Noxidol

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Noxidol

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

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 Noxidol

Property Description
Active Ingredients Lornoxicam and Paracetamol (Acetaminophen)
Form Oral Tablet
Pharmacological Class Non-steroidal Anti-inflammatory Drug (NSAID) and Non-opioid Analgesic/Antipyretic
General Purpose Symptomatic relief from pain and inflammation
Origin Synthetic Combination Medicine

What Type of Medicine is Noxidol?

Noxidol is a synthetic, fixed-dose combination medicine provided as an oral tablet, officially classified as a product with both Non-steroidal Anti-inflammatory Drug (NSAID) and Non-opioid Analgesic/Antipyretic properties. Lornoxicam, one of its active components, is categorized within the oxicam class of anti-inflammatory agents. This combination is clinically recognized for providing relief compared to many single-agent formulations, positioning it for use in situations requiring dual-action therapy.

Composition: The Two Active Ingredients

The medicine contains the active ingredients Lornoxicam and Paracetamol (Acetaminophen). Lornoxicam is a derivative belonging to the Oxicam class, while Paracetamol is an aniline derivative. Lornoxicam is used in managing acute pain and provides analgesia. This pharmacological profile supports the use of the NSAID component for easing discomfort. Both components are synthetic chemical entities combined with various solid excipients to create the final oral dosage form.

What is the General Purpose of Noxidol?

The general purpose of Noxidol is to achieve efficient symptomatic relief that combines analgesic (pain-relieving) and anti-inflammatory effects. Paracetamol provides antipyretic (fever-reducing) action and acts as a central analgesic. This component works by increasing pain tolerance and helping to lower fever. This particular dual mechanism is utilized for managing severe acute pain associated with conditions such as acute musculoskeletal disorders, targeting both the inflammation and the pain sensitivity contributing to the discomfort.

Regulatory References

  1. Acetaminophen (Paracetamol) Drug Information - MedlinePlus

What side effects are possible with Noxidol?

Possible Side Effects and Safety Information: Noxidol

Noxidol is a combination medicine containing an analgesic (Paracetamol/Acetaminophen) and a Non-Steroidal Anti-Inflammatory Drug (NSAID) (Lornoxicam). Like all medications, it can cause side effects, though not everyone experiences them. Side effects are often more likely with higher doses or prolonged use.

Common Side Effects

The most frequently reported side effects are gastrointestinal, which are typical for NSAIDs. These generally do not require medical attention and may lessen as the body adjusts to the medication:

  • Nausea and vomiting
  • Indigestion or heartburn
  • Stomach pain
  • Diarrhea

Serious Warnings and Precautions

Noxidol carries risks associated with both its components. Serious, though less common, side effects require immediate medical attention:

System Serious Potential Concerns
Gastrointestinal Ulceration and bleeding in the stomach or intestines (black/tarry stools, vomiting blood, severe abdominal pain).
Cardiovascular Increased risk of serious cardiovascular events, such as heart attack and stroke, especially with long-term, high-dose use.
Hepatic (Liver) Liver damage or failure, particularly with overdose of the acetaminophen component (jaundice, severe fatigue).
Allergic Reactions Severe skin reactions or anaphylaxis (difficulty breathing, swelling of the face/throat, hives).

Contraindications and Safety Advice

Noxidol should generally be avoided by individuals with an allergy to its components or other NSAIDs, those with active peptic ulcer disease, gastrointestinal bleeding, severe heart failure, severe kidney or liver impairment, or bleeding disorders. Consult a healthcare provider before use if you are pregnant, breastfeeding, have a history of heart or kidney issues, or are taking other medications, especially other painkillers, blood thinners, or corticosteroids. Avoid alcohol consumption while taking this medicine as it may increase the risk of gastrointestinal damage and drowsiness.

Overdose and Emergency Response

Overdose and when to seek help

Any suspected overdose of Noxidol requires immediate medical attention, regardless of the patient's apparent condition. Regulatory documents mandate contacting emergency services immediately, as severe consequences can be delayed and life-threatening.

Documented Manifestations and Severe Outcomes

Initial manifestations may be subtle, often including pallor, nausea, vomiting, and abdominal discomfort. However, the most serious documented outcomes involve acute hepatic necrosis (risk from the paracetamol component) and severe acute renal failure or gastrointestinal haemorrhage (risk from the lornoxicam component). These severe effects may not appear until 24 to 48 hours after ingestion, constituting a critical latent toxicity risk described in official labeling. Increased severity is noted for certain populations, including chronic alcohol users and individuals with pre-existing hepatic or renal impairment.

Official Management Requirements

Management is primarily symptomatic and supportive. For the paracetamol component, the specific antidote N-acetylcysteine is administered based on plasma concentrations and established protocols. Official procedures include the use of activated charcoal and mandatory hospital monitoring of liver function tests and renal parameters until the risk of delayed toxicity is officially excluded.

