SPALT Plus Caffeine N tablets, 20 pcs

Instructions for use for SPALT Plus Caffeine N tablets, 20 pcs

Detailed instructions for SPALT Plus Caffeine N tablets, 20 pcs

Field of use

• Acetylsalicylic acid and paracetamol are active ingredients from the group of analgesics antipyrettics (pain inhibitors/fever).
• The medicine is used by adults and adolescents aged 14 and over:
  • acute light to moderately severe pain.
• Notice:
  • Pain relievers should not be used for a long time or in higher doses without questioning the doctor.

Active ingredients / ingredients / ingredients

250 mg acetylsalicylic acid
50 mg caffeine
200 mg paracetamol
Aluminum oxide auxiliary material (+)
Cellulose, microcrystalline auxiliary material (+)
Corn starch auxiliary substance (+)
Castor oil, hydrogenated auxiliary material (+)

Contradictions

• The medicine must not be taken
  • if they are hypersensitive to paracetamol, acetylsalicylic acid or salicylic acid, caffeine or one of the other components of the preparation
  • if you suffer from a serious impairment of the liver function
  • if you have in the past against salicylates or other non-steroidal inflammatory inhibitors (certain remedies for pain, fever or inflammation) with asthma attacks or in any other wayhave reacted resonant;
  • in the case of gastrointestinal bleeding (perforation) or breakthrough in the history in connection with previous therapy with non-steroidal anti-inflammatory drugs/anti-inflammatory drugs (NSAID)
  • in the event of existing or repeated stomach or duodenum ulcers (peptic ulcers) or bleeding with minimum two different episodes of proven ulcers or bleeding
  • with pathologically increased bleeding tendency
  • in the case of liver and kidney failure
  • in the case of severe heart muscle weakness (severe heart failure)
  • if you take 15 mg or more methotrexate per week at the same time
  • in the last 3 months of pregnancy
  • for children and adolescents up to 14 years

dosage

• Always take the medicine exactly according to instructions. Please ask your doctor or pharmacist if you are not quite sure.
• Unless otherwise prescribed by the doctor, the usual dose is:
  • Adults and adolescents from the age of 14 take 1 to 2 tablets (corresponding to 250 - 500 mg acetylsalicylic acid, 200 - 400 mg paracetamol and 50 - 100 mg caffeine), if necessary up to 3 times a day (usually at a distance of 4 to 8 Hours).
  • The maximum dose of 6 tablets (corresponding to 1500 mg acetylsalicylic acid, 1200 mg paracetamol and 300 mg caffeine) should not be exceeded per day.
• Special patient groups
  • Liver dysfunction and easy restriction of kidney function
    • In patients with liver or kidney dysfunction as well as Gilbert syndrome, the dose must be reduced or the dose interval is extended.
  • Heavy renal insufficiency
    • With severe renal failure (creatinine clearance
  • Older patients
    • No special dose adjustment is required.

 

• Duration of the application:
  • Do not take the preparation without a medical or dental advice for more than 3 days.
  • Please speak to your doctor or pharmacist if you have the impression that the effect of the drug is too strong or too weak.

 

• If you have taken a larger amount than you should:
  • The total dose of paracetamol must not exceed 4000 mg paracetamol (corresponding to 20 tablets) every day for adults and adolescents from the age of 14 or from 43 kg body weight.
  • In the event of an overdose, there are generally complaints within 24 hours that include nausea, vomiting, loss of appetite, pallions and abdominal pain.
  • Dizziness and ear blades can be a serious poisoning, especially in children and older patients.
  • Poisoning symptoms through caffeine (central nervous symptoms, cardiovascular reactions up to myocardial damage) can also occur in a short time when large quantities are taken.
  • If you have taken a larger amount of the drug than recommended, call the next accessible doctor to help!

 

• If you have forgotten the intake/application.
  • Do not take the double dose if you have forgotten the prior intake.

 

• If you have any further questions about the application of the drug, ask your doctor or pharmacist.

Taking

• Take the tablets either after decaying in a little liquid or unz cunt with plenty of liquid (e.g. a glass of water).
• Do not take on an empty stomach.

