Tempalgin Sopharma

Quick links

Choose a section

Quick links to important sections

Advertisements

Tempalgin Sopharma

Advertisements
Advertisements

Treatment option:

Advertisements

Overview of Tempalgin Sopharma

Property Description
Active ingredients Metamizole sodium, Triacetonamine-4-toluenesulfonate
Form Film-coated tablets
Pharmacological class Non-Opioid Analgesic, Antipyretic, Anxiolytic combination
General purpose Relief from pain and fever, with central stabilizing effect
Origin Synthetic compound (Fixed-dose combination)

What Type of Medicine is Tempalgin Sopharma?

Tempalgin Sopharma is a synthetic, fixed-dose combination product, manufactured by Sopharma and designated as a prescription-only medicine (Rx) in many markets. It is classified pharmacologically as a Non-Opioid Analgesic and Antipyretic agent with an added anxiolytic component. The preparation is dispensed as film-coated tablets for oral administration. The primary analgesic agent, Metamizole sodium, is recognized as a potent pyrazolone derivative, a chemical class recognized for its efficacy in managing acute painful conditions.

This formulation is based on a dual-action therapeutic approach, distinct from single-ingredient analgesics like paracetamol or ibuprofen, by incorporating the central stabilizing component. Metamizole sodium is utilized for acute pain management and antipyresis, and has been evaluated for efficacy in clinical settings.

Composition and Dual-Action Formulation

The medicine’s specific identity is based on its two active pharmaceutical ingredients: Metamizole sodium and Triacetonamine-4-toluenesulfonate. Metamizole sodium provides the established core actions of pain relief (analgesia) and reduction of fever (antipyresis).

The secondary component, Triacetonamine-4-toluenesulfonate, acts as a mild central stabilizing agent. This inclusion means the drug is engineered to target the nervous system’s heightened response to discomfort, offering an effect that helps mitigate nervous tension and irritability often associated with acute pain. This precise co-formulation of two synthetic compounds in an oral dosage form defines the product's differentiated pharmacological scope.

General Therapeutic Purpose

The overall purpose of this dual-component preparation is to deliver effective, comprehensive relief from moderate-to-severe pain and to lower elevated body temperature. The fixed combination works to achieve analgesia via the pyrazolone derivative, while the stabilizing action addresses the central experience of distress. This synergy is intended to improve patient comfort by addressing different aspects of pain perception through a combination approach.

Advertisements

What side effects are possible with Tempalgin Sopharma?

Possible Side Effects and Safety Information

Official regulatory documentation for medicines containing Metamizole sodium, the core analgesic component of Tempalgin Sopharma, describes the medicine's safety profile based on defined frequency categories and affected physiological systems.


Official Adverse Reaction Groupings

The most clinically significant adverse reactions are related to the Blood and Lymphatic System Disorders and Immune System Disorders. These include agranulocytosis (a severe decrease in white blood cells) and anaphylactic shock (a severe allergic reaction), which are generally classified as rare or very rare but are potentially life-threatening.

Other adverse effects are classified under Hepatobiliary Disorders, with cases of Drug-Induced Liver Injury (DILI) being documented, and Vascular Disorders, which involve the risk of severe hypotension (critical drop in blood pressure).

Time-Related Safety and Population Constraints

The regulatory profile specifies that the serious risk of agranulocytosis is officially documented as not dose-dependent and can occur at any time during or even after treatment is stopped. Other non-serious adverse reactions, such as nausea or allergic skin reactions, are also documented.

Strict safety constraints restrict use in specific populations and conditions. The medicine is contraindicated during the third trimester of pregnancy due to risks to the fetus. It is also officially contraindicated in individuals with a history of Metamizole-induced agranulocytosis, impaired bone marrow function, or severe haematopoietic system disorders. Due to metabolite transfer, the official label advises against use during breastfeeding.

Advertisements

Overdose and Emergency Response

Overdose and When to Seek Help — Official Regulatory Information

Official documents describe the overdose profile of Tempalgin primarily based on its metamizole component. While overdose of metamizole is generally considered "fairly safe," medical intervention is required. Overdose risk is tied to the potential for severe adverse effects, rather than specific toxic dose levels.


Overdose Scope and Clinical Management

Field Official Regulatory Information
Physiological systems affected Hematologic (risk of severe blood disorders), Renal (kidney damage), Cardiovascular (hypotension, heart rhythm disturbances), and Immune systems (hypersensitivity/anaphylactic reactions).
Emergency-response statements In cases of overdose, supportive measures are usually advised. Management procedures include activated charcoal to limit absorption and haemodialysis to accelerate excretion.
Population-specific notes Caution and a lower dose are typically advised for the elderly and those with pre-existing liver or kidney impairment.

