Paracetamol

Paracetamol


Generic Name: paracetamol (oral/rectal) (par RA cet a MOL)
Alternate Name: acetaminophen (a SEET a MIN oh fen)

Paracetamol (acetaminophen) is a pain reliever and a fever reducer. The exact mechanism of action of is not known.
Paracetamol is used to treat many conditions such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers. It relieves pain in mild arthritis but has no effect on the underlying inflammation and swelling of the joint.
Paracetamol may also be used for other purposes not listed in this medication guide.
Important information
There are many brands and forms of paracetamol available and not all brands are listed on this leaflet.
Do not use more of this medication than is recommended. An overdose of paracetamol can cause serious harm. The maximum amount of paracetamol for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. Taking more paracetamol could cause damage to your liver. If you drink more than three alcoholic beverages per day, talk to your doctor before taking paracetamol and never use more than 2 grams (2000 mg) per day.
Do not use this medication without first talking to your doctor if you drink more than three alcoholic beverages per day or if you have had alcoholic liver disease (cirrhosis). You may not be able to use paracetamol .
Before using paracetamol , tell your doctor if you have liver disease or a history of alcoholism.
Do not use any other over-the-counter cough, cold, allergy, or pain medication without first asking your doctor or pharmacist. Paracetamol is contained in many combination medicines. If you use certain products together you may accidentally use too much paracetamol . Read the label of any other medicine you are using to see if it contains paracetamol, acetaminophen or APAP. Avoid drinking alcohol while taking this medication. Alcohol may increase your risk of liver damage while taking paracetamol .

Drug Interaction Classification

The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.
Major:

Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.

Moderate:

 Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.

Minor:

Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan...

