Adpep N Tablet: Comprehensive Guide to Uses, Side Effects, and Safety
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 bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is infanim ser tablet used for?
This medicine is a combination of nimesulide and serratiopeptidase used for short-term relief of pain, inflammation, and swelling. It works by reducing prostaglandins and breaking down fibrin. It is taken orally with food, usually twice daily, and should not be used for more than 7 days without medical advice.
- Generic Name: Nimesulide (NA) + Serratiopeptidase (NA)
- Manufacturer: Agron Remedies Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 infanim ser tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नाइमेसुलाइड और सेरेशियोपेप्टिडेज़ का संयोजन है, जिसका उपयोग दर्द, सूजन और सूजन से राहत के लिए किया जाता है। यह मुख्य रूप से सर्जरी के बाद की सूजन, चोट लगने पर सूजन, मांसपेशियों और जोड़ों के दर्द, और साइनसाइटिस में उपयोग की जाती है। यह दवा सूजन को कम करने और दर्द को शांत करने में मदद करती है। इसे भोजन के साथ लेना चाहिए। यह दवा केवल अल्पकालिक उपयोग के लिए है और इसे 7 दिनों से अधिक नहीं लेना चाहिए। बच्चों, गर्भवती महिलाओं और स्तनपान कराने वाली महिलाओं को यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असुविधा, दस्त, सिरदर्द और जलन शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, अल्सर, यकृत की क्षति, गुर्दे की समस्या, और त्वचा पर गंभीर प्रतिक्रियाएं हो सकती हैं। यदि आपको काला मल, खून की उल्टी, पेट में तेज दर्द, आंखों या त्वचा का पीलापन, या पेशाब कम आना जैसे लक्षण दिखें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट में जलन न हो। शराब का सेवन न करें क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ सकता है। यदि आपको पेट का अल्सर, गुर्दे या यकृत की बीमारी है, तो यह दवा न लें। अन्य दवाओं के साथ इसका सेवन करने से पहले डॉक्टर से सलाह लें। 7 दिनों से अधिक इस दवा का उपयोग न करें। गर्भवती और स्तनपान कराने वाली महिलाएं इस दवा का सेवन न करें।
💊 infanim ser tablet Uses & Benefits
[{"condition":"Post-operative inflammation and edema","description":"Reduces swelling and pain after surgical procedures.","evidence":"Moderate"},{"condition":"Traumatic edema","description":"Helps resolve swelling caused by injuries.","evidence":"Moderate"},{"condition":"Acute musculoskeletal pain","description":"Provides relief from pain and inflammation in muscles and joints.","evidence":"Moderate"},{"condition":"Sinusitis","description":"Reduces inflammation and congestion in sinus cavities.","evidence":"Limited"},{"condition":"Dental pain and swelling","description":"Used for short-term relief of dental inflammation.","evidence":"Limited"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label, but evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used for menstrual pain, but not a first-line option.","evidence":"Limited"}]
Primary treatment for: Inflammatory conditions with pain and edema
Also treats: Post-operative swelling, Traumatic edema, Musculoskeletal pain, Sinusitis
📋 Drug Information
| Generic Name(s) | Nimesulide (NA) + Serratiopeptidase (NA) |
| Brand Name | infanim ser tablet |
| Manufacturer | Agron Remedies Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Keep out of reach of children. |
| 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. Nimesulide 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 proteins involved in inflammation, thereby reducing swelling and promoting tissue repair. Together, they provide anti-inflammatory, analgesic, and anti-edema effects.
