Citramon instructions for use of the tablet. What "Citramon P" helps with: detailed characteristics of the drug, indications and contraindications for use, other useful information

One of the most common medications for headaches is Citramon. Surely, each of us has a name this drug will be familiar, because its effectiveness and low cost have contributed to the fact that it has become an integral part of the home medicine cabinet in almost every family.

Citramon is a combination drug that has antipyretic, anti-inflammatory and analgesic effects. It contains three main components: paracetamol, caffeine and aspirin, which act separately. Caffeine, for example, helps improve the functioning of blood vessels; it gives a person additional strength, allowing him to forget about fatigue. The action of aspirin is aimed at lowering body temperature, reducing inflammation and pain. This substance has a positive effect on blood supply in the area of ​​the inflammatory process. Paracetamol also helps reduce body temperature, relieving pain.

There are several forms in which this product is produced. medicinal product– granules for preparing a solution and tablets (citramon most often comes in this form).

Because of this medicine Sold in paper packages and blisters, no instructions are included. But, despite this, you can learn about the methods and doses of citramone by consulting a pharmacist or doctor. It is worth noting that this drug is considered strong in its effect, so it should be taken with a break of 3-4 hours, 2-3 tablets per day. But, remember, even with very severe headaches, you should not take more than eight tablets per day.

It is recommended to take citramon during or immediately after meals. Ideally, it should only be taken for three days without medical supervision. If after this period the painful sensations that bother you do not stop, be sure to consult a doctor!

Note!
There is currently a lot of controversy surrounding the following question: Is it possible to take citramon during pregnancy?? Despite the confidence of many people that this medicine is absolutely safe, doctors are categorically against its use by pregnant women and children under 18 years of age. What causes such categoricalness of doctors? The answer lies in one of the components of citramon, which poses a danger to normal development child, in aspirin. As it turned out, it causes Reille's syndrome in young children, in which blood circulation in one or more fingers is disrupted. This mysterious disease can lead to very dire consequences, for example, to gangrene. For this reason, you should never drink citramon when breastfeeding, during pregnancy, and it should not be given to small children.

Indications for use of citramon

  1. Severe headaches, muscle and toothaches, as well as migraines. Despite the fact that this medicine can be taken for severe headaches, you need to remember that you cannot take citramon and alcohol together, and, therefore, it is not suitable as a hangover reliever!
  2. Colds, inflammatory, viral diseases. In this case, citramon can be prescribed as a concomitant medication.
  3. Low pressure. Everyone should know how it works, because in some cases taking it can lead to serious consequences. Therefore, make it a rule to measure your blood pressure when you have severe headaches, because this medicine helps to increase it.

Citramon tablets are a well-known medicine that contains only simple components that do not have a negative effect on the human body. It is used mainly for headaches that are associated with instability of peripheral blood vessels.

The composition of citramon includes the familiar acetylsalicylic acid (better known as trade name aspirin), paracetamol and caffeine. As a supplement, citric acid is used, which gave the drug its name by analogy with the name of the group of citrus fruits, which includes lemon.

There is a belief that citramon increases blood pressure. Actually this is not true. Only caffeine, which is part of the drug, can affect the tone of blood vessels. Due to stimulation of centers in the cerebral cortex, a short-term increase is actually observed. blood pressure due to increased elasticity vascular wall. However, after adaptation of the vascular bed occurs backlash. Thus, increase by long time This drug will not help your blood pressure. For these purposes, more than powerful drugs, such as norepinephrine, dopamine.

The instructions for use recommend using citramon in various cases, but exclusively as a pain reliever with a pronounced antipyretic and anti-inflammatory spectrum of action. These properties are provided by a combination of acetylsalicylic acid and paracetamol. Together, they enhance the effect of each other and effectively relieve swelling of the soft tissues in the area of ​​the inflammatory process.

At correct use Citramon achieves the following effects:

  • decrease in general body temperature to normal levels within 30 minutes after taking the drug orally;
  • elimination of pain, including in the area of ​​muscle fibers;
  • reduction of functional load on cerebral vessels and thereby eliminating headaches;
  • anticoagulation effect, preventing the development of intravascular coagulation syndrome;
  • increasing blood flow and eliminating local intoxication;
  • temporary improvement in overall well-being due to the stabilizing effect of caffeine.

Please note that citramon for headaches should be taken only after consulting a doctor and measuring blood pressure levels. There are known cases when elevated level In blood pressure, this drug caused a transient cerebrovascular accident.

Indications for use

The use of citramon is indicated for various viral and colds, which are accompanied by fever and severe headaches and muscle pain arising due to intoxication and processes of increasing blood viscosity.

You can also drink citramon for:

  • painful menstruation;
  • functional muscle pain;
  • toothache;
  • migraine.

If the desired effect is not observed after taking 2 tablets, then you should urgently seek medical advice. medical care to clarify the diagnosis and correct the treatment method.