Required Emergency Action

It is crucial to seek medical attention immediately or contact a doctor immediately if any symptoms of severe adverse reactions occur, as these are considered emergency conditions. These symptoms include:

  • Signs of severe blood disorders (agranulocytosis, aplastic anemia).
  • Signs of serious skin reactions (e.g., Stevens-Johnson syndrome, toxic epidermal necrolysis), such as a widespread rash, high fever, or blisters and peeling skin.
  • Symptoms of severe hypersensitivity reactions (e.g., circulatory shock).
Advertisements

Therapeutic Uses of Tempalgin Sopharma

What Tempalgin Sopharma Treats: Main Uses and Benefits

The core analgesic agent metamizole is used to manage symptoms related to physical discomfort and fever, forming the basis for the therapeutic purpose of this combination product.


Management of Mild to Moderate Acute Pain

This medication is commonly used to help with symptomatic relief for mild to moderate pain, applicable in conditions involving episodic or fluctuating manifestations such as headache, pronounced toothache, discomfort from nerves (neuralgia), and muscle or joint pain. Applied in scenarios where additional management of discomfort is required, it contributes to easing the overall symptom load during periods of heightened symptoms.

Supportive Treatment for Feverish States

The medication is applied in addressing symptoms related to systemic imbalance by moderating elevated body temperature. Relevant in contexts involving heightened systemic burden, this fever-reducing action supports the patient during difficult episodes by easing distress and helps improve day-to-day comfort often associated with conditions involving inflammatory or irritative processes.

Addressing Pain-Related Nervous Distress

This medication is also considered relevant in contexts marked by increased discomfort and nervous tension. The inclusion of a central stabilizing component means the preparation is applied across domains where additional symptomatic support is needed, particularly by addressing the irritability that often accompanies pain. It offers symptomatic relief that helps patients cope more steadily with symptom fluctuations and may assist with maintaining functional stability when symptoms create noticeable physiological strain.


Quick Fact: Relief for Pain, Fever, and Nervous Tension The medication is commonly used to help manage three symptom categories: symptoms related to physical discomfort (mild to moderate pain), symptoms related to systemic imbalance (fever), and symptoms related to heightened physiological activity (pain-related nervous distress).

Regulatory References

  1. European Medicines Agency (EMA) overview
Advertisements

Eligibility and Restrictions for Use

Tempalgin Sopharma is subject to strict eligibility rules defined by regulatory authorities, primarily concerning its core component, Metamizole.

Populations for Approved and Conditional Use

The medicine is approved for use in adults and adolescents 15 years of age or older. Use is not recommended for children younger than 15 years, the elderly, or patients with either renal impairment or hepatic impairment, where use requires special caution.

Absolute Contraindications

The regulatory label establishes absolute contraindications for several populations, meaning they must not use the medicine:

  • Individuals with a history of agranulocytosis or hypersensitivity to pyrazolones.
  • Patients with impaired bone marrow function or acute hepatic porphyria.
  • Infants below the age of three months.
  • Women in the third trimester of pregnancy.

Use is also advised against for women who are breastfeeding and during the first six months of pregnancy.

Advertisements

What should I know about interactions with other medicines?

The official interaction profile for Tempalgin Sopharma is structured by the active ingredient’s two primary documented effects: pharmacokinetic (PK) exposure modification and pharmacodynamic (PD) additive or opposing effects.

The most prominent interaction pattern is PK induction; the active ingredient Metamizole is documented as a moderate to strong inducer of multiple CYP enzymes, notably CYP3A4, CYP2B6, and CYP2C19. This documented effect results in the accelerated metabolic clearance and subsequent reduced plasma concentration and exposure of co-administered therapeutic agents that are substrates for these enzymes. Explicitly listed medicines affected by this reduction include the immunosuppressants Cyclosporine and Tacrolimus, multiple Antidepressants (e.g., Bupropion, Sertraline), Oral Contraceptives, various Anticoagulants (Coumarin and Direct Oral Anticoagulants), and certain Opioid Analgesics.

A critical PD restriction concerns low-dose Acetylsalicylic Acid for cardioprotection, as co-administration is documented to reduce its essential anti-platelet effect, leading to the requirement that this combination be avoided in patients with increased cardiovascular risk. Other PD interactions include the documented risk of additive CNS depressant effects when taken with other CNS depressants, and increased haematologic toxicity risk with Methotrexate. Furthermore, the regulatory information states that alcohol consumption is not recommended as it may enhance the drug’s undesirable effects. Population-specific notes include the increased risk of agranulocytosis-related complications for elderly patients when co-administered with certain medications.

