crusimol injection - Paracetamol (75mg/ml) medicine

Crusimol Injection: Comprehensive Medicine Guide

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🏭 Himanshu Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for pain and fever.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe abdominal pain or yellowing of skin or eyes
  • Decreased urine output or swelling in legs
  • Unusual bleeding or bruising
  • Severe rash with blisters or peeling skin
  • Persistent vomiting or nausea

If experiencing severe symptoms, call emergency services immediately.

What is crusimol injection used for?

This medicine is an injectable form of Paracetamol used to treat pain and fever when oral administration is not possible. It works by reducing fever and pain through central inhibition of prostaglandin synthesis. It is administered by a healthcare professional and should not be self-administered.

  • Generic Name: Paracetamol
  • Manufacturer: Himanshu Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 crusimol injection के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल का इंजेक्शन है, जिसका उपयोग दर्द और बुखार को कम करने के लिए किया जाता है। यह उन रोगियों के लिए उपयोगी है जो मुंह से दवा नहीं ले सकते या जिन्हें तेजी से राहत की आवश्यकता होती है। यह दवा अस्पताल या क्लिनिक में डॉक्टर या नर्स द्वारा दी जाती है। इसे स्वयं न लगाएं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन लगाने की जगह पर दर्द, लालिमा या सूजन शामिल हो सकते हैं। कुछ रोगियों को मतली, उल्टी या हल्के दाने हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, लीवर की समस्या या खून से संबंधित विकार हो सकते हैं। कोई भी गंभीर लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल डॉक्टर या नर्स द्वारा ही दी जानी चाहिए। इसे स्वयं न लगाएं। अगर आपको लीवर या किडनी की बीमारी है, शराब का सेवन करते हैं या कुपोषण है, तो डॉक्टर को बताएं। इस दवा के साथ अन्य पैरासिटामोल युक्त दवाएं न लें। शराब का सेवन न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। एलर्जी के लक्षण दिखने पर तुरंत डॉक्टर को बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 crusimol injection Uses & Benefits

[{"condition":"Mild to moderate pain","description":"This medicine is used to relieve pain when oral administration is not possible or when rapid relief is needed.","evidence":"Well-established"},{"condition":"Fever","description":"It is effective in reducing fever in patients who cannot take oral medications.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used as part of multimodal analgesia to manage pain after surgery.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine attacks, though evidence is limited.","evidence":"Limited"}]

Primary treatment for: Pain and fever

Also treats: Post-operative pain, Migraine, Cancer pain

📋 Drug Information

Generic Name(s)Paracetamol
Brand NameAction or 1000mg Tablet
ManufacturerHimanshu Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassAnalgesic & Antipyretic-PCM
Route of AdministrationParenteral (intravenous)
StorageStore below 25°C, protected from light. Do not freeze. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineParacetamol is included in the WHO Model List of Essential Medicines for the treatment of pain and fever.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always administer this medicine slowly over 15 minutes to reduce the risk of hypotension.
2
Check for allergies before administering this medicine.
3
Avoid concomitant use of other Paracetamol-containing products to prevent overdose.
4
Monitor liver function in patients with risk factors or prolonged use.
5
Advise patients to avoid alcohol during treatment.
6
Use with caution in elderly patients and those with renal or hepatic impairment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Mild to moderate pain
This medicine is commonly prescribed for this.
Likely Use
✅
Fever
This medicine is effective for reducing fever.
Likely Use
❌
Inflammation
This medicine has minimal anti-inflammatory effects.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFollowing intravenous administration, Paracetamol achieves 100% bioavailability. Peak plasma concentrations are reached rapidly, typically within 15 to 30 minutes after injection.
DistributionParacetamol distributes widely into body tissues. It crosses the placenta and is excreted in breast milk. The volume of distribution is approximately 0.8 to 1.0 L/kg.
Protein BindingParacetamol is minimally bound to plasma proteins, approximately 10-25%.
MetabolismParacetamol is primarily metabolized in the liver via glucuronidation and sulfation. A small fraction is metabolized by cytochrome P450 2E1 to N-acetyl-p-benzoquinone imine (NAPQI), a toxic intermediate that is normally detoxified by glutathione.
Half-LifeThe elimination half-life of Paracetamol is typically 2 to 3 hours in adults with normal liver function. It may be prolonged in patients with liver disease or after overdose.
ExcretionParacetamol and its metabolites are excreted primarily in the urine. Approximately 90% of the administered dose is excreted within 24 hours.
Bioavailability100% for intravenous administration.
Onset of ActionPain relief and fever reduction typically begin within 5 to 10 minutes after intravenous administration.
Peak Plasma TimePeak plasma concentration is reached at the end of the infusion or within 15 minutes after bolus injection.
Duration of ActionThe analgesic and antipyretic effects last approximately 4 to 6 hours.

