Tablets "Efferalgan" are effervescent pills of rich white color. The edges are rounded, there is a notch on one side. It is necessary to dissolve in a glass of water, while gas bubbles begin to intensively stand out. Consider the features of the tool in more detail.
"Efferalgan": the composition of the tablet
One piece contains 500 mg of active paracetamol, which is the main active ingredient. Among the auxiliary components are also present: sodium carbonate, bicarbonate, sodium docusate, anhydrous acid, povidone and sodium benzoate. It has a pronounced analgesic and antipyretic effect and belongs to analgesic-antipyretic drugs.
Medical indications
The use of Efferalgan tablets is based on their composition. Paracetamol actively eliminates pain and lowers body temperature, so the indications for prescription may be the following:
- Pain of mild to moderate intensity. It helps with headaches, toothaches, neurological pains, and also relieves discomfort in the lower back and muscles. Helps relieve sore throats, burns and various injuries.
- Increased body temperature in infectious pathologies and colds.
It has been proven that the drug does not have a negative effect on water-s alt metabolism. Due to the lack of an active effect on the synthesis of prostaglandins, there is no negative effect on the mucosa of the gastrointestinal tract.
Terms of Use
Efferalgan is a fairly popular and sought-after medicine. Effervescent tablets have a clear instruction, where everything is thoroughly spelled out. So, the pill must be dissolved in a glass of warm water before use. The doctor may prescribe a dosage depending on the severity of the condition and the general well-being of the patient, however, "Efferalgan" in tablets, an instruction confirming this, is usually prescribed 2-3 times a day. You can take 1-2 pills at a time. In this case, the maximum dosage is 1 g of the active substance, which corresponds to two tablets. Per day, you can use no more than 4 g of paracetamol, which corresponds to 8 pills.
Instructions for a special group of patients
Tablets "Efferalgan" can be prescribed to the elderly, as well as to patients with impaired renal and / or liver function. However, the daily dosage is halved, andthe interval between the use of the medicine should be at least 8 hours.
Course duration
Efferalgan tablets can be used for no more than 5 days. However, this rule applies to self-appointment. The doctor can extend the therapeutic course. But it is important for the patient to know the basic rule of taking the medication. If the pills are used to relieve pain, then they are allowed to drink for three days. If the pain syndrome continues, you should consult a doctor for appropriate treatment. To relieve fever in infectious and colds, the medicine is allowed for use within five days. Next, see a doctor if the temperature remains elevated.
What are the possible side effects?
Effective and safe for short-term use "Efferalgan" effervescent tablets. The instructions for use still contain information about the possible negative consequences of taking. The most typical reactions are allergic. Patients sometimes complain about the appearance during treatment of itching, skin rash. In rare cases, Quincke's edema is fixed, which threatens the he alth and life of the patient.
The circulatory system may also be affected. The active substance of the drug affects the hematopoiesis, so anemia, methemoglobinemia and thrombocytopenia can be recorded. However, such symptoms often occur only if the course of treatment is too long, the recommended dosage is regularly exceeded, and the doctor's advice is neglected. Also, among the side effects, it is worth highlighting possible malfunctions in the liver and kidneys, thereforepatients with chronic diseases of these organs are subject to observation and regular blood tests during therapy.
Usage feedback
Quickly eliminates heat and fights pain syndrome "Efferalgan". Reviews of the tablets are quite unambiguous, all patients confirm the effectiveness of the drug, its pleasant taste and the duration of the therapeutic effect.
If you follow the doctor's recommendations or follow the instructions, then usually the remedy is well tolerated and does not cause persistent negative effects. Of course, there are also negative reviews in which people point to the appearance of a rash, redness during treatment. However, such a reaction is often the result of an excess dosage or individual sensitivity to the incoming components. Also, some are not satisfied with the inflated cost of the drug, because it is based on the well-known budgetary paracetamol. But, as practice shows, the usual pills have a less pronounced effect than "Efferalgan Upsa" - effervescent tablets.