Note! Citramon is contraindicated during pregnancy. Acetylsalicylic acid, which is part of it, can provoke uterine bleeding and create a threat of premature termination of pregnancy. Caffeine can have a damaging effect on the developing fetus. The drug Citramon is also not recommended for use during breastfeeding. If such a need arises, then stop breastfeeding for the period of treatment.

Contraindications and side effects

The most common side effect is pathology of the mucous membranes gastrointestinal tract. With prolonged use, erosions and ulcers of the stomach and twelve may form. duodenum. Heartburn, abdominal pain and loose stools often occur.

If you look into your medicine cabinet and do not find Citramon tablets, we advise you to think about buying them. Because with my inexpensive price it is one of the fastest acting and generic medicines which helps with headaches. At the same time, you can buy it at the pharmacy without a prescription, Citramon is sold everywhere, and the instructions for use are so simple that anyone can take it on their own. But at the same time, you should know how the drug helps, that is, its mechanism of action.

Why does my head hurt?

Severe headache attacks are most often associated with vascular pathologies. For example, with age, blood vessels become thinner and lose their elasticity, and such tablets help relieve the spasm that occurs. Of course, if the reasons are deeper, Citramon alone will not save you; narrow-profile treatment is necessary.

If your symptoms bother you for a long time, get tested. There is a suspicion of:

  • Migraine is a chronic pathology that requires the use of potent triptans.
  • Stroke or pre-stroke condition. May be provoked by ischemia (vascular thrombosis), atherosclerosis, hemorrhage (internal bleeding) and accompanied severe attacks headache.
  • Tumor - new growths in the brain require surgical intervention.
  • Congenital aneurysms.
  • Stress pain or muscle strain.

IN the latter case It is not necessary to immediately take Citramon or Analgin tablets. Rest helps deep sleep and relaxing massage. In general, you should remember: when a headache starts, you don’t need to take medications right away. Try to cope with it yourself, using non-medicinal methods. Or better yet, prevent it by leading healthy image life.

Mechanism of action of the drug

The tablets are called Citramon P, as they contain the addition of paracetamol. A non-steroidal drug that helps with mild, squeezing pain general, and also has a slight antipyretic and anti-inflammatory effect. This is its difference from Analgin and its similarity to other paracetamol-containing drugs.

Citramon is based on the inclusion of aspirin, the first non-steroidal anti-inflammatory drug to be discovered. Its properties have now been sufficiently tested, there are practically no side effects (if the dosage is observed), so the tablets can be used by both elderly people and children over 10 years of age.

Taking aspirin improves blood circulation in the area where vascular headache occurs, which leads to relief of symptoms.

But on the other hand, tablets also have negative properties. Since it is acetylsalicylic acid, it tends to have an irritating effect on the mucous membrane. Frequent use of Citramon leads to the appearance of ulcers, decreased blood clotting, and allergic reactions. But with these properties, aspirin (and Citramon, respectively) is prescribed for vascular thrombosis or for its prevention.

In addition, the tablet contains caffeine, which is known for its properties to help with headaches, as well as sedative effect. Use the right dose stimulates nervous system, improves brain performance, reduces blood pressure and helps improve blood flow.

Often, Citramon also helps with migraines or headaches associated with vasodilation.

In addition, scientists have proven that caffeine helps reduce the ability of platelets to stick together, which also helps prevent thrombosis. We wrote separately about the properties of Paracetamol.

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How to use the medicine

Along with the Citramon package, there are instructions that indicate the dosage and course of treatment, as well as detailed contraindications. Please note that tablets should be taken in short courses, no more than 3 times a day, to prevent harmful influence on the liver, depression of the nervous system.

By the way, the drug helps not only with headaches, but also with dental, occipital, muscle and joint pain. Only if the pain is not chronic or too intense.

Maximum dose Citramon per day - 8 tablets, after which severe poisoning and even death can occur.

If the patient, in addition to pain in the head, has heat, fever, Citramon is taken for no longer than 3 days.

Usually on initial stage This helps with respiratory or viral diseases, but tablets can be replaced with regular Paracetamol.

Contraindications and side effects

  • Allergies to its components.
  • Ulcerative condition of the stomach or duodenum.
  • Hemophilia and vitamin A deficiency.
  • High blood pressure.
  • Cirrhosis, hepatitis and other diseases of the liver and kidneys.

Also, nursing mothers and during pregnancy should not risk their health by using Citramon. If a person suffers from acute renal or heart failure, doctors prohibit taking it or reduce it to a minimum. Also, with increased nervous excitability, the caffeine content in the tablets will affect the psyche and can lead to insomnia.

As for whether Citramon-P can be used by children: it is undesirable for children under 15 years of age, as Reye's syndrome (a brain disease) and liver complications may occur. Side effects in case of overdose include nausea, vomiting, convulsions, increased blood pressure and rapid heartbeat. Bleeding gums may occur.


    In what cases should Citramon be used?

