A ferin sinus инструкция по применению на русском языке

WHAT ABACAT IS AND WHAT IT IS USED FOR

It is a combination of 3 active ingredients, paracetamol, chlorphenamine and phenylephrine. Paracetamol is an analgesic that reduces pain and fever. Chlorphenamine is an antihistamine that relieves runny nose and phenylephrine works by reducing nasal congestion. It is indicated in adults for the relief of cold and flu symptoms that occur with fever or mild or moderate pain, congestion and runny nose.   You should consult the doctor if it worsens or does not improve or if the fever persists for more than 3 days or the pain for more than 5 days.  

HOW TO TAKE ABACAT

Follow exactly the instructions for taking the medicine in this leaflet or as directed by your doctor or pharmacist. If in doubt, ask your doctor or pharmacist.   The recommended dose is: adults from 18 years: 1 sachet every 6-8 hours as needed (3 or 4 sachets per day). No more than 4 sachets can be taken in 24 hours.   Patients with liver or kidney disease: they should consult their doctor (see section 2-what you need to know before you start taking Abacat).   Use in children, this drug is contraindicated in children under 18 years of age.     Use in the elderly elderly people can not use this drug without consulting their doctor because some side effects of the drug such as slow heartbeat (bradycardia) or reduced cardiac output, due to phenylephrine and chlorphenamine, can particularly affect them. You are also more likely to have side effects such as sedation, confusion, hypotension or excitement, and may be more sensitive to effects such as dry mouth and urinary retention.   How to take Abacat is taken orally. Dissolve the contents of the sachet in a little liquid, preferably half a glass of water and then drink. Always take the lowest effective dose. Taking this drug is prone to the appearance of symptoms. As these disappear, you should stop treatment. If the fever is maintained after more than 3 days of treatment, pain or other symptoms more than 5 days, or if the symptoms worsen or other new symptoms appear, you should consult your doctor.   If you take more Abacat than you should if you have an overdose, you should immediately go to a medical center even if you do not notice the symptoms, since these often only appear after 3 days after ingestion of overdose, even in severe poisoning.   Overdose symptoms may include dizziness, vomiting, loss of appetite, yellowing of the skin and eyes (jaundice), and abdominal pain. Anxiety, fear, restlessness, headache (may be a symptom of high blood pressure), convulsions, insomnia (or severe drowsiness), awkwardness, fainting, instability, confusion, irritability, tremor, anorexia. Dry mouth, nose or throat. You may also notice effects such as high blood pressure, arrhythmias( rapid or irregular heartbeat), palpitations, decreased amount of urine, metabolic acidosis (decreased alkaline reserve of blood). With prolonged use, a decrease in blood volume may occur.   Overdose treatment is most effective if started within 4 hours of taking the overdose.   Patients treated with barbiturates or chronic alcoholics may be more susceptible to the toxicity of an overdose of paracetamol.   In case of overdose or accidental ingestion, immediately go to a medical center or call the toxicological Information service (Phone 91 562 04 20), indicating the drug and the amount ingested.  

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What is the most important information I should know about A-Ferin Sinus?

A-Ferin Sinus should not be used in patients who have previously exhibited hypersensitivity to aspirin and/or nonsteroidal antiinflammatory agents. A-Ferin Sinus should not be given to patients with a recent history of gastrointestinal bleeding or in patients with bleeding disorders (e.g., hemophilia).

