Citramon - instructions for use, reviews, analogs and forms of release (tablets, including Ultra-coated) medicinal product for the treatment of headache and toothache, decrease in temperature in adults, children and pregnancy. Composition

In this article, you can read the instructions for using the drug Citramon. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Citramon in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Citramone in the presence of existing structural analogues.Use to treat headaches and toothaches, reduce temperature in adults, children, as well as during pregnancy and lactation. Composition of the preparation.

Citramon combined preparation.

Acetylsalicylic acid (Aspirin) has antipyretic and antiinflammatory action, reduces pain, especially caused by inflammation, as well as moderately inhibits platelet aggregation and thrombus formation, improves microcirculation in inflammation.

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

Paracetamol has analgesic, antipyretic and antiinflammatory action are extremely weak, that is connected with its effect on hypothalamus thermoregulation center in mild and capable of inhibiting the synthesis ofprostaglandins in peripheral tissues.

Composition

Acetylsalicylic acid + Paracetamol + Caffeine + auxiliary substances.

Indications

Pain syndrome of mild to moderate severity (of different origins):

• headache;
• migraine;
• toothache;
• neuralgia, neuritis;
• myalgia;
• arthralgia;
• algodismenorea.

Feverish syndrome:

• with ARI, ARVI;
• with the flu.

Forms of release

Pills.

Ultra-coated tablets.

Instructions for use and dosing regimen

Inside (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 and more than 3 days - as an antipyretic agent (without appointment and supervision of a doctor). Other dosages and schedules are prescribed by the doctor.

Side effect

• gastralgia;
• nausea, vomiting;
• hepatotoxicity;
• nephrotoxicity;
• erosive and ulcerative lesions of the gastrointestinal tract;
• allergic reactions (including Stevens-Johnson syndrome, Lyell);
• tachycardia;
• increased blood pressure;
• bronchospasm;
• dizziness;
• headache;
• visual impairment;
• noise in ears;
• reduction of platelet aggregation;
• hypocoagulation;
• hemorrhagic syndrome (nasal bleeding, gum bleeding, purpura, etc.);
• kidney damage with papillary necrosis;
• deafness;
• Reye's syndrome in children (hyperpyrexia, metabolic acidosis, disorders of the nervous system and psyche, vomiting, liver dysfunction).

Contraindications

• hypersensitivity;
• erosive and ulcerative lesions of the gastrointestinal tract (in the phase of exacerbation);
• gastrointestinal bleeding;
• "aspirin" asthma;
• hemophilia;
• hemorrhagic diathesis;
• hypoprothrombinemia;
• portal hypertension;
• avitaminosis K;
• kidney failure;
• pregnancy (1 and 3 trimesters);
• lactation period (breastfeeding);
• deficiency of glucose-6-phosphate dehydrogenase;
• severe arterial hypertension (the drug raises the pressure, but does not reduce it, as there is an erroneous opinion);
• severe course of ischemic heart disease;
• glaucoma;
• increased excitability;
• sleep disorders;
• surgical interventions accompanied by bleeding;
• Children's age (under 15 years - the risk of developing Reye's syndrome in children with hyperthermia in the background of viral diseases).

Application in pregnancy and lactation

Citramon is contraindicated in pregnancy (1 and 3 trimesters), during lactation.

Acetylsalicylic acid has a teratogenic effect; when applied in the first trimester of pregnancy leads to malformations - the cleavage of the upper palate; in the third trimester - to inhibition of labor (inhibition of the synthesis of prostaglandins), to the closure of the arterial duct in the fetus, which causes hyperplasia of the pulmonary vessels and hypertension in the vessels of the small circulation.

Isolated with breast milk, which increases the risk of bleeding in the child due to impaired platelet function.

Use in children

Children under 15 years of age should not be prescribed drugs containing acetylsalicylic acid, since in the case of a viral infection they can increase the risk of Raynaud's syndrome (Reye). Symptoms of Reye's syndrome include prolonged vomiting, acute encephalopathy, and enlargement of the liver.

special instructions

Children should not be prescribed medications containing acetylsalicylic acid, since in the case of a viral infection they can increase the risk of developing Reye's syndrome.Symptoms of Reye's syndrome include prolonged vomiting, acute encephalopathy, and enlargement of the liver.

With continued use of the drug, control of peripheral blood and the functional state of the liver is necessary.

Since Acetylsalicylic acid slows blood clotting, the patient, if he is to undergo surgery, must warn the doctor in advance about taking the drug.

Patients with hypersensitivity or with asthmatic reactions to salicylates or their derivatives Acetylsalicylic acid can be prescribed only with special precautions (in emergency care settings).

Acetylsalicylic acid in low doses reduces the excretion of uric acid. In patients with a corresponding predisposition, this can in some cases provoke a gout attack.

During treatment should be abandoned the use of ethanol (alcohol) (increased risk of gastrointestinal bleeding).

Acetylsalicylic acid has a teratogenic effect.

Isolated with breast milk, which increases the risk of bleeding in the child due to impaired platelet function.

Drug Interactions

Strengthens the action of heparin, indirect anticoagulants, reserpine, steroid hormones and hypoglycemic drugs.

Simultaneous administration with other non-steroidal anti-inflammatory drugs (NSAIDs), Methotrexate increases the risk of side effects.

Reduces the effectiveness of spironolactone, furosemide, antihypertensive drugs, as well as anti-arthritis drugs that promote the excretion of uric acid.

Barbiturates, rifampicin, salicylamide, antiepileptic drugs and other stimulants of microsomal oxidation contribute to the formation of toxic metabolites of paracetamol, which affect liver function.

Metoclopramide accelerates the absorption of paracetamol.

With repeated admission, Paracetamol can enhance the effect of anticoagulants (dicumarin derivatives).

Simultaneous reception of Paracetamol and ethanol (alcohol) increases the risk of developing hepatotoxic effects.

Caffeine accelerates the absorption of ergotamine.

Analogues of the drug Citramon

Structural analogs for the active substance:

• Aquacitramone;
• Ascofen;
• Acifein;
• Co-plus;
• Migrenol Extra;
• Citramarin;
• Citramon Borimed;
• Citramon P;
• Citramon Ultra;
• Citramon Lect;
• Citramone MFF;
• Citramon Forte;
• Citrapar;
• Excerdine.

Analogues on the curative effect (funds for the treatment of headaches):

• Aldolor;
• Aminalon;
• Amitriptyline;
• Analgin;
• Anopyrine;
• Ascofen;
• Aspirin;
• Acetaminophen;
• Betagistin;
• Betaserc;
• Brustan;
• Vestibo;
• Vinpocetine;
• Idebenon;
• Insty;
• Cavinton;
• Catadolone;
• Caffetin;
• Ketonal;
• Lupocet;
• Memoplant;
• MIG 200;
• MIG 400;
• Migrenol;
• Nalgezin;
• Nikoshpan;
• Noshpalgin;
• Oxadol;
• Paracetamol;
• Pentalgin;
• Piracetam;
• Solpadein;
• Solpaflex;
• Spasmonet;
• Stugeron;
• Febricet;
• Flamax;
• Hyrumat;
• Cefekon D;
• Citrapar;
• Yunispaz.

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