Norgesic

Overview

What is Norgesic?

Norgesic is a combination medicinal product designed to alleviate discomfort associated with painful musculoskeletal conditions. It comprises of orphenadrine citrate, an anti-cholinergic with skeletal muscle relaxant effect, and paracetamol (also known as acetaminophen), an analgesic and antipyretic agent. This dual-action formula helps to relax muscles and relieve pain simultaneously, making it a popular choice for managing muscle-related discomfort. 

Global Name

Generic name:  Orphenadrine citrate/ Paracetamol
Brand names: Norgesic

Usage

What is Norgesic used for? 

Norgesic is indicated for the relief of: 

• Muscular aches and pains 
• Muscle spasms 
• Discomfort due to sprains, strains, and other musculoskeletal injuries 

How do you use Norgesic? 

Availability:

Norgesic is available in tablet form. 

Dosage information: 

• Adult dosage is typically one tablet taken three times daily or as prescribed by a healthcare professional. 
• Pediatric use should be under the direct guidance of a physician. 

Suitability: 

• Children: Use in children is generally not recommended without medical advice. 
• Adults: Suitable for adult patients, adhering to prescribed dosages. 
• Elderlies: Dosage adjustment may be necessary due to the slower metabolism of the drug in older adults. 
• Pregnancy: Use only if the potential benefits justify the potential risk to the fetus. 
• Lactation: Not recommended for use by nursing mothers.

Allergies:

Individuals with known hypersensitivity to orphenadrine, paracetamol, or any other constituents of the product should avoid Norgesic.

Any warnings and precautions : 

Caution is advised for patients with pre-existing conditions such as glaucoma, urinary retention, myasthenia gravis, prostate enlargement or gastrointestinal ulcers. 

Interactions and contraindications: 

Concurrent use of Norgesic with alcohol, CNS depressants, MAOIs, other anticholinergics such as atropine, and diphenhydramine is contraindicated. Caution should be exercised to avoid paracetamol overdose when using other paracetamol-containing products.

Side Effects

Side effects may include dry mouth, flushing, nausea, constipation, dizziness, and blurred vision. Serious side effects can include allergic reactions, tachycardia, and difficulty urinating. 

Pharmacist Tips

Storage Information: 

• Store at room temperature, away from excessive heat and moisture. 

Handling Instructions: 

• Do not take more than the recommended dose. Paracetamol overdose can lead to severe liver damage. Avoid alcohol consumption while on this medication. 

Availability

Where is Norgesic available in Hong Kong?

Norgesic is a prescription medication that can be prescribed by healthcare providers.

FAQs

Is Norgesic suitable for all types of pain?

Norgesic is tailored for musculoskeletal pain and may not be suitable for all pain types. Consult your healthcare provider for advice specific to your condition.

How long does it take for Norgesic to work?

Norgesic typically starts to work within an hour of ingestion, but the full effect can vary between individuals.

Can Norgesic be taken with other over-the-counter painkillers?

Caution is needed when combining Norgesic with other medications, especially those containing paracetamol and other drugs with anticholinergic action like atropine, physostigmine and diphenhydramine, to avoid additive effects and possible severe adverse eventsoverdose. Always consult a healthcare professional before combining medications.

What should I do if I miss a dose of Norgesic?

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.

What is the difference between Norgesic and Norgesic Forte?

Norgesic and Norgesic Forte both contain orphenadrine citrate and paracetamol, but in different strengths. Norgesic Forte has a higher dose of orphenadrine citrate compared to regular Norgesic. Due to its stronger formulation, Norgesic Forte is typically used for more severe muscle pain. It is essential to follow healthcare provider instructions on which formulation is appropriate for your specific condition.

For safe and effective use, Norgesic should be taken exactly as prescribed by a healthcare professional. Always inform your doctor about all the medications you are taking and any health conditions you have before starting treatment with Norgesic.