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Анальгин-ЭкстраКап

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Анальгин-ЭкстраКап

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Анальгин-ЭкстраКап

Quick Facts

Property Description
Active Ingredient Sodium Metamizole (Dipyrone)
Form Capsule
Pharmacological Class Non-opioid Analgesic, Antipyretic, Spasmolytic
General Purpose Symptomatic relief of pain and fever
Origin Synthetic compound (Pyrazolone derivative)

What is Анальгин-ЭкстраКап? Identity, Classification, and Composition

Анальгин-ЭкстраКап is a registered medicinal preparation containing the active substance Sodium Metamizole, which is internationally recognized as Dipyrone. This compound is classified as a non-opioid analgesic and an antipyretic. The medicine is primarily used for pain relief and fever reduction and does not belong to the narcotic category. Metamizole is characterized by its efficacy against acute pain, supporting its application in various clinical contexts. Chemically, Metamizole is a synthetic Pyrazolone derivative, a distinct grouping that ensures its unique spectrum of effects. As a single-component product, its therapeutic efficacy stems solely from the Metamizole sodium it contains.

The Form and Nature of Анальгин-ЭкстраКап

The specific product, Анальгин-ЭкстраКап, is manufactured and presented in the dosage form of a capsule, which is designed for convenient and measured oral administration. The capsule form differentiates this product from the classic tablets or injectable solutions of Metamizole, with the designation generally signifying a particular oral formulation designed for reliable delivery. Metamizole is a well-established substance derived entirely from a synthetic origin. The composition includes the active drug along with standard pharmaceutical excipients necessary for the stability and proper oral delivery.

General Purpose: What Does Анальгин-ЭкстраКап Help Relieve?

The overall purpose of the medicine is the swift and comprehensive symptomatic management of acute discomfort and elevated body temperature. Sodium Metamizole delivers a triple pharmacological action (analgesic, antipyretic, and antispasmodic) on the nervous system. This drug provides pain relief while also helping to relax the smooth muscles of internal organs. This profile, which includes a significant spasmolytic action, means the medicine is specifically suited for addressing acute pain where a combination of these three effects is required, such as in cases of muscular discomfort or spasmodic internal pain.

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What side effects are possible with Анальгин-ЭкстраКап?

Possible Side Effects and Safety Information

The safety profile of Sodium Metamizole, the active component in Анальгин-ЭкстраКап, is defined by classifications of adverse reactions across several systemic organ classes documented in official regulatory labeling.

Serious and Infrequent Adverse Reactions

The most clinically significant documented risk is agranulocytosis, a severe decrease in certain white blood cells, which is typically classified as rare in regulatory documents. Agranulocytosis is noted to occur at any time during treatment or shortly after stopping the medicine, even following previous uncomplicated use. Other rare but serious risks include Severe Cutaneous Adverse Reactions (SCARs), such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN).

Anaphylactic shock, a life-threatening allergic reaction, is categorized as a serious, albeit uncommon, risk. Adverse effects concerning the Hepatobiliary system include the potential for acute hepatitis and, in rare instances, acute liver failure.

Systemic and High-Level Safety Constraints

Adverse events involving the Vascular system may include severe hypotension (low blood pressure), which is often classified as a common effect. The official safety labeling establishes contraindications for specific patient groups, including individuals with a prior history of Metamizole-related agranulocytosis or conditions affecting blood cell formation. Use is also contraindicated during the third trimester of pregnancy and while breast-feeding. For patients with renal or hepatic impairment, the medicine's elimination rate is reduced, requiring specific caution in its use.

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Overdose and Emergency Response

The official regulatory documentation for Metamizole overdose describes a spectrum of acute manifestations that necessitate immediate medical intervention. Overdose typically presents with initial effects such as mild gastrointestinal symptoms (nausea, vomiting, abdominal pain), somnolence, and vertigo. However, exposure to high doses carries the potential for severe, life-threatening outcomes.

