Old friend: Citramon. What helps citramon

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Citramon- combined non-hormonal analgesic, which has a pronounced anti-inflammatory, analgesic and antipyretic effect.

Compound

Due to the large number of manufacturers, the composition of Citramon changes somewhat while maintaining uniform main parts. A classic recipe that is currently out of use due to the ban on phenacetin:
  • acetylsalicylic acid 0.24 g (aspirin, lat. Acidum acetylsalicylicum) - non-steroidal anti-inflammatory drug that affects the processes occurring in the focus of inflammation, reduces capillary permeability, limits the energy supply of the inflammatory process, affects the hypothalamic centers of thermoregulation and centers of pain sensitivity, thins the blood;
  • phenacetin 0.18 g - this drug is now withdrawn from circulation due to serious side effects;
  • caffeine (Caffeine) 0.03 g - a purine alkaloid, to a reasonable extent stimulates the central nervous system, respiration and the work of the heart muscle, while expanding blood vessels, improves their tone and blood flow, increases urination, speeds up the pulse, reduces drowsiness and fatigue, but increases physical and mental activity, working capacity;
  • cocoa 0.015 g - has an antidepressant and stimulating effect on the body;
  • citric acid 0.02 g - plays an important role in the system of biochemical reactions of cellular respiration.

Release forms

Well-known medical companies offer their options for a slightly modified composition, for example:

Citramon P

In its composition, in addition to acetylsalicylic acid and caffeine, it also contains paracetamol, which acts on the central nervous system and affects the centers of thermoregulation and pain. In such a composition, caffeine enhances the therapeutic effect of paracetamol and acetylsalicylic acid, which are on the WHO list of essential medicines. Citramon P is contraindicated in children under 15 years of age due to the content of acetylsalicylic acid. Adult patients are prescribed 1-2 tablets 2-3 times a day, the interval between doses is about 6 hours. In case of violation of the functioning of the liver and kidneys, the break should be at least 8 hours. Composition - each tablet contains acetylsalicylic acid 0.24 g, paracetamol 0.18 g, caffeine 0.03, other components: citric acid, potato starch, cocoa, talc, calcium stearate.

Citramon Forte (Citramonum-forte)

This is another commercial form of this combination drug. It is prescribed for adults and children over 14 years old, 1-2 tab. 2-3 times a day. For quick relief of a painful attack - at a time 2 tab. with a maximum daily dose of 6 tablets, and the duration of the course is a maximum of a week. Its composition: 1 tablet contains 0.32 g of acetylsalicylic acid, 0.24 g of paracetamol, 0.04 g of caffeine, 0.007 g of citric acid. Other ingredients: magnesium stearate, potato starch, croscarmellose sodium, low molecular weight medical polyvinylpyrrolidone, cocoa.

Citramon Darnitsa

Citramonum - Darnitsa is a very popular option among consumers. The use and instructions are the same as those of the above drugs, children are not recommended. The composition has some differences in grammage while maintaining the components - acetylsalicylic acid 0.240 g, paracetamol 0.180 g, caffeine (if calculated on a dry matter) 0.03 g, food citric acid 0.006 g, and also potato starch, calcium stearate, low molecular weight medical polyvinylpyrrolidone, cocoa.

Citramon Ultra

It is a film-coated tablet consisting of acetylsalicylic acid - 0.24 g, paracetamol - 0.18 g, caffeine - 0.0273 g (in terms of caffeine monohydrate - 0.03 g), and excipients. It is allowed to take 1-2 capsules 3-4 times a day, with a break of 4-8 hours and a maximum daily dose of 8 pieces.

Citramon Borimed

Combined drug, which is such a combination: acetylsalicylic acid + Caffeine + Paracetamol. It is prescribed for a maximum course of 7-10 days, the average dose per day is 3-4 tablets, and the maximum is 8 tablets. Effective for pain syndrome of mild and moderate severity.

Citramon Lekt

Citramon-LekT is approved for use without a prescription. 1 tablet contains acetylsalicylic acid 0.24 g, paracetamol 0.18 g, anhydrous caffeine 0.0275 g.

Dosage form

Tablets of almost all manufacturers are light brown in color, heterogeneous in appearance, with inclusions and inclusions, the smell of cocoa. The blisters contain 6-10 pieces.

Pharmacological group

Combined non-narcotic analgesic.

pharmachologic effect

It has a pronounced analgesic, antipyretic, anti-inflammatory, psychostimulating (reduces fatigue, increases mental performance) effect.

Indications for use

Slight and moderate pains of various locations:
  • headache;
  • migraine;
  • increased body temperature with influenza, colds and rheumatic diseases.
Citramon is unlikely to cope with severe pain, therefore, in more complex cases, remedies that have these effects to a greater extent are recommended.

Citramon tablets - instructions for use

It is necessary to follow exactly the instructions of the attending physician or therapist, and carefully read the instructions. As usual, adults and children over 14 years of age are prescribed 1-2 tablets. after a meal, it should be washed down with water or milk, taken 1 time in 6-8 hours. The maximum dose for 1 dose is 2 tablets, no more than 6 tablets per day. As an antipyretic, use no longer than 3 days, as an analgesic - 5 days, in accordance with medical recommendations. Increase in dosages is possible only with the approval of the doctor after consultation. With prolonged use of a headache, it only intensifies.

Purpose Features

Citramon raises or lowers blood pressure?

This question is often asked by patients. Due to the content of caffeine, which stimulates the central nervous system, increases tone and pressure, pressure can also increase from taking Citramon, despite the fact that it is contained in small doses. Moreover, you should be careful if you drink tea, cocoa or coffee and take Citramon - there is a risk of an overdose of caffeine. If you have low blood pressure and suffer from a headache, then in the absence of contraindications, you can take a Citramon tablet, which will relieve pain and slightly increase blood pressure.

