opel serra 100 mg/10 mg tablet - Nimesulide (100mg) + Serratiopeptidase (10mg) medicine

Alsara N 100mg/10mg Tablet: Complete Medicine Guide

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🏭 Stanford Biotech Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use is not recommended during pregnancy, especially in the third trimester, unless clearly needed and advised by a doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for short-term use in inflammatory conditions.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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 opel serra 100 mg/10 mg tablet used for?

This medicine is a combination of nimesulide and serratiopeptidase used for short-term relief of pain and inflammation in conditions like arthritis and injuries. It works by reducing pain and swelling. Take it with food and avoid alcohol.

  • Generic Name: Nimesulide (100mg) + Serratiopeptidase (10mg)
  • Manufacturer: Stanford Biotech Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 opel serra 100 mg/10 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा नाइमेसुलाइड और सेरेशियोपेप्टिडेज़ का संयोजन है, जिसका उपयोग दर्द और सूजन को कम करने के लिए किया जाता है। यह गठिया, चोट, और सर्जरी के बाद होने वाली सूजन और दर्द में राहत देती है। इसे भोजन के साथ लें और शराब से बचें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, पेट दर्द, दस्त, और चक्कर आना शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, लीवर और किडनी की समस्या हो सकती है। यदि 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। शराब न पिएं। यदि आपको चक्कर आते हैं तो वाहन न चलाएं। गर्भवती महिलाएं और स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 opel serra 100 mg/10 mg tablet Uses & Benefits

[{"condition":"Osteoarthritis","description":"Relieves pain and improves joint mobility in knee, hip, and hand osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness as part of a comprehensive treatment plan.","evidence":"Well-established"},{"condition":"Post-operative inflammation","description":"Helps reduce swelling and pain after surgery or dental procedures.","evidence":"Moderate"},{"condition":"Acute musculoskeletal injuries","description":"Provides short-term relief for sprains, strains, and sports injuries.","evidence":"Moderate"},{"condition":"Ankylosing spondylitis","description":"May help relieve pain and stiffness in the spine and sacroiliac joints.","evidence":"Limited"}]

Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label for preventing migraines, but evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, but not a first-line treatment.","evidence":"Limited"}]

Primary treatment for: Pain and inflammation associated with musculoskeletal and joint disorders

Also treats: Osteoarthritis, Rheumatoid arthritis, Post-operative inflammation, Acute musculoskeletal injuries

📋 Drug Information

Generic Name(s)Nimesulide (100mg) + Serratiopeptidase (10mg)
Brand Nameopel serra 100 mg/10 mg tablet
ManufacturerStanford Biotech Pvt Ltd
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 and moisture.
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 to reduce stomach upset.
2
Stay well hydrated throughout the day.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.
7
Do not drive or operate machinery if you feel dizzy.

🔍 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
✅
Swelling after injury
This medicine helps reduce swelling and pain.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNimesulide is rapidly absorbed from the gastrointestinal tract after oral administration. Serratiopeptidase is absorbed through the intestinal mucosa, though its systemic bioavailability is debated.
DistributionNimesulide is highly protein-bound and distributes widely into body tissues, including synovial fluid. Serratiopeptidase distributes to sites of inflammation.
Protein BindingNimesulide is approximately 95% bound to plasma proteins. Serratiopeptidase binding is not well established.
MetabolismNimesulide is extensively metabolized in the liver, primarily by CYP2C9, to several metabolites. Serratiopeptidase is likely degraded into amino acids and peptides.
Half-LifeThe elimination half-life of nimesulide is approximately 2 to 5 hours. The half-life of serratiopeptidase is not well established.
ExcretionNimesulide metabolites are excreted mainly in urine and feces. Serratiopeptidase breakdown products are excreted via normal protein metabolism pathways.
BioavailabilityNimesulide oral bioavailability is approximately 80-90%. Serratiopeptidase bioavailability is not well established.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimeNimesulide reaches peak plasma concentration in about 1.5 to 3 hours. Serratiopeptidase peak time is not well established.
Duration of ActionPain relief lasts approximately 6 to 8 hours, so dosing is usually two to three times daily.

How It Works

Nimesulide selectively inhibits the cyclooxygenase-2 (COX-2) enzyme, which reduces the production of prostaglandins that cause pain and inflammation. Serratiopeptidase is a proteolytic enzyme that breaks down fibrin and other proteins involved in swelling and tissue repair, thereby reducing edema and promoting healing.

Mechanism Steps

1
COX-2 inhibition by nimesulide: Nimesulide selectively binds to and inhibits the COX-2 enzyme, reducing prostaglandin synthesis.
2
Reduced prostaglandins: Lower prostaglandin levels decrease pain and inflammation at the site of injury.
3
Proteolytic action of serratiopeptidase: Serratiopeptidase breaks down fibrin and dead tissue, reducing swelling and improving circulation.
4
Enhanced healing: The combined effects lead to reduced edema, pain relief, and faster recovery.

