With mild to moderate pain, Citramon tablets can be used as a means to alleviate the condition. The instructions for this drug (and produced by another company "Citramon P") indicates the effectiveness of the composition for headache, arthralgia and neuralgia. Before using the medication, you should first consult a doctor.
general information
In the instructions for the use of Citramon tablets, the manufacturer indicates the composition of the median. Each instance contains acetylsalicylic acid (the layman better known as “Aspirin”), paracetamol and caffeine. In addition, the manufacturer added citric acid, cocoa. As a rule, tablets are packaged in blisters or blisters, sometimes in paper. Blisters are packed in boxes, on the cover of which they must indicate the name of the medication and the manufacturer, the rules for dispensing and the number of tablets in a pack.
The manufacturer clarifies in the instructions for use for Citramon tablets that the product belongs to the group of anti-inflammatory painkillers that can relieve fever. Once in the human body, active compounds inhibit COX, reduce the activity of prostaglandin formation. Due to the inclusion of caffeine in the medication, the concentration of painkillers in the central nervous system increases. This makes the remedy effective for headaches. According to the instructions, Citramon tablets can be used for various types of pain, including migraine.
Reception Nuances
Apply according to the instructions "Citramon" from headache, muscle, as well as with pain of a different nature. The manufacturer indicates the effectiveness of the composition, if the pain is assessed as moderate or weak. You can not take the composition with hypersensitivity to any of the substances used by the manufacturer in the manufacturing process of the product.
According to the instructions "Citramon" from headache, arthralgia, myalgia, neuralgia take up to three times a day. A single dosage is one tablet. Exceeding the recommended dose is highly likely to cause unwanted side effects.
The nuances of pharmacology
In the instructions for use of "Citramon", the manufacturer indicates that the drug belongs to combination drugs. Acetylsalicylic acid (ASA) has a pronounced antipyretic effect, inhibits the activity of foci of inflammation and relieves pain. The most effective remedy for pain caused by the inflammatory process. A relatively moderate effect is observed on platelet aggregation, due to which ASA can be included in the list of drugs that prevent the formation of blood clots. In addition, this compound stimulates blood flow in the inflamed area at the level of the smallest capillaries.
Due to the inclusion of caffeine in the composition, as noted in the instructions for use of "Citramon", the drug affects the spinal cord, activating reflex excitability. The centers responsible for respiration and blood vessels become more active. Caffeine somewhat dilates the vessels of muscle tissue supporting the skeleton, affects the heart, brain, kidneys, and also reduces platelet aggregation.
Efficiency: Component Features
Due to the inclusion of Citramon as part of caffeine, it weakens craving for sleep, fatigue, and activates working capacity. The dosage of caffeine in the medicine is quite low, so there is no strong effect on the central nervous system, but vascular tone is stimulated, blood flow becomes faster.
In the instructions for Citramon P and Citramon, the manufacturer explains what the effect of paracetamol is, one of the important active ingredients of the drug. This compound has an analgesic effect, as well as the ability to relieve heat. Paracetamol has an anti-inflammatory effect, but very weak. It explains the effect on the thermoregulatory center located in the hypothalamus. Paracetamol is also characterized by a relatively weak ability to inhibit the generation of prostaglandins in peripheral tissues.
When will it help?
Use, following the instructions for use, Citramon tablets for headaches, including migraines, as well as in case of toothache. The drug is indicated for severe pain during menstruation, with arthralgia and neuralgia. You can use pills if myalgia is bothering. "Citramon" is effective in febrile syndrome, often accompanying the flu or the common cold, other acute respiratory diseases.
Strongly impossible!
In the instructions for "Citramon P", "Citramon" the manufacturer specifies: you can not use the composition with hypersensitivity to any substance included in the drug. It is forbidden to use the medicine if there is an ulcer, erosion in the stomach or intestinal tract, the pathological condition is currently at the acute stage. Reception is not allowed if there is a focus of bleeding in the digestive tract.
Instructions for use "Citramon P", "Citramon" are forbidden for bronchial asthma, rhinitis, urticaria, if any occurred while using non-hormonal anti-inflammatory drugs. You can not use the medicine for hemophilia, some forms of diathesis, portal hypertension and vitamin K deficiency in the body. The tool is not suitable for people suffering from kidney failure and hypoprothrombinemia.
