Citramon: instructions for use

From what tablets Citramon - instructions for use, the composition of Citramon

Surely many people in the home medicine cabinet will have Citramon. This drug is the development of Soviet pharmacologists.

If, when abroad, a person asks Citramon - he just will not understand. After all, this medicine is registered only in the post-Soviet countries.

What helps Citramon in tablets and how to take it right?

Composition of Citramon

Citramon is produced by many domestic pharmaceutical companies. This is a combined drug from the NSAID group, which consists of several medicinal components.

In the original composition of Citramon, the substance phenacetin was included, but because of its high toxicity, it was no longer added to the drug.

Classic Citramon consists of three components:

Paracetamol has antipyretic, analgesic and to a lesser extent anti-inflammatory effects. Paracetamol is recognized throughout the world as one of the safest and most effective antipyretic drugs.

Acetylsalicylic acid also has analgesic, antipyretic (anti-pyretic) and anti-inflammatory effects. In addition, the drug reduces the aggregation (gluing) of platelets, thereby preventing thrombosis.

Caffeine improves blood circulation in tissues, reduces drowsiness, markedly improves performanceь.

The dosage of caffeine in Citramon is quite small, and therefore it does not have a stimulating effect on the central nervous system.

Various pharmaceutical companies also produce all kinds of variations of Citramon.As a rule, these variations differ in the concentration of active substances:

• The composition Citramon Extra includes paracetamol 500 mg, as well as caffeine 50 mg;
• Citramon Forte includes paracetamol in a concentration of 240 mg, caffeine 40 mg, acetylsalicylic acid 320 mg;
• The composition Citramona plus (Citrapac) includes paracetamol in a concentration of 180 mg, caffeine 30 mg, acetylsalicylic acid 240 mg, and also ascorbic acid 40 mg.

Indications for use

Citramone is available in tablets. The main indication for its use is mild to moderate pain of any origin.

So, Citramon helps with headache, toothache, migraine, neuralgia, arthralgia, menstrual pain.

Also, as an antipyretic (antipyretic) remedy, Citramon is taken with diseases accompanied by high fever, for example, in ARVI.

The medication is prescribed to adults one tablet two to three times a day after meals. Maximum for a day is allowed the use of six tablets (in three divided doses), in a larger amount, an overdose will occur.

The drug should be washed down with a sufficient amount of water. According to the instructions, as a febrifuge Citramon can take no more than three days, and as an anesthetic - no more than five.

Side effects

In general, Citramon is tolerated by patients well. However, it is worth considering the possible side effects of the drug. The composition of Citramon is acetylsalicylic acid, which can lead to the formation of ulcers on the mucous membranes of the stomach and intestines, ulcerous bleeding.

Due to the antiplatelet effect of acetylsalicylic acid, the risk of internal, nasal, gingival bleeding may increase.

Taking this into account, the use of drugs containing acetylsalicylic acid on the eve of surgical interventions and dental procedures is not recommended.

In addition, it is known that the use of acetylsalicylic acid in children as an antipyretic drug in acute viral infections can lead to the development of Ray's syndrome.

This is a pathological condition, manifested by a rapid brain and liver damage. Reye's syndrome is characterized by high lethality. thereforechildren Citramon can not be taken.

Also, the appearance of such side effects as anxiety, irritability, headaches, dizziness, ringing in the ears (tinnitus), nausea, diarrhea, abdominal pain, palpitations, allergic reaction.

Many people are wondering if Citrimon can raise the pressure, because it contains caffeine. Among the side effects indicated in the manual, there is an increase in blood pressure. Caffeine is contained in Citramon in low concentration, and therefore does not cause marked pressure rises.

But in this case, people with high blood pressure should be careful with Citramon.

Contraindications

Citramon is a very popular drug. But few people think about when to take it can not.Contraindications include:

Also, when treating Citramonum, it is better to limit the intake of caffeinated beverages.

Excessive consumption of caffeinated beverages can lead to stimulation of the nervous system, which is manifested by anxiety, irritability, painful sensations behind the sternum.

A source: http://OkeyDoc.ru/citramon-instrukciya-sostav-protivopokazaniya/

Citramone tablets: what helps, instructions for use

Citramone belongs to a number of combination drugs, which combines analgesic, anti-inflammatory and antipyretic effects.

Instructions for the use of Citramon should be read before the drug is started.

To understand what helps the drug and when it is prescribed, you need to examine its composition and action.