    Dosage of the drug Citramon

  1. Reviews Citramon

Citramon is a combination drug that has the properties of non-narcotic painkillers (analgesics) and NSAIDs. The drug has an analgesic, anti-inflammatory and antipyretic effect. The action of Citramon is determined by the components included in its composition (Acetylsalicylic acid, Paracetamol, Caffeine), which, when used together, enhance therapeutic effect each other. Citramon is available in tablets and granules for the preparation of a solution for oral administration.

  • mild to moderate pain (including headache, migraine, toothache, neuralgia, muscle pain, joint pain (arthralgia), pain during menstruation)
  • elevated body temperature due to colds, flu and rheumatic diseases

Dosage of the drug Citramon

Adults and children over 14 years old: 1-3 Citramon tablets 2-3 times a day for 5-7 days or once. The maximum daily dose for adults is 6 tablets. The drug should not be taken for more than 5 days as an analgesic and for more than 3 days as an antipyretic without a doctor’s prescription. Increasing the daily dose of the drug or the duration of treatment is possible only under the supervision of a physician. Long-term use of Citramon for the treatment of headaches may lead to increased headaches. Recommendations for taking tablets: Citramon should be taken only after meals; it is recommended to crush the tablets thoroughly and wash them down with plenty of liquid (preferably milk).

Side effects when using the drug Citramon

The most common side effects when using the drug Citramon include: pain in the stomach, nausea, vomiting. Rarely: hepatotoxicity, nephrotoxicity, erosive and ulcerative lesions of the gastrointestinal tract, allergic reactions. With prolonged use, dizziness, headache, blurred vision, tinnitus, bronchospasm, hemorrhagic syndrome (nose bleed, bleeding gums, etc.), deafness, Reye's syndrome in children (fever, metabolic acidosis, disorders of the nervous system and psyche, vomiting, liver dysfunction).

In what cases should Citramon not be used?

Citramon cannot be used in the following cases:

  • peptic ulcer of the stomach and duodenum in the acute phase;
  • gastrointestinal bleeding(including in the past);
  • severe dysfunction of the liver and/or kidneys;
  • hemorrhagic diathesis;
  • severe arterial hypertension and severe coronary heart disease;
  • glaucoma;
  • bronchial asthma;
  • hemophilia;
  • genetically determined deficiency of glucose-6-phosphate dehydrogenase;
  • hypersensitivity to the components of the drug;
  • childhood (under 15 years of age - the risk of developing Reye's syndrome in children with fever due to viral diseases).

Use of the drug Citramon during pregnancy and breastfeeding

Citramon is not recommended for use during pregnancy and breastfeeding. If it is necessary to prescribe Citramon during pregnancy, the expected benefit to the mother should be weighed against the potential risk to the fetus. If a single dose of Citramon is necessary during lactation, cessation of breastfeeding is not required.

Special instructions for the use of Citramona

During long-term use of Citramon, it is recommended to regularly perform blood tests and examine stool for occult blood, and it is also necessary to evaluate the functional state of the liver. It is not recommended to prescribe Citramon to children and adolescents with diseases accompanied by fever due to the high risk of developing Reye's syndrome. During the period of use of the drug you should refrain from drinking alcohol.


What are the main symptoms and treatment of Citramon overdose?

In some cases, the use of large doses of Citramon can lead to an overdose. The most common signs and symptoms of Citramon overdose include: stomach pain, nausea, vomiting, sweating, pallor skin, tachycardia. If available above listed symptoms and signs, it is necessary to stop taking the drug Citramon. If, after stopping the use of the drug Citramon, the signs of overdose do not disappear, then you should call a doctor. First of all, treatment of an overdose of the drug Citramon is aimed at reducing the absorption of the drug. For this purpose, gastric lavage is performed, which is effective in the first 3-4 hours after using the drug. In addition, in order to reduce the absorption of the drug after gastric lavage, the patient should drink activated charcoal.

Interaction of the drug Citramon with other drugs

Simultaneous use of Citramon with many medications (heparin, indirect anticoagulants, reserpine, barbiturates, rifampicin, antiepileptic drugs, rifampicin, etc.) can lead to increased toxic effects. Therefore, before you start using Citramon, tell your doctor about other medications you are taking.

Expert opinion of the Polismed medical board

We have collected frequently asked questions and prepared answers to them

What is the dosage for children?

Doctors diagnosed the child with vegetative-vascular dystonia. hypotonic type. Her upper pressure fluctuates around 90 mm Hg, periodically worries about weakness and dizziness. Can she take Citramon to increase her blood pressure? If so, at what age can she take it? Daughter is 14 years old.


Response from the Medical College

Citramon is not approved for children, as it contains acetylsalicylic acid, which can cause life-threatening complications in children. Vegetovascular dystonia is not a disease that should be treated with Citramon. At 14 years of age, fluctuations in blood pressure in girls may be caused by hormonal changes associated with puberty. We recommend contacting specialists who can help you understand the causes of blood pressure fluctuations - a therapist, endocrinologist, cardiologist and gynecologist.

Can I take it during pregnancy?

