Universal reference book for medicines
Name of the preparation: MAXICOLD® RINO (MAXICOLD RINO)

Active substance: comb.
drug
Type: The drug for symptomatic therapy of acute respiratory diseases

Manufacturer: Otisifarm (Russia) manufactured by FARMSTANDART-Lekssredstva (Russia)
Composition, form of production and packaging
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Powder for solution for ingestion (lemon), yellow, crystalline, with a specific odor; the presence of white crystals and easily disintegrating lumps is allowed; the powder is dissolved in 250 ml of hot water to form an opalescent solution of light yellow color with a characteristic smell of lemon.
1 pack.

paracetamol 325 mg

phenylephrine hydrochloride 10 mg

Pheniramine maleate 20 mg

ascorbic acid 50 mg

Excipients: citric acid monohydrate, malic acid, sucrose (sugar refined sugar), titanium dioxide, sodium citrate dihydrate, lemon flavor, dye quinoline yellow, calcium hydrogen phosphate dihydrate (tricalcium phosphate tribasic), ethyl cellulose.

15 g - bags of heat-sealing from the combined material (5) - packs cardboard.

15 g - bags of heat-sealing from the combined material (10) - packs cardboard.

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Powder for solution for oral administration (orange) yellow, crystalline, with a specific odor; the presence of white crystals and easily disintegrating lumps is allowed; the powder is dissolved in 250 ml of hot water to form an opalescent solution of light yellow color with a characteristic orange odor.
1 pack.

paracetamol 325 mg

phenylephrine hydrochloride 10 mg

Pheniramine maleate 20 mg

ascorbic acid 50 mg

Auxiliary substances: citric acid monohydrate, malic acid, sucrose (sugar refined sugar), titanium dioxide, sodium citrate dihydrate, orange flavor, quinoline yellow dye, calcium hydrogen phosphate dihydrate (tricalcium phosphate tribasic), ethyl cellulose.

15 g - bags of heat-sealing from the combined material (5) - packs cardboard.

15 g - bags of heat-sealing from the combined material (10) - packs cardboard.

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Powder for the preparation of solution for ingestion (crimson) from light pink to dark pink with a reddish hue, crystalline, with a specific odor; the presence of white crystals and easily disintegrating lumps is allowed; the powder is dissolved in 250 ml of hot water to form an opalescent solution of pink color with a characteristic smell of raspberry.
1 pack.

paracetamol 325 mg

phenylephrine hydrochloride 10 mg

Pheniramine maleate 20 mg

ascorbic acid 50 mg

Auxiliary substances: citric acid monohydrate, malic acid, sucrose (refined sugar), titanium dioxide, sodium citrate dihydrate, raspberry flavor, quinoline yellow dye, acid red dye (azorubin), calcium hydrophosphate dihydrate (tricalcium phosphate tribasic), ethyl cellulose.

15 g - bags of heat-sealing from the combined material (5) - packs cardboard.

15 g - bags of heat-sealing from the combined material (10) - packs cardboard.

INSTRUCTION FOR THE SPECIALIST.

Description of the drug approved by the manufacturer for the printed edition of 2016.

PHARMACHOLOGIC EFFECT

Combined drug, has antipyretic, vasoconstrictive, analgesic and antiallergic effect.

Paracetamol has antipyretic and analgesic effect: it reduces the pain syndrome, which is observed in colds (sore throat, headache, muscle and joint pain), lowers the heat.

Pheniramine has an anti-allergic effect: it eliminates swelling and flushing of the mucous membranes of the nasal cavity, nasopharynx and paranasal sinuses, reduces runny nose and watery eyes .

Phenylephrine has a vasoconstrictive effect: it reduces swelling of the mucous membrane of the nasopharynx.

The combined action of phenyramine and phenylephrine leads to a reduction in nasal congestion and a significant relief of nasal breathing.