Composition

To date, the number of manufacturers of the drug is growing steadily, so the composition of Citramon will be slightly different. However, the main active substance is not subject to change.

The composition of Citramon "classical" included:

• , 5 g of acetylsalicylic acid (Acidum acetylsalicylicum);
• , 7 g of phenacetin (Phenacetini);
• , 27 g of caffeine (Caffeine);
• , 21 g of citric acid (Citric acid);
• and, 14 g of cocoa.

This composition has ceased to exist today, and phenacetin has been banned, since it can cause serious complications and side effects. Most often, the composition of the combined preparation now includes the main three components:

1. aspirin (Acidum acetylsalicylicum);
2. paracetamol (Paracetamoli);
3. and caffeine.

Aspirin is an anti-inflammatory drug of non-steroid origin.

Its action is aimed at eliminating the inflammatory process in the lesion focus, reducing vascular permeability.

Also, acetylsalicylic acid has an active effect on the centers of pain perception and thermoregulation, which are in the hypothalamus, and dilutes the blood.

Caffeine is an alkaloid from a number of purines, which has a stimulating effect on the central nervous system, and also expands peripheral blood vessels, the pulse and heart rate increases, it struggles with the symptoms of drowsiness and excessive fatigue.

Varieties

Depending on the manufacturer's firm, Citramon happens with a different composition and name. To date, produce its following varieties:

• Citramon P- contains aspirin, caffeine and paracetamol. The use of Citramon P is contraindicated in persons under 14 years of age. Dosage for adults is from 1 to 2 tablets three times a day. Between receptions should be a gap (not less than 6 hours).
• Citramon Forte- contains in addition to aspirin, caffeine and paracetamol, as well as citric acid. Auxiliary components: cocoa, potato starch, magnesium stearate. The addition of citric acid to the drug is not accidental, it stabilizes cellular respiration at the biochemical level. Assign Citramon Forte to persons from 14 years and above, the dosage is 1-2 tablets up to three times a day.
• Citramon Darnitsa- the most popular among the rest. The composition includes aspirin, paracetamol, caffeine, citric acid. Auxiliary components: starch, cocoa, calcium stearate and polyvinylpyrrolidone. The rules of application do not differ from previous preparations.
• Citramon Ultra- consists of acetylsalicylic acid, paracetamol and caffeine. Produced in the form of capsules, appoint 1-2 capsules up to four times a day. The daily dose should not exceed eight capsules.

Form of issue

Citramone is available in the form of tablets. They are pale brown, have visible speckles, heterogeneous. The smell of tablets resembles the flavor of cocoa.

Packing: cardboard packs, blisters contain from 6 to 10 tablets of Citramon.

Pharmacological group of the drug

Combined analgesics of non-narcotic effect, non-steroidal anti-inflammatory drugs.

Pharmacokinetics

Tablets Citramon have anti-inflammatory, analgesic, antipyretic and partly psychostimulating action. The latter effect is manifested in the reduction of general fatigue, increasing mental and physical performance.

Indications for use - what helps the drug

The combined non-narcotic analgesic is used in many pathological conditions. Before starting treatment, it is necessary to understand what helps Citramon. The drug is indicated for the treatment of the following symptoms:

• Pain syndrome. Very often take Citramon from a headache. However, it also acts with other pain symptoms: neuralgic, menstrual, and also with pain in muscle tissue and joints. Often prescribe Citramon and with migraine. It should be remembered that in the case of very severe pains, it is better to give preference to other non-narcotic analgesics.
• Hyperthermia. At elevated body temperature, it is advisable to take Citramon.
• Sometimes Citramon is indicated in the combined treatment of rheumatic diseases.

Contraindications to medicines

1. Hemophilia (as acetylsalicylic acid contained in Citramon, dilutes blood and increases the risk of bleeding).
2. Gastrointestinal ulcer.
3. Gastritis is erosive.
4. Hypersensitivity to the constituent of the drug.
5. Cardiac ischemia.
6. Hemorrhagic diathesis.
7. Hypertension (severe).
8. Renal failure.
9. Atherosclerosis of large vessels (especially vessels of the brain and heart muscle).
10. Liver failure.
11. Gout.
12. Increased excitability.
13. Age of patients under 14 years.
14. Glaucoma.
15. Pregnancy in the period 1 and 3 trimester.
16. During lactation.
17. Hypocoagulation.
18. Hypoprothrombinemia.
19. Avitaminosis K.
20. Alarm states.
21. Intolerance is enzymatic.
22. Sleep disturbances.