All my life I lived with low blood pressure - no higher than 100. When the pressure dropped to 85-90, a headache appeared, and I took Citramon. Now I'm pregnant, and during pregnancy I also sometimes get headaches. Is it possible to use Citramon during pregnancy in the 1st trimester?

Response from the Medical College

It is strictly contraindicated for pregnant women to take Citramon for headaches, as well as for low blood pressure. This is explained by the fact that this drug contains acetylsalicylic acid, which can have a negative effect on the developing fetus. Citramon is contraindicated for headaches and for breastfeeding mothers, since its components are actively absorbed into the blood and pass into breast milk.

How long can you take Citramon?

I periodically take Citramon for headaches. The last time I took several tablets at short intervals, and an hour later I did not feel any improvement; on the contrary, my head hurt even more. I measured the pressure and found that it had risen very much - above 140 mm. The question is, how long does it take for Citramon to be removed from the body, and how long will it take for it to stop working? And how many tablets per day should and can an adult take?


Response from the Medical College

Indeed, Citramon helps increase blood pressure. Therefore, it is not recommended for people who have headaches associated with high pressure. We recommend that you see a cardiologist for a complete examination to determine if you have hypertension.

The maximum dosage of Citramon for an adult is 2 tablets at a time, but not more than 6 tablets per day. The components of the drug are eliminated from the body quickly enough - within 24 hours, but the anticoagulant effect of acetylsalicylic acid persists for several days, so uncontrolled use of Citramon can lead to dangerous complications in the form of gastrointestinal bleeding. Consult your doctor for advice on more safe remedy for headaches.

How does Citramon affect blood pressure?

I read in the instructions for Citramon that it is a combination drug. In what cases is it better to take it: as an antipyretic or as an analgesic? And how does it affect blood pressure: does it lower or increase it?

Response from the Medical College

Majority Russian patients take Citramon “for blood pressure”, to increase it, or for headaches. The effect of the drug on blood pressure is due to the caffeine it contains, which stimulates the heart and blood vessels through the central nervous system. It should be taken only after consultation with a doctor, who will determine the indications for its use: for pain relief or fever reduction. It is not recommended to take it on your own either as an antipyretic or as an analgesic.

Is citramon harmful and why is it banned in Europe?

In Russia, when I have low blood pressure, I am used to taking Citramon. We recently moved to Germany. This medicine was not found in local pharmacies, and friends told us that it could not be found here because of the ban. Why is Citramon banned in Europe, because in Russia it is freely sold in pharmacies, you don’t even need a prescription?

Response from the Medical College


Citramon is a mixture of several medications at once. It has never been used in Europe, no studies have been conducted on the safety of its use, so it is impossible to find it in European countries. The closest analogue of this drug, which is approved for sale in Europe, can be considered Migrenol, which contains paracetamol and caffeine, and is used to treat some forms of migraine.

In almost every home you can find this drug, which “saves” elevated temperature, inflammatory process in the body, and also has an analgesic effect. Moreover, all the components that make up this medication are absolutely safe. We are talking about Citramon.

Pharmacokinetics

The residue of citramon contains 3 of the most active active ingredients, which are aimed at providing the following effects:

  • Analgesic;
  • Antipyretic;
  • Anti-inflammatory.

Citramon contains: acetylsalicylic acid, paracetamol and caffeine. Now let's look at the action of each component separately. So, acetylsalicylic acid has an antiperitic effect. This substance affects the central nervous system and the hypothalamus (part of the brain). If we turn to medical and more scientific terms, acetylsalicylic acid suppresses the growth of the inflammatory process, having a direct effect on the hypothalamus.

Among other things, the acid significantly reduces platelet aggregation, which has a beneficial effect on eliminating headaches, inflammation and other infectious processes.

Paracetamol in Citramon has the following effects on the human body:

  • Anti-inflammatory;
  • Antipyretic;
  • Analgesic.

Paracetamol has a direct effect on the brain, or more precisely, on the thermoregulation center, which leads to a decrease in temperature during colds or the flu.

When does Citramon help?

Citramon is effective for such pathological conditions, How:

  • Fever;
  • Toothache;
  • Migraine is a severe headache;
  • Neuralgic condition;
  • Pathologies that in the human body lead to an increase in body temperature;
  • Pain after mechanical surgery light blow and medium degree;
  • Arthritis;
  • Painful menstruation in women.

Dosage

The use of Citramon is allowed without prior consultation with a doctor. Dosage for an adult – 1 tablet after generous intake food. You are allowed to take citramon 3 times a day - no more. Increasing the dosage of Citramon may lead to the occurrence of severe consequences.

Who should not take Citramon?

There is a group of people who medical terms It is strictly contraindicated to take Citramon.