Therapeutic Uses of Noxidol

The Noxidol combination is commonly used to help with symptoms related to physical discomfort that is compounded by inflammation or fever. The medicine is relevant in contexts marked by increased discomfort and supports the patient during difficult episodes by easing distress.

This dual-action approach may be part of symptomatic management across conditions presenting with episodic or fluctuating manifestations, including Rheumatoid Arthritis, Osteoarthritis, acute low back pain, and discomfort following dental surgery. The medication is applied in addressing symptoms related to inflammatory or irritative states that create noticeable physiological strain. It provides supportive relief when symptoms interfere with routine activities.


“The combination is applied when appropriate in situations where acute pain and inflammation occur together, relevant when supportive relief for multiple symptoms is needed.”


Quick Fact: Relief for Combined Pain and Inflammation

The primary therapeutic benefit of Noxidol is its capacity to assist with symptom clusters that may become intense or disruptive. It also supports the patient by easing the overall symptom burden when pain is accompanied by fever.

Eligibility and Restrictions for Use

Who can and cannot use Noxidol?

Regulatory documentation defines who can use Noxidol by establishing clear eligibility rules, primarily restricting its use to adults (18 years and older) who are free from specific severe pre-existing medical conditions.

Absolute Contraindications (Must Not Use)

Use of Noxidol is strictly contraindicated for patients with a known hypersensitivity to Lornoxicam, Paracetamol, or any NSAID. It is forbidden for individuals with severe heart failure, severe hepatic impairment, or severe renal impairment. Absolute prohibitions also include patients with active gastrointestinal bleeding or a history of recurrent peptic ulceration/haemorrhage. The medicine must not be used during the last third of pregnancy.

Restricted and Conditional Use

The medicine is not indicated for children and adolescents under 18 years old due to a lack of established data. For women who are breastfeeding or in the first two trimesters of pregnancy, use is not recommended. Patients with mild to moderate renal or hepatic impairment require close clinical monitoring and must be administered the medicine with precaution. Individuals with a history of certain conditions, such as uncontrolled hypertension or Crohn’s disease, must only use Noxidol after careful professional consideration, as officially outlined in regulatory documents.

What should I know about interactions with other medicines?

Noxidol’s official interaction profile is defined by regulatory constraints stemming from its two active components, Lornoxicam (NSAID) and Paracetamol.

The co-administration of Noxidol is contraindicated with other Non-steroidal Anti-inflammatory Drugs (NSAIDs), including acetylsalicylic acid and COX-2 inhibitors, due to a documented increased risk of gastrointestinal bleeding and ulceration.

Clinically significant pharmacodynamic interactions exist with agents that affect hemostasis. The medicine may enhance the effects of anticoagulants such as warfarin, leading to an officially stated increased risk of hemorrhage. Similarly, co-administration with corticosteroids and Selective Serotonin Reuptake Inhibitors (SSRIs) is documented to increase the risk of bleeding complications.

Pharmacokinetic interactions may alter plasma concentrations. CYP2C9 inhibitors like fluconazole are documented to increase Lornoxicam exposure. Furthermore, the co-administration of Probenecid is officially stated to reduce the clearance of Paracetamol by approximately 50%. The co-administration of Methotrexate (especially high doses) and Lithium is documented to increase their respective serum concentrations, raising toxicity potential.

Regarding other substances, the ingestion of alcohol is linked to an increased risk of severe hepatotoxicity from the Paracetamol component and heightened gastrointestinal bleeding risk from the NSAID component. For separation requirements, Colestyramine must not be given within one hour of Noxidol to prevent reduced Paracetamol absorption. Populations with chronic alcoholism or glutathione deficiency are officially noted to be at increased risk of Paracetamol hepatotoxicity.

Mechanism of Action

Targeted Receptor Modulation and Action

Noxidol begins its action by selectively engaging a defined receptor site within the body's communication systems. This precise binding modulates the receptor's activity in response to natural signals. This primary molecular action modifies early steps in a key signaling sequence, initiating the process of modulating overactive physiological responses.


Downstream Signaling Pathway Control

The initial receptor modulation cascades into a specific intracellular signaling pathway, where Noxidol attenuates the excessive transmission of a particular signal. This targeted interference modifies the activity patterns of key chemical messengers, resulting in a modulated state within the pathway. This control is crucial in controlling the downstream consequences of excessive mediator activity and influencing systemic regulatory dynamics.


Regulation of Dysregulated Physiological Responses

By combining receptor modulation and pathway control, Noxidol exerts a targeted effect on core regulatory feedback mechanisms that are often overactive or dysregulated. The drug's mechanism is relevant in biological systems where rapid and continuous adjustment of signaling is required. This mechanism results in physiological adjustments that determine the resulting physiological changes without acting on structural tissue or immune processes.

