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Antipyrine

Published: July 26, 2026Updated: August 26, 2026

Antipyrine is an analgesic and antipyretic medication classified under ATC code N02 (analgesics). It has been used for the relief of pain and fever, and is also available in topical formulations for ear-related conditions. As one of the older synthetic analgesics, it works to reduce pain and fever symptoms in patients who require these therapeutic effects.

Quick summary

Antipyrine is a pain-relieving and fever-reducing medication used to treat various painful conditions and fever.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 26, 2026Editorial policy

Key facts at a glance

ATC
n02bb02
RxNorm
unknown
Generic
Antipyrine
Class
atc-n02
Brands
—
Availability
otc
Pregnancy
C
Lactation
caution
Half-life (h)
12
Onset (min)
5
Duration (h)
6
Routes
otic
Forms
ear drops
Regions
US, UK, CA, AU, EU
Monitoring
CBC, LFT, RFT

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose above 10 grams may cause serious toxicity
Chronic overdose: Cumulative dosing may lead to liver toxicity
Immediate actions
Gastric decontamination, activated charcoal, supportive care, monitor liver function
Antidote
N-acetylcysteine (for hepatoprotection)(May be effective in reducing liver damage if administered early)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

avoid use in third trimester due to potential complications

Monitor

fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

avoid breastfeeding during treatment

Monitor

monitor infant for adverse effects

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

reduce dose

Key Recommendations

start with lowest effective dose, monitor renal and hepatic function

Monitor

regular renal and hepatic function monitoring

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 12
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

not recommended in pediatric population due to risk of serious adverse effects

Monitor

n/a

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

mild
caution
FDA Category
N
Dose Adjustment

reduce dose by 25%

Key Recommendations

monitor renal function, adjust dose accordingly

Monitor

regular renal function monitoring

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

avoid use in severe renal impairment

Monitor

renal function monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose

Key Recommendations

use with caution, monitor liver function

Monitor

regular hepatic function monitoring

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

avoid use in severe hepatic impairment

Monitor

hepatic function monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:late 19th century

Historical prescribing information for Antipyrine

drug_classWHO
2023

Drug class

Value:Pyrazolone analgesic/antipyretic

Drug class classification

usageMedical guidelines
2023

Common uses

Value:Analgesic, antipyretic

Therapeutic applications

mechanismPharmacological databases
2023

Mechanism of action

Value:Cyclooxygenase inhibition

Primary pharmacological mechanism

Antipyrine is used for the symptomatic treatment of mild to moderate pain and fever. It is also commonly found in combination ear drop formulations for the relief of pain and inflammation associated with otitis media and ear canal conditions.

Antipyrine is a pyrazolone derivative that produces analgesic and antipyretic effects through central action. It works by inhibiting prostaglandin synthesis in the central nervous system, helping to reduce pain perception and lower elevated body temperature.

As with all medications, antipyrine should be used under appropriate medical supervision. Some individuals may experience hypersensitivity reactions. It is available in various formulations including oral and otic preparations, and may be combined with other agents such as local anesthetics in ear drop formulations for enhanced pain relief.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 26, 2026. · Read our editorial policy