It's important to know
Instructions for use "Citramon P", "Citramon" are allowed for women expecting a baby in the second trimester of pregnancy. In the first and third parts of the term, the remedy is strictly prohibited. You can not take it while breastfeeding, as well as for the treatment of persons under the age of fifteen. At elevated temperatures provoked by viral activity, taking Citramon by a child can cause Reye's syndrome.
Instructions for use with Citramon clarifies that the product is not suitable for patients with severely elevated blood pressure, severe ischemia, and glaucoma. The composition should not be prescribed to patients suffering from sleep disorders and excessively excitable patients. The medication is not suitable for those who have a deficiency of glucose-6-phosphate dehydrogenase in the body. It is forbidden to use the product if surgery has been carried out that has caused bleeding.
In case of liver diseases and gout, the instructions for use of Citramon are allowed, but its use should be strictly controlled by a doctor.
Subtleties of reception
Instructions for use "Citramon" is recommended for use during meals or immediately after it. Between applications should be maintained for at least four hour breaks. If the pain is strong enough, you can take two tablets at once. For a maximum of 24 hours, you can not use more than 8 capsules of the drug. Duration of admission is no more than ten days.
The instructions for use "Citramon" as an anesthetic drug are indicated for use no more than five days. With fever and fever, the medicine can be used for three days in a row to alleviate the condition. If symptoms persist, consult a doctor first to continue treatment.
Negative effects
Applying, following the instructions for use to the tablets, “Citramon” for headache, muscle, joint, heat and fever, it is worth remembering that the drug can cause negative effects. To a greater extent this is likely when using the composition in an incorrect dosage or long course, as well as if contraindications are not taken into account.
The manufacturer clarifies in the instructions to "Citramon" that the medicine can provoke abdominal pain. Sometimes patients feel sick and vomit. In high doses, the drug is toxic to the circulatory and hematopoietic system, kidneys. It can cause the formation of a stomach or intestinal ulcer, erosion. There is a risk of an allergic reaction, including Lyell's disease. In rare cases, “Citramon” provoked a bronchial spasm, an increase in blood pressure and a violation of the frequency and speed of the heartbeat.
Long course
In the instructions to "Citramon" the manufacturer indicates the possible undesirable effects accompanying prolonged use of the drug. Clinical observations and studies have shown that such treatment can cause a sick and swirling head, vision problems, and tinnitus. In some patients, the function of blood coagulation is significantly weakened, platelet aggregation decreases. There is a risk of hemorrhagic syndrome, accompanied by bleeding from the nose, gums. Perhaps the development of purpura.
In the instructions to Citramon, the manufacturer warns about the risk of kidney damage, papillary necrosis with long-term use of the composition. A medication can provoke deafness. The use of the composition by children is associated with an increased risk of Reye syndrome. The condition expresses itself with acidosis, mental, nervous disorders, abnormal liver function, vomiting and hyperpyrexia.
Too much!
Excessive use of “Citramon” can manifest itself as nausea and vomiting, pain in the stomach, ringing in the ears. Some are dizzy. In severe poisoning, a person becomes inhibited, he is drawn to sleep. Possible seizure, collapse and spasm of the bronchi. There is a risk of anuria, bleeding may develop, breathing becomes heavier.
According to the instructions, a severe overdose of Citramon leads to central pulmonary excessive ventilation, which causes respiratory alkalosis. Its symptoms are suffocation and cyanosis, shortness of breath and active sweating on the forehead. Progress of the condition is accompanied by respiratory paralysis, respiratory acidosis.
What to do?
If an overdose is detected, it is necessary to take the patient under control and monitor the vital indicators of the internal organs, as well as the balance of electrolytes in the circulatory system. Based on the nuances of a particular case, the characteristics of metabolism, the patient can enter sodium bicarbonate, citrate or lactate. Activation of ASA excretion is provided by alkalization of urine due to reserve alkalinity.
Mutual influence
The instructions specify that Citramon can increase the activity of heparin and reserpine, as well as substances that indirectly impair the quality of blood coagulation. The action of hypoglycemic drugs, steroid hormones, is activated. The combination of the composition in question and Methotrexate, as well as non-steroidal anti-inflammatory drugs, increases the risk of negative side effects.
