Paracetamol: side effects that are important to know about


Paracetamol is one of the most common medications around the world. It has gained such popularity due to the combination of antipyretic, anti-inflammatory and analgesic effects. In some countries, instead of the more familiar name “paracetamol”, “acetaminophen” is used; both names are equal and mean the same substance.

The wide distribution of the drug among people and its over-the-counter availability make one think that this remedy can be taken for anything and as much as one wants. This is not entirely true, and therefore it is necessary to consider in more detail both the medicine itself and its side effects on the body.

Release form and composition

Solid dosage forms are produced in the form of:

  • Tablets: 200, 325, 500 mg (Panadol, Pacimol, Deminofen, Acetaminophen, etc.);
  • Caplets: (“Aldolor”, “Adol”, etc.);
  • Soluble, effervescent tablets: 120 mg, 500 mg (Panadol, Pamol, Flutabs);
  • Chewable tablets: (“Panadol”, “Milistan”).

Composition of Paracetamol

Price of Paracetamol: how much does the drug cost in different dosage forms at the pharmacy?

The price of Paracetamol in tablets is from 3.5 UAH/2.3 rubles. The price of children's Paracetamol in syrup is 14 UAH/40 rubles, the suspension can be bought for 17 UAH/64 rubles. Candles for children cost 10-17 UAH/32-88 RUR.

  • Online pharmacies in RussiaRussia
  • Online pharmacies in UkraineUkraine
  • Online pharmacies in KazakhstanKazakhstan

ZdravCity

  • Paracetamol Medisorb tab.
    0.5g No. 30AO Medisorb 31 rub. order
  • Paracetamol-AKOS suspension. for oral administration for children 120 mg/5 ml vial. with measure spoon 100ml No. 1Biosintez JSC

    73 rub. order

  • Paracetamol suspension for internal use orange 120 mg/5 ml 200 g Pharmstandard-Leksredstva OJSC

    136 RUR order

  • Paracetamol tablets 500 mg 20 pcs. Pharmstandard-Leksredstva OJSC

    30 rub. order

  • Paracetamol tab. 500 mg No. 20 renewalJSC "PFK Renewal"

    79 RUR order

Pharmacy Dialogue

  • Paracetamol-UBF (500 mg tablet No. 10) Uralbiopharm

    7 RUR order

  • Paracetamol (500 mg tablet No. 10) TCPP

    6 rubles order

  • Paracetamol (500 mg tablet No. 10) FS.-Leksredstva

    12 RUR order

  • Paracetamol (500 mg tablet No. 20) FS.-Leksredstva

    30 rub. order

  • Paracetamol (susp. 120 mg/5 ml bottle 100 ml) Sintez (Kurgan) OJSC

    54 RUR order

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Pharmacy24

PaniPharmacy

  • Paracetamol suppository Paracetamol suppository 0.33g No. 10 Ukraine, Monfarm JSC

    35 UAH order

  • Paracetamol capsule Paracetamol caps. 325 mg No. 10 Ukraine, Health LLC

    9 UAH order

  • Paracetamol tablets Paracetamol tablets. 0.2 mg No. 10 Ukraine, Kievmedpreparat OJSC

    7 UAH order

  • Paracetamol suppository Paracetamol suppository 0.08g No. 10 Ukraine, Monfarm JSC

    14 UAH order

  • Paracetamol liquid Paracetamol-Vishfa syrup 120mg/5mg 90ml Ukraine, Zhytomyr FF LLC

    29 UAH order

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Paracetamol composition

All tablets contain one active ingredient - paracetamol. In addition, the composition includes neutral excipients. There is a group of combination drugs, where the main one is paracetamol, the composition of the combinations may contain caffeine, codeine, aspirin, and other antispasmodics.

Attention! Tablets are the most harmless dosage form, starting from the age of 6. Sweeteners and flavorings included in the composition may cause allergic reactions.

Chemical formula and properties of paracetamol

The active substance is called differently around the world. USA, Canada uses the name "acetaminophen". Other countries such as Russia, Germany, the UK or Australia use the name "paracetamol".

Chemical name:

  • 4-(acetylamino) phenol or N-(4-hydroxyphenyl) acetamide.

Empirical formula:

  • C 8 H 9 NO 2 or HOC 6 H 4 NHCOCH 3

It is an organic crystalline substance that is white or slightly cream-colored, odorless, and has a bitter taste. Melts at a temperature of 168 degrees.

Indications and contraindications for use

Paracetamol is a widely used over-the-counter drug for the treatment of hyperthermia, mild to moderate pain in all age groups. It has similar effectiveness to aspirin, but has no obvious anti-inflammatory activity and is less irritating to the stomach. It is believed that acne can be cured with paracetamol.

Contraindications for use are: hypersensitivity to paracetamol, acute liver disease, sucrose deficiency, fructose intolerance.

Dosage for adults

The dosages of domestic and foreign drugs sometimes differ significantly. For example, in Mashkovsky’s reference book, the adult dose is 0.2-0.4 grams 3 times a day. The daily dose should not exceed 1.5 grams. And the Vidal reference book recommends 0.5-1 grams, with 4 doses. In this case, the daily norm will be 4 grams. For reasons of effectiveness, pharmacists are inclined to believe that a dosage of 0.2 grams for an adult will not help and foreign dosages are closer to the truth.

On a note! If the medicine is purchased without a prescription, you must follow the instructions on the package. If you are not sure how much to give, ask your pharmacist or doctor.

Effect of the drug

Paracetamol has been considered a popular and sought after pain reliever and antipyretic for half a century. Efficiency is associated with uniform distribution across tissues.