  • For those who have increased sensitivity or even allergic reaction to such components of the drug as: caffeine, acetylsalicylic acid, paracetamol.
  • Congenital intolerance to glucose-6-phosphate dehydrogenase;
  • Kidney pathologies;
  • Liver failure;
  • Anemia;
  • Gastrointestinal ulcer;
  • Blood cancer;
  • Diathesis;
  • Atherosclerosis occurring in acute form;
  • Diseases of the cardiovascular system;
  • Coronary heart disease, occurring in acute form;
  • Insomnia, chronic sleep disorder;
  • Advanced age;
  • Alcohol abuse;
  • Glaucoma.

What side effects might there be?

After using the drug in an amount exceeding the recommended dosage, a number of side effects may occur in the form of:

  • From the immune system – runny nose and nasal congestion, among severe consequences – anaphylactic shock;
  • Dermatological problems – skin rash, itching, urticaria, tissue swelling;
  • Disorders of the gastrointestinal tract - nausea, vomiting, heartburn, as well as inflammatory and erosive processes in the stomach;
  • Hypoglycemia;
  • Severe headache, tremors of limbs, feeling of fear;
  • Increased heart rate;
  • Nose bleed;
  • Anemia;
  • Paleness of the skin;
  • Pulmonary edema.

It is not recommended to use Citramon in combination with other medications that also contain caffeine, paracetamol and acetylsalicylic acid. You should not, at your own discretion, exceed the dosage recommended in the instructions for the drug. You should use Citramon with caution if you have liver problems.

If the patient has recently had surgery V oral cavity, then Citramon can provoke bleeding due to increased platelet aggregation.

If the drug is used for a long period of time, a decrease in excretion may be observed. uric acid from the body.

Use during pregnancy

Almost every second woman suffers from severe headaches during pregnancy. But this is not an indication for the use of Citramon during pregnancy, or any other medication. Active substances Citramon is provided negative impact for the fruit

If a woman takes Citramon in the first trimester, when the fetus develops almost all vital organs and vital systems, this will lead to abnormalities in the fetus. The negative impact of Citramon leads to the formation of a cleft of the hard palate in a child - popularly this defect is called cleft lip or if the splitting upper jaw, That - cleft lip. If you take Citramon in the 2nd trimester, this can lead to premature birth. In the 3rd trimester, the negative effects of Citramon carry the risk of bleeding and premature birth.

Citramon– combined non-hormonal

analgesic, which has a pronounced anti-inflammatory, analgesic and antipyretic effect.

Due to the large number of manufacturers, the composition of Citramon varies somewhat while maintaining uniform main parts. Classic recipe, which is currently not used due to the ban on phenacetin:

  • acetylsalicylic acid 0.24 g (aspirin, lat. Acidum acetylsalicylicum) - a non-steroidal anti-inflammatory drug that affects the processes occurring at the site of inflammation, reduces capillary permeability, limits the energy supply of the inflammatory process, affects the hypothalamic thermoregulation centers and pain sensitivity centers, thins the blood;
  • phenacetin 0.18 g - this drug is now withdrawn from circulation due to serious side effects;
  • caffeine (Caffeine) 0.03 g – a purine alkaloid, to a reasonable extent stimulates the central nervous system, respiration and the work of the heart muscle, while expanding blood vessels, improves their tone and blood flow, increases urination, accelerates the pulse, reduces drowsiness and fatigue, but increases physical and mental activity, performance;
  • cocoa 0.015 g - has an antidepressant and stimulating effect on the body;
  • citric acid 0.02 g - plays important role in the system of biochemical reactions of cellular respiration.

Release forms

Well-known medical companies offer their own options with slightly modified composition, for example:

Citramon P

In addition to acetylsalicylic acid and caffeine, it also contains

paracetamol

Acting on the central nervous system and affecting the centers of thermoregulation and pain. In this composition, caffeine enhances therapeutic effect paracetamol and acetylsalicylic acid, which are included in the WHO list of essential medicines. Citramon P is contraindicated in children under 15 years of age due to the content of acetylsalicylic acid. Adult patients are prescribed 1-2 tablets 2-3 times a day, with a break between doses of about 6 hours. In case of malfunction

the break must be at least 8 hours. Composition - each tablet contains acetylsalicylic acid 0.24 g, paracetamol 0.18 g, caffeine 0.03, other components: citric acid, potato starch, cocoa, talc, calcium stearate.

Citramon Forte (Citramonum-forte)

This is another commercial form of this combination drug. Prescribed for adults and children over 14 years old, 1-2 tablets. 2-3 times a day. For quick relief pain attack - 2 tablets at a time. with a maximum daily dose of 6 tablets, and the duration of the course is a maximum of a week. Its composition: 1 tablet contains 0.32 g of acetylsalicylic acid, 0.24 g of paracetamol, 0.04 g of caffeine, 0.007 g of citric acid. Other ingredients: magnesium stearate, potato starch, croscarmellose sodium, low molecular weight medical polyvinylpyrrolidone, cocoa.

Citramon Darnitsa

Citramonum - Darnitsa is a very popular option among consumers. The use and instructions are the same as for the above drugs; they are not recommended for children. The composition has some differences in grammage while maintaining the same components - acetylsalicylic acid 0.240 g, paracetamol 0.180 g, caffeine (if converted to dry matter) 0.03 g, citric acid food grade 0.006 g, as well as potato starch, calcium stearate, low molecular weight medical polyvinylpyrrolidone, cocoa.