Serious manifestations include acute renal failure and profound effects on the cardiovascular system, such as a critical drop in blood pressure (hypotension) leading to circulatory collapse or shock. Patients with pre-existing hepatic or renal impairment have a reduced elimination rate, which increases the risk of toxicity and potential overdose consequences.


When Immediate Medical Help is Required

  • Any suspected overdose requires that you seek immediate medical attention.
  • The appearance of specific, severe symptoms, such as fever, chills, sore throat, or painful mucosal changes (signs of potential blood dyscrasia), mandates that you immediately consult a physician and discontinue treatment.

There is no specific antidote available for Metamizole overdose. Official management relies on supportive and symptomatic treatment. Regulatory requirements mandate specific monitoring, including continuous cardiovascular observation for hypotension and follow-up blood count monitoring if hematological compromise is suspected.

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Therapeutic Uses of Анальгин-ЭкстраКап

What Analgin-ExtraCap Treats: Main Uses and Benefits

Анальгин-ЭкстраКап is applied across domains where symptomatic support is needed, addressing pain, fever, and spasm.

This medication is commonly used across conditions presenting with symptoms related to physical discomfort, addressing manifestations such as headache, muscle aches, joint discomfort, toothache, and pain following trauma or surgical procedures. It provides support that helps ease the overall symptom load, contributing to symptomatic relief during acute or disruptive episodes.

In cases involving visceral pain that interferes with daily functioning, such as renal or biliary colic and severe menstrual pain, the medicine provides supportive relief that may help patients cope more steadily with the difficult manifestations of episodic discomfort. It is also relevant in clinical settings marked by elevated body temperature.

“This medication is primarily relevant when supportive symptom management is appropriate for conditions marked by heightened discomfort or tension.”


Symptomatic Relief Categories

Symptom Cluster Typical Contexts of Use Therapeutic Benefit
Pain (Moderate-to-Severe) Post-traumatic, Headache, Postoperative Contributes to easing overall symptom load
Spasm (Visceral Discomfort) Renal/Biliary Colic, Dysmenorrhea Assists with managing difficult discomfort
Fever (High/Persistent) Acute infectious or inflammatory states Assists with maintaining functional stability

Regulatory References

  1. NIH LiverTox overview of Metamizole
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Eligibility and Restrictions for Use

This information outlines the population eligibility and non-eligibility for products containing metamizole, the active substance in Анальгин-ЭкстраКап, as defined by official government health authorities.

Populations Who Must Not Use This Medicine (Contraindications)

Official regulatory documents strictly prohibit the use of this medicine in several groups:

  • Hypersensitivity History: Individuals with a known allergy to metamizole, other pyrazolone derivatives (like propyphenazone, phenazone), or any component of the drug.
  • Blood Disorders: Patients with impaired bone marrow function (e.g., following chemotherapy) or pre-existing diseases of the hematopoietic system, which includes those with a history of agranulocytosis caused by metamizole or related medicines.
  • Specific Conditions: Patients with acute intermittent hepatic porphyria or congenital glucose-6-phosphate dehydrogenase deficiency.
  • Pregnancy and Lactation: Use is generally contraindicated during the third trimester of pregnancy due to documented risks to the fetus. It is also contraindicated during breastfeeding, as metabolites pass into milk in considerable amounts.

Eligibility Constraints and Considerations

  • Age: The medicine is generally contraindicated in infants under a certain age or weight (e.g., below three months or 5 kg body weight). Eligibility for older children and adolescents is determined by product-specific strength and body weight, typically from 15 years of age for adult-strength oral dosage forms.
  • Organ Function: Use requires caution or may be not recommended in individuals with pre-existing impaired renal (kidney) or hepatic (liver) function, as dosage adjustment or closer monitoring may be necessary. Older adult patients are also advised to use the medicine with caution.
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What should I know about interactions with other medicines?

The official regulatory profile for this medicine is characterized by pharmacokinetic effects and specific pharmacodynamic risks. This information is derived from government-approved prescribing data.

