Norgesic 20 Tablets

Norgesic 20 Tablets

Description:

Norgesic 20 Tablets is a prescription-only combination analgesic and centrally acting skeletal muscle relaxant used for the relief of painful musculoskeletal conditions. It contains orphenadrine and paracetamol (acetaminophen), providing dual action: reduction of muscle spasm and effective pain relief. Norgesic is commonly used in the management of acute muscle pain, back pain, neck pain, and tension headaches associated with muscle spasm. It is classified as a medicine and should be used under medical supervision.

Indications:

• Relief of painful musculoskeletal conditions associated with muscle spasm, such as low back pain, neck pain, and shoulder pain.
• Adjunct treatment in acute strains, sprains, and muscle injuries.
• Relief of pain and muscle tension in conditions like cervical spondylosis and lumbago, as prescribed by a doctor.
• Management of tension-type headaches where muscle spasm is a contributing factor, as directed by a physician.
• Symptomatic relief of musculoskeletal pain and stiffness associated with minor trauma or overexertion.

Active Ingredients / Key Components:

• Orphenadrine (as orphenadrine citrate) – concentration per tablet is not specified in the available information (For full ingredient information, please check the product leaflet or the manufacturer’s official website.).
• Paracetamol (acetaminophen) – concentration per tablet is not specified in the available information (For full ingredient information, please check the product leaflet or the manufacturer’s official website.).
• Full excipient list and exact strengths are not available in the provided data; please refer to the package insert for complete composition.

Dosage & Administration / How to Use:

• Use only as prescribed by a physician. Do not exceed the recommended dose.
• Typical adult dosing regimens for Norgesic vary by country and product strength; the exact dose per tablet and frequency , please check the product leaflet or the manufacturer’s official website. Always follow your doctor’s instructions and the package leaflet.
• Tablets are usually taken by mouth with a sufficient amount of water.
• Can generally be taken with or without food; taking with food may help reduce gastric discomfort.
• Do not exceed the maximum daily dose of paracetamol from all sources (commonly 4000 mg per day for adults, but follow your doctor’s specific guidance).
• Do not use in children unless specifically prescribed by a pediatrician.
• If a dose is missed, take it as soon as you remember unless it is almost time for the next dose. Do not double the dose to make up for a missed one.
• Duration of treatment should be as short as possible and as directed by your healthcare provider, typically for acute episodes rather than long-term continuous use.

Clinical Benefits:

• Provides effective relief from acute musculoskeletal pain by combining a muscle relaxant (orphenadrine) with an analgesic (paracetamol).
• Helps reduce skeletal muscle spasm through central anticholinergic action on cerebral motor centers, improving mobility and comfort.
• Paracetamol offers antipyretic and analgesic effects, reducing pain and associated discomfort without significant gastric irritation compared to some NSAIDs.
• Supports faster return to normal daily activities by alleviating pain, stiffness, and muscle tension.

Warnings & Contraindications:

• Contraindicated in patients with known hypersensitivity or allergy to orphenadrine, paracetamol (acetaminophen), or any of the excipients.
• Contraindicated in patients with glaucoma, urinary retention, pyloric or duodenal obstruction, prostatic hypertrophy, or myasthenia gravis due to the anticholinergic effects of orphenadrine.
• Use with extreme caution in patients with liver impairment, chronic alcoholism, or those taking other hepatotoxic drugs because of the paracetamol component.
• Use cautiously in patients with renal impairment, cardiovascular disease, or elderly patients who may be more sensitive to anticholinergic side effects.
• May cause drowsiness, dizziness, or blurred vision; avoid driving, operating machinery, or performing tasks requiring alertness until you know how the medicine affects you.
• Avoid concomitant use with other products containing paracetamol to prevent overdose and serious liver damage.
• Alcohol consumption should be avoided during treatment due to increased risk of liver toxicity and enhanced sedative effects.
• Consult your doctor before use if pregnant, planning pregnancy, or breastfeeding; safety data in pregnancy and lactation are limited and use should be based on risk–benefit assessment.
• Consult your doctor before use if you have liver disease, kidney disease, glaucoma, enlarged prostate, urinary problems, gastrointestinal obstruction, heart disease, or if you are taking other medications such as sedatives, antihistamines, anticholinergics, anticoagulants, or anticonvulsants.
• Not intended to diagnose, treat, cure, or prevent any disease without medical supervision.
• Keep out of reach of children.
• Do not use beyond the expiry date stated on the packaging. Do not use if the blister pack is damaged.

Side Effects:

• Common side effects may include dry mouth, dizziness, drowsiness, blurred vision, nausea, constipation, or mild gastrointestinal discomfort due to the anticholinergic action of orphenadrine.
• Other possible effects include headache, nervousness, confusion (especially in elderly), palpitations, or urinary retention.
• Paracetamol is generally well tolerated at recommended doses, but serious skin reactions (such as Stevens–Johnson syndrome) are rare and require immediate medical attention.
• Serious side effects of overdose or prolonged high-dose use of paracetamol may include liver damage (symptoms: nausea, vomiting, abdominal pain, dark urine, jaundice) and require urgent medical care.
• Allergic reactions such as rash, itching, swelling of the face or throat, severe dizziness, or difficulty breathing require immediate discontinuation and emergency medical attention.
• If you experience persistent or severe side effects, or any unusual symptoms, stop using the product and consult your doctor or pharmacist promptly.

Storage Instructions:

Store in a cool, dry place away from direct sunlight. Keep container tightly closed in the original blister and carton to protect from moisture. Keep out of reach of children.

Specifications:

• Serving size: 1 tablet (dose and frequency to be determined by your physician).
• Count: 20 tablets per pack.
• Form: Tablet for oral administration.
• Active ingredients: orphenadrine + paracetamol (exact strengths not available in the provided information; refer to the pack insert).

Disclaimer:
All pharmacy products are intended for general use only and do not replace professional medical advice, diagnosis, or treatment. Always consult a healthcare provider before use. Results may vary, and no specific outcomes are guaranteed. Products are not intended to diagnose, treat, cure, or prevent any disease unless stated. Follow label instructions carefully, as misuse may cause adverse effects. Compliance with local laws is the customer’s responsibility.