Side effects

Side effects from taking Citramon are extremely rare, and the drug itself is characterized by good tolerability. However, there are cases when the drug was used without agreement with the instructions and prescriptions of the doctor, which leads to the following consequences:

• On the part of the digestive system: nausea, repeated vomiting, tenderness in the epigastrium, possibly a complication in the form of gastritis.
• From the side of the biliary system: hepatic dysfunction.
• From the kidneys: renal failure.
• From the side of the central nervous system: dizziness, frequent headaches, not stopable taking medication.
• From the side of the circulatory system: bleeding, reduction of blood coagulation (by reducing the number of platelets).

In the case of uncontrolled use of Citramon, the following allergic reactions are possible:

1. Rashes on the skin.
2. Severe itching.
3. Children may develop Ray's syndrome.
4. Hives.
5. Anaphylactic shock.
6. Erythema.

Instructions for use and dosage

Citramon is prescribed for adults 1-2 tablets. Drink must be still mineral water or boiled water.

Multiplicity of admission: up to four times a day. Frequency of reception: no more than 6-8 hours.

Citramone increases or lowers blood pressure?

Often from patients you can hear a similar question. It should be noted that Citramon is capable of raising pressure indices slightly, but not significantly. All this is explained by the fact that the composition of the drug includes caffeine.

It excitably acts on the central nervous system, and also increases the tone of the vascular wall, which leads to an increase in blood pressure.

Also, patients should be more careful in terms of tea, coffee or cocoa, as a joint treatment with Citramon can significantly affect the blood pressure.

On the other hand, those who have low blood pressure, and at the same time have headaches, can take a Citramon pill.

Application of Citramon during pregnancy

It often happens that a woman during pregnancy complains of a headache - this is due to the fact that the blood-vascular system is heavily loaded due to the formation of additional blood circulation for the fetus.Hence the question arises: Is Citramone possible during pregnancy?

According to the instructions for use, pregnant women are categorically contraindicated Citramon in the first and third semesters. This is explained by the fact that during this gestational period the important organs and systems of the fetus are laid.

Application in the 1st trimester of pregnancy

The use of Citramon for up to three months is very dangerous for the fetus.

The fact is that during this period the vital organs are being laid, and the action of the drug may aggravate this process.

Due to acetylsalicylic acid, which is part of Citramon, has a pronounced teratogenic effect.

In other words, this substance can lead to congenital anomalies (the wolf mouth is a pathology characterized by the cleavage of the hard palate, the cleft lip is the cleavage of the upper lip).

Application in the 2nd trimester of pregnancy

Given these instructions, a contraindication for the appointment of Citramon is the first and third trimester of pregnancy, however, in the second trimester, too, it is not advisable to take this drug. This is due to the fact that, still in the second period, the laying of organs and the development of the fetus continue.

During this period, premature births are very common, and Citramon will significantly complicate them, as acetylsalicylic acid dilutes the blood. There is a risk of bleeding, because the rheological properties of the blood (coagulability) will be reduced.

Application in the 3rd trimester of pregnancy

The last trimester of pregnancy is also a contraindication for the use of the drug.

The labor activity of the pregnant woman will be significantly weakened, and the infant may develop complications in the form of premature closure of the Batalov duct (aortic aperture).

Summing up, it should be noted that Citramon during pregnancy is highly undesirable to apply to any from trimesters, since there is a risk of anomalies and complications, both for the mother and child.

Application during lactation

In the lactation period, the use of Citramon for therapeutic purposes is contraindicated. It should be noted that paracetamol is safer than those containing acetylsalicylic acid.

Aspirin is able to accumulate in human milk and be passed on to the baby during the feeding period.

As a result, the body of the baby undergoes a negative effect of Citramon: a decrease in the coagulation capacity of the blood (a decrease in the number of platelets), which eventually leads to bleeding.

On the part of the biliary system, there is a risk of impairing the functional capacity of the liver and gallbladder. Also, allergic reactions are possible, and the occurrence of such complications as Reye's syndrome.

Can I apply it to children?

Citramon is contraindicated in persons under 14 years of age. This is justified by the fact that the composition of the drug includes caffeine. This natural alkaloid is a psychostimulant.

As a result of taking Citramon in childhood, the following side effects are possible: insomnia, excessive excitability, frequent regurgitation, anxiety and general malaise.

To combat headache in childhood and during lactation, it is better to choose paracetamol, also significantly improve the symptoms of aromatherapy, hydromassage and a good rest.