POSSIBLE SIDE EFFECTS

Like all medicines, Abacat can cause side effects, although not everyone gets them.   During the period of use of acetaminophen, phenylephrine and chlorpheniramine, reported the following side effects, the frequency of which has not been accurately established: — side effects may appear more frequently are: slight drowsiness, dizziness, muscle weakness: these side effects may disappear after 2-3 days of treatment. Difficulty in facial movements, awkwardness, tremor, changes in sensation and tingling, dry mouth, loss of appetite, changes in taste or smell, gastrointestinal discomfort (which may decrease if given with food), nausea, vomiting, diarrhea, constipation, stomach pain, urine retention, dry nose and throat, thickening of mucous membranes, sweating, blurred vision.   Side effects that can occur rarely (rare) are: discomfort, low blood pressure (hypotension) and increased levels of transaminases in the blood. Myocardial infarction, ventricular arrhythmia( irregular heartbeat), pulmonary edema (increased volume of fluid in the lungs) and cerebral hemorrhage (in high doses or in sensitive patients).   Nervous excitement (usually in high doses, and is more common in the elderly and children), which may include symptoms such as: restlessness, insomnia, nervousness and even convulsions. Other side effects that may occur rarely are: chest tightness, lung sounds, fast or irregular heartbeat (usually with overdose), liver disorders( may occur with stomach or stomach pain, dark urine or other symptoms), allergic reaction, severe hypersensitivity reactions (cough, difficulty swallowing, rapid heartbeat, itching, swelling of the eyelids or around the eyes, .), photosensitivity (sensitization to sunlight), cross-sensitivity (allergy) to chlorphenamine-related drugs. Blood disorders (changes in the formula of blood cells, such as agranulocytosis, leukopenia, aplastic anemia, thrombocytopenia) with symptoms such as unusual bleeding, sore throat or fatigue.   Side effects that can occur very rarely (very rare) are: kidney disease, cloudy urine, allergic dermatitis( rash), jaundice( yellowing of the skin), blood changes (neutropenia, hemolytic anemia) and hypoglycemia (hypoglycemia).Serious skin reactions have been reported very rarely.   Paracetamol can damage the liver when taken in high doses or during prolonged treatments. With high doses may occur: vomiting, palpitations, psychotic states with hallucinations.     Reporting side effects if you experience any side effects, talk to your doctor or pharmacist, even if you have any side effects not listed in this leaflet. You can also communicate them directly through the Spanish system of Pharmacovigilance of medicines for human use: https://www.notify.be. By reporting side effects you can provide more information about the safety of this drug.  

