nilitis p 100 mg/500 mg tablet - Nabumetone (100mg) + Paracetamol (500mg) medicine

Nilitis P 100 mg/500 mg Tablet: Complete Medicine Guide

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🏭 Ipca Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. Avoid during the third trimester due to risk of premature closure of ductus arteriosus. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term pain relief.
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
  • 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

If experiencing severe symptoms, call emergency services immediately.

What is nilitis p 100 mg/500 mg tablet used for?

This medicine is a combination of nabumetone and paracetamol used for short-term relief of acute pain and inflammation. It works by reducing prostaglandins. Take it with food and avoid alcohol.

  • Generic Name: Nabumetone (100mg) + Paracetamol (500mg)
  • Manufacturer: Ipca Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nilitis p 100 mg/500 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा नबुमेटोन और पैरासिटामोल का संयोजन है, जिसका उपयोग दर्द और सूजन को कम करने के लिए किया जाता है। यह मांसपेशियों के दर्द, दांत दर्द, पोस्ट-ऑपरेटिव दर्द और मासिक धर्म के दर्द में राहत देती है। इसे भोजन के साथ लें और शराब से बचें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, पेट दर्द, सिरदर्द, चक्कर आना और दस्त शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, गुर्दे की समस्या, यकृत की क्षति और त्वचा पर गंभीर प्रतिक्रियाएं शामिल हो सकती हैं। यदि आपको काला मल, उल्टी में खून, या पेट में तेज दर्द हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट की जलन कम हो। शराब का सेवन न करें। अन्य दर्द निवारक दवाओं के साथ इसका सेवन न करें। यदि आपको गुर्दे या यकृत की बीमारी है, तो डॉक्टर को बताएं। गर्भावस्था के दौरान डॉक्टर की सलाह के बिना न लें।

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

💊 nilitis p 100 mg/500 mg tablet Uses & Benefits

[{"condition":"Musculoskeletal pain","description":"Relieves pain and inflammation associated with strains, sprains, and other musculoskeletal injuries.","evidence":"Well-established"},{"condition":"Dental pain","description":"Provides relief from mild to moderate dental pain, including toothache and post-extraction pain.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain following surgical procedures.","evidence":"Well-established"},{"condition":"Dysmenorrhea","description":"Helps relieve menstrual cramps and associated pain.","evidence":"Well-established"},{"condition":"Fever","description":"Paracetamol component helps reduce fever, though this combination is primarily used for pain.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used for acute migraine attacks, but not a first-line treatment.","evidence":"Limited"},{"condition":"Osteoarthritis flare","description":"May be used short-term for osteoarthritis pain flares, but nabumetone alone is more common.","evidence":"Limited"}]

Primary treatment for: Musculoskeletal pain

Also treats: Dental pain, Post-operative pain, Dysmenorrhea, Fever

📋 Drug Information

Generic Name(s)Nabumetone (100mg) + Paracetamol (500mg)
Brand Namenilitis p 100 mg/500 mg tablet
ManufacturerIpca Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container.
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
Take this medicine with food or milk to reduce stomach upset.
2
Avoid alcohol while taking this medicine to prevent gastrointestinal bleeding and liver damage.
3
Do not take other NSAIDs or paracetamol-containing products simultaneously.
4
Stay well hydrated throughout the day.
5
Consult your doctor if pain persists beyond 7 days or worsens.
6
Report any unusual bleeding, bruising, or yellowing of eyes to your doctor immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Chronic joint pain
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNabumetone is rapidly absorbed after oral administration, with peak plasma concentrations of its active metabolite, 6-MNA, occurring within 2 to 4 hours. Paracetamol is also rapidly and completely absorbed from the gastrointestinal tract, with peak plasma concentrations reached within 30 to 60 minutes.
DistributionNabumetone's active metabolite, 6-MNA, is highly protein-bound and distributes widely into body tissues, including synovial fluid. Paracetamol distributes throughout most body fluids and tissues.
Protein Binding6-MNA is greater than 99% bound to plasma proteins. Paracetamol is approximately 10-25% bound to plasma proteins.
MetabolismNabumetone undergoes extensive first-pass metabolism in the liver to form 6-MNA, which is further metabolized by conjugation. Paracetamol is metabolized primarily in the liver by glucuronidation and sulfation, with a small fraction metabolized by cytochrome P450 2E1 to a toxic intermediate, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.
Half-LifeThe elimination half-life of 6-MNA is approximately 24 hours. The elimination half-life of paracetamol is approximately 2 to 3 hours.
Excretion6-MNA is excreted primarily in the urine as conjugates. Paracetamol metabolites are excreted in the urine, with about 85% eliminated as glucuronide and sulfate conjugates.
BioavailabilityThe bioavailability of nabumetone's active metabolite, 6-MNA, is approximately 35% due to first-pass metabolism. Paracetamol has a bioavailability of about 80-100%.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimePeak plasma concentration of 6-MNA is reached in 2 to 4 hours. Peak plasma concentration of paracetamol is reached in 30 to 60 minutes.
Duration of ActionThe analgesic effect lasts approximately 4 to 6 hours for paracetamol, while the anti-inflammatory effect of nabumetone lasts longer, up to 24 hours, allowing for once or twice daily dosing.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Nabumetone is a non-acidic prodrug that is metabolized in the liver to its active metabolite, 6-methoxy-2-naphthylacetic acid (6-MNA). 6-MNA inhibits the cyclooxygenase (COX) enzymes, particularly COX-2, thereby reducing the synthesis of prostaglandins, which are mediators of inflammation, pain, and fever. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis and possibly activating descending serotonergic pathways, leading to analgesia and antipyresis. The combination provides both peripheral anti-inflammatory and central analgesic effects.