Strict contraindications
Paracetamol is found in a high concentration in an effervescent form of the drug. In addition, multiple auxiliary components are added to it, so the drug has its own restrictions on admission. Tablets "Efferalgan" have the following contraindications to the appointment:
- under 15 years of age and weighing less than 50 kg;
- 1 and 3 trimester of gestationpregnancy;
- delivered deficiency of glucose-6-phosphate dehydrogenase;
- breastfeeding period;
- individual susceptibility of any drug component.
Patients with renal or hepatic insufficiency can use "Efferalgan Upsa", however, this must be done with caution and only with the permission of the attending physician. It is also necessary to prescribe this medication with caution in patients with alcohol intoxication of the liver, the elderly and those with history of viral hepatitis.
Precautions
Paracetamol has a toxic effect on the liver when combined with alcohol. Therefore, at the time of treatment, it is important to completely eliminate the consumption of alcohol. It is forbidden to prescribe medicine to patients suffering from chronic alcoholism. If there is alcoholic hepatosis, then the risk of liver damage increases many times over.
If you need to use the medication for a long time, you will need clinical monitoring of the condition and functioning of the liver, as well as testing to compare the picture of the peripheral blood system.
There are also warnings for patients on a low-s alt diet. It is known that a single dose of the drug contains more than 412 mg of sodium. The pills also contain sorbitol. Therefore, they are prohibited for people with fructose intolerance and low absorption of glucose and galactose.
Overdose and its consequences
Efferalgan tablets are a strong drug. Instructions for use contains information on cases of overdose. This causes the following symptoms:
- pallor of skin and mucous membranes;
- nausea turning into vomiting.
In this case, intoxication and the severity of necrosis directly depends on the excess of the permissible number of tablets used. In adults, negative effects may already occur when using paracetamol at a dosage of more than 15 g at a time. At the same time, after 10 hours, excessive liver activity can be observed, and a detailed clinical picture with all the ensuing consequences - after 1-7 days.
However, sometimes the picture of overdose appears rapidly. Liver failure develops at lightning speed, which is often accompanied by malfunctioning of the kidneys.
First aid for overdose
First aid is important to provide the patient as soon as possible. If symptoms were noticed within six hours after taking the tablets, then it is necessary to wash the stomach and introduce donators and precursors of glutathione synthesis in a hospital setting. Further actions are determined by the doctor based on the patient's condition and blood tests.
Possible combination with other drugs
It is known that ethanol, phenytoin, phenylbutazone and barbiturates enhance the oxidation of paracetamol in the liver, so preparations based on them can lead to the development of severe intoxication even at minimal dosages. In the same timecimetidine and other oxidation inhibitors reduce the risk of liver damage from paracetamol.
"Efferalgan" is not advisable to be taken simultaneously with uricosuric drugs, because there is a significant decrease in the activity of the latter. There is a serious risk of developing acute pancreatitis if ethanol-based drugs are used.
Possible analogues
Structural analogues, that is, containing paracetamol at their core, Efferalgan has many. However, each drug is designed for a specific list of diseases, can be produced in various forms of release and have incomparable contraindications. Therefore, the decision to prescribe this or that remedy can only be made by a doctor based on the collected anamnesis. Among drugs with similar pharmacological action, the following are popular:
- "Tylenol";
- "Paracetamol";
- "Perfalgan";
- "Panadol";
- "Cefekon D";
- "Ifimol";
- "Meksalen";
- "Aldolor";
- "Akamol Teva".
There are children's versions of drugs. Based on paracetamol for children, syrups are produced that have a pleasant taste, a convenient measuring spoon or syringe and a low concentration of the active substance.
Conclusion
The medicine belongs to first aid medicines andreleased in pharmacies without a prescription. However, it is important to always keep effervescent tablets out of the reach of children's hands. Storage temperature should not exceed 30 degrees. Choose a dry place out of direct sunlight.
Of course, Efferalgan can be used for a short time to relieve muscle, joint, throat and headache pain. It also quickly and permanently eliminates elevated body temperature, facilitating the general condition with colds and infectious pathologies. However, in severe cases and if long-term treatment is needed, it is important to see a doctor. The instruction attached to the drug is offered for review, but may not always be a clear guide to action. If you have any doubts, you should consult a specialist.