Interaction Scope

Medicinal product categories with officially documented interactions include Immunosuppressants, Anti-platelet Agents, certain Antipsychotics, and agents metabolized by specific Cytochrome P450 (CYP) enzymes. The mechanistic basis involves both enzyme induction (CYP3A4, CYP2B6, CYP2C19) and enzyme inhibition (CYP1A2), leading to documented alterations in the exposure of co-administered drugs. Co-administration with low-dose Acetylsalicylic acid requires a mandatory separation in time to preserve the intended anti-platelet effect.

Resulting Interaction Structure

Official statements highlight several clinically significant interactions. Co-administration with Cyclosporine results in a documented decrease in serum levels, an effect linked to enzyme induction. The combination with Methotrexate carries an officially stated additive risk for hematologic toxicity. A further pharmacodynamic risk exists with Chlorpromazine, where co-administration may lead to severe hypothermia. This structure, as defined by government regulatory documents, places constraints on the use and timing of co-administered CYP substrates and specific drugs due to the potential for reduced efficacy or increased toxicity.

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Mechanism of Action

How Анальгин-ЭкстраКап Works: A Multi-Target Mechanism

The action of this combination drug is achieved through three complementary mechanistic domains that modulate overactive physiological processes (e.g., heightened nociceptive and contractile activity).

Modulating Nociceptive Signals via Central Pathways One component primarily targets the cyclooxygenase (COX) enzyme system in the central nervous system, reducing the synthesis of prostaglandins, which are chemical mediators that enhance nociceptive transmission. This process modifies the threshold for nociceptor response and dampens the magnitude of central nociceptive transmission reaching the brain.

Direct Modulation of Smooth Muscle Contraction A second component operates as a musculotropic agent, directly influencing the contractile apparatus of smooth muscle tissue in visceral organs. By modulating the levels of intracellular calcium ions and cyclic nucleotides, it supports the modulation of muscle fiber contractile status, representing a mechanism supporting the cessation of involuntary muscle contraction.

Dampening Neurogenic Contractile Signals The third mechanistic domain involves competitive antagonism at muscarinic cholinergic receptors. Blocking the neurotransmitter acetylcholine at these sites interrupts the neurogenic cascade that signals the smooth muscle to contract. This contributes to the dampening of cholinergic transmission across the autonomic synapse, providing a complementary pathway to modify muscle contraction dynamics.

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Dosage and Administration Information

How to use Анальгин-ЭкстраКап — Administration Guidelines

This section outlines the administration and dosing principles for the active substance, Sodium Metamizole.

Administration Scope

Feature Guideline
Route of Administration The specific product, Анальгин-ЭкстраКап, is for the oral administration route, typically involving swallowing the capsule whole. The active ingredient is also available in other forms for intravenous, intramuscular, and rectal use.
Dosing Schedule (Adults 15 years and older) The standard single dose of Metamizole should not exceed 1,000 mg. Administration should utilize the lowest possible dose that achieves the desired effect.
Timing in relation to meals There is no specific requirement to take the medicine with or without food.
Age-group administration rules Adults/Adolescents (15 years and older): Follow standard adult dosing. Pediatrics (14 years and under): Dosing is based on body weight, typically 8 mg/kg to 16 mg/kg per single dose.

Instruction Classifications (High-Level)

Classification Detail
Frequency pattern Doses can be taken up to 4 times daily, provided a minimum interval of 6 to 8 hours is maintained between administrations.
Maximum Daily Dose The maximum intake should not exceed 4,000 mg of Metamizole within a 24-hour period.
Use-context constraints Individuals with known hepatic or renal impairment may require a dose reduction, a principle common in pharmacotherapy for impaired organ function.
Special procedural conditions Following oral administration, the clinical action is generally expected to begin within 30 to 60 minutes.

