Alser N 100mg/10mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual tiredness or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is bay serra 100mg/10mg tablet used for?
This medicine is a combination of nimesulide and serratiopeptidase used for short-term relief of pain and inflammation. It works by reducing prostaglandins and breaking down inflammatory proteins. It should be taken with food and not for more than 7-10 days without medical advice.
- Generic Name: Nimesulide + Serratiopeptidase
- Manufacturer: Divine Lifecare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bay serra 100mg/10mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नाइमसुलाइड और सेरेशियोपेप्टिडेज़ का संयोजन है, जिसका उपयोग दर्द, सूजन और बुखार से राहत के लिए किया जाता है। यह मुख्य रूप से मांसपेशियों और जोड़ों के दर्द, सर्जरी के बाद की सूजन, दांतों की सूजन और गठिया में लाभकारी है। यह दवा सूजन पैदा करने वाले प्रोटीन को तोड़कर और प्रोस्टाग्लैंडिन को कम करके काम करती है। इसे भोजन के साथ लेना चाहिए और 7-10 दिनों से अधिक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, दस्त, चक्कर आना और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, अल्सर, लीवर की क्षति, गुर्दे की समस्या और एलर्जी प्रतिक्रिया हो सकती है। यदि काला मल, खून की उल्टी, पीलिया, पेशाब में कमी या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खाली पेट न लें, हमेशा भोजन के साथ लें। शराब का सेवन न करें। यदि आपको अल्सर, गुर्दे या लीवर की बीमारी, उच्च रक्तचाप या हृदय रोग है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 bay serra 100mg/10mg tablet Uses & Benefits
[{"condition":"Acute musculoskeletal pain","description":"Relieves pain and inflammation in muscles, tendons, and joints due to sprains, strains, or injuries.","evidence":"Well-established"},{"condition":"Post-operative inflammation and swelling","description":"Reduces swelling and pain after surgical procedures.","evidence":"Moderate"},{"condition":"Dental pain and inflammation","description":"Used for pain relief after dental extractions or in conditions like periodontitis.","evidence":"Moderate"},{"condition":"Osteoarthritis and rheumatoid arthritis","description":"Provides symptomatic relief from joint pain and stiffness.","evidence":"Well-established for nimesulide component"},{"condition":"Upper respiratory tract inflammation","description":"Helps reduce throat inflammation and pain in conditions like pharyngitis.","evidence":"Limited"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label for migraine prevention, but evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, but not a first-line choice.","evidence":"Limited"}]
Primary treatment for: Acute inflammatory conditions
Also treats: Osteoarthritis, Rheumatoid arthritis, Post-operative swelling, Dental inflammation
📋 Drug Information
| Generic Name(s) | Nimesulide + Serratiopeptidase |
| Brand Name | Arnim SP 100mg/15mg Capsule |
| Manufacturer | Divine Lifecare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID + Proteolytic Enzyme |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from moisture and direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Nimesulide is a nonsteroidal anti-inflammatory drug that selectively inhibits the cyclooxygenase-2 (COX-2) enzyme, reducing the production of prostaglandins, which are mediators of pain, inflammation, and fever. Serratiopeptidase is a proteolytic enzyme that breaks down fibrin and other inflammatory proteins, thereby reducing swelling and promoting tissue repair. Together, they provide faster and more comprehensive relief from inflammatory conditions.
Mechanism Steps
💡 How to Take bay serra 100mg/10mg tablet
Strength: Each tablet contains nimesulide 100 mg and serratiopeptidase 10 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to three times daily, preferably after meals. The exact dose and duration depend on the condition being treated, its severity, and the patient's response. The maximum recommended duration is 7 to 10 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney impairment. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with kidney impairment. Dose reduction may be necessary. Avoid in severe kidney disease. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | Avoid in severe liver impairment. Use with caution in mild to moderate liver disease. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum recommended daily dose of nimesulide is 200 mg (two 100 mg tablets). Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bay serra 100mg/10mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Other NSAIDs | Major | |
| ACE inhibitors | Major | |
| Diuretics | Major | |
| Corticosteroids | Moderate | |
| Lithium | Moderate | |
| Methotrexate | Moderate | |
| Antacids | Minor | |
| Aspirin | Minor | |
| Alcohol | Major |
🚨 Major Interactions
- Warfarin
- Other NSAIDs
- ACE inhibitors and ARBs
- Diuretics
⚡ Moderate Interactions
- Corticosteroids
- Lithium
- Methotrexate
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of stomach bleeding, ulcers, and liver damage. It may also worsen dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to nimesulide, serratiopeptidase, or other NSAIDs","Active peptic ulcer or history of recurrent ulcers","Severe liver impairment","Severe kidney impairment","Heart failure or severe cardiovascular disease","Third trimester of pregnancy","Children below 12 years of age","Bleeding disorders or concurrent anticoagulant therapy"]
⚠️ Warnings & Precautions
["Take with food to reduce stomach upset.","Do not exceed the recommended dose or duration.","Avoid alcohol during treatment.","Use with caution in elderly patients.","Monitor liver and kidney function with prolonged use.","Discontinue if signs of liver injury appear.","Avoid in patients with dehydration or hypovolemia.","Not recommended for children under 12 years.","Consult doctor if symptoms persist beyond 7 days."]
