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Indicated for the relief of symptoms of catarrh or flu-like processes that course with pain, fever, congestion and runny nose in adults or adolescents over 14 years
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1. What it is Pharmagrip Forte and what it is used
Pharmagrip Forte is an association of paracetamol 650 mg (analgesic that reduces pain and fever), chlorpheniramine 4 mg (antihistamine that relieves runny nose) and phenylephrine 10 mg (which acts to reduce nasal congestion).
This medicine is indicated for the relief of symptoms of catarrh or flu-like processes that course with pain, fever, congestion and runny nose for adults.
You should consult your doctor if worsens or does not improve or if fever persists for more than 3 days or pain for more than 5 days.
2. What you need to know before you start taking Pharmagrip Forte
Do not take Pharmagrip Forte if:
- If you are allergic (hypersensitive) to paracetamol, to phenylephrine, chlorpheniramine, or any of the other ingredients (listed in section 6)
- If you have high blood pressure (hypertension)
- If you have thyroid disease (hyperthyroidism)
- If you have liver disease or severe kidney
- If you have severe heart or arteries (such as severe heart disease or angina pectoris)
- If you have diabetes mellitus.
- If you have tachycardia (rapid heartbeat)
- If you are being treated with medication monoamine oxidase (MAO) inhibitors (such as some antidepressants medicines, or medicines to treat Parkinson's disease)
- If you are treated with sympathomimetic medicines (medicines used to treat asthma, or medicines to speed up the frequency of the heartbeat)
- If you are being treated with beta-blockers (heart medications or to treat diseases of the arteries) (see: Taking Pharmagrip Forte with other medicines)
- If you have glaucoma (increased eye pressure)
- If the patient is under 14
- Chronic alcoholics should be careful not to take more than 2 g paracetamol per day (more than 2 sachets of Pharmagrip Forte).
- While you are taking this medicine can not be taken other containing paracetamol because they could cause an overdose of acetaminophen may damage the liver.
- This medicine may cause allergic reactions because it contains orange S. May cause asthma, especially in patients allergic to aspirin.
- You can produce a mild laxative effect because it contains mannitol.
Should consult their doctor before taking this medicine:
- Patients with kidney disease, liver, heart or lung disease and patients with anemia.
- The asthmatic patients sensitive to aspirin.
- Sensitive patients (allergic) to an antihistamine, because they may be sensitive to other antihistamines (as chlorpheniramine).
- Patients who are being treated with medicines to treat: prostatic hypertrophy, bronchial asthma, heartbeat slow heart, hypotension, cerebral arteriosclerosis, inflammation of the pancreas (pancreatitis), digestive ulcer (stenosing peptic ulcer), pyloroduodenal obstruction (between stomach and intestine), thyroid disease, sensitive to the sedative effects of some medications patients.
- If you are being treated with tricyclic antidepressants or medicines with similar effect and appear gastrointestinal problems, you should stop taking this medicine and immediately consult a doctor, because he could produce paralytic ileus (arrest of the normal movements of part of the intestine ).
Children and adolescents
All children under 14 years old can not take this medicine.
Taking Pharmagrip Forte
Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines.
Interference with laboratory tests:
If you are going to do some analytical test (including blood, urine, etc ...) tell your doctor that you are taking / using this medicine because it can alter the results.
Taking Pharmagrip Forte with food and drinks
While being treated with this medication you should not drink alcohol because it can enhance the appearance of adverse effects of this medicine. In addition the use of medicines containing paracetamol patients who regularly consume alcohol (3 or more alcoholic drinks: beer, wine, liquor, ... a day) can cause liver damage.
The medicine can be taken with or without food.
Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before using this medicine.
This medicine should not be taken during pregnancy unless your doctor deems it necessary.
This medicine should not be used during breastfeeding, because it can cause side effects in the baby.
Driving and using machines
This medicine may cause drowsiness altering the mental and / or physical ability. If you notice these effects, avoid driving or operating machinery.
3. How to take Pharmagrip Forte
Follow exactly the instructions of medicine administration in this leaflet or as your doctor or pharmacist. If in doubt ask your doctor or pharmacist.
Adults over 14 years old: 1 on every 6-8 hours as needed (3 or 4 sachets per day). more than 4 sachets in 24 hours is not taken.
Patients with liver or kidney disease: See section 2 you need to know before taking this medicine.
This medicine is contraindicated in children under 14 years.
The elderly can not use this medication without consulting your doctor. Because they can particularly affect some adverse effects of the medicine as the appearance of slow heartbeat (bradycardia) or reducing heart rate, for the content of chlorpheniramine and phenylephrine. They are also more likely to have adverse effects such as sedation, confusion, hypotension or excitement, and may be more sensitive to effects such as dry mouth and urinary retention.
Method of administration:
It is taken orally. The contents of the envelope should be fully dissolved in a little liquid, preferably in half a glass of water before drinking.
Always use the lowest effective dose. Treatment duration:
Taking this medicine is subject to the onset of symptoms. As they disappear treatment should be discontinued.
If the fever continues for more than 3 days of treatment, pain or other symptoms for more than 5 days or worsens or new ones appear, you should consult your doctor.
If you take more than you should Pharmagrip Forte
You should immediately consult your doctor or pharmacist:
If you have taken an overdose, immediately you go to a medical facility but no symptoms, since they often do not appear until after 3 days from the ingestion of overdose, even in cases of severe poisoning.
Symptoms of overdose may include: dizziness, vomiting, loss of appetite, yellowing of the skin and eyes (jaundice) and abdominal pain. Anxiety, fear, agitation, anorexia; psychosis with hallucinations (the latter especially in children). Dry mouth, nose or throat. Effects such as high blood pressure, arrhythmias (rapid or irregular heartbeat), palpitations, decreased urine output. metabolic acidosis (decreased blood alkaline reserve). In prolonged use can cause depletion of plasma volume (decreased blood volume).
Treatment of overdose is most effective if started within 4 hours after taking the medicine 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 seek medical center or call the poison control center (Phone +34 91 562 04 20), indicating the medicine and the amount taken.