When combining medicines under the influence of Citramon, the effectiveness of drugs to lower blood pressure, treat gout, as well as those containing furosemide and spironolactone decreases. Less effective under the influence of compensating drug therapy, uric acid is excreted from the body. If the patient uses Metoclopramide, the absorption rate of paracetamol (one of the components of Citramon) increases. The combination of the described medication and means to prevent epilepsy, barbiturates, salicylamide, rifampicin increases the likelihood of formation of paracetamol transformation products poisoning the liver. A simultaneous use of the described composition and microsomal oxidation activators is associated with a similar effect .
Paracetamol corrects the half-life of chloramphenicol, increasing it by about five times. Repeated use can cause increased activity of anticoagulants. Ingestion of paracetamol and ethanol is associated with a greater danger to the hematopoietic system. If the patient uses drugs with ergotamine, it must be remembered that this compound is more rapidly absorbed under the influence of caffeine contained in Citramon.
Application Nuances
It is forbidden to prescribe drugs containing ASA in childhood with a viral infection - this can cause Reye's syndrome. Such a complication can be suspected if, after using Citramon for a long time, the child suffers from vomiting, the liver becomes larger, and encephalopathy develops in acute form.
Long-term use of "Citramon" is possible only under the supervision of a doctor and in the presence of significant indications. In this case, you should regularly study the blood picture and check the liver. Under the influence of ASA, blood coagulation slows down somewhat, which forces one to be extremely careful if surgery is planned. The patient must inform the doctor if he was taking Citramon shortly before the event.
In a number of cases, it is necessary to decide on the appropriateness of using Citramon for the treatment of persons prone to asthma reactions to salicylates, derivatives of these compounds. It is allowed to use the composition only when the patient is under the supervision of specialists.
"Citramon" under pressure
Quite widespread is the practice of taking the composition in question if the headache is disturbing due to low blood pressure. Why does the tool help? The answer is given by the instruction of “Citramon”: the pressure rises due to the low dose of caffeine. At the same time, the amount of the compound is quite small, so a sharp pressure jump with good drug tolerance is not observed.
The manufacturer does not indicate in the instructions for use at what pressure Citramon will alleviate the patient's condition. This is due to the individuality of normal indicators for different people. To ensure maximum safety for yourself and to use the product correctly, you should consult a doctor with complaints of a headache with low blood pressure. The doctor will study the picture of the disease and select the optimal therapeutic course - perhaps he will recommend using Citramon, following the instructions for use. At what pressure to take the pill, the doctor will also tell. Self-treatment can cause adverse reactions, so it’s not worth the risk, especially if the patient is forced to constantly use any drugs that potentially interact with the components of Citramon.
Important subtleties
It is believed that in general the normal pressure is 120/80. With a slight deviation in a smaller direction, accompanied by a headache, probably, “Citramon” will help alleviate the condition.
If headache and low blood pressure are accompanied by other health problems, if this condition worries for a long time, you should consult a doctor. If chronic hypotension is detected, the doctor will develop a combined course of correction of the condition. Only the described drug can not be dispensed with.
Alternative: what can be replaced?
Citramon tablets are sold at a fairly affordable price - from 10 rubles per package. As a rule, the question of finding analogues arises only if the described composition is not on sale. In this situation, the pharmacist may offer Coficil or Askofen. Their cost is slightly higher - from 20 rubles or more. An even more expensive alternative is Exedrine, Migrenol. To minimize the risk of undesirable consequences, you should consult your doctor before using any of the medicines mentioned.
Will they help?
Since the product is affordable and helps with headaches, the demand for Citramon is traditionally high. It is difficult to find a person whose medicine cabinet would not have this drug. It is sold over-the-counter in pharmaceutical stores, which also makes Citramon available to the general public. As can be seen from the great clinical practice and the responses of those who used the medication, the remedy really works well for headaches and migraines, helps to stabilize the pressure when the weather changes.
For serious diseases, Citramon can be used only under the supervision of a doctor, but in everyday life many people consider it indispensable to relieve mild pain. Especially positive are the responses about Citramon from women suffering from soreness and cramping during menstrual bleeding.