Citramon Ultra

It is a film-coated tablet consisting of acetylsalicylic acid - 0.24 g, paracetamol - 0.18 g, caffeine - 0.0273 g (in terms of caffeine monohydrate - 0.03 g), and excipients. It is allowed to take 1-2 capsules 3-4 times a day, with a break of 4-8 hours and a maximum daily dose 8 pieces.

Citramon Borimed

A combination drug, which is the following combination: acetylsalicylic acid + Caffeine + Paracetamol. The maximum course is prescribed for 7-10 days, the average dose per day is 3-4 tablets, and the maximum is 8 tablets. Effective when pain syndrome weak and moderate severity.

Citramon Lect

Citramon-LekT is approved for over-the-counter use. 1 tablet contains acetylsalicylic acid 0.24 g, paracetamol 0.18 g, anhydrous caffeine 0.0275 g. Indicated for adults and children over 14 years of age, for younger age Contraindicated due to the content of acetylsalicylic acid.


Dosage form

Tablets from almost all manufacturers are light brown in color, heterogeneous in appearance, with inclusions and patches, and the smell of cocoa. Blisters contain 6-10 pieces.

Pharmacological group

Combined non-narcotic analgesic agent.

pharmachologic effect

It has a pronounced analgesic, antipyretic, anti-inflammatory, psychostimulant (reduces fatigue, increases mental performance) effect.

Indications for use Mild and moderate pain in various locations:

  • headache;
  • migraine;
  • pain during menstruation;
  • neuralgia;
  • pain in joints and muscles;
  • elevated body temperature with flu, colds and rheumatic diseases.

WITH severe pain Citramon is unlikely to cope, so in more complex cases, agents that have these effects to a greater extent are recommended.
Citramon tablets - instructions for use

It is necessary to strictly follow the instructions of the attending physician or

or milk, take 1 time every 6-8 hours. The maximum dose per 1 dose is 2 tablets, no more than 6 tablets per day. How

antipyretic

use for no longer than 3 days, as a painkiller - 5 days, in accordance with medical recommendations. Increasing dosages is possible only with the approval of a doctor after

consultations

At long-term use The headache only makes it worse.

Features of purpose: Does Citramon increase or decrease blood pressure?

This question is often asked by patients. Due to the caffeine content, which stimulates the central nervous system, increases tone and pressure, from taking Citramon

pressure

may also increase, despite the fact that it is contained in small doses. You should be especially careful if you drink tea, cocoa or

and take Citramon - there is a risk of caffeine overdose. If you have low blood pressure and a headache, then, in the absence of contraindications, you can take a Citramon tablet, which will relieve pain and slightly increase your blood pressure.


During pregnancy

Pregnant women whose vascular system restructures and endures significant stress, often suffering from severe headaches. In accordance with the instructions, 1st and 3rd trimester

pregnancy

are contraindications for use, since it may have Negative influence on the developing fetus.

Citramon on early stages pregnancy - what you need to know In the first 3 months, the formation of all the vital organs and systems of the child occurs, and acetylsalicylic acid in the composition of Citramon (having a teratogenic effect) can cause congenital anomalies- cleft palate (cleft palate) and upper lip(cleft lip). Even if the second trimester of pregnancy is not officially contraindicated, the prescription of this drug must be justified by serious reasons, because the “construction” of the fetal body continues, and there is already the possibility of premature birth, which the use of Citramon will complicate (due to decreased blood clotting). In the last 3 months, use should be justified by serious reasons, so that there is no threat of bleeding and blood loss during childbirth due to the action of acetylsalicylic acid, as well as weakness labor activity or closure of the aortic duct in an infant. Thus, Citramon during pregnancy is a drug that is best put away in the closet for a while.

When breastfeeding

lactation

Citramon is contraindicated. You need to know that paracetamol is not as dangerous as acetylsalicylic acid. Standing out with

breast milk

mother, it is transmitted infant, causing various Negative consequences– disruption of synthesis

platelets

and bleeding, as well as impaired liver function, irritation of the gastrointestinal tract (

Regurgitation), allergic manifestations, Reye's syndrome. Taking this acid is generally prohibited for children under 14 years of age. Caffeine like natural stimulant, may cause anxiety, excitability, sleep disturbance, and regurgitation. Citramon during lactation is not the best the best remedy pain relief, it is better to choose other options -

aromatherapymassage

Paracetamol as a last resort.

For headaches

For headaches this is one of the most effective means, which is usually found in the first aid kit. The combination of its components provides quite fast action- eliminating pain, increasing mental activity and performance. He deals with pain of various etiologies, including those with migraines. Not being a narcotic drug, it does not cause addiction or dependence. It is only undesirable to mix Citramon with other anti-headache medications - such issues should be discussed with your doctor.

