Active substanceCaffeine + Paracetamol + Phenylephrine + Pheniramine + [Ascorbic acid]Caffeine + Paracetamol + Phenylephrine + Pheniramine + [Ascorbic acid]
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Dosage form: & nbspPowder for solution for oral administration
Composition:

Composition on 1 sachet (5 g)


Active substances


Ascorbic acid (Vitamin C)

- 200 mg

Caffeine

- 30 mg

Paracetamol

- 750 mg

Phenylephrine hydrochloride

- 10 mg

Pheniramine maleate

- 20 mg

Excipients

- orange: citric acid 200.0 mg, sodium saccharinate 40.0 mg, sodium citrate 500,0 mg, sucrose 3062.5 mg, dye sunset yellow (E110) 7.5 mg, orange flavor 150.0 mg;

- lemon: citric acid 200.0 mg, sodium saccharinate 40.0 mg, sodium citrate 500,0 mg, sucrose 3136.0 mg, dye quinoline yellow (E104) 1.0 mg, lemon flavor 83.0 mg;

- blackcurrant: citric acid 200.0 mg, sodium saccharinate 40.0 mg, sodium citrate 500,0 mg, sucrose 2915.0 mg, azorubin (E122) dye 4.0 mg, fruit flavor (Tutti Frutti) 166.7 mg, raspberry aroma 66.7 mg, blackberry flavor 66.7 mg.

Description:

Orange: powder from light orange to orange with white and orange impregnations;

Citric: Powder from light yellow to yellow with white and yellow impregnations;

Black currant: Powder from pink to pinkish-red with white and red impregnations.

Pharmacotherapeutic group:ARI and "colds" of symptoms remedy (analgesic non-narcotic remedy + psychostimulating agent + H1-histamine receptor blocker + alpha-adrenomimetic + vitamin).
ATX: & nbsp

N.02.B.E.51   Paracetamol in combination with other drugs, excluding psycholeptics

Pharmacodynamics:

The combined agent, antipyretic, analgesic, alpha-adrenostimulating, vasoconstrictive and antihistamine action, eliminates the symptoms of "cold".

Paracetamol - non-narcotic analgesic; blocks cyclooxygenase (COX), mainly in the central nervous system, affecting the centers of pain and thermoregulation; has analgesic and antipyretic effect.

Phenylephrine - alpha-adrenomimetic with moderate vasoconstrictive effect. Reduces edema and hyperemia of the mucous membranes of the upper respiratory tract and accessory sinuses.

Pheniramine - blocker H1-gistaminovyh receptors. Has anti-allergic effect: it removes the itch of the eyes, nose and throat, swelling and hyperemia of the mucous membranes of the nasal cavity, nasopharynx and paranasal sinuses, reduces exudative manifestations.

Caffeine has a stimulating effect on the central nervous system, enhances the analgesic effect, eliminates drowsiness and fatigue, increases physical and mental performance, reduces fatigue and drowsiness.

Ascorbic acid (vitamin C) participates in the regulation of oxidation-reduction processes, carbohydrate metabolism, blood coagulability, tissue regeneration, in the synthesis of steroid hormones; reduces vascular permeability and increases the body's resistance to the effects of various unfavorable environmental factors.

Indications:

Symptomatic treatment of "cold" diseases, flu, ARVI (febrile syndrome, pain syndrome, rhinorrhea).

Contraindications:

Hypersensitivity to individual components of the drug, simultaneous administration of medications containing substances included in the preparation; concomitant use of tricyclic antidepressants, monoamine oxidase inhibitors (MAO), beta-blockers, portal hypertension, alcohol, sucrose deficit / isomaltose, fructose intolerance, glucose-galactose malabsorption; pregnancy, lactation, children under 15 years.

Carefully:

Expressed coronary atherosclerosis, hypertension, hyperthyroidism, pheochromocytoma, diabetes, bronchial asthma, chronic obstructive pulmonary disease, deficiency of glucose-6-phosphate dehydrogenase, blood diseases, congenital hyperbilirubinemia (Gilbert syndrome, Dubin-Johnson and Rotor), liver and / or renal failure, zakratougolnaya glaucoma, prostatic hyperplasia.

Pregnancy and lactation:

The drug is contraindicated in pregnancy, during lactation.

Dosing and Administration:

Inside.

The contents of one sachet (the sachet) to pour into a beaker, add hot water and stir until completely dissolved and drink (optionally possible to add sugar or honey).

Adults and children over 15 years: take one packet 3-4 times a day with intervals between meals 4-6 hours. The maximum daily dose is 4 sachets. The course of treatment without consulting a doctor - no more than 5 days.

