Hello @heinrichxx, Welcome to Connect. Members on Connect are not medical professionals and cannot provide medical advice but can share their experience. From what I've read there is not a lot of information available on side effects or adverse affects of Novalgin (Metamizol). I did find some information that mentions fatigue is a possibility but you would really need to discuss alternatives and your mothers symptoms with her doctor.

Excerpt from article below - "[Dipyrone (metamizole) : Considerations on monitoring for early detection of ... In addition to general symptoms like fever, sore throat, fatigue, and muscle pain, ..." -- [Dipyrone (metamizole) : Considerations on monitoring for early detection of agranulocytosis]: https://pubmed.ncbi.nlm.nih.gov/27766404/

Are you able to discuss alternatives to your mothers medications with her doctor or pharmacist?

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