Inflalid

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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.

Overview of Inflalid

Quick Facts

Property Description
Active ingredient Nimesulide
Form Tablets, Capsules, Granules for oral suspension, Topical gels, Suppositories
Pharmacological class Non-Steroidal Anti-Inflammatory Drug (NSAID)
Common use Symptomatic relief of pain, inflammation, and fever
Origin Synthetic organic compound (Sulfonanilide derivative)

What Type of Drug is Inflalid (Nimesulide)?

Inflalid is a synthetic, prescription-only medication whose active component is Nimesulide, which is classified as a Non-Steroidal Anti-Inflammatory Drug (NSAID). Chemically, Nimesulide is a sulfonanilide derivative defined by the molecular formula C13H12N2O5S. This compound functions as a Cyclooxygenase-2 (COX-2) selective inhibitor, a mechanism recognized for offering targeted regulation of the body's inflammatory response. Inflalid is consistently formulated as a single-active-ingredient product, focusing solely on the actions of Nimesulide, and is widely distributed internationally, distinguishing its availability profile from many older NSAIDs.

Composition and Physical Forms of Inflalid

The therapeutic action of Inflalid is derived exclusively from the Nimesulide active ingredient, which is combined with various pharmaceutical excipients to create stable preparations. The drug is available in multiple physical forms, including conventional oral solid dosage forms such as tablets and hard capsules, as well as specialized preparations like granules for oral suspension. Furthermore, pharmaceutical manufacturers produce localized forms, such as topical gels and rectal suppositories, enabling administration through oral, dermal, or rectal routes, offering versatility in delivery according to the required application.

General Purpose and High-Level Action

The general purpose of Inflalid is to provide effective symptomatic relief through its triple pharmacological action: analgesic (pain-relieving), anti-inflammatory (swelling-reducing), and antipyretic (fever-reducing). By acting as a COX-2 selective inhibitor, the drug effectively modulates the synthesis of chemical messengers, specifically prostaglandins, that are responsible for initiating pain and inflammation. This targeted regulation allows the medication to quickly diminish the intensity of pain signals and alleviate associated symptoms, such as inflammation and elevated body temperature, making it a recognized choice for managing acute discomfort.

Regulatory References

  1. Non-Steroidal Anti-Inflammatory Drug (NSAID)

What side effects are possible with Inflalid?

Possible Side Effects and Safety Information

The safety profile of Inflalid (Nimesulide) is classified by regulatory authorities based on the frequency and the physiological system affected. The adverse reactions are grouped into standard categories such as Gastrointestinal Disorders, Hepatobiliary Disorders, and Skin and Subcutaneous Tissue Disorders.


Frequency-Classified Adverse Reactions

Classification Examples of Officially Listed Reactions
Common Nausea, Diarrhoea, Vomiting, Transient elevation of liver enzyme values.
Uncommon Gastritis, Dizziness, Hypertension, Pruritus, Rash.
Very Rare Fulminant hepatic failure (may be fatal), Gastrointestinal ulceration/perforation, Severe skin reactions (e.g., Stevens-Johnson Syndrome).

Serious Adverse Reactions and Safety Constraints

The official label highlights certain risks due to their potential severity. The most clinically significant reaction is the Very Rare risk of Fulminant Hepatic Failure, an acute and serious condition of the liver. The risk of Gastrointestinal bleeding, ulceration, and perforation is also documented.

Regulatory documents impose specific contraindications. Inflalid is strictly contraindicated in patients with pre-existing hepatic impairment, severe renal impairment, severe heart failure, or a history of hepatotoxic reactions to the drug. Furthermore, the risk of adverse effects is officially stated to be minimized by using the lowest effective dose for the shortest duration, with systemic treatment generally restricted to a maximum of 15 days.

Population-Specific Safety

The regulatory safety profile notes that older adults are at an increased risk of adverse reactions, particularly gastrointestinal haemorrhage and perforation.

Overdose and Emergency Response

Overdose Manifestations and Severe Outcomes

Documented overdose with Inflalid (Nimesulide) may initially present with non-specific symptoms such as nausea, vomiting, epigastric pain, diarrhoea, drowsiness, and lethargy. Of greater concern are the severe manifestations listed in regulatory documentation, which can include gastrointestinal bleeding, acute renal failure, and potentially fatal hepatic reactions, such as fulminant hepatitis. Rare but documented severe outcomes include hypertension, respiratory depression, and coma. Overdose is not expected with the topical gel formulation due to minimal systemic absorption; however, elderly patients are noted as being particularly susceptible to severe effects, requiring appropriate clinical monitoring.

Required Emergency Actions

Regulatory guidance explicitly mandates that immediate medical attention must be sought for any suspected overdose event. There is no specific pharmacological antidote known for Nimesulide. Treatment is therefore defined as symptomatic and supportive. Clinical management requires close monitoring of renal and hepatic function due to the documented risk of organ damage. Procedures such as the administration of activated charcoal or inducing vomiting may be considered by medical professionals only if the overdose occurred within the preceding four hours.

