Dosage

Novalgin® is offered in different dosage forms: as drops, film-coated tablets or suppositories. Drops are available in a concentration of 500 mg per ml, film-coated tablets of 500 mg and suppositories of 1000 mg for adults and 300 mg for children under 15 years. Since the dosage of Novalgin® depends not only on the dosage form but also on the type and severity of the disease to be treated and other individual factors such as age, weight or organ function, in case of doubt (e.g. when deciding on dose changes) the information in the package insert should always be followed and/or a physician should be consulted.

Nevertheless, certain guide values can be formulated. For adults and adolescents from 15 years of age the single dose for Novalgin® drops is 500-1000 mg, which normally corresponds to 20 to 40 drops. The maximum daily dose is 3000 mg, i.e. 120 drops.

In case of commercially available film-coated tablets, 1-2 tablets correspond to the single dose and 6 tablets to the maximum dose. In the case of 1000 mg suppositories, a single suppository corresponds to the single dose and three suppositories to the maximum daily dose. For children under the age of 15 years, there are close dose regimens for all three dosage forms of Novalgin® as described below.

In older patients, especially those with known kidney function impairment, the physician should reduce the dosage of Novalgin® as the active ingredient is excreted more slowly in these patients. Important: Before taking Novalgin®, always make sure that you know the dosage of the active ingredient Metamizole in the medication you are using – e.g. how many milligrams of Metamizole are contained in one of your film-coated tablets. This is the only way you can find the correct dosage.

Ten- to 14-year-olds receive 250 to 750 mg(10 to 30 drops) as a single dose or, in the case of film-coated tablets, 8 to 16 mg per kilogram of body weight (for a 40-kg adolescent, this means 320 to 640 mg, which is roughly equivalent to a film-coated tablet with 500 mg). The maximum daily dose of Novalgin® here is about 80 to 100 drops or 2000 mg (4 film-coated tablets). As far as suppositories are concerned, 1000 mg suppositories are no longer suitable, but only the 300 mg suppositories, two of which represent the single dose and 5-6 the maximum daily dose.
For children from seven to nine years of age, a single dose of 200 to 500 mg, i.e. eight to 20 drops or a 300 mg suppository, applies.
Film tablets must not be taken. The maximum daily dose is 60 drops or four 300 mg suppositories.
Four to six-year-olds receive 125 to 375 mg (five to 15 drops or a 300 mg suppository) as a single dose. Film tablets are not suitable.
The maximum daily dose of Novalgin® is approximately 1125 mg, which corresponds to 45 drops or three 300 mg suppositories.
The single dose for one to three year olds is 75 to 250 mg (3 to 10 drops). Film tablets and suppositories are not suitable. The maximum dose is 750 mg (30 drops).
Infants between three months and one year receive 50 to 125 mg (2 to 5 drops) as a single dose and a maximum of 12 drops per day. Film tablets and suppositories are also unsuitable for this purpose.
Novalgin® is not suitable for infants under 3 months of age, neither in drop form nor in film tablet or suppository form.