More about headaches

Citramon for children Before the age of 14, the use of Citramon is contraindicated due to the serious negative effect it can have on a fragile young body. One of the most difficult and dangerous manifestations Reye's syndrome occurs, provoked by acetylsalicylic acid (even once!) in children with viral diseases(chickenpox, flu), accompanied by an increase in temperature. It causes severe damage to the central nervous system and liver. Suppression of platelet synthesis leads to bleeding and even hemorrhagic diathesis (hemorrhages in the skin, subcutaneous tissue and even internal organs). Acetylsalicylic acid irritates the gastrointestinal mucosa and affects the liver. Such a large number of all kinds of side effects that are dangerous to life and health makes Citramon completely unsuitable for children.
Contraindications

Citramon should not be used in the following cases:

  • Hypersensitivity to the components of the drug;
  • Hypocoagulation, hemorrhagic diathesis, hemophilia, hypoprothrombinemia;
  • A combination (incomplete or complete) of diseases such as bronchial asthma, nasal polyposis, intolerance to acetylsalicylic acid and other NSAIDs;
  • Erosive and ulcerative lesions of the gastrointestinal tract, gastrointestinal bleeding, peptic ulcer duodenum and stomach in the acute phase;
  • Surgical interventions that are accompanied by bleeding;
  • Severe coronary heart disease, arterial hypertension pronounced degree;
  • Portal hypertension;
  • Vitamin K deficiency;
  • Gout;
  • Kidney failure;
  • Pregnancy (1st and 3rd trimesters), lactation;
  • Children's age (up to 14-15 years), since there is a risk of developing Reye's syndrome in children with hyperthermia due to viral diseases;
  • Glaucoma;
  • Deficiency of glucose-6-phosphate dehydrogenase, lactase, glucose-galactose malabsorption, lactose intolerance;
  • Anxiety disorders (agoraphobia, claustrophobia, panic disorders), sleep disturbances, increased excitability.

Side effects

Typically, Citramon is quite well tolerated by patients, but such manifestations as:

  • Disorders of the gastrointestinal tract - vomiting, nausea, abdominal pain, gastrointestinal and erosive-ulcerative bleeding;
  • Renal or liver failure;
  • Bronchospasm;
  • Quincke's edema, allergic skin reactions;
  • Noise in ears;
  • Visual impairment.

Overdose Mild form of intoxication: stomach pain, nausea, vomiting, pale skin, ringing in the ears, sweating, tachycardia.

Severe form of intoxication: lethargy,

convulsions

Collapse, bleeding, drowsiness, bronchospasm.

Storage

The drug should be stored in a cool place, away from children, and not used after the expiration date indicated on the package (from 3 to 5 years).

special instructions

During long-term use Citramon must be regularly monitored by a doctor, do

blood analysis

on the subject hidden blood, check the condition of the liver, monitor

arterial pressure

Interaction with other drugs

Due to the fact that the components of Citramon in one way or another affect the effectiveness and efficiency of other drugs and medications, it is very important to inform the attending physician about all existing diseases and pathologies before prescribing it. Also, other substances can change the effect of Citramon on the body.

The drug Citramon P enhances the effect of anticoagulants and side effects glucocorticoid hormones. Weakens the effect of diuretics, anti-gout and antihypertensive drugs.

Abuse of tea or coffee while taking Citramon Darnitsa may result in symptoms of caffeine overdose. Large doses It is recommended to drink alkaline mineral water. Enhances the effect of drugs that reduce blood clotting and platelet aggregation, the side effects of sulfonylureas, corticosteroids, methotrexate. Citramon-Darnitsa should not be taken in combination with rifampicin, barbiturates, salicylates, or anticonvulsants.

Is it possible to drink Citramon with alcohol?

Analogues of Citramon:

  • Hl-pain
  • Alka-Seltzer
  • Alka-prim
  • Antigripocaps
  • Aspicode
  • Citropak
  • Askofen
  • Asprovit
  • Copacil
  • Aspirin
  • Upsarin
  • Excedrin
  • Citrapar
  • Farmadol and other drugs containing paracetamol, caffeine and acetylsalicylic acid.

Citramon can bring many benefits in certain life situations. But, as with any medicine, harm to the body is possible if you get too carried away with it. Therefore, it is necessary to know what symptoms and consequences of an overdose may occur with uncontrolled use of the drug.

After all dangerous overdose Citramonum occurs when more than ten tablets of the drug are consumed during the day, or six tablets in the case of a single dose.

The drug Citramon is a common medicine for the treatment of headaches, fever, symptoms hypertensive crisis and other unhealthy conditions.

It is quite common, we often use it, as it is widely known, and at the same time it is really capable of saving a person from the occurrence of discomfort and at feeling unwell after drinking alcohol, a hard day at work or spending a long time in a stuffy room.

