diplonim p 100mg/350mg tablet - Nimesulide (100mg) + Paracetamol (350mg) medicine

Diplonim P 100mg/350mg Tablet: Complete Information

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🏭 Pharmatech Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for short-term use in acute pain.
Reviewed by
SaathiMed Expert Panel | Sep 25, 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

  • Blood in stool or vomit
  • Severe abdominal pain
  • Yellowing of skin or eyes
  • Decreased urine output
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Difficulty breathing

If experiencing severe symptoms, call emergency services immediately.

What is diplonim p 100mg/350mg tablet used for?

This medicine is a combination of nimesulide and paracetamol used for short-term relief of acute pain and inflammation. It should be taken with food and not exceeding the prescribed dose.

  • Generic Name: Nimesulide (100mg) + Paracetamol (350mg)
  • Manufacturer: Pharmatech Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 diplonim p 100mg/350mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा नाइमेसुलाइड और पैरासिटामोल का संयोजन है, जिसका उपयोग तीव्र दर्द और सूजन के अल्पकालिक उपचार के लिए किया जाता है। यह मांसपेशियों के दर्द, दांत दर्द, और बुखार में राहत देती है। इसे भोजन के साथ लेना चाहिए और डॉक्टर की सलाह के बिना लंबे समय तक नहीं लेना चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, पेट दर्द, दस्त, और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन जिगर की क्षति, गुर्दे की समस्या, और गंभीर त्वचा प्रतिक्रियाएं हो सकती हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक या अवधि से अधिक न लें। इसे भोजन के साथ लें। शराब का सेवन न करें। अन्य पैरासिटामोल युक्त दवाओं के साथ न लें। यदि आपको जिगर या गुर्दे की बीमारी है तो डॉक्टर को बताएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 diplonim p 100mg/350mg tablet Uses & Benefits

[{"condition":"Acute musculoskeletal pain","description":"Relieves pain and inflammation in conditions such as sprains, strains, and back pain.","evidence":"Well-established"},{"condition":"Dental pain","description":"Provides relief from toothache and post-dental procedure pain.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain after minor surgeries.","evidence":"Moderate"},{"condition":"Fever","description":"Reduces fever due to the paracetamol component.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used for acute migraine relief, but not first-line.","evidence":"Limited"}]

Primary treatment for: Acute pain and inflammation

Also treats: Fever, Musculoskeletal pain, Dental pain

📋 Drug Information

Generic Name(s)Nimesulide (100mg) + Paracetamol (350mg)
Brand Namediplonim p 100mg/350mg tablet
ManufacturerPharmatech Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with food or milk to reduce stomach irritation.
2
Do not exceed the prescribed dose or duration; long-term use can harm your liver and kidneys.
3
Avoid alcohol completely while taking this medicine to prevent liver damage and bleeding.
4
If you are on blood thinners like warfarin, inform your doctor before taking this medicine.
5
Stop the medicine and seek medical help if you notice yellowing of eyes, dark urine, or severe stomach pain.
6
Do not take other paracetamol-containing products simultaneously to avoid overdose.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Acute musculoskeletal pain
This medicine is commonly prescribed for this.
Likely Use
✅
Fever
Paracetamol component reduces fever.
Likely Use
❌
Chronic pain
Not for long-term use; consult doctor for chronic pain management.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNimesulide is rapidly absorbed after oral administration, with peak plasma concentrations reached in 1.5 to 3 hours. Paracetamol is also rapidly absorbed, with peak levels within 0.5 to 2 hours. Food may slightly delay absorption but does not significantly affect the extent.
DistributionNimesulide is highly protein-bound and distributes extensively into tissues, including synovial fluid. Paracetamol distributes widely in body fluids, with a volume of distribution of about 0.9 L/kg.
Protein BindingNimesulide is approximately 99% bound to plasma proteins. Paracetamol is about 10-25% bound.
MetabolismNimesulide is extensively metabolized in the liver, primarily by CYP2C9 to its major metabolite 4-hydroxynimesulide. Paracetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction oxidized by CYP2E1 to a toxic metabolite (NAPQI) that is detoxified by glutathione.
Half-LifeNimesulide: 1.8 to 4.7 hours. Paracetamol: 2 to 3 hours.
ExcretionNimesulide metabolites are excreted mainly in urine (about 70%) and feces (about 20%). Paracetamol metabolites are excreted in urine.
BioavailabilityNimesulide: approximately 90%. Paracetamol: approximately 80-90%.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimeNimesulide: 1.5-3 hours. Paracetamol: 0.5-2 hours.
Duration of ActionPain relief lasts approximately 6 to 8 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Nimesulide selectively inhibits cyclooxygenase-2 (COX-2), reducing the synthesis of prostaglandins, which are mediators of inflammation and pain. Paracetamol acts centrally to inhibit prostaglandin synthesis in the brain, elevating the pain threshold and reducing fever. Together, they provide analgesic, anti-inflammatory, and antipyretic effects.

Mechanism Steps

1
COX-2 inhibition by nimesulide: Nimesulide selectively binds to and inhibits the COX-2 enzyme, reducing prostaglandin production at sites of inflammation.
2
Central analgesia by paracetamol: Paracetamol acts on the central nervous system to inhibit prostaglandin synthesis, increasing the pain threshold.
3
Antipyretic effect: Both agents act on the hypothalamus to reduce fever by promoting heat loss.

💡 How to Take diplonim p 100mg/350mg tablet

Strength: Tablet containing nimesulide 100 mg and paracetamol 350 mg.