💡 How to Take opel serra 100 mg/10 mg tablet

Strength: Each tablet contains nimesulide 100 mg and serratiopeptidase 10 mg.

1Take the tablet 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.
4Take it at the same time each day.
5Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet two to three times daily, taken with food. The exact dose and duration depend on the condition being treated, your age, weight, kidney and liver function, and response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney problems. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with kidney disease. Dose reduction may be necessary. Consult your doctor for individualized dosing.
Hepatic ImpairmentAvoid in patients with severe liver disease. Use with caution in mild to moderate liver impairment. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose of nimesulide is 200 mg. Do not exceed this dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of gastrointestinal 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 opel serra 100 mg/10 mg 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.
Heartburn (Common (5-10%))
Take with food. If severe, consult doctor.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if it persists.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how it affects you.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stool, vomiting blood, or severe abdominal pain.
Liver damage (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue immediately.
Kidney impairment (Rare (<0.1%))
Report decreased urine output or swelling. Your doctor may monitor kidney function.
Severe allergic reaction (Rare (<0.1%))
Seek emergency help if you experience swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Blood disorders
Report unusual bruising or bleeding.
Stevens-Johnson syndrome
Seek immediate medical help if you develop skin rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • ACE inhibitors

⚡ Moderate Interactions

  • Diuretics
  • Lithium
  • Methotrexate

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine as it increases the risk of stomach bleeding and liver damage.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Active peptic ulcer or history of recurrent ulcers","Severe kidney disease","Severe liver disease","Known allergy to nimesulide or serratiopeptidase","History of asthma, urticaria, or allergic reaction to aspirin or other NSAIDs","Third trimester of pregnancy","Children under 12 years","Bleeding disorders"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Avoid alcohol.","Do not use for more than 7-10 days without medical advice.","Use with caution in the elderly.","Monitor for signs of bleeding.","Inform your doctor if you have heart, kidney, or liver disease.","Do not drive if you feel dizzy."]

🤱 Lactation Safety

Not established from the available information. It is not known if nimesulide or serratiopeptidase pass into breast milk. Consult your doctor before use.

💊 Overdose Management

Overdose may cause nausea, vomiting, abdominal pain, drowsiness, and gastrointestinal bleeding. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ 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 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. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, high blood pressure, or heart problems. Do not take other painkillers or NSAIDs without consulting your doctor. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before taking this medicine. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function regularly.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy, especially in the third trimester. If you are planning pregnancy, consult your doctor to discuss safer alternatives.

🏥 Post-Surgery Considerations

This medicine may be prescribed after surgery to reduce pain and swelling. Take it as directed by your surgeon. Inform your surgeon if you have any bleeding disorders or are on blood thinners.

🦷 Dental Procedures

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

💚 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 or heavy lifting while taking this medicine, especially if you have joint pain or swelling. Consult your doctor before starting any exercise program.

🥗 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 in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take rest if you feel unwell.

🛑 When to Stop This Medicine

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

📅 Long-Term Use Effects

Long-term use of this medicine can increase the risk of gastrointestinal bleeding, kidney problems, liver damage, and cardiovascular events. It is not recommended for extended use. Regular monitoring of kidney and liver function may be needed 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 and cold compresses

Helps reduce swelling and pain in injuries.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information. There are no known interactions with vaccines, but consult your doctor if you are scheduled for 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 moisture. If traveling across time zones, adjust dosing times gradually. 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 60-year-old man after knee replacement surgery
Was prescribed this medicine for post-operative swelling and pain. He took it regularly with meals and did physiotherapy. Swelling reduced significantly within 10 days, and he could walk with support.
💡 Lesson: Short-term use along with physiotherapy aids recovery after surgery.

💬 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 to reduce the risk of stomach upset.

Q: Is it safe to take with other painkillers?

A: Do not take other NSAIDs without consulting your doctor, as it increases the risk of side effects.

🤔 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 opel serra 100 mg/10 mg 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 can be taken long-term for chronic pain.
    Fact: It is meant for short-term use only. Long-term use increases the risk of stomach, kidney, and liver problems.
  • Myth: It is safe to take without food.
    Fact: Taking it without food increases the risk of stomach upset and ulcers. Always take it with food.

🔄 Alternative Options

Generic Alternatives

  • Nimesulide + Serratiopeptidase generic tablets

Brand Alternatives

  • Alsera N 100 mg/10 mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Nimesulide + Serratiopeptidase","composition":"Nimesulide 100 mg + Serratiopeptidase 10 mg","uses":"Pain and inflammation","notes":"Short-term use"},{"medicine":"Aceclofenac + Serratiopeptidase","composition":"Aceclofenac 100 mg + Serratiopeptidase 10 mg","uses":"Pain and inflammation","notes":"Similar use, different NSAID"}]

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