How It Works

Paracetamol, the active ingredient in this medicine, produces analgesia and antipyresis primarily through central inhibition of prostaglandin synthesis. It acts on the hypothalamus to lower fever and on the central nervous system to reduce pain perception. Unlike nonsteroidal anti-inflammatory drugs, it has minimal anti-inflammatory effects and does not significantly inhibit cyclooxygenase in peripheral tissues. The exact mechanism is not fully understood but is believed to involve inhibition of a central cyclooxygenase variant and modulation of descending serotonergic pathways.

Mechanism Steps

1
Central prostaglandin synthesis inhibition: Paracetamol inhibits prostaglandin synthesis in the central nervous system, particularly in the hypothalamus and spinal cord.
2
Activation of descending inhibitory pathways: It may activate descending serotonergic pathways that inhibit pain transmission.
3
Reduction of fever: By acting on the hypothalamus, it resets the body's temperature set point, leading to heat loss and fever reduction.

💡 How to Take crusimol injection

Strength: Paracetamol 75 mg/ml injection

1This medicine is administered by a healthcare professional.
2It is given as a slow intravenous injection or infusion.
3The injection site should be checked for signs of infection or inflammation.
4The dose and rate of administration are determined by the doctor.
5Do not attempt to self-administer.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the patient's condition, weight, and renal and hepatic function. For adults, a common dose is 1 gram (1000 mg) every 6 hours as needed, with a maximum of 4 grams in 24 hours. For patients with risk factors for hepatotoxicity, the maximum daily dose may be reduced. The injection should be administered slowly over 15 minutes.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Use with caution and monitor for side effects.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance less than 30 mL/min), the dosing interval should be increased. Consult a clinician for individualized dosing.
Hepatic ImpairmentIn patients with hepatic impairment, the dose should be reduced or the dosing interval increased. Avoid use in severe liver disease.
Maximum Daily DoseThe maximum daily dose for adults is 4 grams (4000 mg) in 24 hours. For patients with risk factors, the maximum may be lower.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Not applicable for injectable form
This medicine is given intravenously, so food does not affect its absorption.
Alcohol
Avoid
Increases the risk of liver damage.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of crusimol injection

✅ Common Side Effects

Injection site pain (Common (1-10%))
Apply a cold compress to the site. Inform your nurse or doctor if pain persists.
Nausea (Common (1-10%))
Usually resolves on its own. If persistent, consult your doctor.
Vomiting (Uncommon (0.1-1%))
Report to your doctor if vomiting is severe or persistent.
Rash (Uncommon (0.1-1%))
Discontinue use and consult a doctor if rash develops.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face, lips, or throat, or a sudden drop in blood pressure.
Hepatotoxicity (Rare (<0.1%) with therapeutic doses; higher with overdose)
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.

⚠️ Rare Side Effects

Thrombocytopenia
Report any unusual bleeding or bruising to your doctor immediately.
Leukopenia
Report signs of infection such as fever, sore throat, or fatigue.
Nephrotoxicity
Report decreased urine output or swelling to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Carbamazepine Moderate
Phenytoin Moderate
Rifampicin Moderate

🚨 Major Interactions

  • Warfarin
  • Alcohol

⚡ Moderate Interactions

  • Carbamazepine
  • Phenytoin
  • Rifampicin

🍷 Alcohol Interaction

Alcohol should be avoided while receiving this medicine. Chronic alcohol consumption can induce liver enzymes, leading to increased production of a toxic metabolite of Paracetamol and a higher risk of severe liver damage. Even moderate alcohol intake may increase this risk.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Paracetamol or any component of the formulation","Severe liver disease or active liver failure","Severe kidney impairment (unless dose adjusted)","Malnutrition or chronic alcohol abuse (relative contraindication)"]

⚠️ Warnings & Precautions

["Do not exceed the maximum daily dose of Paracetamol.","Avoid concomitant use of other Paracetamol-containing products.","Use with caution in patients with liver or kidney disease.","Avoid alcohol during treatment.","Consult a doctor if symptoms persist or worsen.","Not for self-administration; must be given by a healthcare professional."]

🤱 Lactation Safety

Paracetamol is excreted in breast milk in small amounts. It is considered safe for use during breastfeeding when taken at recommended doses. Consult your doctor before use.

💊 Overdose Management

Overdose of Paracetamol can cause severe liver damage, which may be delayed. Symptoms of overdose may include nausea, vomiting, abdominal pain, and loss of appetite. If overdose is suspected, seek immediate medical attention. The antidote is N-acetylcysteine, which is most effective when administered within 8 to 10 hours of ingestion. Treatment may include activated charcoal, gastric lavage, and supportive care. Monitor liver function tests and coagulation parameters.

