Double blind randomized comparative evaluation of nimesulide and paracetamol as antipyretics

Abstract

Objective: To compare the efficacy and safety of nimesulide and paracetamol as antipyretic agents.

Design: Double blind, randomized clinical trial.

Methods: Hospitalized patients having fever due to a variety of infections were given either drug in a randomized manner. (Nimesulide group = 49, Paracetamol group = 50). Serial axillary temperature was recorded after drug administration and side effects monitored.

Results: The mean temperature after one hour of drug administration was significantly lower in nimesulide group (p < 0.05). Significantly fewer doses of nimesulide were required to bring down the temperature on the first day (p < 0.001). The mean maximum temperature recorded on second and third day was significantly lower in the nimesulide group (p < 0.05). Adverse reactions were seen in the form of epigastric pain and vomiting in one patient in Nimesulide group and three in paracetamol group.

Conclusion: Nimesulide is more effective than paracetamol as an antipyretic agent and is safe for use in infants and children.