Why is Citramone so often used for headaches?

1. First, this drug is inexpensive and is available in the first aid kit for everyone.
2. Secondly, the combined preparation at the expense of its components copes better with a headache (increase physical and mental performance, the rapid elimination of pain and improvement of general state of health).
3. This drug belongs to the number of non-narcotic analgesics, and therefore does not cause addiction and withdrawal syndrome.

additional information

The combined administration of Citramon with hormonal drugs and anticoagulants can increase the effectiveness of their action. The risk of developing complications and side effects of Citramon enhances the joint use with Methotrexate.

The combination of Citramon with barbiturates and Rifampicin is contraindicated.

Analogues of Citramon

• Citramon-Borimed.
• Citramon-Ultra.
• Citramon-Darnitsa.
• Citramon-Forte.
• Citramon-P.

Cost of preparation

The approximate price of the medicine is from 9 to 40 rubles. The cost largely depends on the packaging, the manufacturer and the number of tablets in the package.

A source: https://glavvrach.com/citramon/

Citramon P - treating substance and drug interaction, contraindications and cost

In each medicine cabinet there is a universal drug that relieves fatigue, cures headache or toothache, has anti-inflammatory and antipyretic effect - tablets Citramon P. In order not to cause harm to the body when taking medication, doctors are advised to strictly adhere to the dosages, the course of administration specified in the instructions, and to learn about side effects.

What is Citramon P

This is a combined non-hormonal analgesic of a broad spectrum of action. The drug has analgesic, antipyretic and anti-inflammatory effect.

Tablets are prescribed by doctors to eliminate various pain syndromes, with the appearance of the first symptoms of influenza or with colds.

Combined drug increases blood pressure in hypotensive, effectively removes toothache, helps with increased body temperature.

Early Citramon was produced on the basis of several active components: acetylsalicylic acid, phenacetin, cocoa, caffeine and citric acid.

However, after the official international ban on phenacetin, the classical prescription was modified somewhat. Now the composition includes acetylsalicylic acid, caffeine and paracetamol.

Auxiliary components of Citramon P: potato starch, citric acid, talc, calcium stearate. The dosage of active substances in one tablet is given in the table:

Composition	Dosage, grams
Acetylsalicylic acid	, 4
caffeine	, 3
paracetamol	, 4

Form release - tablets

Tablets of non-uniform maintenance with small impregnations, as a rule, brown or light brown color. Quantity and form of packaging depends on the manufacturer, for example:

• Citramon, produced by Anzhero-Sudzhensky HFZ, is produced in a cardboard bundle, blisters of 20 pcs.
• Tablets from the pharmaceutical company Tatkhimfarmpreparaty sold in paper packaging of 6 pcs.
• Pharmstandard-drugs produce Citramon in aluminum blisters for 10 pcs.

Pharmacodynamics and pharmacokinetics

The effect of citramone is due to the effect on the body of active components:

1. Acetylsalicylic acid has antipyretic effect, has anti-inflammatory properties, weakens the pain syndrome, reduces microcirculation at the site of inflammation and reduces platelet aggregation.
2. Paracetamol has antipyretic, analgesic properties.
3. Caffeine affects the reflex excitability of the spinal cord, respiratory centers, dilates the blood vessels. Caffeine enhances the effect of the previous components, affects the center of excitation of the brain, increases tone.

After taking the drug, the active substances are absorbed into the bloodstream through the gastrointestinal tract. Under the influence of hepatic enzymes they break down into metabolites.

About 5% of metabolites of paracetamol, 10% of caffeine and 60% of salicylates are excreted unchanged in urine. The active ingredients are easily absorbed into the peripheral tissues and body fluids.

The maximum concentration in the blood plasma is reached an hour after taking the pill.

Citramon - indications for use

The drug is often used for pain in the muscles after strong physical exertion, to eliminate depression, with low blood pressure.

Often drink tsitramon at temperature and other displays of infectious-virus diseases.

According to the annotation, it is advisable to use the tablets:

• with a painful syndrome of medium and low intensity - headache or toothache, migraines, myalgia, neuralgia, algodismorrhoea;
• with a febrile syndrome - ARI, acute respiratory viral infection, flu, cold.

Tablets should be taken orally, with a sufficient amount of liquid, immediately after eating. The drug is taken 2-4 times a day for one tablet.

The interval between doses should be at least four hours, and the average dosage should not exceed 3-4 tablets per day. Citramon in severe headaches can be taken immediately in a doubled dosage.