Brand Name Composition Company
ALGINA tab Paracetamol 500mg GENO PHARMA
ALGINA syrup Paracetamol 125mg/5ml GENO PHARMA
ALMOL susp Paracetamol 125mg/5ml ALPHA LAB
ALMOL FORTE tab Paracetamol 650mg ALPHA LAB
AMINOL drops Paracetamol 150mg/ml GROUP
AMINOL-HS tab Paracetamol 650mg GROUP
ANAMOL-80 suppository Paracetamol 80mg ELDER
ANAMOL-170 suppository Paracetamol 170mg ELDER
BAMBITI tab DT Paracetamol 125mg DEY'S
BEPAMOL caplet Paracetamol 500mg BIOLOGICAL E.
BEPAMOL syrup Paracetamol 125mg/5ml BIOLOGICAL E.
BIOCETAMOL-500 tab Paracetamol 500mg BIOCHEM
BIOCETAMOL-650 tab Paracetamol 650mg BIOCHEM
BIOCETAMOL susp Paracetamol 125mg BIOCHEM
BIOCETAMOL DS susp Paracetamol 250mg BIOCHEM
BIOCETAMOL drops Paracetamol 150mg BIOCHEM
BIOPYRINE susp Paracetamol 250mg BIOCHEM
CALPOL tab Paracetamol 500mg GLAXO SMITHKLINE
CALPOL tab Paracetamol 500mg GLAXO SMITHKLINE
COFAMOL tab Paracetamol 500mg CFL PHARMA
COFAMOL syrup Paracetamol 250mg/5ml CFL PHARMA
CROCIN tab Paracetamol 500mg GLAXO SMITHKLINE
CROCIN tab Paracetamol 1000mg GLAXO SMITHKLINE
CROCIN syrup Paracetamol 125mg/5ml GLAXO SMITHKLINE
CROCIN paed drops Paracetamol 150mg/ml GLAXO SMITHKLINE
CROCIN DS susp Paracetamol 240mg/5ml GLAXO SMITHKLINE
DOLIPRANE tab Paracetamol 500mg NICHOLAS
DOLIPRANE syrup Paracetamol 125mg/5ml NICHOLAS
EZEE PARA tab Paracetamol 125mg  NICHOLAS ACTIS DIV.
EZEE PARA tab Paracetamol 250mg  NICHOLAS ACTIS DIV.
FEBREX tab Paracetamol 500mg INDOCO
FEBREX tab Paracetamol 650mg INDOCO
FEBREX syrup Paracetamol 125mg/5ml INDOCO
FEBREX syrup Paracetamol 250mg/5ml INDOCO
FEBRINIL tab Paracetamol 650mg SVIZERA H. CARE
FEBRINIL susp Paracetamol 250mg/5ml SVIZERA H. CARE
FEBRINIL drops Paracetamol 100mg/ml SVIZERA H. CARE
FEBRINIL inj Paracetamol 150mg SVIZERA H. CARE
FEBRINIL inj Paracetamol 150mg SVIZERA H. CARE
FEPANIL tab Paracetamol 500mg CITADEL
FEPANIL tab Paracetamol 650mg CITADEL
FEPANIL syrup Paracetamol 125mg/5ml CITADEL
FEPANIL syrup Paracetamol 125mg/5ml CITADEL
FEPANIL syrup Paracetamol 250mg/5ml CITADEL
FEVAGO susp Paracetamol 125mg/5ml CIPLA
FEVAGO DS susp Paracetamol 250mg/5ml CIPLA
FEVAGO drops Paracetamol 100mg/ml CIPLA
FEVASTIN inj Paracetamol 150mg/ml TABLET INDIA
FEVASTIN PLUS inj Paracetamol 500mg TABLET INDIA
FEVASTIN PLUS susp Paracetamol 125mg TABLET INDIA
FEWEL susp Paracetamol 125mg/5ml WELBE LIFE
F-NORM drops Paracetamol 150mg/ml OCTANE BIOTECH
F-NORM susp Paracetamol 250mg/5ml OCTANE BIOTECH
JUNIMOL RDS tab Paracetamol 80mg ELKIDZ (ELDER)
JUNIMOL RDS tab Paracetamol 170mg ELKIDZ (ELDER)
JUNIMOL RDS tab Paracetamol 250mg ELKIDZ (ELDER)
JUNIMOL RDS DSsyrup Paracetamol 240mg/5ml ELKIDZ (ELDER)
JUNIMOL RDS susp Paracetamol 120mg/5ml ELKIDZ (ELDER)
KEMCIN tab Paracetamol 650mg SYNOKEM
LIT-KING susp Paracetamol 250mg/5ml BESTOCHEM
LOTEMP tab Paracetamol 650mg RAPTAKOS
LOTEMP susp Paracetamol 250mg/5ml RAPTAKOS
MALIDENS tab Paracetamol 500mg NICHOLAS
METACIN tab Paracetamol 500mg THEMIS PHARMA
METACIN syrup Paracetamol 125mg/5ml THEMIS PHARMA
METACIN paed drops Paracetamol 150mg/ml THEMIS PHARMA
METACIN SOORSAAsusp Paracetamol 250mg THEMIS PHARMA
METAPLUS tab Paracetamol 650mg THEMIS PHARMA
NICETAMOL tab Paracetamol 500mg DR. REDDY'S LABS
NICETAMOL susp Paracetamol 250mg/5ml DR. REDDY'S LABS
NICETAMOL drops Paracetamol 100mg/ml DR. REDDY'S LABS
PACIMOL tab Paracetamol 500mg INTIMA (IPCA)
PACIMOL tab Paracetamol 500mg INTIMA (IPCA)
PACIMOL tab Paracetamol 650mg INTIMA (IPCA)
PACIMOL drops Paracetamol 100mg/ml INTIMA (IPCA)
PACIMOL susp Paracetamol 125mg/5ml INTIMA (IPCA)
PACIMOL XP tab Paracetamol 500mg INTIMA (IPCA)
PAMELA tab Paracetamol 500mg GENO
PAMELA susp Paracetamol 125mg GENO
PARABIG tab Paracetamol 650mg WINSOME
PARA-HL susp Paracetamol 250mg H.L. HEALTHCARE
PARACETANALsuppository Paracetamol 80mg ZYDUS VACCICARE
PARACETANALsuppository Paracetamol 170mg ZYDUS VACCICARE
PARACIN tab kid Paracetamol 125mg STADMED
PARACIN tab Paracetamol 500mg STADMED
PARACIN drop Paracetamol 150mg/ml STADMED
PARACIN syrup Paracetamol 125mg/5ml STADMED
PARACIN syrup Paracetamol 125mg/5ml STADMED
PARACIP infusion Paracetamol 1000mg per 100ml CIPLA
PARACOD tab Paracetamol 650mg CIPLA
PARAFIZZ tab Paracetamol 1000mg CIPLA
PARAMOL tab Paracetamol 500mg PARKINSON PHARMA
PARAMOL tab Paracetamol 650mg PARKINSON PHARMA
PARAZINE tab Paracetamol 500mg ALBERT DAVID
PENITAM-500 tab Paracetamol 500mg SYNTONIC LIFE SCIENCES
PENITAM suspn Paracetamol 125mg /5ml SYNTONIC LIFE SCIENCES
PENODIN tab Paracetamol 500mg DEY'S
PYREXON-650 tab Paracetamol 650mg WOCKHARDT
PYRIGESIC tab Paracetamol 500mg EAST INDIA
PYRIGESIC paed drop Paracetamol 150mg/ml EAST INDIA
PYRIGESIC syrup Paracetamol 125mg/5ml EAST INDIA
PYRIKAP-500 tab Paracetamol 500mg KAPTAB PHARMA
PYRIKAP-650 tab Paracetamol 650mg KAPTAB PHARMA
PYRIKAP 100 drops Paracetamol 100mg KAPTAB PHARMA
PYRIKAP 250 susp Paracetamol 250mg per 5ml KAPTAB PHARMA
RESTOL-650 tab Paracetamol 650mg FRANKFORD
RESTOL-DT tab Paracetamol 250mg FRANKFORD
RESTOL susp Paracetamol 125mg per 5ml FRANKFORD
T-98 tab Paracetamol 500mg MANKIND
T-98 susp Paracetamol 125mg/5ml MANKIND
T-98 drops Paracetamol 100mg/ml MANKIND
T-98 DS susp Paracetamol 250mg/5ml MANKIND
T-98 JUNIOR tab DT Paracetamol 250mg MANKIND
TEMFIX tab Paracetamol 500mg SANDOZ
TEMFIX tab Paracetamol 650mg SANDOZ
ULTRAGIN tab Paracetamol 500mg WYETH
ULTRAGIN syrup Paracetamol 125mg/5ml WYETH