Resulting Procedural Structure

The procedural protocol for using the oral capsule establishes clear boundaries for proper administration. The primary steps involve determining the lowest effective dose, ensuring administration is via the oral route, and adhering to the minimum 6- to 8-hour time interval between administrations. It is also required that the maximum daily limit of 4,000 mg is not surpassed. The use of the medicine is intended for short-term, acute needs.

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Recent Clinical Evidence

Анальгин-ЭкстраКап: Recent Clinical Evidence

Evidence for Acute Pain Management

Research has examined the use of the medicine in settings involving acute pain after procedures (postoperative) and in conditions involving muscle spasm and visceral discomfort, such as colic. Studies primarily include short-term Randomized Controlled Trials (RCTs) and systematic reviews applied to adult and pediatric populations. Findings describe patterns related to measured pain intensity scores in the first 24 hours compared to placebo controls. Studies monitored the patient requirement for supplemental pain medication in the hours following a procedure. However, evidence is limited to short observation periods, and comparative data against all active pain treatments are lacking.


Evidence for Headache, Musculoskeletal Pain, and Fever

Research was conducted to examine the use of the medicine for headache and acute low back pain, often using controlled trials over intermediate follow-up periods of several weeks. Separately, the drug was evaluated for fever (antipyresis) in febrile children and, through observational research, in specialized settings involving critically ill adults. Studies monitored outcomes related to the reduction in body temperature. Comparative evidence regarding the effects related to temperature reduction in the general adult population is lacking.


Research Gaps and Special Populations

Available research focuses predominantly on acute scenarios, meaning follow-up durations were limited and do not provide context on longer-term outcomes over many months. Data for certain subgroups, including patients with comorbid conditions or those in highly specialized hospital settings, remain insufficient for comprehensive conclusions. The evidence quality varies across studies, and the research highlights areas where systematic comparative evidence is needed. The results apply only to the specific populations studied.

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Frequently Asked Questions (FAQ)

Common questions about Анальгин-ЭкстраКап (FAQ)

Q: How quickly does Анальгин-ЭкстраКап typically start working?

Official regulatory documents indicate that the clinical action of the medicine is generally expected to begin within 30 to 60 minutes after it is taken orally.


Q: How long does the effect of Анальгин-ЭкстраКап usually last?

The required minimum time between administrations is 6 to 8 hours. This dosing interval, as outlined in official administration principles, provides context for the expected duration of the drug’s effects.


Q: Can someone who is pregnant or breastfeeding use Анальгин-ЭкстраКап?

The use of this medicine is strictly contraindicated (prohibited) during the third trimester of pregnancy and while breastfeeding, as the drug's metabolites can pass into breast milk. For the first and second trimesters, official guidance generally discourages use due to potential risks to the developing fetus.


Q: Does Анальгин-ЭкстраКап interact with blood thinners?

Official statements describe potential interactions with anti-platelet agents, such as low-dose aspirin, where a time separation may be required to preserve the desired anti-platelet effect. Regulatory information also indicates a need for caution when the medicine is co-administered with certain blood pressure medications.


Q: Is there official research evidence supporting the uses of Анальгин-ЭкстраКап?

Yes, research evidence exists, primarily from short-term clinical studies. These studies, including Randomized Controlled Trials (RCTs), have examined its use in the management of acute pain, fever reduction, and conditions involving muscle spasm.


Q: What does the research say about the effectiveness of the main ingredient?

Studies have documented patterns related to pain intensity scores and the reduction of body temperature. Findings from short-term clinical trials support its use for acute pain, with results often compared against placebo.


Q: Does taking Анальгин-ЭкстраКап with food change how it works?

Official regulatory documents do not specify a requirement to take the medicine with or without food. Information on whether food consumption alters its overall absorption or clinical effect is not typically highlighted in general product information.


Q: What happens in the case of an overdose with Анальгин-ЭкстраКап?

An overdose may lead to symptoms such as gastrointestinal toxicity, impaired kidney function, or severe low blood pressure (hypotension). In the event of a suspected overdose, seeking urgent medical attention is an established protocol.