Ascorbic acid (vitamin C) replenishes the increased demand for vitamin C for colds and flu, especially in the initial stages of the disease;
increases the body's resistance to infectious diseases.
PHARMACOKINETICS

Data on the pharmacokinetics of the drug are not available.

INDICATIONS

- symptomatic treatment of colds, acute respiratory infections, influenza accompanied by fever, chills, headache, runny nose, pain in the sinuses of the nose and throat, nasal congestion, sneezing and pain in the muscles and joints.

DOSING MODE

The drug is taken orally.
The contents of one packet should be dissolved in 1 glass of boiled hot water. Ready-made solution must be consumed in hot condition; you can add sugar to taste.
Repeated dose can be taken every 4 hours (no more than 3 doses in 24 hours).

Maxikold® Reno can be used at any time of the day, but the best effect comes from taking the drug before going to bed, at night.

If there is no relief of symptoms within 3 days after starting the drug, the patient should consult a doctor.

SIDE EFFECT

From the nervous system: drowsiness, falling asleep, increased excitability, dizziness.

From the side of the organ of vision: the paresis of accommodation.

From the cardiovascular system: increased blood pressure.

From the digestive system: nausea, pain in the epigastric region, dry mouth.

From the urinary system: urinary retention.

Other: allergic reactions;
rarely - anemia.
CONTRAINDICATIONS

- severe hepatic impairment;

- severe renal failure;

- Pregnancy;

- the period of lactation (breastfeeding);

- children's age till 12 years;

- Hypersensitivity to the components of the drug.

With caution should prescribe the drug with arterial hypertension, diabetes, closed-angle glaucoma, liver or kidney disease, prostatic hyperplasia, deficiency of glucose-6-phosphate dehydrogenase.

PREGNANCY AND LACTATION

The drug is contraindicated for use in pregnancy and lactation.

APPLICATION FOR FUNCTIONS OF THE LIVER

Contraindicated use of the drug in severe renal failure.

With caution should prescribe the drug for kidney disease.

APPLICATION FOR VIOLATIONS OF THE FUNCTION OF KIDNEYS

Contraindicated use of the drug in severe hepatic insufficiency.

With caution should prescribe the drug for liver disease.

APPLICATION FOR CHILDREN

The drug is contraindicated in children under 12 years of age.

SPECIAL INSTRUCTIONS

To avoid toxic damage to the liver, paracetamol should not be combined with the intake of alcoholic beverages, and should also be taken to persons prone to chronic alcohol consumption.

The risk of liver damage increases in patients with alcoholic hepatosis.

Patients with diabetes mellitus or patients on a diet with a reduced sugar content should take into account that each packet of the drug contains 13 g of sugar, which corresponds to 1.0 XE.

Do not use the drug from damaged pouches.

Impact on the ability to drive vehicles and manage mechanisms

During treatment it is not recommended to drive or other mechanisms requiring attention concentration and high speed of psychomotor reactions.

OVERDOSE

Symptoms: nausea, vomiting, pain in the epigastric region;
hepatotoxic and nephrotoxic action, in severe cases, hepatic insufficiency, encephalopathy and coma.
Treatment: gastric lavage, reception of activated charcoal.

In case of an overdose, the patient should consult a doctor.

DRUG INTERACTION

It is recommended to refrain from taking the drug when using MAO inhibitors.

The risk of hepatotoxic effects of paracetamol increases with the simultaneous administration of barbiturates, diphenin, carbamazepine, rifampicin, zidovudine and other inducers of microsomal liver enzymes.

Antidepressants, antiparkinsonian and antipsychotic drugs, phenothiazine derivatives increase the risk of urinary retention, dry mouth, constipation.

The drug reduces the hypotensive effect of guanethidine, which in turn enhances the alpha-adrenostimulating activity of phenylephrine.

TERMS OF RELEASE FROM PHARMACY

The drug is approved for use as a means of OTC.

TERMS AND CONDITIONS OF STORAGE

The drug should be stored in a dry, protected from light, out of reach of children at a temperature of no higher than 30 ° C.
Shelf life - 2 years.
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