Bitugesic Syrup
Prescription Required
Your child’s medicine at a glance
Bitugesic Syrup belongs to a class of medicines known as nonsteroidal anti-inflammatory drugs (NSAIDS). These have pain and fever-reducing properties. It is used for the treatment of acute pain and fever both in infants and children.
Adhere to the prescribed dose, time, and way while giving Bitugesic Syrup to your child. It can be given orally before or after meals. However, it is best to give this medicine to your child after meals as this will prevent the chance of developing an upset stomach. Avoid giving more than the recommended dose for fast relief as that may cause unwanted effects in your child. If your child vomits within 30 minutes of taking this medicine, give the same dose again but do skip it if it's time for the next dose.
Bitugesic Syrup may cause side effects like nausea, vomiting, stomach pain, heartburn, diarrhea, and allergy after taking this medicine. These side effects are temporary and are likely to subside once your child’s body adapts to the medicine. In case they persist or become bothersome for your child, do consult your child’s doctor on a priority basis.
Before administering Bitugesic Syrup to your child, do inform the doctor if your child is allergic to any medicine or products, or has a history of any heart problems, birth defects, liver disease, kidney disease, lung disease, or bleeding disorder. This information is critical for dose alteration and helps in planning your child's overall treatment.
Note: As per the Ministry of Health and Family Welfare, Bitugesic Syrup is banned for children under 12 years of age.
Uses of Bitugesic Syrup in children
Benefits of Bitugesic Syrup for your child
In Treatment of Fever
Bitugesic Syrup is also used to reduce a high temperature (fever). It works by blocking the release of certain chemical messengers that cause fever. It may be prescribed alone or in combination with another medicine. You should take it regularly as advised by your doctor.
In Pain relief
Bitugesic Syrup is used to treat aches and pains. It blocks chemical messengers in the brain that tell us we have pain. It is effective in relieving pain caused by headache, migraine, nerve pain, toothache, sore throat, period (menstrual) pains, arthritis, and muscle aches. This medicine is very widely used and very rarely causes side effects if taken at the right dosage.
Take it as it is prescribed to get the most benefit. Do not take more or longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time.
Take it as it is prescribed to get the most benefit. Do not take more or longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time.
Side effects of Bitugesic Syrup in children
Bitugesic Syrup does not pose serious side effects and is well-tolerated by children. In case the side effects do occur, they’re likely to subside once the body adapts to the medicine. Consult your child’s doctor if these side effects persist or bother your child. The most common side effects include-
Common side effects of Bitugesic
- Nausea
- Stomach pain
- Allergy
- Diarrhea
- Vomiting
- Increased liver enzymes
How can I give Bitugesic Syrup to my child?
Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Bitugesic Syrup is to be taken with food.
How Bitugesic Syrup works
Bitugesic Syrup works by blocking the action of a chemical messenger, prostaglandin, in the body which is responsible for pain, fever, and inflammation (redness and swelling).
Safety advice
Kidney
CAUTION
Bitugesic Syrup should be used with caution in patients with kidney disease. Dose adjustment of Bitugesic Syrup may be needed. Please consult your doctor.
Use of Bitugesic Syrup is not recommended in patients with severe kidney disease.
Use of Bitugesic Syrup is not recommended in patients with severe kidney disease.
Liver
CAUTION
Bitugesic Syrup should be used with caution in patients with liver disease. Dose adjustment of Bitugesic Syrup may be needed. Please consult your doctor.
Regular monitoring of Liver Function Tests (LFT) is recommended while your child is taking Bitugesic Syrup.
Regular monitoring of Liver Function Tests (LFT) is recommended while your child is taking Bitugesic Syrup.
What if I forget to give Bitugesic Syrup to my child?
Do not panic. Unless your doctor has advised a specific regime for your child, you may give the missed dose if it’s not more than 12 hours late. If it is almost time for the next dose, do not give a double dose and follow the prescribed dosing schedule.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Bitugesic Syrup
₹19.3/Syrup
Nimcee 50mg Syrup
Lancer Health Care Pvt Ltd
₹19.65/syrup
1% cheaper
Nimu 50mg Syrup
Centaur Pharmaceuticals Pvt Ltd
₹15.75/syrup
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Nised 50mg Syrup
Eastern Drug
₹21/syrup
6% costlier
Nised 50mg Syrup
Eastern Drug
₹12/syrup
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Nimtech 50mg Syrup
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₹19.18/syrup
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Quick tips
- Give plenty of fluids to your child, if diarrhea occurs as a side-effect.
- If your child exhibits signs of inflammation like redness or swelling,try placing an ice-pack over the affected area to reduce redness and swelling.
- Stop the medicine and consult your child’s doctor in case your child exhibits allergic rash or stomach pain soon after taking this medicine.