For the Consumer


Applies to acetaminophen: capsule, capsule liquid filled, elixir, liquid, powder, powder for solution, solution, suppository, suspension, syrup, tablet, tablet chewable, tablet disintegrating, tablet effervescent, tablet extended release.

As well as its needed effects, acetaminophen (the active ingredient contained in Paracetamol) may cause unwanted side effects that require medical attention.

Major Side Effects

If any of the following side effects occur while taking acetaminophen, check with your doctor immediately:
Rare
  • Bloody or black, tarry stools
  • bloody or cloudy urine
  • fever with or without chills (not present before treatment and not caused by the condition being treated)
  • pain in the lower back and/or side (severe and/or sharp)
  • pinpoint red spots on the skin
  • skin rash, hives, or itching
  • sore throat (not present before treatment and not caused by the condition being treated)
  • sores, ulcers, or white spots on the lips or in the mouth
  • sudden decrease in the amount of urine
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • yellow eyes or skin.
If any of the following symptoms of overdose occur while taking acetaminophen, get emergency help immediately:
Symptoms of overdose:
  • Diarrhea
  • increased sweating
  • loss of appetite
  • nausea or vomiting
  • stomach cramps or pain
  • swelling, pain, or tenderness in the upper abdomen or stomach area.

Usual Adult Dose for Fever

Parental:
Weight 50 kg or greater: 1000 mg IV every 6 hours OR 650 mg IV every 4 hours
Maximum Single Dose: 1000 mg
Minimum Dosing Interval: every 4 hours
Maximum Dose: 4000 mg per 24 hours

Weight less than 50 kg: 15 mg/kg IV every 6 hours OR 12.5 mg/kg IV every 4 hours
Maximum Single Dose: 15 mg/kg
Minimum Dosing Interval: every 4 hours
Maximum Dose: 75 mg/kg per 24 hours

Oral:
Immediate-release: 325 mg to 1 g orally every 4 to 6 hours
Minimum Dosing Interval: every 4 hours
Maximum Single Dose: 1000 mg
Maximum Dose: 4 g per 24 hours.
Extended-Release: 1300 mg orally every 8 hours
Maximum dose: 3900 mg per 24 hours

Rectal:
650 mg rectally every 4 to 6 hours
Maximum dose: 3900 mg per 24 hours

References

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Not all side effects for acetaminophen may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.


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