In the article, we consider the instructions and reviews for the Nimulid gel.
The drug is a non-steroidal drug that can perfectly cope with inflammation, and, in addition, severe pain. This analgesic is available in the form of tablets, suspensions and gel. In our article, we will consider the form of release of the gel. This medicine is prescribed by doctors to relieve cramping, pain and neuralgia. So, further we will talk about how to properly use this drug so that it gives the maximum effect and does not cause any harm to the body.
Reviews about the Nimulid gel are mostly positive.
Drug Release Format
Currently, the drug "Nimulide" can be purchased in the following types:
- The gel is sold in tubes of 20, and, in addition, 30 grams.
- In the form of tablets, which are sold in ten pieces in blisters.
- As a suspension, which is sold in dark glass bottles. At the same time, the capacity of one bottle is 60 milliliters. The product is supplied in a box along with a small measuring cup.
The composition of the gel "Nimulide" is presented below.
Structure
The main active ingredient of the gel is nimesulide, which in 1 g of gel is 10 mg. Excipients are used not only for a long shelf life, but also for the quality of the lubricant - the gel is not oily and quickly absorbed, reaching inflamed tissues:
- ethanol;
- hydroxypropyl cellulose;
- carbomer;
- purified water;
- triacetin;
- N. N dimethylacetamide;
- phosphoric acid;
- perfume.
1 tube contains 30 g of gel.
The healing properties of the drug
The drug is able to exhibit anti-inflammatory, antipyretic, analgesic, and also antiplatelet properties. In comparison with other medications, this one is selectively able to suppress the phenomenon of cyclooxygenase-2, and, in addition, the drug in question seriously inhibits the synthesis of prostaglandins, and this happens strictly in the foci of inflammation.
The considered drug on the basis of its main component is able to produce a depressing effect on cyclooxygenase-1, however, it is very insignificant. As part of the observations, a rather high percentage of absorption is observed during the administration of this medication inside. This is confirmed by the instructions for "Nimulid" - gel for external use.
It should be borne in mind that the intake of food can slightly reduce the rate of this process, while there is no effect on the degree of taking the drug by the body. The main therapeutic component of the Nimulide preparation penetrates perfectly into the area of a special acidic environment characteristic of the focus of inflammation.
About forty percent of the agent penetrates directly into the focus itself. The drug penetrates into the fluid of the synovial special plan by forty-three percent. This medication passes relatively easily through any numerous histohematological barriers. Then it is metabolized mainly in a special way in the region of the liver. The elimination half-life, as a rule, makes from two to five hours. Almost completely, the drug excreted by the kidneys in the amount of sixty five percent. With bile, the body is cleansed by about thirty-five percent.
This is stated in the instructions for use with the Nimulide gel. We will consider reviews below.
Indications for drug treatment
Patients are often prescribed this medication in the form of a gel for the treatment of the following diseases:
- In the presence of pain in the joints after injuries.
- Against the background of the development of severe myalgia.
- In the presence of joint diseases.
- In order to relieve pain.
In order for Nimulide to give the maximum result, it must be used exclusively as directed by the doctor. It is the specialist who will choose the appropriate dosage for the existing diagnosis of the patient, and, in addition, will prescribe the exact course of therapy.
Indications gel "Nimulide" should be strictly observed.
How to use this product in the form of a gel?
The drug should be applied to the skin in the area where the patient experiences the most severe pain. The gel is spread in a thin layer and is not rubbed into the skin. The drug must be lightly applied, do not exert any effort and do not massage movements.
Doctors are not recommended to use this gel more than four times a day. The frequency of use along with the course of treatment should be determined by a specialist. Usually, the treatment with this gel takes a rather long time.
It should be remembered that before using the drug, you need to thoroughly wash your hands, and, in addition, clean the skin. Care must be taken that the gel does not penetrate the eyes or the oral cavity. Immediately after applying this drug, you must also thoroughly and thoroughly wash your hands with soap.
Side effects of using the gel
According to reviews, Nimulide gel can rarely cause side effects on the skin in the form of severe itching and irritation. But sometimes, against the background of its use in patients, the skin may begin to peel off, the appearance of redness and an allergic reaction is not excluded.
Contraindications to drug treatment
In some situations, a medicine called Nimulide can cause quite a lot of harm to patients. It is in connection with this that doctors are forbidden to use it in such cases:
- In the presence of allergic reactions to the composition of the drug.
- It is forbidden to apply this tool on wounds, and, in addition, on scratches and ulcers on the skin.
- It is strictly forbidden to apply the gel in question to the mucous membranes.
