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VHOSPITAL.CLINIC · Drug Reference

Non-Opioid AnalgesicAvailable OTC

Nefopam Warnings & Precautions

Before taking Nefopam, inform your doctor of all your medical conditions and medications. Certain conditions and patient groups require special precautions or may make Nefopam unsuitable.

Key Warnings

  • Paracetamol overdose is a leading cause of acute liver failure — never exceed the maximum dose
  • Check all medications for paracetamol content to avoid overdose
  • Use with caution in chronic alcohol use disorder

Pregnancy and Breastfeeding

  • Paracetamol is considered the safest analgesic during pregnancy and is widely used when necessary. Use at the lowest effective dose for the shortest duration.

Older Adults

  • Generally well tolerated in older adults. Reduce dose in hepatic or renal impairment. Preferred over NSAIDs in patients with GI or cardiovascular risk.

Chronic Conditions

  • Dose reduction required in chronic liver disease. Use with care in chronic kidney disease.

When Not to Use

  • Severe hepatic impairment (paracetamol)
  • Known hypersensitivity to the specific agent
  • Metamizole: agranulocytosis history or blood disorders

Safety Note

Nefopam should only be taken as prescribed. If you have any concerns about whether Nefopam is suitable for you, consult your doctor or pharmacist.

Frequently Asked Questions

Is Nefopam safe for everyone?

Nefopam is not suitable for everyone. Paracetamol overdose is a leading cause of acute liver failure — never exceed the maximum dose Always inform your doctor of all medical conditions before starting Nefopam.

Can paracetamol be taken with ibuprofen?

Yes, paracetamol and ibuprofen work through different mechanisms and can be taken together for better pain relief. Alternating them can be used to manage pain continuously while reducing individual drug doses.

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Medical Disclaimer: This drug reference is provided for informational purposes only and is not a substitute for professional medical advice. Always consult your physician or pharmacist before changing your medication. Information reviewed by the vHospital Editorial Team · Sources: WHO, BNF, FDA prescribing information.