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Tablets effervescent: round, flat, with a beveled edge and a dividing risk on one side, white or almost white, with a barely noticeable marbling, with a fruity smell. Fizzy raspberry-flavored tablets: round, flat, with a beveled edge and a dividing line on one side, pink, pinkish-lilac or lilac color, with lighter and darker inclusions, with a specific fruit smell. Tablets are fizzy with the taste of grapefruit: round, flat, with a beveled edge and a dividing risk on one side, white, almost white or creamy-white, with a barely noticeable marbling, with a specific citrus smell. Paracetamol has analgesic and antipyretic effect; eliminates headaches and other types of pain, reduces fever. Chlorphenamine is a blocker of H 1 -histamine receptors, has an anti-allergic effect, facilitates breathing through the nose, reduces the feeling of nasal congestion, sneezing, watery eyes,itching and redness. Infectious and inflammatory diseases acute respiratory viral infections, influenza , accompanied by fever, chills, headache, joint and muscle pain, nasal congestion and pain in the throat and sinuses. It is recommended to take the drug between meals. Adults and children over 15 years of age-1 table. The maximum daily dose is 3 tables. The interval between doses of the drug should be at least 4 hours. In patients with impaired liver or kidney function and elderly patients, the interval between doses of the drug should be at least 8 hours. The duration of administration without consulting a doctor is not more than 5 days when prescribed as an analgesic and 3 days as an antipyretic. The drug is well tolerated in the recommended doses. In isolated cases, the following adverse reactions occur. From the gastrointestinal tract: nausea, pain in the epigastric region. From the endocrine system: hypoglycemia up to the development of coma. From the hematopoietic organs: anemia, hemolytic anemia especially for patients with glucosephosphate dehydrogenase deficiency ; very rarely — thrombocytopenia. Other: hypervitaminosis, metabolic disorders, feeling hot, dry mouth, paresis of accommodation, urinary retention, drowsiness. Increases the overall clearance of ethanol. Ethanol increases the sedative effect of antihistamines; promotes the development of acute pancreatitis. Antidepressants, antiparkinsonian agents, and antipsychotic agents phenothiazine derivatives increase the risk of side effects urinary retention, dry mouth, and constipation. When used simultaneously, it reduces the chronotropic effect of isoprenaline. Reduces the therapeutic effect of antipsychotic drugs neuroleptics — phenothiazine derivatives, tubular reabsorption of amphetamine and tricyclic antidepressants. Inducers of microsomal oxidation in the liver including phenytoin, ethanol, barbiturates, rifampicin, phenylbutazone, tricyclic antidepressants increase the production of hydroxylated active metabolites, which makes it possible to develop severe intoxication with small overdoses. Microsomal oxidation inhibitors including cimetidine reduce the risk of hepatotoxic effects. Simultaneous administration of barbiturates reduces the effectiveness of paracetamol, increases the excretion of ascorbic acid in the urine. Increases the concentration of benzylpenicillin and tetracyclines in the blood. Improves intestinal absorption of iron preparations converts trivalent iron to divalent iron ; may increase iron excretion when used simultaneously with deferoxamine. Increases the risk of christallurii in treating salicilatami and short-acting sulfonamides, inhibits the renal excretion of acids, increases excretion of drugs, having an alkaline reaction including alkaloids , reduces the blood concentration of oral contraceptives. Symptoms of an overdose of the drug are due to its constituent substances. The clinical picture of acute paracetamol overdose develops within hours after taking it. Symptoms of chronic overdose appear days after the overdose. Symptoms of chlorphenamine intoxication: dizziness, agitation, sleep disorders, depression, convulsions. If you are taking metoclopramide, domperidone, or colestyramine, you should also consult your doctor. With long-term use in doses significantly higher than recommended, the likelihood of liver and kidney dysfunction increases, and peripheral blood picture monitoring is necessary. Paracetamol and ascorbic acid can distort the indicators of laboratory studies quantitative determination of glucose and uric acid in blood plasma, bilirubin, liver transaminase activity, LDH. To avoid toxic liver damage, paracetamol should not be combined with the intake of alcoholic beverages, as well as taken by persons who are prone to chronic alcohol consumption. The risk of liver damage increases in patients with alcoholic hepatosis. Prescribing ascorbic acid to patients with rapidly proliferating and intensely metastatic tumors may aggravate the course of the process. In patients with high iron content in the body, ascorbic acid should be used in minimal doses. Fizzy pills. Po 1, 3, 5, 6, 10, 15, 20 strips in a cardboard box. Effervescent tablets with raspberry flavor, with a taste of grapefruit. Natur Product Pharma SP. Podstochisko str. Shabolovka str. Information about prescription drugs is for professionals only. The information provided should not be used by patients to make an independent decision on the use of the presented drugs and cannot serve as a substitute for a full-time consultation with a doctor. A description of the active substances of the drug is provided. The scientific information provided is generalized and cannot be used to decide on the possibility of using a specific drug. The appearance of the product may differ from the photos on the site. Product is available in pharmacies:. Add to cart. All products in the order are reserved for 24 hours, after that the order is automatically canceled. Composition Effervescent tablets 1 table. Pharmacodynamics Combined preparation. Indications of the drug Infectious and inflammatory diseases acute respiratory viral infections, influenza , accompanied by fever, chills, headache, joint and muscle pain, nasal congestion and pain in the throat and sinuses. Dosage and administration Inside. Side effect The drug is well tolerated in the recommended doses. From the Central nervous system: headache, fatigue. All side effects of the drug should be reported to the doctor. Interaction Increases the overall clearance of ethanol. GCS increase the risk of glaucoma. Paracetamol reduces the effectiveness of uricosuric drugs. It can both increase and decrease the effect of anticoagulant drugs. Overdose Symptoms of an overdose of the drug are due to its constituent substances. Treatment: symptomatic. Special instruction If you are taking metoclopramide, domperidone, or colestyramine, you should also consult your doctor. Form release Fizzy pills. Conditions of supply of pharmacies Without a prescription. Производитель Валеант. Ignatievskoe, Social pharmacy 17 pom Sh. Available in another region. The goods are available in pharmacies:. This product is in 36 pharmacies, see all 1A Partizanskaya Street s. Town Pharmacy Catalog Basket 0. All pharmacies 1 Kantemirova Street Ajbolit с 8. Chigiri Social pharmacy с 8. Novotroitskoe Perekrestok pharmacy с 9. Ignatievskoe Tvoyaapteka с 8. Ignatievskoe Social pharmacy с 8.