Patient information

• The medicine may only be taken after consultation with the doctor:
  • if you are chronically alcoholic
  • if you suffer from the impairment of liver function (liver inflammation, Gilbert syndrome)
  • with pre -damaged kidney
  • in case of hypersensitivity to other inflammatory inhibitors/anti -rheumatics (certain remedies for rheumatism or inflammation) or other allergy trigger substances
  • if allergies exist (e.g. with skin reactions, itching, nettle fever) or asthma, hay fever, namucosal swelling (nasal polyps), chronic respiratory diseases
  • with limited liver and kidney function
  • in the event of high blood pressure and weakness in the heart (heart failure)
  • before operations (even with smaller interventions such as B. the drawing of a tooth); There can be an increased tendency to bleed. Please inform your doctor or dentist if you have taken the preparation
  • in patients with overactive thyroid (hyperthyroidism)
  • for cardiac arrhythmias
  • for anxiety disorders.
• Acetylsalicylic acid, part of the preparation, belongs to a group of medicinal products (non-steroidal anti-inflammatory drugs) that can affect the fertility of women. This effect is reversible after stopping the drug (reversible).
• Effects on the gastrointestinal tract
  • A simultaneous use of acetylsalicylic acid with other non-steroidal inflammatory inhibitors, including so-called Cox inhibitors (cyclooxygenase-2-inhibitors), which, among. be used against rheumatic symptoms must be avoided.
  • In older patients, side effects occur more after using non-steroidal inflammatory inhibitors, in particular bleeding in the stomach and intestinal area that can be life-threatening.
  • Bleeding, ulceration and breakdowns (perforations) in the gastrointestinal area that can lead to death was reported in connection with the intake of all non-steroidal inflammatory inhibitors. They occurred with or without prior warning symptoms or serious events in the gastrointestinal tract in the prehistory at any time of therapy. The risk of this is increased with increasing NSAR dose, in patients with ulcers in the history, especially with the complications bleeding or breakthrough and in the elderly. These patients should begin treatment with the lowest available dose. Here, combination therapy with gastric mucosa-protecting drugs (e.g. misoprostol or proton pump inhibitor) should be considered. This is also recommended for patients who take other medicines who increase the risk of a disease of the gastrointestinal tract.
  • Patients, especially at older age who have a history of side effects on the gastrointestinal tract, should report any unusual symptom in the abdominal cavity, especially at the beginning of the therapy.
  • Caution is required in patients who also take medicinal products that increase the risk of ulcers or bleeding, e.g. B. corticoids, anti-blood clotting medication such as warfarin, selective serotonin reuptake inhibitors, which, among others,. are prescribed for the treatment of depressed moods or thrombocyte aggregation inhibitors.
  • Treatment must be canceled if bleeding or ulcer formation occurs in the gastrointestinal tract.
• Other information
  • Side effects can be reduced by using the lowest effective dose via the shortest period required for symptom control.
  • If pain relievers are used permanently, headaches can occur, which lead to re -intake and thus in turn can cause a continuation of the headache.
  • The habitual intake of painkillers can lead to permanent kidney damage with the risk of kidney failure (analgesic nephropathy). This risk is particularly great if you take several different painkillers combined.
  • Acetylsalicylic acid reduces uric acid excretion in low doses. In patients who are already less uric acid excretion, this may trigger a gout attack.
  • If your symptoms worsen or no improvement occurs after 3 days, or if you have a high fever you have to see a doctor.
  • In order to prevent the risk of overdose, it should be ensured that other medicines that are used at the same time do not contain paracetamol.
• Children
  • There is no sufficient knowledge about the application in children and adolescents up to 14 years. In addition, due to the proportion of acetylsalicylic acid in children and adolescents, the medicine should only be used on medical instructions and only then appliedbe given if other measures do not work. If these diseases lead to long-lasting vomiting, this can be a sign of Reye syndrome, a very rare, but possibly life-threatening illness that is absolutely necessary for immediate medical treatment.

 

• Wateriness and operating machines:
  • The preparation has no influence on the traffic and operating machines.
  • Nevertheless, caution is always required after taking a pain reliever.

Pregnancy

• Pregnancy
  • Ask your doctor or pharmacist for advice before taking all drugs.
  • If pregnancy is found during an application of the drug, you should notify the doctor. In the first and second thirds of pregnancy, you may only take the preparation after consultation with your doctor. In the last three months of pregnancy, you may not use the medicine due to an increased risk of complications for mother and child.
• Breastfeeding
  • The active ingredients pass into breast milk. If the recommended dose is used in the short term, an interruption of breastfeeding will generally not be necessary. The condition and behavior of the infant can be affected by caffeine recorded with breast milk. If higher doses are used for longer or taking higher doses.

Hints

Do not apply longer for pain or fever without medical advice than specified in the package insert!

Miscellaneous

- Due to the fever -lowering effect, an improvement in the disease can be faked. If necessary, medical advice must be obtained.
- The habitual taking of painkillers can lead to irreparable health damage. In general, the long -term taking of painkillers, especially when combining several analgesic active ingredients, can lead to permanent kidney damage with the risk of kidney failure.
- If analgesics are used for a long time, headaches and tiredness, muscle pain, nervousness and restlessness can occur after a long time. This sounds within a few days. Until then, painkillers will be reinforced and re -taking it again should take place without medical advice.
- If signs of an infection appear or worsen during the use of the drug, a doctor must be consulted immediately.

Manufacturer:  PharmaSGP GmbH, Am Haag 14, 82166 Gräfelfing