- If Bitugesic Syrup does not seem to be helping your child, contact your doctor for advice. Do not give extra doses.
- Bitugesic Syrup is used to relieve pain, inflammation, and fever.
- Take it with food or milk to prevent upset stomach.
- Take it as per the dose and duration prescribed by your doctor. Long term use may lead to serious complications such as stomach bleeding and kidney problems.
- Inform your doctor if you have a history of heart disease or stroke.
- Avoid consuming alcohol while taking Bitugesic Syrup as it can increase your risk of stomach problems.
- Your doctor may regularly monitor your kidney function, liver function and levels of blood components if you are taking this medicine for long-term treatment.
Fact Box
Chemical Class
Diphenylethers Derivative
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
NSAID's-Non-Selective COX 1&2 Inhibitors (Others)
Patient concerns
FAQs
Q. Can I increase or decrease the dose of my child’s medicine by myself?
No, it is not recommended to alter the dose of the medicine without consulting a doctor. While increasing the dose without proper judgment may lead to toxicity, decreasing it may cause recurrence of symptoms. So, for best results, speak to your child’s doctor if you feel a change in dose may be needed.
Q. How much Bitugesic Syrup should I give to my child?
Your doctor will prescribe the dose according to your child’s condition and body weight. Stick to the prescribed dosing schedule as that is the best way to ensure the safe and complete recovery of your child.
Q. Is it safe to give Bitugesic Syrup to my child for more than two weeks?
Prolong intake of Bitugesic Syrup can lead to increased secretion of acid in the stomach. These increased acid levels can result in ulcer formations which eventually can lead to gastrointestinal bleeding. Therefore, it is advised to use Bitugesic Syrup in its lowest effective dose for the shortest duration of time. Consult your doctor if not sure.
Q. How should Bitugesic Syrup be stored?
Bitugesic Syrup should be stored at room temperature, in a dry place, away from direct heat and light. Also, keep all medicines out of the reach and sight of children to avoid any accidental intake.
Q. Can all children be given the same dose of Bitugesic Syrup?
No. Bitugesic Syrup cannot be given to everyone in the same dose. The doctor decides the appropriate dose of Bitugesic Syrup based on the child’s age and body weight.
Q. When will my child feel better?
You may be required to give Bitugesic Syrup to your child for a few days to weeks, depending upon the severity of the infection. If your child continues to feel unwell even after completion of the full prescribed course of the medicine, consult your child’s doctor as soon as possible.
Q. Are there any serious side effects of this medicine for my child?
Although Bitugesic Syrup is well-tolerated by children, if you notice your child experiencing any intolerable episodes like persistent vomiting, body swelling, hepatotoxicity, decreased urine frequency, or serious allergic reaction, rush to your doctor on an immediate basis.
Q. Is Bitugesic Syrup an antibiotic?
Bitugesic Syrup is not an antibiotic, it belongs to the class of medicines known as non-steroidal anti-inflammatory drug (NSAIDs; pain-relieving drug) which helps in relieving pain associated with various disease conditions.
Q. Can I take Bitugesic Syrup with paracetamol?
Bitugesic Syrup and paracetamol belong to the same class of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs; pain-relieving drugs). Taking the two medicines together is not advisable as it may increase the potential for gastric ulceration and bleeding. However, please consult your doctor before using the two medicines together.
Q. Does Bitugesic Syrup contain aspirin?
Bitugesic Syrup is a non-steroidal anti-inflammatory drug (NSAIDs; pain-relieving drug). It does not contain aspirin.
Q. Is Bitugesic Syrup safe?
Bitugesic Syrup is safe to use if taken at prescribed dose and duration as advised by your doctor.
Q. Can I take Bitugesic Syrup for headache?
Bitugesic Syrup can be taken for a headache only when advised by your doctor.
Q. Does Bitugesic Syrup make you drowsy (feeling sleepy)?
Bitugesic Syrup does not make you feel drowsy at prescribed doses. However, an overdose of Bitugesic Syrup can make you drowsy (feeling sleepy).
Q. Does Bitugesic Syrup contain sulphur?
No, Bitugesic Syrup does not contain sulphur.
Q. What does Bitugesic Syrup treat or used for?
Bitugesic Syrup is used to treat acute pain, painful osteoarthritis (degeneration of joints) and primary dysmenorrhea (painful menstruation) in adolescents and adults above 12 years old.
Q. Can I take Bitugesic Syrup with ibuprofen?
Bitugesic Syrup can be taken with ibuprofen. No drug-drug interactions have been reported between the two. However, taking the two medicines together is not advisable as it may increase the potential for gastric ulceration and bleeding. Please consult your doctor before taking the two medicines together.<br>
Q. Can I take Bitugesic Syrup with aspirin?
Bitugesic Syrup can be taken with aspirin. No drug-drug interactions have been clinically observed between the two. However, this does not mean that interactions cannot occur. Please consult your doctor before taking the two medicines together.
