Couldina 20 comp eferv View larger

Couldina 20 comprimidos efervescentes

Relief of symptoms of colds and flus that occur with fever, mild to moderate pain, congestion and runny nose.

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 1. What is Couldina with acetylsalicylic acid and what it is used
Couldina with acetylsalicylic acid is an association of aspirin, chlorpheniramine and phenylephrine. Aspirin is an anti-inflammatory that acts on pain and fever.
Chlorpheniramine is an antihistamine that relieves runny nose.
Phenylephrine is a sympathomimetic that reduces nasal congestion.
It is indicated in adults and adolescents from 16 years for the relief of symptoms of colds and flus that occur with fever, mild to moderate pain, congestion and runny nose.
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 aspirin Couldina
Do not take Couldina with acetylsalicylic acid:
· If you are allergic to aspirin (aspirin), chlorpheniramine maleate, phenylephrine hydrochloride or to any of the other ingredients of this medicine (listed in section 6).
· If there were you allergic asthmatic reactions (difficulty breathing, shortness of breath, bronchospasm and in some cough cases or beeps when breathing) when taking anti-inflammatory medicines, acetylsalicylic acid (aspirin), other analgesics or other allergy medications because you can producing cross-hypersensitivity.
· If you have gastric ulcer, duodenal or gastric distress repeat.
· If you have ever had stomach bleeding or perforation caused by aspirin or other anti-inflammatory.
· If you have hemophilia or other blood clotting problems.
· If you have or have had asthma.
· If you have nasal polyps associated with asthma that are produced or increased by acetylsalicylic acid (aspirin).
· If you have severe heart disease (severe coronary heart disease or angina) or serious blood disease.
· If you have tachycardia (rapid heartbeat).
· If you have poorly controlled high blood pressure (hypertension).
· If you have severe kidney or liver (hepatic or severe renal insufficiency).
· If you have thyroid (hyperthyroidism) disease.
· If you are taking oral anticoagulant medicines (eg. Sintrom).
. If you have glaucoma (increased eye pressure).
· If you are taking or have taken less than 15 days before any medication for depression or Parkinson's disease, which inhibits monoamine oxidase (MAO) inhibitors (see section "Taking Couldina with other medicines").
. If you are treated with beta-blockers (heart medications or to treat diseases of the arteries) (see section "Taking Couldina with other medicines").
· If the patient has less than 16 years, since the use of aspirin has been associated with Reye syndrome, a rare but serious disease that occurs in less DE16 years.
· If you have diabetes mellitus.
· If you are in the third trimester of pregnancy.

Warnings and Precautions
Do not take more medicine than recommended in Section 3 "How to take Couldina" While being treated with this medication should not drink alcohol, because alcohol increases the possibility of gastrointestinal adverse effects of aspirin occur. Besides alcohol can cause chronic irritation caused by aspirin and enhances the sedative effect of chlorpheniramine.
If during treatment with this medicine note severe or persistent abdominal pain and / or black stools, stop taking this medicine and call your doctor immediately, because it may be that he has been bleeding or perforation in the stomach or in the duodenum. This risk is higher when high doses and prolonged treatment used in patients who have had prior peptic ulcer and elderly.
Consult your doctor or pharmacist before you start taking this medicine:
· If you have neck obstruction bladder or urinary retention, because it can worsen.
· If you have glucose-6-phosphate dehydrogenase deficiency (hereditary disease that causes a type of anemia).
· If you have or have had rhinitis or urticaria.
· If you have recently undergone or whether you should be in the next 7 days to a surgical or dental procedures, including tooth extraction.
· If you have uncontrolled high blood pressure.
· If you have pheochromocytoma, cardiovascular diseases such as slow movement heart, kidney, liver, or lung or if you have anemia.
· If you are 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 ).
· If you are being treated with monoamine oxidase inhibitor medicines (MAOIs) for the treatment of depression or Parkinson must separate Couldina taking aspirin of these medicines at least 15 days.

Children and adolescents
All children under 16 can not take this medicine is contraindicated in them.

Elderly people
The elderly should not take this medication without consulting your doctor, because they are more likely to suffer adverse effects.

Using Couldina with acetylsalicylic acid with other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines including those obtained without a prescription, homeopathic, medicinal plants and other products related to health as may be necessary to discontinue treatment or adjust the dose of any of them.

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.

Couldina Taking aspirin with food, drink and alcohol
Take this medication after meals or with food.
While being treated with this medication you should not drink alcohol because it can enhance the appearance of adverse effects of this medicine.
If you regularly consume alcohol (3 or more alcohol-beer, wine, liquor ... - a day), take Couldina with Acetilsalicílicole acid can cause stomach bleeding.

Pregnancy and lactation
If you are pregnant or breast feeding, or think you might be pregnant or planning to become pregnant, contact your doctor or pharmacist before taking this medicine.
This medicine is contraindicated during the third trimester of pregnancy.
In addition it should not be taken for the rest of 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 or physical ability. If you notice these effects, avoid driving or operating machinery.

Couldina with acetylsalicylic acid contains sodium:
Patients with sodium diet should note that this product contains 410 mg (17.83 mmol) of sodium per tablet.


 3. How to take Couldina with acetylsalicylic acid.
Follow exactly the instructions of medicine administration in this leaflet or as your doctor or pharmacist. If in doubt ask your doctor or pharmacist.
The recommended dose is:
Adults and adolescents from 16 years:
Take 1 tablet every 8 hours. If necessary it could take every 6 hours (3 or 4 times in 24 hours).
In any case you can not take more than 4 tablets in 24 hours and must be allowed a minimum time between each shot 6 hours.
Use in patients with liver function, reduced kidney or heart
These patients can not take this medicine without consulting a doctor because it should reduce the dose.

Use in children
This medicine is contraindicated in children under 16 years.

Use in elderly
The elderly can not use this medication without consulting your doctor, because they can particularly affect some adverse effects of medication such as heartbeat appearance of slow heartbeats (bradycardia) or reducing heart rate, for the content of phenylephrine and chlorpheniramine. 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
Take Couldina with acetylsalicylic acid after meals or with food or milk (especially noticeable digestive problems). should not be taken on an empty stomach.
This medicine is taken orally.
Dissolve the tablet in a little liquid, preferably half a glass of water and wait until the bubble or effervescence has totally disappeared and drink afterwards.
Always use the lowest effective dose.
The administration of this medicine is subject to the appearance of all symptoms, pain or fever, congestion and runny nose. 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 other new symptoms, consult your doctor.

If you take more Couldina with acetylsalicylic acid which must
The main symptoms of overdose are headache, dizziness, ringing in the ears, blurred vision, drowsiness, sweating, rapid breathing, lowered or elevated blood pressure, abnormal heart rate (cardiac arrhythmias), nervousness, hallucinations, confusion, nausea, vomiting and occasionally diarrhea.
In case of overdose or accidental ingestion, immediately consult your doctor or pharmacist or go to a doctor immediately or call a poison control center center, phone: (+034) 91 562 04 20, indicating the medicine and the amount taken.

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