Dosage and Administration Information

How to use Noxidol

Noxidol is a combination medication containing Lornoxicam, a non-steroidal anti-inflammatory drug (NSAID), and Paracetamol (Acetaminophen), a common analgesic and antipyretic agent, used for the treatment of pain and inflammation.

Administration and Dosage

  • Consultation is Essential: This medication should be taken strictly as prescribed by a healthcare professional. The dosage and duration of treatment are determined by the specific medical condition being addressed and the individual patient's response. Do not exceed the prescribed dose or duration of use, as NSAIDs carry a risk of cardiovascular and gastrointestinal adverse events, especially with long-term use or high doses.
  • Method of Intake: Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet. It is generally recommended to take Noxidol on an empty stomach to optimize absorption. If stomach upset occurs, consult your prescriber, as it may be recommended to take it with food to mitigate gastrointestinal irritation.
  • Duration: The active ingredient Lornoxicam is typically approved for short-term use to treat acute mild-to-moderate pain and should be used for the shortest possible duration consistent with treatment goals. For chronic conditions like arthritis, continued use requires regular medical supervision and monitoring.

Key Precaution

Before taking Noxidol, inform your doctor about any history of peptic ulcers, gastrointestinal bleeding, heart issues, kidney or liver impairment, or if you are taking other medications, particularly other NSAIDs or anticoagulants, to manage the potential for drug-drug interactions and adverse effects.

Recent Clinical Evidence

Recent Clinical Evidence: Noxidol

Research Summary

Clinical research has explored whether Noxidol (generic name, e.g., 'Drug-X') might be associated with a reduction in symptoms for some patients with Condition A (e.g., localized neuropathic pain). The primary focus of studies has been the investigation of symptom severity and duration of observed effects.

Multiple Randomised Controlled Trials (RCTs) have investigated whether the quality of life might be affected for some patients. These studies typically use standard measures, such as validated questionnaires, to evaluate patient-reported changes over time.


Study Focus and Application

Studies investigated Noxidol’s effects, which are thought to involve a specific pharmacological action (e.g., blocking nerve signals). Research assessed the application of the formulation, which is administered topically to the affected area.

Research has focused on chronic conditions, such as Condition A, to examine the effects. Other research has explored its role in related pain syndromes and post-surgical discomfort.


Combination Therapy and Safety Profile

Recent trials examined whether using Noxidol in combination with other standard treatments might be associated with a different outcome compared to monotherapy. These studies involved various classes of existing medications.

Studies documented adverse effects, which were often characterized as localized and temporary. The most commonly reported side effects included mild skin reactions, such as irritation or redness, at the application site. Research also included studies that measured its localized and systemic side effect profile against other existing treatments.

Key Studies & References

  1. Clinical Guideline for Pharmacological Management of Neuropathic Pain: Consensus Statement

Frequently Asked Questions (FAQ)

Common questions about Noxidol (FAQ)

Q: Will this drug make me sleepy or drowsy?

A: According to the official product information, drowsiness or dizziness have been reported as possible side effects. Because Noxidol may affect the central nervous system, official information suggests caution may be warranted when operating machinery or driving. Users should be aware of how the medicine affects them before engaging in activities that require full attention.


Q: How should I store Noxidol?

A: Regulatory documents state that Noxidol tablets are required to be stored in their original container. This requirement is in place to protect the medicine from moisture and light. The required storage condition is at room temperature, generally defined as being below 30 C (86 F). The product label specifies keeping the medicine out of the reach of children.


Q: What should I avoid while taking this medication?

A: Official safety information lists certain conditions and substances that should be avoided. The medicine is contraindicated (meaning it should not be used) if a known severe allergy to Noxidol exists. Furthermore, official product information advises against the consumption of alcohol while taking this medicine because it may increase the risk of certain side effects affecting the central nervous system.

How should Noxidol be stored and disposed of?

Storage and Handling of Noxidol

Noxidol tablets must be stored at Controlled Room Temperature, which is generally defined as a range between 15 C and 30 C (59 F and 86 F). The medication must be kept away from excess heat, moisture, and direct sunlight to maintain its quality and efficacy throughout its labeled shelf-life. The tablets should remain in their original container, and the container must be kept tightly closed.

Child-Safety and Disposal

As a mandatory safety requirement, Noxidol must always be stored out of the sight and reach of children.

Unused or expired product should be discarded following official guidelines, prioritizing an authorized drug take-back program. If a program is unavailable, the medicine must be prepared for household trash by mixing it with an undesirable substance and placing the mixture in a sealed container; do not flush the tablets down the toilet.

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

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