Compound

to his positive properties the drug Citramon is due to a balanced combination of acetylsalicylic acid, caffeine and paracetamol. Each individual component listed is aimed at improving blood circulation in the brain:

  1. Caffeine increases blood flow, stimulates myocardial function, increases heart rate, and increases the minute volume of blood pumped.
  2. (trade mark “Aspirin” - the drug is best known by this name among consumers) promotes blood thinning, which makes it possible to significantly increase the transport of oxygen through the vessels of the brain, ensuring intensive metabolism, as well as the timely removal of breakdown products that cause pain.
  3. – a pronounced non-narcotic analgesic that has a strong anti-inflammatory effect and relieves pain syndrome varying degrees severity, is a stimulant that does not affect the process and course of the disease, but eliminates severe symptoms.

Special purpose

Citramon is used quite widely, especially by those who have experienced its fairly effective effects, that is, real benefits. Reviews among experts about the drug are positive, and it is recommended for use (one-time or systematic treatment) in the following situations:

  • Prescribed and used as an analgesic to relieve headaches, acute toothache, and joint (rheumatic) inflammation.
  • It is used during the treatment of colds and flu symptoms - as a means to reduce body temperature.
  • It is used for overwork in people with mental work to treat symptoms of facial heat, dizziness from prolonged monotonous work, and confusion during a change of environment - going to a crowded place, speaking in front of an audience, conducting long negotiations.
  • Involved in the treatment system inflammatory diseases: arthritis, arthrosis (their exacerbations), rheumatism, otitis, sinusitis, rhinitis, vascular spasms and acute conditions with infectious diseases.
  • Prescribed in cardiology as a means to prevent thrombosis and sclerosis coronary vessels hearts; in angiology, as a means to prevent cerebral vascular ischemia. For these purposes, they are used in short courses to prevent Citramon poisoning, and when improving complex conditions, for long-term treatment Acetylsalicylic acid is used in combination with magnesium and potassium salts.

Possibility of overdose, consequences

The drug Citramon, which is quite complex in composition, is nevertheless available for free sale. There is no requirement to have prescription documents when purchasing it from a pharmacy chain, and there are no restrictions on the quantity of the drug sold for one buyer.

However, in such an uncontrolled and free style of offering, using and distributing the drug, there is a certain danger - the possibility of poisoning. This can happen when an overdose of Citramon occurs, with long-term use the drug and, especially, when it is used ineptly.

When using a drug, a person has the right to know that at certain doses it is harmful, that there is a set therapeutic dose of Citramon, and that negative consequences are possible if it is overdosed.

Many people ask a reasonable question: is it possible to be poisoned by Citramon? Naturally, this is a medicine that, like any other, can harm the body, and sometimes cause irreversible negative processes in the internal organs.

Every person who practices its use, recommends treatment with this medicine, must know its properties, its therapeutic doses(how much to take) for adults and for children, it dangerous doses intake and critical quantities leading to severe poisoning.

To relieve pain or as a preventive measure, a single dose of one tablet is recommended. The same dosage is used for headaches and toothaches, fever (fever), moderate hangover syndrome and feeling unwell after drinking any amount of alcohol. The next dose is allowed after 6-8 hours. Maximum safe dose– 6 tablets during the day.

When using Citramon as an analgesic, it is recommended to use the drug for no more than 5 days in a row, in the amount of 2 - 3 tablets per day; when used to reduce fever, lower temperature, the drug is used for 3 days at the above dosage.

Manifestations of drug overdose

When consumed large quantity drug (accidentally or intentionally) observed next symptoms And side effects:

  1. Nausea, vomiting, dyspeptic symptoms(loose stools, diarrhea, bloody issues with stool, bloating).
  2. Background noise in the ears, increasing headache, dizziness.
  3. Symptoms of developing internal bleeding(pallor, weakness, cold sweat, feelings of fear).
  4. Pronounced sweating, tremors, skin cold to the touch.
  5. Impaired consciousness develops when high concentration drug in the blood (more than 300 mcg/ml).

In case of an overdose of Citramon, a critical condition may develop, up to fatal outcome, the person may die. The lethal threshold for using this drug is more than 20 tablets. After taking such an amount, irreversible processes occur in the body (decomposition of the liver parenchyma is observed, kidney failure occurs), critical violation health.

To prevent similar situations It is important to carry out timely explanations among young people, who are often carried away by such relieving methods of getting rid of hangovers and headaches. It must be recalled that any drug, even if it is freely sold and inexpensive, can cause irreparable harm to even the strongest and most trained body.

Video: how often can you drink Citramon?

Contraindications

Citramon is a drug that contains dangerous substances chronic diseases Components. Therefore, patients with such ailments should be warned in advance about possible consequences.

The drug is not used for the following diseases:

When deciding to treat headaches with the use of Citramon, it should be remembered that the manifestation of such symptoms may be a consequence of progressive hypertension, which requires special treatmentproper treatment.

It is necessary to prescribe antihypertensive drugs, monitor blood pressure throughout the day, and ensure compliance with all doctor’s recommendations to prevent the development of severe, life-threatening conditions - stroke, heart attack, blood disorders.



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