Q: Is Анальгин-ЭкстраКап the same as regular Analgin?

Both products share the same active ingredient, Sodium Metamizole (Dipyrone). However, 'Анальгин-ЭкстраКап' is a specific brand name that refers to the medicine being presented in the dosage form of a capsule, which distinguishes it from classic tablets or injectable solutions.


Q: Is Анальгин-ЭкстраКап available without a prescription?

The regulatory status of metamizole-containing medicines, including whether they are available by prescription only or over-the-counter, varies widely between different countries. Availability is determined by the specific rules of the national health authority in each region.


Q: Are there any special warnings about long-term use of Анальгин-ЭкстраКап?

The medicine is generally intended for short-term, acute needs. Potential serious adverse events, such as a severe blood disorder called agranulocytosis, are noted to occur at any time during treatment, even following prolonged use or shortly after stopping the medicine.


Q: What should be avoided when taking Анальгин-ЭкстраКап?

Official regulatory warnings state that use is contraindicated in individuals with certain blood disorders or during the third trimester of pregnancy. Co-administration with Methotrexate is documented in regulatory labeling as carrying an increased risk of toxicity.


Q: Do older adults need to be careful when considering Анальгин-ЭкстраКап?

Official documentation indicates that caution is necessary when the medicine is used in older adult patients. This is primarily because the medicine’s elimination rate may be reduced in individuals with pre-existing impaired kidney or liver function, a factor more common in this population.


Q: Is Анальгин-ЭкстраКап used for joint pain?

The medicine is classified as an analgesic (pain reliever) for symptomatic relief. Research has examined its use for musculoskeletal pain, and its analgesic action is applicable to various forms of pain, but it is not typically designated as a primary anti-inflammatory treatment specifically for joint conditions.


Q: Why is it sometimes referred to as a painkiller?

The medicine is classified by authoritative bodies as a non-opioid analgesic and is primarily used for pain relief. 'Painkiller' is a common, non-medical description of any medicine with a primary analgesic action.


Q: Are there any known interactions with herbal supplements?

The medicine can affect how the body processes certain substances through enzyme induction. This mechanism indicates a potential for interaction with various co-administered drugs and supplements metabolized by the same enzymes, although official labeling may not list all specific herbal interactions.


Q: Is it common to feel drowsy after taking Анальгин-ЭкстраКап?

Drowsiness (somnolence) and dizziness are adverse events reported for the active substance. Regulatory data notes these as potential side effects, although they are not universally classified as common effects in all product information summaries.


Q: Can Анальгин-ЭкстраКап be crushed or opened?

The product is presented as a capsule specifically for convenient and measured oral administration. The official guidance requires swallowing the capsule whole and does not include instructions for crushing or opening. Altering the form could change how the medicine is released into the body.


Q: Is there a risk of developing a dependency on Анальгин-ЭкстраКап?

No. The active substance, Sodium Metamizole, is classified as a non-opioid analgesic. It is generally described in regulatory discussions as having a low potential for dependency, which differentiates it from narcotic pain medications.


Q: What is the role of the 'ЭкстраКап' part of the name?

The designation 'ЭкстраКап' specifically refers to the product's dosage form, which is a capsule. This designation is used to identify this particular oral formulation of the medicine.


Q: Is Анальгин-ЭкстраКап approved in the United States (FDA)?

The active ingredient, metamizole, is not currently approved for use or sale in the United States by the Food and Drug Administration (FDA) due to regulatory concerns related to the rare risk of a serious blood disorder.


Q: What is the distinction between 'side effects' and 'adverse reactions' for Анальгин-ЭкстраКап?

In official regulatory labeling, the term 'adverse reactions' is used to describe the undesirable effects associated with the drug that have been documented through clinical studies or post-market surveillance. This is a more formal and technical term for what is commonly understood as 'side effects.'


Q: Why is there sometimes controversy or differing regulatory status for the main ingredient?