Mechanism Steps

1
Absorption and prodrug conversion: Nabumetone is absorbed from the gastrointestinal tract and undergoes extensive first-pass metabolism in the liver to form its active metabolite, 6-MNA.
2
COX enzyme inhibition: 6-MNA inhibits cyclooxygenase enzymes, reducing the conversion of arachidonic acid to prostaglandin H2, a precursor of various prostaglandins.
3
Reduced prostaglandin synthesis: Decreased prostaglandin levels lead to reduced inflammation, pain, and fever.
4
Central analgesic action of paracetamol: Paracetamol acts on the central nervous system to inhibit prostaglandin synthesis and modulate pain perception.
5
Combined clinical effect: The combination provides enhanced pain relief through both peripheral anti-inflammatory and central analgesic mechanisms.

💡 How to Take nilitis p 100 mg/500 mg tablet

Strength: Nabumetone 100 mg and Paracetamol 500 mg immediate-release tablet.

1Take this medicine orally with a full glass of water.
2Take it with food or milk to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Follow the dosage schedule prescribed by your doctor.
5Do not take more than the recommended dose.
6If you miss a dose, take it as soon as you remember, but skip if it is almost time for the next dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally once or twice daily, or as directed by your doctor. The dose must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. Do not exceed the recommended dose. Take with food or milk to reduce stomach upset.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially gastrointestinal and kidney effects. Use with caution and at the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with kidney impairment. Dose adjustment may be necessary. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with liver impairment. Dose adjustment may be necessary. Consult your doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose should not exceed the equivalent of 2000 mg of paracetamol and 2000 mg of nabumetone, but the exact maximum for this combination must be determined by a qualified clinician based on individual patient factors.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of gastrointestinal bleeding and 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 nilitis p 100 mg/500 mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce nausea. If it persists, consult your doctor.
Stomach pain (Common (5-10%))
Take with food. Avoid alcohol. If pain is severe or persistent, seek medical advice.
Headache (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if severe.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if it persists for more than 2 days.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black or tarry stools, vomiting blood, or severe abdominal pain.
Liver damage (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue to your doctor immediately.
Kidney problems (Rare (<0.1%))
Report decreased urine output, swelling, or sudden weight gain to your doctor.
Severe skin reactions (Very rare (<0.01%))
Seek immediate medical help if you develop a rash, blisters, or peeling skin.
Cardiovascular events (Rare (<0.1%))
Report chest pain, shortness of breath, or swelling to your doctor immediately.

