Dipirona: What is it? Indications, Uses, Presentations, Side Effects and Warnings

It is an analgesic and antipyretic of the pyrazolone group.

Indications and use

Metamizole (dipyrone) belongs to the group of medicines called analgesics and antipyretics .

This medication is used for the treatment of acute postoperative or post-traumatic pain, colicky pain and pain of a tumor origin. It is also used in cases of high fever that do not respond to other antipyretics.

It is recommended to consult your doctor if you are not sure (or do not know) why you have been given metamizole (dipyrone).

Presentations

Tablets

The active substance is metamizole sodium. The other ingredients (excipients) are corn starch, sodium bicarbonate, lactose, talc and magnesium stearate.

Capsules

The active substance is magnesium metamizole. The other ingredients are magnesium stearate, indigotine, erythrosine, titanium dioxide and gelatin.

Envelopes

Each sachet contains 1 or 2 g of magnesium metamizole. The excipients are sodium saccharin, mannitol, povidone K29 / 32, orange flavor and orange yellow dye.

Blisters

Metamizole, non-pyrogenic distilled water. Some specialties contain metamizole sodium.

Suppositories

The active substance is magnesium metamizole. Each suppository contains 500 mg or 1000 mg of magnesium metamizole. The other component is triglycerides of fatty acids.

Warnings

The composition of the various presentations may vary from one country to another. We recommend that you check the information provided by your local provider.

Side effects of Dipyrone

Tablets

This medicine in tablets contains lactose. If your doctor has told you that you have an intolerance to certain sugars, contact him before taking it.

Envelopes

Some specialties contain orange-yellow dye as an excipient. It can cause allergic reactions, including asthma , especially in patients allergic to aspirin.

Some specialties contain

  • Glycerol: can be harmful in high doses. It can cause headache, upset stomach and diarrhea.
  • Sorbitol: may cause upset stomach and diarrhea. Do not use in patients with hereditary fructose intolerance.

Before taking dipyrone

Do not use metamizole (dipyrone).

If you are allergic (hypersensitive) to metamizole (dipyrone), to other pyrazolone derivatives or to any of the other ingredients of the medicine prescribed for you.

If you think you may be allergic, consult your doctor.

Allergy symptoms may include:

  • Asthma attacks with difficulty breathing, audible wheezing or rapid breathing.
  • More or less sudden swelling of the face, lips, tongue or other part of the body. It is especially critical if it affects the vocal cords.
  • Urticaria , itching, rash.
  • Anaphylactic shock loss of consciousness, pallor, sweating, etc.

You should not take this medicine either:

  • If you have had a decrease in the number of white blood cells (agranulocytosis) after using this substance.
  • If you have had symptoms of asthma, rhinitis or urticaria (red spots or hives on the skin that can cause itching) after administration of aspirin, paracetamol or nonsteroidal anti-inflammatory drugs (NSAIDs) as there may be cross-sensitivity.
  • If you suffer from acute intermittent porphyria (a disorder of the metabolism of blood pigments that are part of hemoglobin).
  • If your doctor has not prescribed this medication.
  • If you have a congenital deficiency of glucose 6-phosphate dehydrogenase.
  • If you have had a disorder of bone marrow function; for example, after chemotherapy or if you have had blood diseases

Take special care with metamizole (dipyrone)

If you have signs or symptoms that suggest:

  • Anaphylaxis .
  • Anaphylactic shock.
  • Dizziness
  • Difficulty breathing.
  • Rhinitis.
  • Swelling of the face (angioneurotic edema).
  • Decreased blood pressure.
  • Red spots on the skin of sudden onset or high fever.
  • Shaking chills.
  • Sore throat.
  • Pain in the mouth
  • Sores on the oral or genital mucosa that could indicate a decrease in the number of white blood cells (agranulocytosis).

In these cases, you should stop the treatment and consult your doctor immediately.

If you have had an allergic reaction to metamizole, you should not take a medicine that contains it again.

If you have asthma produced by analgesics, bronchial asthma, chronic urticaria or if it is intolerant to dyes and / or preservatives or alcohol, since the risk of potentially serious allergic reactions is greater.

If you have a pre-existing low blood pressure (below 100 mmHg) or have an unstable circulation or if you have a high fever, as there is an increased risk of an acute decrease in blood pressure.

If you have impaired kidney or liver function.