The maximum upper limit of tablets in this case should not exceed 8 pieces. As an antipyretic agent to take the medicine can be up to 3 days, as an analgesic - no more than 5 days.

special instructions

With prolonged use of the drug, the patient must regularly take a blood test to count platelets, feces analysis for latent bleeding, check the liver and control arterial pressure. It should be remembered that the composition of the drug includes caffeine, so taking similar drugs with his participation can trigger an overdose.

Tablets can influence the results of doping control in athletes and complicate the diagnosis in the presence of acute stomach syndrome.

The use of drugs based on acetylsalicylic acid is prohibited before surgery or dental surgery, because of the increased risk of bleeding.

Citramon affects the speed of thinking, so for the duration of treatment it is worth not to manage the vehicle and perform dangerous work.

In pregnancy

Use of the drug in the first trimester of pregnancy leads to the cleavage of the upper palate in the child, and in third trimester to inhibition of labor and hyperplasia of the pulmonary vessels of the small circle of blood circulation the fetus. Citramon penetrates into breast milk. Its use in lactation can provoke a violation of the function of platelets in the child and the occurrence of bleeding.

In childhood

According to the instructions, you can use the drug from the age of 15.

In young children, tablets can provoke Reye's syndrome, cause severe damage central nervous system and violations of the liver, suppress the synthesis of platelets and cause hemorrhagic diathesis. In addition, ASA negatively affects the gastric mucosa of children.

In case of violations of the kidneys and liver

Elderly patients and patients suffering from impaired renal and / or liver function, people with benign hyperbilirubinemia should take care when taking the medication. Prolonged use of paracetamol-based tablets can lead to irreversible renal failure and cause drug-induced nephropathy.

Drug Interactions

Tablets Citramon should be able to correctly combine with other medicines, otherwise complications and unforeseen situations may occur. For example:

• the drug enhances the action of heparin, reserpine, steroid hormones, indirect anticoagulants and hypoglycemic agents;
• simultaneous use of tablets with methotrexate or other non-steroidal anti-inflammatory drugs increases the risk of side effects;
• when interacting with furosemide, drugs for gout, hypotensive tablets, their effectiveness decreases;
• rifampicin, barbiturates, anti-epileptic drugs and salicylamide provoke the release of toxic metabolites of paracetamol, which adversely affect the liver;
• while concomitant use with metoclopramide reduces the time of absorption of paracetamol;
• Citramone can enhance the action of anticoagulants;
• the use of paracetamol and ethanol increases the risk of hepatotoxic effects.

Side effects

As a rule, when taking Citramon according to the instructions or recommendations of the doctor, negative reactions of the body do not arise, rarely appears:

1. anorexia;
2. erosive and ulcerative lesions;
3. nausea;
4. bronchospasm;
5. allergic reactions;
6. gastralgia;
7. necrolysis of the epidermal nature;
8. exudative epithelium;
9. dizziness;
10. gastrointestinal bleeding;
11. increased pressure and tachycardia;
12. noise in ears.

Overdose of tablets

With unsystematic use of tablets, the following symptoms may occur:

• Light intoxication - vomiting, nausea, tinnitus, dizziness, pain in the stomach.
• Severe poisoning - drowsiness, collapse, convulsions, retardation of reactions, bleeding, coma, anuria, shortness of breath, respiratory acidosis. With further use of the drug, irreversible liver damage and impaired renal function may occur.

Contraindications for children and adolescents

The drug is not prescribed for children under 15 years and pregnant women. In addition, citramone is contraindicated:

1. with increased sensitivity to the components of the drug;
2. glaucoma;
3. hemophilia;
4. with lesions of the gastrointestinal;
5. the presence of bleeding;
6. bronchial asthma;
7. liver diseases;
8. arterial hypertension;
9. hypoprothrombinemia;
10. increased excitability;
11. sleep disorders;
12. beriberi;
13. before surgical operations.

Terms of Sale and Storage

The drug is dispensed from the pharmacy without a doctor's prescription. Store Citramon in a dry place at a temperature of no higher than 25 degrees. Shelf life of the drug is 2 years.

Analogues

Preparations-synonyms with the same composition of active substances are:

• Aquacitramone;
• Migrenol Extra;
• Excedrin;
• Co-plus;
• Citrapar;
• Citramon-Darnitsa;
• Askofen P;
• Citrapac;
• Acepar;
• Tomapyrin P;
• Ascofen plus;
• Aldon;
• Ascofen-ANVI;
• Algomine;
• Neuranidal;
• IRALGEZIK.

