Baralgin - painkiller | uses | overdose | effects

Baralgin is a drug from the group of analgesics (pain killers). According to chemical structure, this drug is classified in the group of pyrazolones. It contains the active ingredient metamizole. Baralgin relieves pain and reduces fever. It is used only in the treatment of severe pain and use of Baralgin is not recommended in the treatment of moderate and mild pain.

Baralgin should be used in the following conditions:

  • To treat severe pain due to injury or after surgery.
  • To treat bad abdominal pain if you have stomach cramps.
  • To treat kidney stone pain.
  • To treat pain in patients with cancer.
  • To treat fever when other medications do not help.


It should be avoided or may be used only with extra precautions in the following conditions:

  • If you are allergic to Baralgin or other similar medications (such as phenazone). Symptoms of an allergy include:
    • skin rash,
    • itching,
    • swelling of the face,
    • swelling of the tongue,
    • trouble breathing.
    • Allergies can cause anaphylactic shock, that may be fatal.
  • If you have agranulocytosis (very low white blood cells count).
  • Bone marrow disorder.
  • If you have liver disorder.
  • Genetic disease that is manifested by a lack of enzyme glucose 6 phosphate dehydrogenase. In this case, Baralgin can cause hemolytic anemia.
  • If you have asthma. Baralgin can cause asthma attacks.

This drug should be avoided in children under the age of 15.

Baralgin can cause serious side effect called agranulocytosis (very low white blood cells count). Leukocytes are the main type of immune cells, and defend the body against infections. If you have low white blood cell count, your body is unable to fight against the pathogens and therefore severe infection can occur. If you experience flu-like symptoms (cough, sore throat, fever, runny nose) contact your doctor immediately, because these symptoms could be a sign of agranulocytosis!

It can cause cardiovascular collapse and shock! Tell your doctor if you are experiencing symptoms, such as: low blood pressure or high blood pressure, abnormal heart beats and chest pain.

Use of Baralgin during pregnancy and breastfeeding

Baralgin should not be used during the first and last trimester of pregnancy. It can be used during the second trimester of pregnancy only if the benefit to the mother outweighs the risk to the child!

Avoid breastfeeding while using this medication, because it passes into breast milk and may harm your baby. You can start breastfeeding again two days after you stop using Baralgin.

Baralgin use

  • Baralgin is usually taken at a dose of 500-1000 mg, 2-3 times per day. The daily dose should not exceed 5000 mg.
  • It should be taken with a glass of water. Do not crush the tablet, but swallow it whole.
  • Dose should be reduced in patients with impaired liver or kidney function as well as in elderly patients.
  • Baralgin can be taken with or without food.


Symptoms of an overdose include:

  • headache,
  • dizziness,
  • nausea,
  • vomiting,
  • kidney damage and arrhythmia.

If you have taken more Baralgin than your doctor recommended, contact your doctor.

Use with other drugs (Interactions)

Baralgin should be avoided or may be used only with extra precautions with the following medications:

  • Cyclosporine, used to treat autoimmune disorders
  • Medications used to treat diabetes, such as: metformin, gliclazide, glipyride, and others.
  • Medications used in the treatment of thrombosis, such as: acenocoumarol (Sintrom, Sinkum 4), warfarin (Farin), nadroparin (Fraxiparin), heparin and others. Concomitant use of Baralgin with these medications increases the risk of bleeding.
  • Medications used in the treatment of breast cancer, such as: methotrexate.
  • Drugs used in the treatment of inflammation (corticosteroids) such as dexamethasone, methylprednisolone, prednisolone, fluticasone and others.
  • Medications used in the treatment of depression, such as: lithium.
  • Antibiotics, such as: penicillins.
  • Indomethacin used in the treatment of pain and inflammation as well as in the treatment of gout.

Tell your doctor about all medications and herbal preparations you are taking.

Side effects

The most severe side effect of Baralgin is agranulocytosis. Agranulocytosis occurs very rarely, but you need to contact your doctor if you are experiencing flu-like symptoms.

Other side effects are:

  • headache,
  • dizziness,
  • nausea,
  • vomiting,
  • abdominal pain,
  • difficulty urinating,
  • kidney damage,
  • breathing difficulties due to narrowing of the bronchi,
  • anemia and allergy.

Immediately tell your doctor if you are experiencing any of these side effects.

Information on this website are provided for educational purposes only and are not intended for medical advice, diagnosis or treatment.

If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional.