniazid), tacrine, pemoline, amiodarone, methotrexate, methyldopa, amoxicillin/clavulanic acid. May decrease the oral bioavailability of furosemide and the natriuretic and diuretic response to furosemide. Increased risks of GI and hepatic adverse effects with other NSAIDs, including aspirin. May increase anti-coagulant effect of warfarin. Potentiates the action of phenytoin. May be displaced from binding sites with fenofibrate, salicylic acid, and tolbutamide. Interactions between NSAIDs and lithium, probenecid and ciclosporin, have been documented.

Elimination Route

Rapidly absorbed following oral administration.

Half Life

1.8–4.7 hours

Elimination Route

Renal (50%), fecal (29%)

Pregnancy & Breastfeeding use

Category not classified

Contraindication

Hypersensitivity; GI bleeding, active peptic ulcer disease; severe renal and heart failure; hepatic impairment or known liver disease; coagulation disorders; pregnancy; children <12 yr.

Acute Overdose

Epigastric pain, nausea, vomiting, drowsiness, lethargy, GI haemorrhage, seizures, hypertension, apnoea, coma, anaphylactic reactions and renal failure. Treatment is supportive.

Storage Condition

Protect from heat and humidity; store at <25°C.

Innovators Monograph

You find simplified version here Nizer

FAQ

What is Nizer used for?

Nizer is a medication used for pain relief and for the prevention of fever. Acute pain, pain due to menstrual cramps, backache, post-operative pain, osteoarthritis and fever are frequently prescribed.

how safe Nizer is?

It is safer to use one with a favourable benefit-harm balance, such as ibuprofen, when a non-steroidal anti-inflammatory drug is required.The drug is best avoided in known or suspected liver disease; caution is warranted while prescribing nimesulide concomitantly with other hepatotoxic drugs.

What are the common side effect of Nizer ?

Nizer is generally well tolerated, but side effects can include headache, dizziness, somnolence, gastrointestinal upset, nausea, abdominal discomfort, diarrhea, peripheral edema and hypersensitivity reactions.

Is Nizer bad for liver?

Nizer must be withdrawn worldwide due to serious liver damage.Nizer exposes patients to fatal liver damage.

How quickly does Nizer work?

Nizer works rapidly with immediate onset of action when taken orally. It can effectively reduce pain or fever within 15minutes of taking the medicine.

Is Nizer safe during pregnancy?

Our study suggests that the use of Nizer in early pregnancy may result in a greater risk of having births with congenital urinary tract anomalies.

Can I take Nizer while breastfeeding?

The action of Nizer on milk production for infants or the composition of milk is currently unknown. Some studies also suggest that Nizer is unsafe for lactating women., lactating women are advised to take medical expert advice, take this drug with precautions, and avoid long-term use.

Can I take Nizer safe with alcohol?

Avoid consuming alcohol while taking Nizer as it can increase your risk of stomach problems.

Does bnrand increase blood pressure?

Our results indicate no difference between Nizer and ketoprofen effects on mean blood pressure values during antihypertensive therapy.

Can Nizer be taken empty stomach?

Do not take it on an empty stomach.Always take Nizer together with food or immediately after a meal.

Is Nizer safe for kidneys?

This observation indicates that Nizer can provoke acute renal failure as a result of an obstructive crystalline nephropathy.

Can heart patients take Nizer?

Nizer should be used with great caution in patients with compromised renal function, cirrhosis of liver, congestive heart failure, renovascular disease, volume or salt depletion.

Is Nizer good for headache?

Nizer with Paracetamol is used for pain relief.

Is Nizer used for migraine?

Nizer has a well documented efficacy for relieving symptoms associated with migraine and non-migraine headaches.

Can Nizer I take in periods?

Nizer reduces the pressure during the maximal but not during the submaximal pain period, with concomitant alleviation of pain. The drug changes the painful state of uterine contracture to painless cyclic contractions.

Can Nizer use for ear pain?

Nizer indicate that the drug may be an effective and well tolerated therapy for painful inflammatory conditions of the ear, nose and throat.

Can Nizer cause sleepiness?

Nizer suspension overdose can make you drowsy (feeling sleepy).Generally suspension does not make you feel drowsy. 

Can Nizer be used for throat pain?

Nizer which may be prescribed by your doctor to get rid of a sore throat and fever if you get these symptoms.

Is Nizer safe for adults?

Nizer may safe for adult if Nizer recommended dose in 100 mg twice daily for no more than 15 days.

How bad is bnand?

Nizer must be withdrawn worldwide due to serious liver damage.It exposes patients to fatal liver damage.

Can I take Nizer for a long time?

Nizer is not recommended long-term, as for chronic conditions such as arthritis. This is due to its association with an increased risk of liver toxicity, including liver failure.

Can I drive after taking Nizer?

Nizer may cause dizziness. If you feel dizzy, do not drive or take part in any activity in which you need to be alert.

*** Taking medicines without doctor's advice can cause long-term problems.
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