⚠️ Rare Side Effects

Blood disorders
Report unusual bruising or bleeding, sore throat, or fever to your doctor.
Pancreatitis
Seek immediate medical attention for severe abdominal pain radiating to the back.
Aseptic meningitis
Seek immediate medical attention for severe headache, stiff neck, and fever.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Corticosteroids Major
ACE inhibitors Major
Diuretics Major
Lithium Moderate
Methotrexate Moderate
SSRIs Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • Corticosteroids
  • ACE inhibitors and ARBs
  • Diuretics

⚡ Moderate Interactions

  • Lithium
  • Methotrexate
  • SSRIs
  • Anticoagulants (other than warfarin)

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding and can potentiate liver damage, especially due to the paracetamol component.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to nabumetone, paracetamol, or any component of the formulation","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs","Active peptic ulcer or gastrointestinal bleeding","Severe kidney impairment","Severe liver impairment","Third trimester of pregnancy","Coronary artery bypass graft (CABG) surgery"]

⚠️ Warnings & Precautions

["Cardiovascular risk: NSAIDs may increase the risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke.","Gastrointestinal risk: NSAIDs can cause serious gastrointestinal adverse events, including bleeding, ulceration, and perforation, which can be fatal.","Kidney risk: NSAIDs can cause kidney injury, especially in patients with pre-existing kidney disease, heart failure, or dehydration.","Liver risk: Paracetamol can cause liver damage in overdose. Do not exceed recommended dose.","Skin reactions: Serious skin reactions have been reported with NSAIDs and paracetamol. Discontinue at first sign of rash.","Use with caution in the elderly, who are at higher risk of adverse effects.","Do not use in patients with aspirin-sensitive asthma.","Avoid alcohol consumption while taking this medicine."]

🤱 Lactation Safety

Nabumetone and paracetamol are excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding. Generally considered compatible with breastfeeding but monitor infant for any adverse effects.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage due to paracetamol and gastrointestinal bleeding due to nabumetone. Seek immediate medical attention. Treatment includes activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care. Do not induce vomiting.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of gastrointestinal bleeding and liver damage. Do not take other NSAIDs or paracetamol-containing products simultaneously to prevent overdose. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, high blood pressure, or heart failure. Use with caution in the elderly. Do not use this medicine during the third trimester of pregnancy without medical advice. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Do not double the dose. Store at room temperature away from moisture and heat. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use with caution and at the lowest effective dose for the shortest duration.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy or if you become pregnant while taking this medicine. Avoid use during the third trimester.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain, but consult your surgeon before use, especially if you are on other medications or have bleeding risks.

🦷 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 joint stress.
🥗
Regular low-impact exercise like swimming.
😴
Practice good posture.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep.

🏋️ Exercise Considerations

Avoid strenuous exercise that may exacerbate pain or injury. Consult your doctor before starting any exercise program while on this medicine.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. It may affect your ability to perform tasks requiring alertness.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe side effects, allergic reactions, or if your pain worsens. Do not stop abruptly without medical advice if you have been on long-term therapy.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of gastrointestinal bleeding, kidney impairment, liver damage, and cardiovascular events. Regular monitoring of kidney and liver function is recommended. Use the lowest effective dose for the shortest duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Heat and cold therapy

May help relieve localized pain and inflammation.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. 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

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing schedule 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 musculoskeletal pain. 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 menstrual cramps
Used this medicine for dysmenorrhea and experienced relief within an hour. She was advised to take it with food and avoid alcohol. She reported no side effects.
💡 Lesson: This medicine can effectively relieve menstrual pain when taken as directed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30 to 60 minutes after taking this medicine.

Q: Can I take this medicine on an empty stomach?

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

Q: Is it safe to take with other painkillers?

A: Do not take other NSAIDs or paracetamol-containing products without consulting 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?

🛑 Myths vs. Facts

  • Myth: This medicine can be taken on an empty stomach.
    Fact: It should be taken with food to reduce stomach upset.
  • Myth: It is safe to drink alcohol while taking this medicine.
    Fact: Alcohol increases the risk of gastrointestinal bleeding and liver damage.
  • Myth: This medicine is safe for long-term use without monitoring.
    Fact: Long-term use requires monitoring of kidney and liver function.

🔄 Alternative Options

Generic Alternatives

  • Nabumetone 100 mg + Paracetamol 500 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Nabumetone 100 mg + Paracetamol 500 mg","uses":"Acute pain, inflammation","notes":"Take with food."},{"medicine":"Nabumetone alone","composition":"Nabumetone 500 mg","uses":"Osteoarthritis, rheumatoid arthritis","notes":"Long-term use."},{"medicine":"Paracetamol alone","composition":"Paracetamol 500 mg","uses":"Pain, fever","notes":"No anti-inflammatory effect."}]

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