BEFORE YOU TAKE ABACAT

Do not take Abacat — if you are allergic to the active ingredients or any of the other ingredients of this medicine (listed in section 6). — If you have high blood pressure. — If you have hyperthyroidism. — If you have diabetes mellitus. — If you have tachycardia (rapid heartbeats). — If you are being treated with monoamine oxidase inhibitor (MAOI) medicines (such as certain antidepressants or medicines to treat Parkinson’s disease). — If you are being treated with sympathomimetic medicines (medicines used to treat asthma, or medicines to speed up the frequency of heartbeats). — If you are being treated with beta-blocking medicines (medicines for the heart or to treat diseases of the arteries) (see: taking Abacat with other medicines). — If you have glaucoma (high eye pressure). — If you have serious heart or arterial disease (such as coronary heart disease or angina pectoris). — If you have severe liver or kidney disease.   Patients under 18 years of age can not take this medicine.   Warnings and precautions consult your doctor or pharmacist before taking this medicine.   — Do not take more medicines than recommended in Section 3: How to take Abacat.   — Chronic alcoholics should be careful not to take more than 2 sachets per day Of Abacat.   — While you are taking this medicine, you can not take others containing paracetamol, as an overdose of paracetamol can occur and damage the liver.   — Patients with kidney, liver, heart or lung diseases and patients with anemia should consult their doctor before taking this medicine. — Asthmatic patients sensitive to acetylsalicylic acid. — Patients sensitive (allergic) to an antihistamine, as they may be sensitive to other antihistamines (such as chlorphenamine). — Patients treated with drugs to treat: enlarged prostate, bronchial asthma, very slow heart rate, hypotension, cerebral arteriosclerosis ,inflammation of the pancreas( pancreatitis), digestive ulcer (stenosing peptic ulcer), pyloroduodenal obstruction (between the stomach and intestine), thyroid diseases, patients sensitive to the sedative effects of certain drugs.   If you are treated with tricyclic antidepressants or drugs with a similar effect and have gastrointestinal problems, you should stop taking this drug and immediately consult a doctor, as you may have paralytic ileus (normal movements of a part of the intestine stop).   Children and adolescents under the age of 18 can not take this medicine.   Taking Abacat with other medicines tell your doctor or pharmacist if you are taking or have recently taken or if you need to take other medicines.   In particular, if you use some of the following drugs, as it may be necessary to change the dose of some of them or discontinue treatment: — drugs to treat epilepsy: antiepileptics (lamotrigine, phenytoin or other hydantoins, phenobarbital, methylphenobarbital, primidone, carbamazepine).   — Drugs to treat tuberculosis: (isoniazid, rifampicin).   — Medicines to treat seizures and depression (barbiturates), used as hypnotics, sedatives and anticonvulsants.   — Drugs to prevent blood clots: oral anticoagulants (acenocoumarol, warfarin).   — Medicines used to increase urinary excretion (Loop diuretics such as those of the furosemide group, or others) and other diuretics that cause potassium loss (such as diuretics to treat hypertension or others).   — Drugs used to prevent nausea and vomiting (metoclopramide and domperidone).   — Drugs used to treat gout (probenecid and sulfinpyrazone).   — Medicines used to treat high blood pressure (hypertension) and heart rhythm disorders (propranolol).   — Drugs used to lower blood cholesterol (Cholestyramine).   — Medicines used to treat depression, Parkinson’s disease or other diseases (monoamine oxidase inhibitors (MAOIs)). Abacat and these drugs should be separated for at least 15 days.   — Medicines used to treat migraine.   — Alpha-and beta-blockers (labetalol and carvedilol) used for the heart or to treat diseases of the arteries.   — Drugs for treating depression-like tricyclic and tetracyclic antidepressants.   — Drugs used for general anesthesia.   — Antihypertensive drugs used to lower blood pressure.   — Drugs used for the heart of the type of cardiac glycosides and antiarrhythmic drugs.   — Medicines containing thyroid hormones (used to treat thyroid disease). — Drugs used for heart disease or diseases of digestion of atropine sulfate type. — Drugs that cause central nervous system depression such as those used for insomnia or anxiety. — Ototoxic drugs (which have an adverse effect that damages the ear). — Photosensitizing drugs (which, as an adverse effect, cause an allergy to light).   Interference with analytical tests: if you need to undergo analytical tests (including blood tests, urine tests, etc.), tell your doctor that you are taking this medicine, as this may change the results.   Taking Abacat with food, drinks and alcohol while you are being treated with this drug, you should not take alcoholic beverages, as this can potentiate the appearance of side effects of this drug. In addition, the use of paracetamol-containing drugs by patients who regularly consume alcohol (3 or more alcoholic beverages: beer, wine, liquor,. may cause liver damage.   The drug can be taken with or without food.   Pregnancy, breast-feeding and fertility if you are pregnant or breastfeeding, think you are pregnant or intend to become pregnant, consult your doctor or pharmacist before taking this medicine.   This medicine should not be taken during pregnancy unless your doctor considers it strictly necessary.   This drug can not be taken by mothers during breastfeeding, as it can cause adverse effects on the baby.   Driving and using machines this medicine may cause drowsiness. If you experience drowsiness during treatment with this medication, avoid driving or using machines. Abacat contains mannitol (e-421).   This drug can produce a mild laxative effect because it contains mannitol.

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What are the possible side effects of A-Ferin Sinus?

Effects due to the presence of acetylsalicylic acid.

Accidents awareness with respiratory or skin reactions (angioedema, urticaria, asthma, anaphylactic shock);

Cross hypersensitivity reactions with NSAIDs and with tartrazine;

At low doses recommended for the use of A-Ferin Sinus, side effects of aspirin are generally limited to some irritation of the gastro-intestinal tract.

At higher doses, side effects include gastrointestinal mucosal erosions, gastric ulcer or duodenal ulcer, occult blood loss, melena.

Acetylsalicylic acid may also increase the tendency to bleeding and bleeding time (the lengthening of bleeding continues 4-6 days after stopping the drug).

It may also worsen renal function including cases of pre-existing condition (the long-term use can cause chronic kidney disease).

The signs of salicylic overdose described under.

Effects due to the presence of A-Ferin Sinus.

At the doses and duration of recommended treatment, side effects are usually negligible, but the prolonged use of A-Ferin Sinus in therapeutic doses large (2-4 g per day, or 10-20 tablets A-Ferin Sinus) may cause the appearance chronic hepatitis. This justifies the recommendations of caution especially in patients with liver disease prior.

Very rarely, it can produce thrombocytopenia.

The acute liver toxicity in overdose massive (doses greater than 8 g of A-Ferin Sinus) is described in paragraph overdose.

References:

• https://www.drugs.com/search.php?searchterm=a-ferin-sinus
• https://pubmed.ncbi.nlm.nih.gov/?term=a-ferin-sinus

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