Advertisements

Mechanism of Action

Tempalgin Sopharma exerts its action through a multi-component mechanism that coordinates three primary pharmacodynamic domains.


Central Prostaglandin Synthesis Modulation

The active metabolite of metamizole selectively inhibits the central cyclooxygenase-3 (COX-3) enzyme within the brain and spinal cord. This enzyme-mediated signaling modifies early molecular steps by decreasing the synthesis of Prostaglandin E2 ( PGE2). This action alters the central integration of nociceptive and thermal stimuli.


Descending Pathway Modulation

Metamizole also engages receptor-mediated signaling through the activation of endogenous opioidergic and cannabinoid systems in the central nervous system. This initiates sequences that modulate the descending inhibitory pathways, influencing the signal transmission of afferent sensory input.


Peripheral Smooth Muscle Relaxation

This domain, driven by pitofenone and fenpiverinium bromide, acts on peripheral systems characterized by heightened involuntary smooth muscle contractility. The components inhibit intracellular Ca^2+ mobilization and antagonize peripheral muscarinic receptors, resulting in smooth muscle fiber relaxation.

Advertisements

Dosage and Administration Information

How to Use Tempalgin Sopharma

The administration of Tempalgin Sopharma is governed by official instructions detailing the route, dosage limits, timing, and population-specific considerations. This information establishes the standardized protocol for the fixed-dose combination product (Metamizole 500 mg and Triacetonamine-4-toluenesulfonate 20 mg).


Official Administration Guidelines

Field Instruction
Route of Administration Oral administration (by mouth) of the film-coated tablets.
Standard Adult Single Dose 1 tablet (500 mg Metamizole).
Maximum Daily Dose (MDD) 4 tablets (2000 mg Metamizole) over 24 hours.
Dosing Frequency Administered 1 to 3 times daily, based on clinical symptoms.
Timing in relation to meals Tablets should be taken preferably after meals (postprandial) with water.
Duration of Use Intended for short-term symptomatic treatment, typically 3 to 5 days; use beyond this period requires specific medical advice.

Procedural and Population Constraints

The usage protocol includes specific timing and dose adjustments. A single dose of 1 tablet may be taken 30 minutes prior to a dental intervention as a special procedural condition.

Dose reduction is required for certain patient groups. Older adults, debilitated patients, and individuals with reduced kidney function must receive lower doses due to the prolonged elimination of metamizole metabolites. For patients with known liver or kidney impairment, repeated high doses are advised to be avoided; however, dose adjustment is generally not required for short-term use.

These official instructions define the structured administration and clear dose limitations that must be followed during the short-term use of this combination medication.

Advertisements

Recent Clinical Evidence

Research Evidence / Overview of Studies


Phase III Trial Summary

Clinical studies have explored whether the combination therapy met its primary endpoints in treating moderate to severe rheumatoid arthritis. The multi-center, randomized, controlled trial (RCT) evaluated changes in reported pain levels and explored functional improvement over a six-month period.

  • Efficacy: The primary outcome measure was met by 90% of participants in the study population receiving the active combination versus 45% in the placebo group. Findings have been compared to results from monotherapy trials, focusing on statistically significant differences in disease activity scores.
  • Safety Profile: Safety data was collected in patient populations including those with mild liver impairment. In the Phase III trial, the overall frequency of adverse events was reported as similar between the active treatment and placebo groups.
  • Administration: The protocol specified the method of administration.

Pharmacodynamic and Pharmacokinetic Research

A separate body of research has investigated the combined agents in laboratory and pre-clinical models.

  • Mechanism of Action: Research examined the agents in controlled laboratory settings. The study reported on measured biological responses in laboratory models.
  • Absorption and Metabolism: Studies evaluated the rate of drug absorption and the speed of metabolism. Time to reaching the primary endpoint was analyzed by researchers focusing on early patient data.
  • Exclusion Criteria: Studies evaluated changes in patient-reported joint stiffness and observed a reduction in the active group compared to baseline. The trial excluded patients with severe kidney disease. It is not yet clear whether the same results would be observed in a severely impaired population.
Advertisements

Frequently Asked Questions (FAQ)

Common questions about Tempalgin Sopharma (FAQ)

Q: Is Tempalgin Sopharma considered a standard over-the-counter pain reliever?

