Vicks Anti-Influenza Complex, lemon 10 pcs

Paracetamol has analgesic and antipyretic effects.

Indications

Active ingredient

Composition

Associates:

sucrose – 2000 mg,

citric acid – 330 mg,

tartaric acid – 330 mg,

sodium cyclamate – 200 mg,

sodium citrate – 500 mg,

aspartame – 6 mg,

ascorbic acid – 100 mg,

Potassium acesulfame – 17 mg,

Lemon flavoring 8476 – 50 mg,

lemon juice flavoring – 120 mg,

menthol flavoring – 100 mg,

quinoline yellow dye – 1 mg.

How to take, the dosage

Interaction

Special Instructions

It is recommended that the drug be taken as briefly as possible and at the lowest effective dose necessary to relieve symptoms.

Please consult a physician before using if you have a persistent or chronic cough, such as with smoking bronchial asthma, chronic bronchitis, or emphysema.

Do not use the product at the same time as other cold cough medicines or medicines with decongestive action.

The concomitant use of the drug with other paracetamol-containing medications should be avoided because it may cause an overdose of paracetamol.

In patients with alcoholic liver disease the negative effects of overdose are more pronounced.

Peripheral blood parameters and functional state of the liver should be monitored when using the drug for more than 5 days.

The drug distorts the results of laboratory studies of plasma glucose and uric acid content.

During treatment, it is recommended to take a sufficient amount of fluids. It is possible for the urine to turn pink.

The ingredient guaifenesin may give false-positive urine tests for 5-hydroxyindoleacetic acid and vinylmindalic acid due to the effect of guaifenesin metabolites on color (guaifenesin administration should be stopped 48 hours before urine collection for these tests).

Contains sodium at 157 mg per dose. Must be taken into consideration in patients on a sodium diet.

Contains aspartame (E951) which is a source of phenylalanine. It may be toxic to patients with phenylketonuria.

Contains sucrose. The drug should not be taken by patients with rare hereditary diseases with fructose intolerance glucose-galactose malabsorption or sucrose-isomaltase deficiency.

Perhaps use with caution in patients with Raynaud’s syndrome.

The first time a skin rash or mucosal lesion occurs or any other sign of hypersensitivity, the drug should be stopped and a physician consulted.

At the time of using the drug, it is necessary to refrain from taking alcohol and medicines containing ethanol.

When driving vehicles and engaging in other potentially dangerous activities, you should be aware that the drug may cause side effects such as dizziness and confusion.

Contraindications

Side effects

Overdose

Paracetamol

Hepatic damage is possible in adults who have taken 10 grams or more of paracetamol. Taking 5 grams or more of paracetamol can affect the liver if the following risk factors are present: prolonged treatment with carbamazepine phenobarbitone phenytoin primidone rifampicin St. John’s wort or other drugs which activate liver enzymes alcohol abuse glutanione deficiency (eg poor diet) cystic fibrosis HIV infection fasting cachexia.

Symptoms of paracetamol overdose in the first 24 hours: pale skin nausea vomiting anorexia and abdominal pain.

Elevated activity of “hepatic” transaminases increased prothrombin time.

Liver damage may appear 12-48 hours after intake, so it is necessary to see a doctor even if there are no symptoms. Impaired glucose metabolism and metabolic acidosis are possible. In severe poisoning liver failure may progress with complications such as encephalopathy hemorrhage hypoglycemia cerebral edema and death. Acute renal failure with acute tubular necrosis (defined by lumbar hematuria pain and proteinuria) can develop even in the absence of severe liver damage. There have been reports of abnormal heart rhythm and pancreatitis.

Phenylephrine

Phenylephrine overdose symptoms include irritability headache increased blood pressure and associated reflex bradycardia and heart rhythm disturbances.

If the above symptoms of overdose occur, a physician should be consulted.

Guaifenesin

Small to moderate overdose may cause dizziness gastrointestinal upset (nausea vomiting and diarrhea). Very high overdose may cause agitation, confusion, and respiratory depression. Treatment

Gastric lavage activated charcoal acetylcysteine (paracetamol antidote) symptomatic therapy.

In case of paracetamol overdose, immediate treatment is necessary. Despite the lack of significant early symptoms, patients should be rushed to the hospital for immediate medical evaluation. Symptoms may be limited to nausea or vomiting and not consistent with the severity of the overdose or risk of organ damage.

Liver damage can occur 12 to 48 hours after ingestion of paracetamol, so it is important to see a doctor even in the absence of symptoms. Treatment with activated charcoal and gastric lavage should be considered if an excessive dose was taken less than 1 hour ago. Plasma concentrations of paracetamol should be measured 4 hours or more after ingestion (earlier concentrations are unreliable).

The treatment with N-acetylcysteine can be given up to 2 hours after paracetamol ingestion; however, the maximum protective effect is achieved about 8 hours after taking the drug. The effectiveness of the antidote gradually decreases after this time.

If necessary, N-acetylcysteine is administered intravenously according to the established regimen. Outside the hospital, if there is no vomiting, methionine may be administered orally. Patients presenting with severe hepatic dysfunction 24 hours after taking the drug should be referred to a poison specialist.

In case of hypertensive effects of phenylephrine overdose, intravenous alpha-adrenoreceptor blockers such as phentolamine may be used. Decrease in blood pressure will be reflexively accompanied by an increase in heart rate, but if necessary this effect can be increased by administration of atropine.

Pregnancy use