In that case, if you use the described tool in the presence of the above contraindications, then this medicine can cause serious complications with dangerous side effects. In this regard, it is necessary to consult a doctor immediately before taking this drug.
Use of the drug by pregnant women
Doctors in no case are allowed to use the Nimulide gel in the last trimester of pregnancy. Sometimes doctors prescribe this tool in the first two trimesters, but only if there is a vital need. At such a moment, the pregnant patient should be under the daily and close supervision of a doctor until the course of therapy is completely over.
If there is an emergency, the doctor prescribes the woman the Nimulide drug at the time of lactation. But at the same time, it is required to immediately stop breastfeeding so that the substances of the medicinal product do not enter the body of the baby with milk.
Interactions with Other Medicines
You need to know how to properly use this medication in parallel with other medicines. After all, any drug interaction can enhance or weaken the effect of therapy. It is in connection with this that you need to familiarize yourself with some combinations:
- This medicine may enhance the effects of anticoagulants.
- The drug "Nimulide" reduces the therapeutic effect of the drug "Furosemide."
- This medication often increases the lithium content in the blood of patients.
- In that case, if you use "Nimulide" with "Methotrexate", then the side effects of these medications may increase.
- Do not use this medicine with ethanol.
- The drug "Nimulide" significantly enhances the effect of "Cyclosporine."
The rest of the gel form does not have any special interactions with other drugs. It is worth noting that doctors do not recommend applying two different gels to the same area of the skin.
Be sure to inform your doctor about what other drugs are currently being taken. Based on all this information, the doctor will be able to change the dosage or replace the drug with any other medicine.
Patient feedback on the Nimulide gel should be consulted in advance.
Drug overdose
Doctors note that the gel has never once provoked complications or an overdose in patients. True, it is still required to use it strictly according to the prescribed recipe. But pills and suspension are capable of leading to the following consequences at high doses:
- Pressure increase.
- The occurrence of severe bleeding inside the body.
- The onset of nausea and even vomiting.
- The appearance of apathy along with the manifestation of kidney failure.
- Patients may feel tired with drowsiness.
- Respiratory problems may also begin.
If an overdose of Nimulide occurs, you should immediately go to the hospital. The doctor will certainly perform a gastric lavage, and, in addition, prescribe enterosorbents along with laxatives. In the event that you consult a doctor on time, an overdose will not lead to any dangerous consequences.
How to properly store this medicine?
They keep the gel in a ventilated room in which the temperature is kept in the region of eighteen to twenty-five degrees. The gel can be stored for two years from the date of manufacture. The expiration date of the Nimulid gel after opening is three months. But you must definitely keep this medicine as far away as possible from sunlight. In addition, this drug should be stored out of the reach of small children.
Analogs of Nimulide gel
If necessary, doctors may prescribe other drugs that can also relieve pain with inflammation, as well as the Nimulid medical device. Here is a list of the main substitutes for this medicine: first of all, Nimesil along with Nimid, Nise, Nimesulide, Aponil, Nimegesic, Rimisid, Coxtral and Nimika.
Each medicine has its own contraindications and differs in a certain dosage. It is in connection with this that you must first familiarize yourself with the instructions for this drug before using it. It will not be superfluous to also consult with a doctor.
Cost of medicine
You can buy a drug at absolutely any pharmacy at the following average prices:
- Nimulide gel, which has a volume of 30 grams, will cost consumers from two hundred twenty to two hundred and fifty rubles.
- Pills "Nimulid" with a dosage of 100 milligrams in the amount of thirty pieces cost from three hundred to three hundred and fifty rubles.
- For lingual tablets with a dosage of 100 milligrams in the amount of twenty pieces, you need to give from two hundred forty to two hundred and seventy rubles.
- For one bottle with Nimulid suspension, you need to pay from two hundred thirty to three hundred rubles.
Next, we proceed to consider the comments of patients and find out what they write about this gel in their reviews.
Reviews about the gel "Nimulid"
In the reviews, it is reported that very often patients use this medication in order to relieve pain and inflammation in the presence of various injuries and diseases. It is thanks to this that you can read a lot of reviews about the effect of this medicine. Mostly there are positive reviews about the Nimulid gel.
People write that this miracle cure is perfect for long-term use and to achieve a positive impact. Many admit that they are always saved only by him.
Sometimes in reviews you can read about some side effects that may occur while taking this therapeutic gel. But, as consumers say, the matter, as a rule, does not go beyond a slight allergic reaction and slight redness.
We reviewed the instructions and reviews about the Nimulid gel.