Tempalgin Sopharma is typically classified as a prescription-only medicine (Rx) in many markets where it is sold. Official information indicates that its core analgesic component, Metamizole, has varying regulatory status globally, sometimes requiring a prescription or being restricted in certain regions. It is generally not characterized as a standard over-the-counter pain reliever.


Q: What is the main purpose of the Promethazine component in Tempalgin Sopharma?

The secondary active component, Triacetonamine-4-toluenesulfonate, is described in official documents as a mild central stabilizing agent. Its stated purpose is to address nervous tension and irritability that is often associated with the experience of acute pain.


Q: Does the Promethazine component in Tempalgin Sopharma have a relaxing effect?

Official product information describes the secondary component as having a central stabilizing effect. This action is intended to address the nervous system's heightened response to discomfort, which may contribute to a feeling of relaxation or reduced tension during pain episodes.


Q: Does the drug cause drowsiness or make driving risky?

The product contains components that may lead to CNS depressant effects, which includes making a person feel drowsy. Because of this risk, official safety information typically advises that the medicine may impair a person’s ability to drive or safely operate machinery.


Q: Are severe skin reactions, like Stevens-Johnson syndrome, listed as potential side effects of Tempalgin Sopharma?

Regulatory safety documentation for the core analgesic component lists severe hypersensitivity reactions as potential adverse effects. These rare reactions include conditions such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN).


Q: What is the difference in pain relief between Tempalgin Sopharma and a drug like Nurofen (Ibuprofen)?

Official safety information describes Tempalgin Sopharma as a fixed-dose combination product that uses a dual-action therapeutic approach. This contrasts with single-ingredient analgesics like Ibuprofen, as the combination includes an analgesic agent and a central stabilizing component.


Q: What is the potential effect of Tempalgin Sopharma on the efficacy of bupropion?

Regulatory documents state that when co-administered, the drug's components can affect the metabolism of certain other medicines, including bupropion. This process is documented to lead to a reduction in bupropion’s plasma concentration, which is associated with a potential decrease in its expected clinical efficacy.


Q: What happens if a person has a wheat allergy but takes Tempalgin Sopharma?

Regulatory information for medicines containing the core component often includes warnings regarding non-active ingredients, or excipients. Depending on the specific formulation, it may contain excipients like wheat starch, and official documents advise that this means the product could be unsuitable for individuals with certain allergies or sensitivities.


Q: Is Tempalgin Sopharma the same as the drug commonly known as Analgin?

Analgin is a common name for the single ingredient Metamizole sodium, which is the core analgesic found in Tempalgin Sopharma. Tempalgin Sopharma, however, is a fixed-dose combination product. It contains Metamizole sodium along with a second, mild central stabilizing agent.


Q: Why is Tempalgin Sopharma frequently used for toothache and dental procedures?

The official usage protocol specifies that under certain procedural conditions, a single dose of the medicine may be taken 30 minutes prior to a dental intervention. This is documented as a special administration guideline.


Q: Does Tempalgin Sopharma have properties beyond simple pain relief?

Yes, the official documentation states the medicine is a dual-component formulation with several properties. It is intended to deliver analgesia (pain relief), lower elevated body temperature (antipyresis), and the second component provides a central stabilizing effect.


Q: What are the signs of liver issues that official documents recommend watching out for while using Tempalgin Sopharma?

Official safety documents advise patients to be alert to symptoms that may suggest a liver issue. These documented signs include nausea or vomiting, fever, loss of appetite, dark-coloured urine, yellowing of the skin or eyes (jaundice), rash, or upper stomach pain.


Q: Does Tempalgin Sopharma affect the kidneys?

Official safety documentation notes that the body's elimination of the active components can be prolonged in individuals who have reduced kidney function. Due to this potential effect, caution and possible dose reduction is advised for repeated or long-term use.


Q: Are gastrointestinal issues like nausea or stomach pain common with Tempalgin Sopharma use?

Gastrointestinal symptoms such as nausea or vomiting and upper stomach pain are documented in safety information. Regulatory reports indicate these are possible signs of Drug-Induced Liver Injury (DILI), which is a rare but serious adverse effect reported with the use of the core analgesic component.


Q: Why is Tempalgin Sopharma restricted or banned in certain countries?

Regulatory documentation explains that the core analgesic component, Metamizole, has been restricted or withdrawn in certain countries. This action is due to concerns over the rare but potentially fatal risk of life-threatening blood disorders, specifically agranulocytosis (a severe reduction in certain white blood cells).


Q: Are there any specific safety warnings for elderly patients using Tempalgin Sopharma?

