Paramacet Tablet

Adult dose

For adults, it is recommended to start with an initial dose of 2 tablets, followed by intervals of at least 6 hours, not exceeding 8 tablets in one day. The effective minimum dose should be administered for the shortest duration possible. Elderly patients typically receive standard adult doses, but those over 75 years should be dosed at intervals of at least 6 hours. For patients with moderate kidney impairment, the dosing interval should be extended to 12 hours, and those with severe kidney impairment should not take this medication.

Child dose

For children aged 12 and older, the initial dose is 2 tablets, administered with an interval of at least 6 hours. Do not exceed a total of 8 tablets in one day, and the effective minimum dose should be given for the shortest duration possible.

This medicine should be used with caution in individuals who regularly consume more than three alcoholic beverages a day; they must consult their doctor or pharmacist before use. Combining with alcohol can cause liver damage. If any skin rash or hypersensitivity occurs while taking this medication, discontinue use immediately and seek medical attention, as severe skin reactions may occur, though rarely. The tramadol component in this medication may cause seizures, so patients with a history of seizures or high seizure risk must be particularly careful. Also, there is an increased seizure risk when combined with certain antidepressants or opioid analgesics. Patients with acute and severe bronchial asthma may experience difficulty breathing while taking this medication; thus, it must be used under medical supervision. Taking this medication in combination with central nervous system depressants can cause severe drowsiness, respiratory depression, and coma, so caution is necessary when combining. Patients with increased intracranial pressure or head injuries should be careful, as respiratory depression may worsen their symptoms. This medication can cause psychological and physical dependence, necessitating close monitoring for dependency when used over a long period. Patients with liver dysfunction must consult their doctor before use, as the acetaminophen component can burden the liver. Patients with certain genotypes may metabolize this medication rapidly, increasing the risk of respiratory depression; dose adjustments or alternative medications are recommended for such patients. This medication should not be administered to children under 12 years of age and should be avoided in adolescents aged 12 to 18 who have risk factors. This medication may worsen sleep apnea, so symptoms should be continuously monitored, and doses should be reduced or stopped if necessary. Elderly patients or those at risk for hyponatremia should closely observe for symptoms of hyponatremia while taking this medication. Individuals allergic to any of the components of this medication or those suffering from severe respiratory depression, central nervous system drug addiction, or severe liver, kidney, or heart disease should not take it. Sudden discontinuation of this medication can lead to withdrawal symptoms, so doses should be gradually reduced as directed by a physician. This medication may cause drowsiness or dizziness while driving or operating machinery, so caution is warranted. Overdose may pose serious risks including severe respiratory depression, seizures, and liver damage, necessitating immediate medical attention in case of emergency. This medication should be stored safely out of reach of children and should not be shared with others to prevent misuse.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, paleness, severe rash with fever, blisters, skin peeling, pain in the mucous membranes of the mouth/eyes, shortness of breath or difficulty in breathing, asthma attack, breathing issues accompanied by cough and fever, jaundice (yellowing of the skin or eyes), extreme lethargy, sudden and very severe headache, thunderclap headache, seizures, confusion of consciousness, visual disturbances, paralysis, widespread numbness.

Mild side effects

• Reduced appetite
• insomnia
• depression
• dizziness
• headache
• drowsiness
• nausea
• vomiting
• constipation
• dry mouth

This medication should be stored in a tightly sealed container to prevent exposure to air and moisture. It is advisable to maintain storage temperatures between 1 degree and 30 degrees Celsius. This will help preserve the drug's effectiveness and safety for a long time.

Appearance

Pale yellow oblong film-coated tablet

Package unit

30 tablets/bottle, 300 tablets/bottle