🤱 Lactation Safety
Not established from the available information. Nimesulide may pass into breast milk; consult your doctor before use. Serratiopeptidase safety in breastfeeding is unknown.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, abdominal pain, drowsiness, and gastrointestinal bleeding. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor liver and kidney function.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose or for longer than advised. Always take it with food or milk to reduce stomach irritation. Avoid alcohol while taking this medicine as it increases the risk of stomach bleeding. Inform your doctor if you have a history of ulcers, kidney or liver disease, high blood pressure, or heart problems. Do not take other pain relievers or NSAIDs without consulting your doctor. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children. Store at room temperature away from moisture and sunlight. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function regularly. Avoid concurrent use with other NSAIDs or anticoagulants.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy, especially in the third trimester, as it may harm the fetus. If you are planning pregnancy, consult your doctor to switch to a safer alternative. Use effective contraception while on this medicine.
🏥 Post-Surgery Considerations
This medicine may be prescribed after surgery to reduce pain and swelling. Take it exactly as directed by your surgeon. Inform your surgeon if you have any bleeding disorders or are on blood thinners. Do not use for prolonged periods without medical supervision.
🦷 Dental Procedures
This medicine is often used for dental pain and swelling after extractions or other procedures. Take it with food to prevent stomach upset. Inform your dentist if you have a history of ulcers or are on blood thinners. Do not exceed the recommended dose.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you have joint pain or swelling. Gentle stretching and low-impact activities are safe. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery if you feel dizzy. It does not usually affect your ability to work, but take precautions if your job requires alertness.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience severe side effects such as stomach bleeding, allergic reactions, or signs of liver injury. Do not stop abruptly if you are on a prescribed course without consulting your doctor. If your pain persists beyond 7-10 days, consult your doctor for reassessment.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to serious complications such as liver damage, kidney impairment, gastrointestinal bleeding, and increased cardiovascular risk. It is not recommended for extended use. Regular monitoring of liver and kidney function is advised if prolonged use is unavoidable. Consult your doctor for alternative treatments if pain persists.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve mobility.
Evidence: Well-establishedHelps reduce local inflammation and pain.
Evidence: ModerateMay provide pain relief for some individuals.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. There are no known interactions between this medicine and vaccines. However, consult your doctor before scheduling vaccinations if you are on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature, away from direct sunlight and moisture. If traveling across time zones, continue with your regular dosing schedule but consult your doctor for adjustments. Keep enough supply for the entire trip. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it with food.
A: No, it should always be taken with food or milk to prevent stomach upset and ulcers.
A: No, it is meant for short-term use only, typically not exceeding 7-10 days, due to risks of liver and kidney damage.
A: Do not take other NSAIDs or painkillers without consulting your doctor, as it may increase the risk of side effects.
🤔 Common Patient Concerns
🔄 Substitutes for bay serra 100mg/10mg tablet
View AllAlternative brands with exact same active ingredient:
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nelsid s 100mg/10mg tabletInd Swift Laboratories Ltd ₹11.60 65.1% CHEAPER
-
alsera n 100 mg/10 mg tabletAlkem Laboratories Ltd ₹12.37 62.8% CHEAPER
-
oxin plus syrupSynokem Pharmaceuticals Ltd ₹17.51 47.4% CHEAPER
-
opel serra 100 mg/10 mg tabletStanford Biotech Pvt Ltd ₹26.77 19.6% CHEAPER
-
Serrocon N 100 mg/10 mg TabletIcon Pharma & Surgicals Pvt Ltd ₹29.77 10.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken long-term for chronic pain.
Fact: This medicine is only for short-term use due to risks of liver and kidney damage. - Myth: It is safe to take on an empty stomach.
Fact: It should always be taken with food to prevent stomach upset and ulcers. - Myth: More tablets mean faster relief.
Fact: Taking more than the recommended dose increases the risk of serious side effects without added benefit.
🔄 Alternative Options
Generic Alternatives
- Nimesulide + Serratiopeptidase combination generics
Brand Alternatives
- Alsern N
- Nise M
- Nimucet SP
- Nimulid SP