Universal reference book for medicines
Product name: PENTALGIN В® PLUS (PENTALGIN PLUS)

Active substance: comb.
drug
Type: Analgesic-antipyretics of combined composition

Manufacturer: ФАРМСТАНСТАНАР-ЛЕКСРЕДСТВА (Russia)
Composition, form of production and packaging
Tablets
white or white with a cream-colored color, biconvex, in the form of a capsule with flat lateral surfaces, with a risk on one side and the inscription "PENTALGIN" on the other, marble is allowed.

1 tab.

paracetamol 300 mg

propiphenazone 250 mg

caffeine 50 mg

codeine phosphate 8 mg

Phenobarbital 10 mg

Excipients: silicon colloidal dioxide (aerosil), sodium carboxymethyl starch (primogel), povidone (plastidone K25), microcrystalline cellulose, sodium lauryl sulfate (sodium dodecyl sulfate), stearic acid, talc.

12 pcs.
- packings of cellular contour (1) - packs cardboard.
INSTRUCTION FOR THE SPECIALIST.

Description of the drug approved by the manufacturer for the printed edition of 2014.

PHARMACHOLOGIC EFFECT

Combined drug, the effect of which is determined by the components that make up its composition.

Paracetamol and propifenazone - analgesics-antipyretics, have an analgesic and antipyretic effect.

Caffeine - a psychostimulant, has a tonic effect: reduces drowsiness and fatigue, increases mental and physical performance, increases heart rate, increases blood pressure in arterial hypotension.

Codeine , an opioid receptor agonist, has an analgesic effect and improves the tolerability of pain.

Phenobarbital - barbiturate, has a sedative and spasmolytic effect.

PHARMACOKINETICS

Data on the pharmacokinetics of PentalginВ® Plus are not available.

INDICATIONS

Moderately expressed pain syndrome of different genesis, including:

- pain in the joints and muscles;

- algodismenorea;

- neuralgia;

- Post-traumatic pain;

- headache;

- toothache.

Feverish syndrome (as a symptomatic agent).

DOSING MODE

The drug is taken internally, as a rule, 1 tab.
1-3 times / day. The maximum daily dose is 4 tablets.
The drug should not be taken more than 5 days when prescribed as an anesthetic and more than 3 days as an antipyretic.
Other doses and regimens are prescribed by the doctor individually.
SIDE EFFECT

Allergic reactions: rashes, Quincke's edema, itching, urticaria.

From the side of the central nervous system: dizziness, increased excitability (especially in children), decreased speed of psychomotor reactions, drowsiness.

From the cardiovascular system: palpitation, increased blood pressure.

Other: nausea, agranulocytosis.

About all side effects of the drug, incl.
Not specified in this manual should be reported to your doctor.
CONTRAINDICATIONS

- liver failure;

- kidney failure;

- Stomach ulcer and duodenal ulcer (in the phase of exacerbation);

- deficiency of glucose-6-phosphate dehydrogenase;

- Anemia;

- Lakopenia;

- conditions accompanied by respiratory depression;

- intracranial hypertension;

- arterial hypertension;

- Alcoholism;

- increased excitability;

- Insomnia;

- Pregnancy;

- the period of lactation (breastfeeding);

- children's age till 12 years;

- hypersensitivity to the components of the drug;

- hypersensitivity to other pyrazolone derivatives (metamizole sodium, phenylbutazone).

With caution should be used in elderly patients with glaucoma, bronchial asthma.

PREGNANCY AND LACTATION

Contraindicated the use of the drug Pentalgin В® Plus during pregnancy and lactation (breastfeeding).

APPLICATION FOR FUNCTIONS OF THE LIVER

Contraindication: renal failure.

APPLICATION FOR VIOLATIONS OF THE FUNCTION OF KIDNEYS

Contraindication: liver failure.

APPLICATION FOR CHILDREN

Contraindication: children under 12 years.

APPLICATION IN ELDERLY PATIENTS

With caution should be used in elderly patients.

SPECIAL INSTRUCTIONS

With prolonged (more than 5 days) use of the preparation PentalginВ® Plus, control of the picture of peripheral blood and the functional state of the liver is necessary.

Patients suffering from atopic bronchial asthma, pollinosis, have an increased risk of developing hypersensitivity reactions.

During treatment, the patient should stop using alcohol (increased risk of gastrointestinal bleeding).

Excessive consumption of caffeinated products (coffee, tea) on the background of treatment can cause symptoms of an overdose.

When taking the drug, it may be difficult to diagnose the abdominal pain syndrome, incl.
with the symptom complex "acute abdomen."
When taking the drug, it is possible to change the results of doping control tests of athletes.

Impact on the ability to drive vehicles and manage mechanisms

When taking the drug, it is necessary to refrain from potentially dangerous activities requiring increased attention, because
The drug slows the reaction rate and causes drowsiness.
OVERDOSE

Symptoms: nausea, vomiting, stomach pain, sweating, pallor of the skin, tachycardia, agitation.

Treatment: the affected person should do gastric lavage and prescribe adsorbents (activated charcoal).

If you suspect a poisoning, you should immediately seek medical help.

DRUG INTERACTION

Avoid combination of the drug with barbiturates, antiepileptics, zidovudine, rifampicin and alcohol-containing beverages (increased risk of hepatotoxic effects).

Paracetamol increases the time taken for chloramphenicol 5 times.

Caffeine accelerates the absorption of ergotamine.

Codeine enhances the effect of sleeping pills, analgesics and sedatives.

Metoclopramide accelerates the absorption of paracetamol.

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

TERMS OF RELEASE FROM PHARMACY

The drug is released by prescription.

TERMS AND CONDITIONS OF STORAGE

List B. The drug should be stored out of reach of children, dry, protected from light at a temperature of no higher than 25 В° C.
Shelf life - 2 years.
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