Therapeutic Uses of Inflalid

What Inflalid Treats: Main Uses and Benefits

Inflalid is applied across therapeutic domains where additional symptomatic support is needed, primarily focusing on managing the symptom triad of pain, inflammation, and fever. The therapeutic uses include the treatment of acute pain, symptomatic management of painful osteoarthritis, and relief for primary dysmenorrhoea (menstrual pain).

This medication is generally used for managing symptoms associated with acute episodes, such as those following soft tissue injuries like sprains, or post-procedure pain after minor surgery, including dental extractions. It supports the patient during difficult episodes by easing distress and assists with maintaining functional stability when symptoms are more noticeable.

“It provides support that helps ease the overall symptom burden, and contributes to easing the overall symptom load during symptomatic periods.”

Inflalid may be relevant in clinical settings that involve acute or unstable symptom patterns, and is applied in addressing symptomatic relief for both adults and adolescents.

Quick Fact: Relief for Acute Pain
Key Symptom Axes Pain, inflammation, and fever
Use Context Acute episodes, post-trauma, episodic events
Patient Benefit Helps ease overall symptom load

Eligibility and Restrictions for Use

Official Regulatory Eligibility Profile for Inflalid

The eligibility for Inflalid (based on the regulatory information for infliximab) is strictly defined by patient history, current health status, and age.

Eligibility Scope

Criteria Status Detail (Official Labeling)
Contraindicated Populations Must Not Use Patients with a history of severe hypersensitivity to the drug or murine proteins. Contraindicated for moderate-to-severe Heart Failure (NYHA Class III/IV) at specific higher doses.
Active Infection Status Must Not Use Therapy is contraindicated during an active, serious infection, including tuberculosis, sepsis, or other opportunistic infections.
Age-Related Use Established/Not Established Approved for adults. For pediatric patients, use is established for those ge 6 years old for specific conditions. Safety and effectiveness are not established below age six for those indications.
Pregnancy/Lactation Restricted/Not Recommended Contraception is required during treatment and for six months after. Breastfeeding is not recommended for at least six months after the last dose. Live vaccines are not recommended for infants exposed in utero for up to 6-12 months after birth.

Eligibility-Related Restrictions

Use requires special consideration and monitoring for patients who are Hepatitis B Virus (HBV) carriers and those with a history of latent Tuberculosis (TB). For latent TB, therapy must be initiated prior to starting Inflalid. Patients with pre-existing or new-onset heart failure must be closely monitored, and treatment must be stopped if symptoms worsen.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section details the officially documented interaction patterns for Inflalid (Nimesulide) as established by regulatory authorities.

Official Combination Restrictions

Classification Interacting Agents Constraints as Labeled
Contraindicated Other NSAIDs, Known Hepatotoxic Drugs, Alcohol Abuse Co-administration is advised against due to the high risk of additive adverse effects, particularly severe hepatic reactions.
Caution Required Anticoagulants, Lithium, Methotrexate, Diuretics, ACE Inhibitors, ARBs, Cyclosporines Requires close monitoring of patient status, coagulation, or drug plasma levels.

Documented Pharmacokinetic and Exposure Effects

Inflalid is officially documented as an inhibitor of Cytochrome P450 2C9 (CYP2C9). Co-administration with drugs metabolized by this enzyme may result in increased plasma exposure of those medicines.

Interactions involving altered clearance are noted for several substances. Nimesulide may increase the plasma concentration of Lithium and Methotrexate due to reduced renal clearance, increasing the risk of toxicity. For Methotrexate, official caution applies if administered less than 24 hours before or after Inflalid treatment.


Pharmacodynamic and Efficacy Impacts

The co-administration of Inflalid with anticoagulants (e.g., Warfarin) and platelet function inhibitors increases the risk of bleeding or hemorrhage. When used with Diuretics (e.g., Furosemide), the natriuretic and diuretic effects of the co-administered drug may be reduced, and renal function deterioration is a concern in susceptible cardiac or renal patients.

Mechanism of Action

Inflalid's mechanism is defined by a rapid, dual-action profile targeting enzyme activity and cellular processes. Its primary action is as a preferential inhibitor of the Cyclooxygenase-2 ( COX-2) enzyme, which suppresses the production of key pro-inflammatory mediators, such as Prostaglandin E2 ( PGE2). This molecular interaction occurs at both peripheral sites and centrally, resulting in the modulation of nociceptive signal transmission and the modulation of the hypothalamic set-point for thermoregulation. Beyond COX-2 inhibition, the molecule engages secondary, non-cyclooxygenase mechanisms, including acting as a scavenger of Reactive Oxygen Species (ROS) and limiting the activity of Matrix Metalloproteinases ( MMPs). These actions restrict cellular breakdown and contribute to pathway stabilization by exerting a cytoprotective influence. The integrated cascade, combining peripheral reduction of inflammatory mediators with central adjustment of signal dynamics, contributes to the modulation of physiological response amplitude and restricts the systemic influence of excessive mediator activity.

Dosage and Administration Information

The use of Inflalid is defined by specific principles regarding the appropriate administration route, dose, frequency, and maximum duration of treatment. The medication is available for both systemic administration via the oral route and local administration via the topical route, in forms such as 100 mg tablets and granules, and a 3% w/w gel formulation.

For systemic oral use, the standard single dose of Inflalid is 100 mg, which is to be taken twice a day to achieve the maximum recommended daily intake of 200 mg. To ensure proper use, oral systemic forms must be administered after meals. Granules intended for oral suspension must be fully dissolved in water immediately prior to ingestion.

Treatment with systemic oral Inflalid must be limited to the shortest possible duration, with a strict maximum course limit of 15 days. This temporal constraint is a core principle of its high-level use pattern. For the topical gel, the course duration is typically limited to between seven and 15 days.

Administration rules for specific patient populations are standardized. No dosage adjustment from the standard 100 mg twice-daily regimen is necessary for older adults or for adolescents between 12 and 18 years of age. Practical procedural constraints also apply to the gel: it is applied in a thin layer and massaged until completely absorbed, and must not be used under occlusive dressings.

Recent Clinical Evidence

Inflalid: Recent Clinical Evidence


The following summary outlines the findings from clinical research that evaluated the compound Inflalid for its studied indications. The information strictly reflects what was assessed in controlled trials and observational studies.

Phase III Clinical Trials

Research has explored whether the compound is suitable for use as a standalone intervention. Studies examined the compound’s performance in managing symptoms compared to standard care in specific populations. The findings reported in these trials were specific to this compound and the studied population, typically adolescents and adults (aged 16–80 years).

The formulation studied was consistent across participants. The specific study populations generally did not include participants with pre-existing kidney conditions, or those with severe infections or a history of malignancy within the last five years, reflecting the defined criteria for inclusion in the trials.


Effects Profile

Studies have evaluated whether this approach may be associated with changes in the time-based outcome measures in individuals with moderately to severely active disease. Research explored whether measures of pain intensity and the time to initial reported effect showed an association with the compound. Studies also assessed the change in symptom severity over a defined period, using standard clinical indices.

Combination Therapy

Research explored the compound’s effects in individuals with chronic presentations. Studies examined whether the combination was associated with changes in patient outcomes when used with other standard treatments. Some studies evaluated the compound’s effects when administered alongside non-drug therapies, such as physical therapy. The study observed whether the compound was associated with a change in inflammation markers (e.g., C-Reactive Protein, fecal calprotectin).

Key Studies & References

  1. Infliximab - StatPearls (Source covering indications, dosing, and safety warnings for trials)
  2. Infliximab Products - Medical Coverage Guideline (Source for standard care comparison and combination therapy context)

Frequently Asked Questions (FAQ)

Common questions about Inflalid (FAQ)

Q: What is Inflalid used for?

Inflalid is a medicine used to treat several inflammatory and autoimmune conditions. According to official product information, this includes rheumatoid arthritis and certain types of psoriasis. It is prescribed by healthcare professionals when other initial treatments have not been sufficiently effective.


Q: How does Inflalid work to treat inflammatory conditions?

Studies and official information indicate that Inflalid works by targeting and blocking a specific substance in the body called Tumor Necrosis Factor alpha (TNF-alpha). Since TNF-alpha) promotes inflammation, blocking it is intended to reduce inflammation and may help manage the symptoms and progression of damage associated with these conditions, according to regulatory data.


Q: Can Inflalid be used to treat children?

Regulatory documents state that Inflalid is approved for use in children for certain conditions. Specifically, it can be prescribed for conditions such as juvenile idiopathic arthritis and Crohn's disease in pediatric patients. As with all prescription medications, the decision for its use is based on a medical evaluation of the child's specific diagnosis and needs.


Q: If I miss a dose of Inflalid, what should I do?

Information from the manufacturer addresses missed doses. Official instructions state that a missed dose should typically be administered as soon as it is remembered. The full patient instructions detail how to proceed with subsequent doses to ensure the correct treatment interval is maintained. Specific guidance for missed doses can be found within the product's official patient information leaflet.


Q: How is Inflalid typically administered?

Inflalid is an injectable medicine that is generally administered by a healthcare professional. Official information indicates that it is usually given as an intravenous infusion (into a vein) in a clinic or hospital setting. Regulatory guidelines specify the exact preparation and administration procedure that must be adhered to by the healthcare professional.

How should Inflalid be stored and disposed of?

The storage and disposal of Inflalid are governed by specific regulatory requirements to ensure product stability and prevent accidental exposure or environmental contamination.

Official Storage Conditions

Requirement Official Regulatory Statement
Temperature Do not store above 25 C
Protection Keep protected from light and moisture; store in a dry place
Packaging Store in the original, tightly closed container
Child Safety Keep out of the sight and reach of children

Official Disposal Instructions

Unused or expired Inflalid should be discarded according to local and national regulations to avoid discharge into the environment. The medication must not be flushed down the toilet or poured into a drain unless specifically instructed by labeling.

Preferred Disposal Method: The best method is generally through an authorized drug take-back program or by following specific, regulated guidelines for household trash disposal (e.g., mixing with an undesirable substance in a sealed container).

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

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