The price of Citramon P

You can buy the drug at any pharmacy in the country at an affordable price or order the delivery of medications to your home through an online store. The approximate cost of the tablets is indicated in the table below:

Packing	Manufacturer	Price, in rubles
tablets 10 pcs.	Pharmstandard-Leksredstva	1, 0
tablets 20 pcs.	Mediisorb	3, 0
№6 tablets	Tatkhimpharmaceuticals OJSC	1, 0
№ 20 tab.	Anzhero-Sudzhensky HFZ	3, 0
Table. contour. cells. up. / 6 pcs.	OJSC Krasnaya Zvezda	1, 0

A source: http://sovets.net/13625-citramon-p.html

Citramon: instructions for use

The drug Citramon is a combined. It has antipyretic and analgesic effect and is used to reduce the severity of these symptoms in various diseases.

Dosage form, composition

The drug Citramon is available in the form of a tablet for oral administration.

They have a round shape, a flat-cylindrical surface, and also a light brown color.

The composition of this drug includes several basic active ingredients, their content in 1 tablet is:

• Paracetamol - 180 mg.
• Acetylsalicylic acid - 240 mg.
• Caffeine - 30 mg.

Also, the tablets contain auxiliary compounds, such as citric acid monohydrate, calcium stearate, potato starch, cocoa powder, talc, polysorbate 80. Tablets Citramon packaged in a blister for 10 pieces. Cardboard pack contains 1 or 2 blisters, as well as instructions for use.

Therapeutic effects

Tablets Citramon have several therapeutic effects, which are due to the constituents of the drug the main active ingredients:

1. Paracetamol - a representative of the group of drugs nonsteroidal anti-inflammatory drugs, has antipyretic, as well as very weak anti-inflammatory effect, which is due to the predominant suppression of prostaglandin synthesis in the structures of the central nervous system, in particular in center of thermoregulation.
2. Acetylsalicylic acid is also a non-steroidal anti-inflammatory drug, in which anti-inflammatory, antipyretic and analgesic effect is more pronounced. This compound is able to suppress aggregation (gluing) of platelets, preventing intravascular formation of thrombi.
3. Caffeine - increases the excitability of the brain and spinal cord, respiratory and vasomotor center, dilates the blood vessels localized in skeletal striated muscle, heart, brain, reduces the severity of fatigue, increases muscle and mental performance rights. Also, caffeine in a small degree reduces the degree of platelet aggregation.

After taking the Citramon tablet, the active substances are absorbed into the blood quickly enough.

They are evenly distributed in the tissues, through the blood-brain barrier penetrate into the structures of the central nervous system.

Metabolism of the components of the drug occurs predominantly in the liver with the formation of inactive decay products, which are excreted in the urine.

Indications

The main medical indication for taking Citramon tablets is symptomatic treatment of fever and pain sensations of inflammatory origin in various pathological conditions:

• Increased body temperature in acute respiratory viral pathology and influenza.
• Headache of moderate severity of various origin.
• Toothache.
• Pain in the muscles (myalgia) and joints (arthralgia).
• Pain sensations, the development of which is provoked by aseptic inflammation of the peripheral nerves (neuralgia).

Also, the drug is used to reduce the severity of discomfort in painful menstruation in women.

Contraindications on physiological conditions

At several pathological and physiological conditions of an organism of the patient reception of tablets Citramon is counter-indicative, to them concern:

1. A marked decrease in the functional activity of the liver and kidneys.
2. Individual intolerance to any of the components of Citramon tablets.
3. Gastrointestinal bleeding, including those suffered in the past.
4. A peptic ulcer, localized in the stomach or duodenum in the acute stage.
5. Hemorrhagic diathesis, accompanied by a violation of blood clotting and increased bleeding from small vessels.
6. Pregnancy in the I and III trimester, as well as the period of breastfeeding.
7. Increased intraocular pressure (glaucoma).
8. A marked increase in the level of systemic arterial pressure (arterial hypertension).
9. The patient's age is up to 15 years.
10. Lack of vitamin K in the body.
11. Deficiency of the enzyme glucose-6-phosphate dehydrogenase.
12. Increased excitability of the nervous system, sleep disorders in the form of insomnia.

Before you start taking Citramon tablets, it's important to make sure there are no contraindications.

Dosage

Tablets Citramon intended for oral administration, preferably after a meal.