The active ingredients block the action of prostaglandins, which are sources of pain. This eliminates moderate pain. The drug also copes well with fever. This serious symptom can indicate a variety of infectious and inflammatory diseases.

Before taking it, you should consult your doctor and read the instructions to prevent side effects. You should strictly follow the dosage, otherwise complications related to the functioning of the heart and kidneys may occur. The risk increases when taken concomitantly with alcoholic beverages.

Signs of poisoning do not appear immediately. Initially, your general well-being may only slightly deteriorate.

Dosage for children

Dosage for children is calculated based on average body weight. It is not recommended for infants under 3 months to relieve fever on their own. Until the age of 6 years, while the baby cannot take pills, you can relieve fever with baby syrups and suppositories. From 6 to 12 years old, 250-300 milligrams are prescribed per dose, several times a day, with an interval of at least 4 hours between doses.

Important! To avoid overdose of the medicine, you should use drugs labeled “For children” and strictly follow the instructions for the specific release form.

Interaction with other drugs

Inadmissible combinations with paracetamol-containing drugs are only different combinations with phenobarbital. On the market these are mainly so-called “heart drops” (Corvalol, Valocordin and others).

It is advisable to exercise caution when taken together with any anticoagulants or antiplatelet agents (Heparin, Warfarin). This list also includes acetylsalicylic acid.

Serotonin reuptake inhibitors may interact, but proper management reduces this likelihood to a minimum.

special instructions

  1. Paracetamol is effective for respiratory viral diseases. It will not help with a microbial infection. Therefore, if after taking the pill the temperature drops quickly, we are talking about a regular ARVI. But if there is no antipyretic effect, a more serious disease can be suspected.
  2. Paracetamol should not be used more than 4 times a day or for more than 3 days.
  3. Paracetamol is a temporary measure to improve the condition until a doctor arrives.

During pregnancy

In medical practice, Paracetamol is used as an antipyretic, anti-inflammatory and analgesic drug. To this day, no negative effects on the fetus have been observed.

Paracetamol is used both during pregnancy and during breastfeeding. Before taking the drug, be sure to consult a specialist!

Overdose

Exceeding the permissible limit can happen if:

  • Do not follow the recommended instructions for use: quantities and intervals of taking the medicine.
  • At the same time, use drugs with a different name, but the same active ingredient.
  • Keep medications out of reach of children.

Most often, this does not happen from taking a single high dose, but as a result of a cumulative toxic effect that can only appear after 5-6 days.

Interesting! Children's metabolism of drugs differs from that of adults. Children have a larger liver size relative to body weight than adults, resulting in a higher metabolic rate. Children are less sensitive to acute intoxication than adults. The acute toxic dose for children is more than 200 mg/kg body weight.

Reviews

Doctors joke that if you have Paracetamol in your home medicine cabinet, then you can defeat almost half of the diseases.

Below are reviews from specialist doctors about the drug.

Reviews from specialist doctors

Zverkov A.S. An excellent antipyretic drug. Suitable for use in different age groups. In my practice, the prescription of the drug was not accompanied by adverse side effects. Wonderful price. Yes, and it is sold in any pharmacy.

Gorshenina Yu. A. Paracetamol is a time-tested medicine. I was also treated with it as a child. Sometimes you have to give Paracetamol 1/2 tablet to children if modern drugs no longer cope. I did not observe any allergic reactions. It begins to act quite quickly and effectively.

Khrestanov A.S. One of the common and most used drugs. Paracetamol is an indispensable medicine in most home medicine cabinets. Often used as an antipyretic. The drug can also be used as an analgesic. But do not forget to follow the dosage.

Zinchenko A.V. Paracetamol in ENT practice is used at high temperatures for pain relief and in the postoperative period. The price is simply ridiculous, but the quality has been at its best for many decades. The only downside is probably the bitter taste of the tablets.

Reviews from people

“How many people, so many opinions,” says the proverb. But the drug Paracetamol has much more positive reviews than negative ones.

Ekaterina K. Paracetamol was prescribed during pregnancy. During this period nothing else can be done for fever and headache. It helps quickly and lasts a long time. I still take it, mainly for toothache.

Irina K. Available in any home medicine cabinet. Used by adults and very young children. Over the past few years, I have heard a wide variety of stories and recommendations regarding Paracetamol. But I have an extremely positive attitude towards him. An accessible and inexpensive antipyretic agent.

Tatiana Sh . Paracetamol has saved me many times. When there is a fever, paracetamol is the first thing that helps quickly. It is excellent for relieving headaches. And at high temperatures, muscle pain also appears. I noticed a long time ago that cheap is not always bad.

Natalia V. Now, probably, all painkillers are made on the basis of Paracetamol. It is included in most antiviral, anti-cold and most popular medicines. Why overpay? For the brand? I always buy time-tested paracetamol at the pharmacy - the most common, domestic, cheap. It costs a penny. I take it for ARVI, when it is necessary to bring down a high temperature, if I have a headache or a toothache. Also suitable for relieving joint pain. For common colds it is simply irreplaceable. Both antipyretic and analgesic. Magic remedy. Paracetamol does an excellent job of bringing down the temperature, but it is, of course, worse at treating pain. I am only telling you my feelings.

Svetlana M. My mother treated me with paracetamol when I was a child. Helped well with colds. Now she has become a mother herself. I “heal” the child with our proven Paracetamol. It did not cause any harmful effects on the body to me or my entire family. I recommend it to everyone.

Video

Below is a short video about the drug.

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