1Take the tablet whole with a glass of water.
2Take it with food or milk to reduce stomach upset.
3Do not crush or chew the tablet.
4Follow the prescribed schedule exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally two to three times daily, preferably after meals. The maximum daily dose should not exceed three tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not use for more than 5-7 days without medical advice.
Pediatric DosagePediatric dosing is not established from available information. This medicine is not recommended for children under 12 years. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function.
Renal ImpairmentUse with caution in patients with kidney impairment. Dose reduction may be necessary. Consult your doctor.
Hepatic ImpairmentContraindicated in severe liver impairment. Use with caution in mild to moderate impairment. Dose reduction may be necessary.
Maximum Daily DoseMaximum 3 tablets in 24 hours (nimesulide 300 mg and paracetamol 1050 mg).

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage and bleeding.

⏰ 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 diplonim p 100mg/350mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food. If persistent, consult your doctor.
Stomach pain (Common (5-10%))
Take with food or milk. Avoid alcohol.
Dizziness (Uncommon (1-5%))
Avoid driving if affected. Usually resolves.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stools, vomiting blood, or severe abdominal pain.
Liver damage (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue immediately.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you develop rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Kidney impairment
Monitor urine output. Report decreased urination or swelling.
Anaphylaxis
Seek immediate emergency help if you experience difficulty breathing, swelling of face or throat.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Methotrexate Major
ACE inhibitors Moderate
Diuretics Moderate
Other NSAIDs Major

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • Methotrexate

⚡ Moderate Interactions

  • ACE inhibitors
  • Diuretics

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of liver toxicity from paracetamol and gastrointestinal bleeding from nimesulide.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to nimesulide, paracetamol, or any component","Active peptic ulcer or history of recurrent ulcers","Severe liver impairment","Severe kidney impairment","History of NSAID-induced asthma or allergic reactions","Children under 12 years","Third trimester of pregnancy","Concurrent use with other NSAIDs"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Do not exceed recommended dose or duration.","Avoid alcohol.","Use with caution in elderly patients.","Monitor liver and kidney function with prolonged use.","Discontinue if signs of liver injury occur.","Not for children under 12 years."]

🤱 Lactation Safety

Not established from the available information. Nimesulide and paracetamol are excreted in breast milk. Consult your doctor before use.

💊 Overdose Management

Overdose can cause severe liver damage, especially from paracetamol. Symptoms include nausea, vomiting, abdominal pain, and confusion. Seek immediate medical attention. Treatment includes activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Take it with food or milk to reduce stomach irritation. Avoid alcohol while taking this medicine as it can increase the risk of liver damage and gastrointestinal bleeding. Do not take other paracetamol-containing products simultaneously to prevent overdose. Inform your doctor if you have a history of liver or kidney disease, stomach ulcers, or bleeding disorders. Do not use this medicine for more than 5-7 days without medical advice. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of kidney, liver, and gastrointestinal side effects. Use the lowest effective dose for the shortest duration and monitor closely.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor for alternative pain relief options.

🏥 Post-Surgery Considerations

Use with caution after surgery due to increased risk of bleeding and kidney stress. Follow your surgeon's advice.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure, as it may increase bleeding risk.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints.
🥗
Engage in regular low-impact exercise like swimming or walking.
😴
Practice good posture to prevent musculoskeletal pain.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to aid recovery.
🌞
Stay well hydrated.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine if you have pain or inflammation. Consult your doctor before resuming intense physical activity.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce processed and fried food intake.
Stay well hydrated.
Avoid alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy. It may also cause stomach upset, so take it with food.

🛑 When to Stop This Medicine

Stop taking this medicine if you experience any serious side effects such as severe stomach pain, yellowing of eyes, or allergic reactions. Do not stop abruptly if you are on a prescribed course; consult your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to liver damage, kidney impairment, and gastrointestinal bleeding. It is not intended for chronic use. Regular monitoring of liver and kidney function is advised if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Hot/cold compresses

May help relieve localized pain and inflammation.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you have a fever, consult your doctor before vaccination.

📦 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 and protect from direct sunlight. If traveling across time zones, adjust dosing intervals as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic knee pain
Started this medicine as prescribed for osteoarthritis. Within 2 weeks noticed significant improvement in morning stiffness. Emphasized taking with food to prevent stomach upset.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 30-year-old woman with acute dental pain
Took this medicine for severe toothache. Pain relief was effective within 45 minutes. She was advised not to use it for more than 3 days and to see a dentist for definitive treatment.
💡 Lesson: This medicine provides symptomatic relief but does not treat the underlying cause; dental evaluation is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30 to 60 minutes after taking the tablet.

Q: Can I take it on an empty stomach?

A: It is best taken with food or milk to reduce the risk of stomach upset.

Q: Is it safe during pregnancy?

A: It is not recommended during pregnancy, especially in the third trimester. 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 diplonim p 100mg/350mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is safe for long-term use.
    Fact: It is intended for short-term use only. Prolonged use can cause liver and kidney damage.
  • Myth: It can be taken on an empty stomach.
    Fact: It should be taken with food to reduce stomach upset.

🔄 Alternative Options

Generic Alternatives

  • Nimesulide + Paracetamol combination tablets

Brand Alternatives

  • Diplonim P 100mg/350mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Nimesulide + Paracetamol","composition":"Nimesulide 100mg + Paracetamol 350mg","onset":"30-60 minutes","duration":"6-8 hours"},{"medicine":"Ibuprofen + Paracetamol","composition":"Ibuprofen 400mg + Paracetamol 325mg","onset":"30-60 minutes","duration":"4-6 hours"}]

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