Side effects:

Serious skin reactions: Very rarely acute generalized exanthematous pustulosis (OGEP). Acute condition with development of pustular rashes.It is characterized by fever and diffuse erythema, accompanied by burning and itching. There may be swelling of the face, hands and mucous membranes; Stevens-Johnson syndrome (SSD) (malignant exudative erythema). Heavy form of erythema multiforme, in which there are bubbles on the mucous membrane of the mouth, throat, eyes, genitals, other areas of the skin and mucous membranes. Toxic epidermal necrolysis (TEN, Lyell's syndrome). Syndrome is the result of extensive apoptosis of keratinocytes, which leads to the detachment of large areas of skin in places dermoepidermalnogo connection. The affected skin looks like scalded boiling water.

If you notice one of the side effects described above, stop taking the medication and consult a doctor immediately! Allergic reactions: skin rash, itching, hives, angioedema.

From the nervous system. dizziness, falling asleep, increased excitability.

From the cardiovascular system: increased blood pressure, tachycardia.

On the part of the digestive system: nausea, vomiting, pain in the epigastric region, dryness of the oral mucosa, hepatotoxic effect.

From the sense organs: mydriasis, paresis of accommodation, increased intraocular pressure.

From the hemopoiesis: anemia, thrombocytopenia, agranulocytosis, hemolytic anemia, aplastic anemia, methemoglobinemia, pancytopenia.

From the urinary system: urinary retention, nephrotoxicity (papillary necrosis).

Other: bronchospasm.

Overdose:

In case of an overdose, immediately consult a doctor. Rapid medical care is critical, even if you do not observe any signs or symptoms. Symptoms (due mainly to paracetamol) appear after taking more than 7.5-10 g: during the first 24 hours after ingestion - pallor of the skin, nausea, vomiting; anorexia, abdominal pain; an increase in prothrombin time, a violation of glucose metabolism. Symptoms of liver dysfunction may appear 12 to 48 hours after an overdose: increased activity of "hepatic" transaminases, hepatonecrosis. In severe cases - liver failure with progressive encephalopathy, coma. Rarely, liver failure develops at a lightning speed and can be complicated by renal insufficiency (tubular necrosis).

Treatment: gastric lavage, appointment of activated carbon in the first 6 hours after the overdose, administration donators SH-groups and precursors of glutathione synthesis - methionine after 8 - 9 hours after the overdose and acetylcysteine ​​after 12 hours The need for additional therapeutic activities (further administration of methionine. acetylcysteine) determined paracetamol concentration in the blood, as well as the time elapsed after administration, symptomatic therapy.

Interaction:

Strengthens the effects of monoamine oxidase inhibitors, sedative drugs, ethanol. Antidepressants, antiparkinsonian drugs, antipsychotics, phenothiazine derivatives increase the risk of urinary retention, oral mucosal dryness, constipation.

Glucocorticosteroids increase the risk of developing glaucoma. Paracetamol reduces the effectiveness of uricosuric medicines. Pheniramine at the same time with monoamine oxidase inhibitors, furazolidone may lead to hypertensive crisis, excitation of hyperpyrexia.

Tricyclic antidepressants enhance the alpha-adrenomimetic effect of phenylephrine,simultaneous administration of halothane increases the risk of ventricular arrhythmia.

With the simultaneous administration of a drug with barbiturates, phenytoin, carbamazepine, rifampicin and other inducers of microsomal liver enzymes, the risk of hepatotoxic action of paracetamol increases.

Special instructions:

If there is no therapeutic effect (hyperthermia for more than 3 days and pain syndrome for more than 5 days), you should consult your doctor.

The drug contains sucrose, which must be taken into account by patients suffering from diabetes, as well as patients on a hypocaloric diet. In 1 single dose of the drug contains from 2915.0 mg to 3136.0 mg of sucrose, which corresponds to 0.24 - 0.26 XE.

Do not use the drug from damaged sachet (sachets).


If the medicine has become unusable or the expiration date has expired, do not throw it into sewage or into the street! Place the drug in a bag and put it in the trash. These measures will help protect the environment!

Effect on the ability to drive transp. cf. and fur:

During the period of taking the drug, it is necessary to refrain from driving and other potentially hazardous activities,requiring increased concentration of attention and speed of psychomotor reactions.

Form release / dosage:

Powder for solution for oral administration.

Storage conditions:

Store in a dry place at a temperature of no higher than 25 ° C.

Keep out of the reach of children.

Shelf life:

Shelf life: 3 years.

Do not use after the expiration date.

Terms of leave from pharmacies:Without recipe
Registration number:LS-002579
Date of registration:30.12.2011
The owner of the registration certificate:Johnson & Johnson, LLC Johnson & Johnson, LLC Russia
Manufacturer: & nbsp
Representation: & nbspJohnson & Johnson LLC Johnson & Johnson LLC Russia
Information update date: & nbsp22.09.2014
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