⏰ Missed Dose

Since this medicine is administered by a healthcare professional, missed doses are unlikely. If a dose is missed, it should be given as soon as possible. However, if it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

This medicine must be administered only by a healthcare professional. Do not self-administer. Inform your doctor if you have a history of liver or kidney disease, alcohol abuse, or malnutrition. Avoid taking other products containing Paracetamol while receiving this medicine to prevent overdose. Do not consume alcohol during treatment as it increases the risk of liver damage. If you are pregnant or breastfeeding, consult your doctor before receiving this medicine. Report any signs of allergic reaction, such as rash, itching, or swelling, immediately. Keep all follow-up appointments and laboratory tests as advised by your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the side effects of this medicine, especially liver and kidney toxicity. Dose adjustment may be necessary based on renal and hepatic function. Monitor closely for any adverse effects.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Paracetamol is generally considered safe during pregnancy, but it should be used only when clearly needed.

🏥 Post-Surgery Considerations

This medicine is commonly used for post-operative pain management. It is effective and well-tolerated. Inform your surgeon if you have any liver or kidney conditions.

🦷 Dental Procedures

This medicine can be used for pain relief after dental procedures. Inform your dentist if you are taking this medicine or have any allergies.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to support kidney function.
🥗
Avoid alcohol to reduce the risk of liver damage.
😴
Maintain a healthy diet rich in fruits and vegetables.
💧
Get adequate rest to aid recovery.
🧘
Follow your doctor's advice for pain management.
🌞
Do not exceed the recommended dose.

🏋️ Exercise Considerations

This medicine may cause dizziness in some patients. Avoid driving or operating heavy machinery until you know how it affects you. Light activity is generally safe, but consult your doctor before starting any exercise regimen.

🥗 Diet Recommendations

Include plenty of fluids.
Eat a balanced diet to support liver health.
Avoid alcohol.
Limit processed and fatty foods.

💼 Impact on Daily Work & Life

This medicine is given in a healthcare setting, so it may not directly impact your work life. However, if you experience dizziness or drowsiness, avoid driving or operating machinery until the effects wear off.

🛑 When to Stop This Medicine

This medicine is usually given for a short duration. Do not stop or continue use without consulting your doctor. If you experience any serious side effects, seek immediate medical attention.

📅 Long-Term Use Effects

Long-term use of this medicine at recommended doses is generally safe, but prolonged use may increase the risk of liver and kidney damage. Regular monitoring of liver and kidney function is advised for patients on long-term therapy. Consult your doctor if you need to use this medicine for more than a few days.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral Paracetamol

Can be used when oral administration is possible.

Evidence: Well-established
Nonsteroidal anti-inflammatory drugs (NSAIDs)

May be used for pain and inflammation but have different side effect profiles.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. It can be used before or after vaccination if needed for pain or fever.

📦 Storage Guide

✅ DO

Store below 25°C

❌ DON'T

Do not freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not store in direct sunlight

✈️ Traveling with This Medicine

This medicine is administered by healthcare professionals and is not typically self-administered during travel. If you are prescribed this medicine for travel, carry it in its original packaging with a copy of your prescription. Store it below 25°C and protect it from light. Check with airlines and customs regarding regulations for carrying injectable medications. If you need to cross time zones, consult your doctor for dosing schedule adjustments.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 60-year-old man with post-operative pain after knee surgery
He was unable to take oral medications due to nausea. He received this medicine intravenously every 6 hours. His pain was well controlled, and he did not experience any side effects. He was advised to avoid alcohol and to monitor for any signs of liver problems.
💡 Lesson: Injectable Paracetamol is effective for post-operative pain when oral administration is not possible.
👤 A 35-year-old woman with high fever and severe headache due to viral infection
She was admitted to the hospital and given this medicine intravenously. Her fever subsided within 30 minutes, and her headache improved. She was monitored for any adverse reactions and was discharged after 2 days.
💡 Lesson: This medicine provides rapid relief of fever and pain in acute settings.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 5 to 10 minutes after injection.

Q: How is this medicine given?

A: It is given as a slow intravenous injection by a healthcare professional.

Q: What should I avoid while taking this medicine?

A: Avoid alcohol and other Paracetamol-containing products.

Q: Is this medicine safe for pregnant women?

A: Paracetamol is generally considered safe during pregnancy when used as directed. Consult your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for crusimol injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Paracetamol injection is stronger than oral tablets.
    Fact: The injectable form works faster but provides similar pain relief and fever reduction as oral Paracetamol when used at equivalent doses.
  • Myth: Paracetamol is completely safe and has no side effects.
    Fact: While generally safe at recommended doses, Paracetamol can cause serious liver damage if taken in excess or with alcohol.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol injection 75 mg/ml

Brand Alternatives

  • Crusimol injection

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol injection","class":"Analgesic/Antipyretic","route":"Parenteral","onset":"5-10 minutes","duration":"4-6 hours"},{"medicine":"Paracetamol oral","class":"Analgesic/Antipyretic","route":"Oral","onset":"30-60 minutes","duration":"4-6 hours"}]

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