Mechanism Steps
💡 How to Take infanim ser tablet
Strength: Nimesulide 100 mg + Serratiopeptidase 10 mg (typical composition). Actual strength may vary; refer to the product label.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally twice daily, preferably after meals. However, the exact dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function. Do not exceed the recommended dose. This medicine is intended for short-term use only, typically not exceeding 7 days. |
| Pediatric Dosage | Pediatric dosing is not established from available information. This medicine is not recommended for children below 12 years of age. Consult a pediatrician for appropriate alternatives. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine, especially gastrointestinal and renal side effects. Use with caution and at the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose reduction may be necessary. This medicine is contraindicated in severe renal impairment (eGFR <30 mL/min). Consult a nephrologist for dosing guidance. |
| Hepatic Impairment | Use with caution in patients with mild to moderate hepatic impairment. This medicine is contraindicated in severe hepatic impairment. Monitor liver function closely. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose of nimesulide is 200 mg. The maximum daily dose of serratiopeptidase is not well established. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of infanim ser 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 | |
| Lithium | Moderate | |
| Methotrexate | Moderate | |
| Corticosteroids | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- Other NSAIDs
- ACE inhibitors and ARBs
- Diuretics
⚡ Moderate Interactions
- Lithium
- Methotrexate
- Corticosteroids
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine as it increases the risk of gastrointestinal bleeding and may worsen liver toxicity.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to nimesulide, serratiopeptidase, or any component of the formulation.","Active peptic ulcer or history of recurrent peptic ulcer.","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["Use with caution in elderly patients due to increased risk of GI bleeding and renal impairment.","Avoid in patients with dehydration or hypovolemia.","Use with caution in patients with cardiovascular risk factors.","Do not use for more than 7 days without medical supervision.","Monitor for signs of hepatotoxicity and discontinue if liver enzymes rise.","Avoid concurrent use with other NSAIDs.","Use with caution in patients with asthma.","May impair ability to drive or operate machinery if dizziness occurs."]
🤱 Lactation Safety
Not established from the available information. This medicine is not recommended during breastfeeding as it may pass into breast milk and cause harm to the infant.
💊 Overdose Management
Overdose may cause nausea, vomiting, abdominal pain, drowsiness, and gastrointestinal bleeding. There is no specific antidote. Treatment is supportive and symptomatic. Activated charcoal may be administered if overdose is recent. Monitor vital signs, renal and hepatic function. Seek immediate medical attention.
⏰ 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 dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Always take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it increases the risk of gastrointestinal bleeding. Do not use this medicine if you have a history of peptic ulcer, kidney disease, liver disease, or heart failure. Inform your doctor about all other medications you are taking, especially blood thinners, antihypertensives, and other NSAIDs. Do not take this medicine for more than 7 days without consulting your doctor. If you are pregnant or planning to become pregnant, consult your doctor before taking this medicine. Breastfeeding mothers should avoid this medicine as it may pass into breast milk. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, renal impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration and monitor closely.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for women planning pregnancy or who are pregnant. Consult your doctor for safe alternatives.
🏥 Post-Surgery Considerations
This medicine is often used post-surgery to reduce swelling and pain. However, it should be used under medical supervision and for a short duration. Inform your surgeon about all medications you are taking.
🦷 Dental Procedures
This medicine may be prescribed after dental procedures to reduce pain and swelling. Take it as directed and inform your dentist about any medical conditions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you have pain or swelling. Consult your doctor before starting any exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some patients. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take rest and avoid strenuous activities during treatment.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience severe side effects such as gastrointestinal bleeding, allergic reactions, or signs of liver or kidney problems. Do not stop abruptly without consulting your doctor if you have been on prolonged therapy.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended due to increased risk of gastrointestinal bleeding, hepatotoxicity, renal impairment, and cardiovascular events. Regular monitoring of liver and kidney function is advised if prolonged use is necessary. Consult your doctor for alternative treatments if symptoms persist.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and swelling.
Evidence: Well-establishedEffective for traumatic edema and pain.
Evidence: Well-establishedMay help with pain relief.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are established. However, consult your doctor before vaccination 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, continue your regular dosing schedule as prescribed. Check local customs regulations regarding prescription medicines. Always keep it in your carry-on luggage.
💰 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 30-60 minutes, but anti-edema effects may take a few days.
A: No, it should be taken with food to reduce stomach upset.
A: No, it is only for short-term use, typically not exceeding 7 days, due to risks of liver, kidney, and gastrointestinal side effects.
🤔 Common Patient Concerns
🔄 Substitutes for infanim ser tablet
View AllAlternative brands with exact same active ingredient:
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, kidney, and gastrointestinal side effects. - Myth: This medicine is safe for children.
Fact: This medicine is not recommended for children below 12 years due to safety concerns. - Myth: This medicine can be taken on an empty stomach.
Fact: It should be taken with food to reduce stomach upset.
🔄 Alternative Options
Generic Alternatives
- Nimesulide + Serratiopeptidase combination generics