The average therapeutic dosage for adults and adolescents over 15 years is 1-3 tablets 2-3 times a day, depending on the severity of the pain syndrome or fever.

The maximum daily dosage should not exceed 6 tablets. The drug is not intended for long-term therapy, the maximum duration of taking the tablets should not exceed 5 days.

Side effects

Against the background of taking Citramon tablets, it is possible to develop negative pathological reactions from the digestive system, which include:

• Pain in the area of ​​the stomach (epigastrium).
• Periodic nausea.
• Heartburn.
• Formation of erosions and ulcers on the mucous membrane of the stomach or duodenum, which can be complicated by the development of bleeding.

Also, the drug can trigger the development of small bleedings of various localizations in the body, and allergic reactions in the form of urticaria (characteristic changes on the skin, in appearance resembling a burn nettle). Appearance of signs of development of negative side reactions is the basis for stopping taking Citramon tablets and going to the doctor.

Features of use

Before you start taking Citramon tablets, you should carefully read the instructions for the drug, and also pay attention to a few precautions:

1. Long-term use of this drug requires periodic laboratory monitoring of the functional state of the liver, kidneys, as well as the pattern of peripheral blood.
2. Acetylsalicylic acid, which is a part of the drug, when it is taken by children with acute respiratory viral pathology, can provoke the development of Raynaud's syndrome.
3. Patients should be discontinued before surgery, as it reduces coagulability.
4. Patients with concomitant allergic pathology this drug can be used with caution.
5. Long-term use of Citramon tablets may cause a reduction in the excretion of uric acid from the body and an attack of gout in patients with metabolic disorders.
6. The active ingredients of the drug can interact with drugs from other pharmacological groups (anticoagulants, glucocorticosteroids), therefore, their possible use should be specialist.
7. The drug has no direct effect on the functional state of the nervous system.

In the pharmacy chain, Citramon pills are dispensed without a doctor's prescription. Before their reception it is recommended to consult a medical professional.

Overdose of Citramon

With a slight excess of the recommended therapeutic dosage of Citramon tablets, nausea develops, accompanied by periodic vomiting, abdominal pain, dizziness, noise, or ringing in the ears.

A heavier overdose is accompanied by depression, confusion, cramps, drowsiness, a sharp decrease in the level of arterial pressure against the background of collapse of blood vessels, shortness of breath, a sharp delay urine.

Lack of treatment against severe intoxication can lead to paralysis of the respiratory center and stopping breathing.

Treatment of an overdose consists of washing the stomach, intestines, taking intestinal sorbents, and prescribing symptomatic therapy.

Analogues

Similar to the active ingredients and pharmacological effects for Citramon tablets are the preparations of Excerdine, Ascoffen, Kofin.

Storage

The shelf life of Citramon tablets is 4 years. They must be stored in a whole package, dark, dry, inaccessible to children at an air temperature of no higher than 25 ° C.

Citramon price

The average cost of Citramon tablets in Moscow pharmacies depends on their quantity in the package:

• 10 tablets - 12-14 rubles.
• 20 pieces - 54-68 rubles.

A source: http://bezboleznej.ru/tsitramon

What helps Citramon P

An effective anti-inflammatory agent is Citramon P. What helps with this drug? The medicine has an anesthetic and thermoregulatory effect. Citramon P instructions for use recommend taking with neuralgia, headache and toothache.

Composition and form of release

Citramon P In its composition, in addition to acetylsalicylic acid and caffeine, it also contains paracetamol, which acts on the central nervous system and affects the centers of thermoregulation and pain.

In such a composition, caffeine enhances the therapeutic effect of paracetamol and acetylsalicylic acid, which are on the WHO list of essential medicines. Composition - each tablet contains acid acetylsalicylic 0.24 g, paracetamol 0.18 g, caffeine 0.

03, other components: citric acid, potato starch, cocoa, talc, calcium stearate.

Pharmacological properties

The effect of Citramon P, which helps with pain and inflammation, is due to the combined composition.

Acetylsalicylic acid has antipyretic and anti-inflammatory effect, relieves pain, especially caused by inflammatory process, and also moderately inhibits platelet aggregation and thrombosis, improves microcirculation in the outbreak inflammation.

Paracetamol has analgeziruyuschim, antipyretic and extremely weak anti-inflammatory effect, which is due to its influence on the center of thermoregulation in the hypothalamus and a weak ability to inhibit the synthesis of prostaglandins in peripheral tissues.