The varying regulatory status of the active substance in different countries is primarily due to the rare but recognized risk of agranulocytosis. This serious blood disorder has led some health authorities to prohibit its sale, while others maintain authorization with strict risk management measures.


Q: Is it safe to drive after taking Анальгин-ЭкстраКап?

Since the medicine may cause dizziness or drowsiness, patients are alerted to the potential for impaired attention when engaging in activities such as driving or operating machinery. This is a factor to consider based on the product’s safety information.


Q: Can Анальгин-ЭкстраКап be taken with other pain relievers?

Regulatory information indicates a need for caution regarding the co-administration of this medicine with other pain relievers, especially those that carry a similar risk profile, such as the potential for hematologic toxicity. It is important to avoid unauthorized combination with certain other analgesics.


Q: Does Анальгин-ЭкстраКап interact with medicines for blood pressure?

Yes, regulatory information indicates that the active ingredient may decrease the activity of certain blood pressure-lowering medicines (antihypertensives). The potential for reduced activity means closer monitoring may be a consideration if these medicines are used together.


Q: What should I do if I suspect an allergic reaction to Анальгин-ЭкстраКап?

Anaphylactic shock and other severe allergic reactions are potential risks. Official regulatory guidance describes that in the event of severe symptoms such as fever, mouth ulcers, sore throat, or sudden difficulty breathing, the established protocol is to stop the treatment and seek urgent medical assessment.


Q: Is the main ingredient in Анальгин-ЭкстраКап banned in some countries?

Yes. The active ingredient, metamizole, has been withdrawn or prohibited in a number of countries, including the United States, United Kingdom, and Australia. This decision is based on national health authorities’ assessment of the risk-benefit balance, particularly concerning agranulocytosis.


Q: Does Анальгин-ЭкстраКап treat the cause of pain, or just the symptom?

The medicine is for the symptomatic management of acute discomfort and fever. Its mechanism of action addresses the signals that cause the sensation of pain, rather than treating the underlying medical condition that is the root cause of the pain.


Q: What is the current regulatory view on the safety of the main component in Анальгин-ЭкстраКап?

The regulatory view is not universal. While some authorities have prohibited its use, others recognize it as a powerful analgesic and maintain its authorization. These authorities have implemented risk minimization measures to manage the rare but serious risk of agranulocytosis.


Q: Can this medicine be used by people with asthma?

Caution may be required for individuals with asthma, especially those with a history of analgesic-induced asthma. Regulatory safety reviews note that asthma exacerbations are a very rare, but recognized, potential complication with this class of medicine.


Q: Is there an age limit for taking Анальгин-ЭкстраКап?

Yes. The medicine is generally contraindicated for infants below three months of age or below 5 kg of body weight. For the adult-strength oral capsule, eligibility generally begins for adolescents aged 15 years and older.


Q: How does Анальгин-ЭкстраКап compare to paracetamol (high-level comparison of drug class)?

The active substance is classified as a non-opioid analgesic and antipyretic. Unlike paracetamol, it is a pyrazolone derivative and includes an antispasmodic action. In some clinical guidelines, its use is considered when first-line analgesics, such as paracetamol, are not appropriate or have been unsuccessful.

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How should Анальгин-ЭкстраКап be stored and disposed of?

Official Storage and Disposal Requirements

Storage and disposal requirements for Анальгин-ЭкстраКап are defined by regulatory labeling to ensure product quality and safety.

Storage Conditions

Requirement Official Statement
Temperature Store at controlled room temperature, typically not exceeding 25, C or 30, C.
Protection Keep in the original container to protect from light and moisture. Do not freeze.
Access Store out of the sight and reach of children.

Disposal Instructions

Discard unused or expired medication according to local pharmaceutical waste regulations. Regulatory guidelines prohibit placing the product in household trash or disposing of it via wastewater (e.g., flushing down a toilet). The product must be taken to a designated collection point, such as a pharmacy, for safe disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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