Q. Is Bitugesic Syrup safe?
Yes, Bitugesic Syrup is safe if taken for prescribed duration in prescribed doses as advised by your doctor.
Q. Is Bitugesic Syrup banned?
No, Bitugesic Syrup is not banned in India.
Q. Is Bitugesic Syrup safe during breastfeeding?
It is not known if Bitugesic Syrup is secreted in milk. So, any medicines containing Bitugesic Syrup are not to be used during breastfeeding.
Q. Is Bitugesic Syrup safe in pregnancy?
No, Bitugesic Syrup is not safe to be used in pregnancy especially in the last three months. There have been reports of kidney failure in newborn babies if the mother was taking Bitugesic Syrup in the late stage of pregnancy. Consult your doctor before taking any medicine during pregnancy.
Q. Is Bitugesic Syrup safe in asthma?
Bitugesic Syrup is reported to be safe in patients with asthma if taken as advised by your doctor. However, always share your disease history with the doctor in case you have asthma and you are advised to take other medicines.
Q. Is Bitugesic Syrup an antibiotic?
Bitugesic Syrup is not an antibiotic, it belongs to the class of medicines known as non-steroidal anti-inflammatory drug (NSAIDs; pain-relieving drug) which helps in relieving pain associated with various disease conditions.
Q. Can I take Bitugesic Syrup with paracetamol?
Bitugesic Syrup and paracetamol belong to the same class of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs; pain-relieving drugs). Taking the two medicines together is not advisable as it may increase the potential for gastric ulceration and bleeding. However, please consult your doctor before using the two medicines together.
Q. Does Bitugesic Syrup contain aspirin?
Bitugesic Syrup is a non-steroidal anti-inflammatory drug (NSAIDs; pain-relieving drug). It does not contain aspirin.
Q. Is Bitugesic Syrup safe?
Bitugesic Syrup is safe to use if taken at prescribed dose and duration as advised by your doctor.
Q. Can I take Bitugesic Syrup for headache?
Bitugesic Syrup can be taken for a headache only when advised by your doctor.
Q. Does Bitugesic Syrup make you drowsy (feeling sleepy)?
Bitugesic Syrup does not make you feel drowsy at prescribed doses. However, an overdose of Bitugesic Syrup can make you drowsy (feeling sleepy).
Q. Does Bitugesic Syrup contain sulphur?
No, Bitugesic Syrup does not contain sulphur.
Q. What does Bitugesic Syrup treat or used for?
Bitugesic Syrup is used to treat acute pain, painful osteoarthritis (degeneration of joints) and primary dysmenorrhea (painful menstruation) in adolescents and adults above 12 years old.
Q. Can I take Bitugesic Syrup with ibuprofen?
Bitugesic Syrup can be taken with ibuprofen. No drug-drug interactions have been reported between the two. However, taking the two medicines together is not advisable as it may increase the potential for gastric ulceration and bleeding. Please consult your doctor before taking the two medicines together.<br>
Q. Can I take Bitugesic Syrup with aspirin?
Bitugesic Syrup can be taken with aspirin. No drug-drug interactions have been clinically observed between the two. However, this does not mean that interactions cannot occur. Please consult your doctor before taking the two medicines together.
Q. Is Bitugesic Syrup banned?
No, Bitugesic Syrup is not banned in India. However, as per the Ministry of Health and Family Welfare, Bitugesic Syrup is banned for children under 12 years of age
Q. Is Bitugesic Syrup safe during breastfeeding?
It is not known if Bitugesic Syrup is secreted in milk. So, any medicines containing Bitugesic Syrup are not to be used during breastfeeding.
Q. Is Bitugesic Syrup safe in pregnancy?
No, Bitugesic Syrup is not safe to be used in pregnancy especially in the last three months. There have been reports of kidney failure in newborn babies if the mother was taking Bitugesic Syrup in the late stage of pregnancy. Consult your doctor before taking any medicine during pregnancy.
Q. Is Bitugesic Syrup safe in asthma?
Bitugesic Syrup is reported to be safe in patients with asthma if taken as advised by your doctor. However, always share your disease history with the doctor in case you have asthma and you are advised to take other medicines.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 509p. 992.
- Nimesulide [Amendments to the Summary of Product Characteristics and Package Leaflet]. [Accessed 10 Feb. 2021] (online) Available from:
- Chandra J, Kumar Bhatnagar S. Antipyretics in children. Indian J Pediatr. 2002;69:69-74. [Accessed 10 Feb. 2021] (online) Available from:
- European Medicine Agency. Nimesulide. [Accessed 10 Feb. 2021] (online) Available from:
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