Caffeine increases the reflex excitability of the spinal cord, excites the respiratory and vasomotor centers, dilates the blood vessels of skeletal muscles, brain, heart, kidneys, reduces platelet aggregation, reduces drowsiness, fatigue, increases mental and physical performance. In this combination, caffeine in a small dose has practically no stimulating effect on the central nervous system, but it helps to normalize the tone of the vessels of the brain and accelerate blood flow.

Medication Citramon P: what helps

Citramon P can be used to eliminate pain syndrome, which has a weak and moderate severity. In this case, pain can have a different origin. The drug effectively neutralizes the headache, copes with:

• migraine;
• toothache;
• neuralgia;
• myalgia;
• arthralgia;
• algodismenosis.

In addition to the pain syndrome Citramon P can also be used to eliminate febrile syndrome. So this medication is used in acute forms of respiratory diseases, including influenza.

Contraindications on features

Tablets Citramon P instructions for use prohibit taking in the following cases:

1. hypersensitivity;
2. erosive and ulcerative lesions of the gastrointestinal tract (in the phase of exacerbation), gastrointestinal bleeding;
3. "Aspirin" asthma;
4. hemophilia, hemorrhagic diathesis, hypoprothrombinemia, portal hypertension;
5. avitaminosis K;
6. kidney failure;
7. pregnancy (I and III trimesters), lactation period;
8. deficiency of glucose-6-phosphate dehydrogenase, severe arterial hypertension, severe course of IHD, glaucoma, increased excitability, sleep disturbances;
9. surgical interventions accompanied by bleeding, children's age (up to 15 years - the risk of developing Reye's syndrome in children with hyperthermia on the background of viral diseases).

Preparation Citramon P: instructions for use

The drug is taken orally (during or after a meal), 1 tablet every 4 hours, with a pain syndrome - 1-2 tablets; the average daily dose is 3-4 tablets, the maximum daily dose is 8 tablets.

The course of treatment is no more than 7-10 days. The drug should not be taken more than 5 days as an analgesic drug and more than 3 days - antipyretic (without appointment and supervision by a doctor). Dr.

Dosages and regimens are prescribed by the doctor.

Side effect of Citramon P

Tablets Citramon P, reviews and instructions indicate this, can cause the following negative effects:

• Allergic reactions (including Stevens-Johnson syndrome, Lyell), bronchospasm.
• From the side of the digestive tract: gastralgia, nausea, vomiting, hepatotoxicity, erosive-ulcerative lesions of the gastrointestinal tract.
• On the part of the hemopoietic system: with prolonged use - reduced platelet aggregation, hypocoagulation, haemorrhagic syndrome (epistaxis, bleeding gums, purpura, etc.).
• From the cardiovascular system: increased blood pressure, tachycardia.
• From the central nervous system: with prolonged admission - dizziness, headache, visual impairment, tinnitus, deafness.
• From the side of the urinary system: nephrotoxicity, with prolonged use - kidney damage with papillary necrosis.

Perhaps the development of children in the Reye syndrome (hyperpyrexia, metabolic acidosis, disorders of the nervous system and psyche, vomiting, violations of liver function).

Analogues and price

Substitutes for medicines include Asprovit, Copacil, Aspirin, Aspicode, Citro- pac, MIG, Ascophene, Uppsarin, Excedrine, Citrapar. Buy tablets Citramon P can be for 7 - 20 rubles.

Patient's opinions

Positive opinion and feedback from patients indicate a high level of effectiveness of Citramon and its various commercial forms in getting rid of painful sensations.

An important factor in favor of the drug is that Citramon price is very affordable for all categories of the population.

In any case, it is a very good and inexpensive drug that can relieve pain in various organs and parts of the body.

He helps me with severe headaches, especially when I do not get enough sleep.

Citramon P can be used even in combination with other drugs, when, say, you are sick with colds.

To me, the medicine helps to cope with the reduced pressure, often haunting me.

And as the drug can act very budgetary analogue of soluble bags, which are popular with colds and flu.

Of course, the composition of citramone is not so abundant, but it has the necessary substances to eliminate some symptoms of the disease.

If you have a headache, then Citramon P will come to your rescue, a very inexpensive medicine, with which also need to be more careful, because it has side effects, can not be used for children younger 16 years. The main thing with this medicine is not to overdo it. If you have problems with the gastrointestinal tract, it is better to refrain from using this drug.

A source: http://remedy.ucoz.ru/index/citramon_p_ot_chego_pomogaet_instrukcija_po_primeneniju/0-289