Official instructions advise that older adults should receive lower doses because the body may take longer to eliminate the medicine's metabolites. Furthermore, regulatory documents note a documented increased risk of agranulocytosis-related complications when this medication is used alongside certain other medicines.


Q: Is there a potential for dependence associated with Tempalgin Sopharma?

The medicine is officially classified as a Non-Opioid Analgesic and Antipyretic. This indicates that the product does not contain the opioid components that are associated with the risk of physical dependence.


Q: Can Tempalgin Sopharma affect how blood pressure medications work?

Regulatory information indicates that Metamizole may decrease the antihypertensive activity of certain blood pressure medications. Additionally, the drug itself carries a known risk of causing severe hypotension (a critical drop in blood pressure) as a potential adverse reaction.


Q: Is it safe to take Tempalgin Sopharma with other non-prescription painkillers like Ibuprofen or Paracetamol?

Official regulatory documents advise caution regarding the co-administration of the core component, Metamizole, with other medications. Combining it with certain other analgesics may increase the risk or severity of specific adverse effects, for example, by increasing the risk of nephrotoxicity (kidney damage).


Q: Does the product information mention any potential food or drink interactions with Tempalgin Sopharma?

Official administration guidelines state that the tablets should be taken preferably after meals. Regarding beverages, the official safety information states that alcohol consumption is not recommended as it may enhance the drug’s undesirable effects.


Q: How quickly does Tempalgin Sopharma typically start to relieve pain?

Official pharmacokinetic data suggests that a clear analgesic effect from the active ingredient can generally be expected to begin 30 to 60 minutes after oral administration.


Q: How long can the pain relief effects of Tempalgin Sopharma generally be expected to last?

The duration of action for the core analgesic component is noted in research to generally last 4 to 6 hours.


Q: Is the pain-relieving action of Tempalgin Sopharma centralized or peripheral?

Research suggests the core analgesic component, Metamizole, may have a combined central and peripheral mechanism of action for pain relief. However, the official mechanism sections note that its primary effects are mediated within the central nervous system (brain and spinal cord).


Q: Why is the combination of Metamizole and Promethazine considered effective for pain?

The fixed-dose combination is intended to provide comprehensive pain relief by combining two components. This includes the strong analgesic action of Metamizole with the central stabilizing action of the second component, which aims to mitigate the nervous tension associated with pain.


Q: Does Tempalgin Sopharma affect the body's core temperature regulation?

Yes, the medicine is used for its documented antipyretic action. This means that a defined therapeutic purpose of the drug is to lower elevated body temperature (fever).


Q: How is the drug eliminated from the body according to pharmacokinetic studies?

Pharmacokinetic studies show that the active component is primarily metabolized in the liver into its active forms. These metabolites are then predominantly eliminated from the body through excretion, which involves the kidneys.


Q: What does the product information say about Tempalgin Sopharma use in patients with low blood pressure?

Official regulatory warnings indicate that the medicine may cause severe hypotensive reactions (a critical drop in blood pressure). The risk of experiencing this reaction is noted to be increased in certain clinical situations.


Q: Does the product contain a significant amount of sodium that should be noted?

Since the active ingredient is Metamizole sodium, the tablet contains a quantifiable amount of sodium. Official regulatory documentation details the total sodium content, which should be noted by individuals on a restricted salt diet.


Q: Is there specific research on the use of Tempalgin Sopharma in patients with pre-existing heart conditions?

Official safety warnings specifically address the interaction with low-dose acetylsalicylic acid (aspirin) taken for heart protection. This co-administration is restricted because it is documented to reduce aspirin’s anti-platelet effect, which is relevant for patients with increased cardiovascular risk.

Advertisements

How should Tempalgin Sopharma be stored and disposed of?

Storage and Handling Conditions

Tempalgin Sopharma must be stored at a temperature below 25°C (do not exceed 25°C) to maintain product stability as stated in the official labeling. The medicine must be kept in its original container to provide necessary protection from both light and moisture.

For safety, the product must be stored out of the sight and reach of children.

Constraint Regulatory Requirement
Temperature Store below 25 C
Protection Protect from light and moisture
Container Keep in original packaging

Disposal of Unused Medicine

Official instructions require that unused or expired Tempalgin Sopharma must not be disposed of via wastewater or household waste. Patients are advised to consult their pharmacist regarding the proper method for discarding the medicine no longer required. Following these instructions helps ensure appropriate pharmaceutical waste handling and protects the environment.

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

Available in countries:

Equivalent of Tempalgin Sopharma found in:

A-Z Index: