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Nimesulide

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Nimesulide
File:Nimesulide2.png
Clinical data
Routes of
administration
oral, rectal, topical
ATC code
Legal status
Legal status
  • Prescription only Drug
Pharmacokinetic data
Protein binding>97.5%
MetabolismHepatic
Elimination half-life1.8-4.7h
ExcretionRenal(50%) Fecal(29%)
Identifiers
  • N-(4-Nitro-2-phenoxyphenyl)methanesulfonamide
CAS Number
PubChem CID
CompTox Dashboard (EPA)
ECHA InfoCard100.052.194 Edit this at Wikidata
Chemical and physical data
FormulaC13H12N2O5S
Molar mass308.311

Nimesulide is a prescription non-steroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties and its approved indications are the treatment of acute pain, the symptomatic treatment of osteoarthrosis and primary dysmenorrhoea in ppadolescent]]s and adults above 12 years old. Nimesulide is among the top 5 non-steroidal anti-inflammatory drugs worldwide.

History

It was launched in Italy for the first time as Aulin and Mesulid in 1985 and is presently available in more than 50 countries worldwide, among others France, Portugal, Greece, Switzerland, Belgium, Ireland, [[Mexico], Brazil.

Availability

It is available in a variety of forms: tablets, powder for dissolution in water, suppositories and topical gel. A recent evaluation from EMEA (the European Medicines Agency) concluded that the overall benefit/risk profile of nimesulide is favourable and in line with that of the other NSAIDs (such as for example, diclofenac, ibuprofen, naproxen).

Trade names

Nimesulide is available through the world as original product with the following trademarks: Aulin, Ainex, Donulide, Edrigyl, Eskaflam, Heugan, Mesulid, Nexen, Nimed, Nimedex, Nisulid, Scaflam, Scaflan. Sulidene and Zolan for veterinary use. Many generic and copy-products also exist (Coxtral, Lusemin, Medicox, Nidol, Nimalox, Nimesil, Nimulid, Ventor, Willgo among others).

Pharmacokinetics

Nimesulide is a very effective and fast acting product on pain and inflammation, with a meaningful experience in real life. As many as almost 480 million patients have been treated with nimesulide from its launch until today. The therapeutic effects of Nimesulide are the result of its complete mode of action which targets a number of key mediators of the inflammatory process such as: COX-2 mediated prostaglandins, free radicals, proteolytic enzymes and histamine. Clinical evidence are available to support a particularly good profile in terms of gastrointestinal tolerability. As all anti-inflammatory drugs, it should be taken in compliance with the recommendations included in the patient leaflet.

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