During pregnancy

Pregnant women, whose vascular system is rebuilt and undergoes significant stress, often suffer from severe headaches. According to the instructions, the 1st and 3rd trimester of pregnancy are contraindications for use, since it can have a negative effect on the developing fetus.

Citramon in early pregnancy - what you need to know
In the first 3 months, all the vital organs and systems of the child are laid, and acetylsalicylic acid in the composition of Citramon (having a teratogenic effect) can cause congenital anomalies - splitting of the hard palate (cleft palate) and upper lip (cleft lip). Even if the second trimester of pregnancy is not officially contraindicated, the appointment of this drug must be justified by serious motives, because the "construction" of the fetal body continues, and there is already the possibility of premature birth, which Citramon will complicate (due to a decrease in blood clotting). In the last 3 months, the intake must be justified by serious motives so that there is no threat of bleeding and blood loss during childbirth due to the action of acetylsalicylic acid, as well as weakness of labor or closure of the aortic duct in an infant. Thus, Citramon during pregnancy is a drug that is best removed for a while in the closet away.

When breastfeeding

During lactation, Citramon is contraindicated. You need to know that paracetamol is not as dangerous as acetylsalicylic acid. Excreted with mother's breast milk, it is transmitted to the infant, causing various negative consequences - impaired platelet synthesis and bleeding, as well as impaired liver function, irritation of the gastrointestinal tract (vomiting, regurgitation), allergic manifestations, Reye's syndrome. The intake of this acid is generally prohibited for children under 14 years of age. Caffeine, as a natural stimulant, can cause anxiety, excitability, sleep disturbance, and regurgitation. Citramon during lactation is not the best way to relieve pain, it is better to choose other options - aromatherapy, massage, paracetamol as a last resort.

For a headache

For headaches, this is one of the most effective remedies that is usually found in the medicine cabinet. The combination of its components provides a fairly quick action - pain relief, increased mental activity and performance. He copes with pain of various etiologies, including migraines. Not being a narcotic medicine, it does not cause addiction and dependence. It is only undesirable to mix Citramon with other drugs against headache - such issues should be discussed with the doctor.

Citramon for children

Before the age of 14, the use of Citramon is contraindicated due to the serious negative effect that it can have on a fragile young body. One of the most severe and dangerous manifestations is Reye's syndrome, provoked by acetylsalicylic acid (even one-time!) in children with viral diseases (chickenpox, influenza), accompanied by fever. It causes severe damage to the central nervous system and liver. Suppression of platelet synthesis leads to bleeding and even hemorrhagic diathesis (hemorrhages in the skin, subcutaneous tissue and even internal organs). Acetylsalicylic acid irritates the gastrointestinal mucosa, acts on the liver. Such a large number of all kinds of side effects that are dangerous to life and health makes Citramon completely unsuitable for children.

Contraindications

Citramon can not be used in the following cases:
  • Hypersensitivity to the components of the drug;
  • Hypocoagulation, hemorrhagic diathesis, hemophilia, hypoprothrombinemia;
  • A combination (incomplete or complete) of diseases such as bronchial asthma, nasal polyposis, intolerance to acetylsalicylic acid and other NSAIDs;
  • Erosive and ulcerative lesions of the gastrointestinal tract, gastrointestinal bleeding, peptic ulcer of the duodenum and stomach in the acute phase;
  • Surgical interventions that are accompanied by bleeding;
  • Severe coronary heart disease, severe arterial hypertension;
  • portal hypertension;
  • Pregnancy (1st and 3rd trimesters), lactation;
  • Children's age (up to 14-15 years), since there is a risk of developing Reye's syndrome in children with hyperthermia in viral diseases;
  • Overdose Mild form of intoxication: stomach pain, nausea, vomiting, skin pallor, tinnitus, sweating, tachycardia.
    Severe form of intoxication: lethargy, convulsions, collapse, bleeding, drowsiness, bronchospasm.

    Storage

    The drug should be stored in a cool place, isolated from children, and not used after the expiration date indicated on the package (from 3 to 5 years).

    special instructions

    During long-term use of Citramon, it is necessary to regularly undergo medical supervision, do blood and fecal tests for occult blood, check the condition of the liver, and control blood pressure.

    Interaction with other drugs

    Due to the fact that the components of Citramon in one way or another affect the effectiveness and efficiency of other drugs and medicines, it is very important to inform the attending physician about all existing diseases and pathologies before prescribing it. Also, other substances can change the effect of Citramon on the body.

    The drug Citramon P enhances the action of anticoagulants and the side effects of glucocorticoid hormones. Weakens the effect of diuretic, anti-gout and antihypertensive drugs.

    Abuse of tea or coffee while taking Citramon Darnitsa may cause symptoms of a caffeine overdose. Large doses are recommended to drink alkaline mineral water. Enhances the effect of agents that reduce blood clotting and platelet aggregation, side effects of sulfonylurea, corticosteroids, methotrexate. Citramon-Darnitsa should not be taken in combination with rifampicin, barbiturates, salicylates, anticonvulsants.

    Is it possible to drink Citramon with alcohol?

    This combination is not recommended, as the risk of gastrointestinal bleeding increases, and the toxicity of ethanol increases.

    Analogues

    Citramon's analogs:
    • Hl-payne
    • Alka-Seltzer
    • Alka-prim
    • Antigripocaps
    • Aspicod
    • Citropack
    • Askofen
    • Asprovit
    • Copacil
    • Aspirin
    • Upsarin
    • Excedrin
    • Citrapar
    • Farmadol and other drugs, the content of paracetamol, caffeine and acetylsalicylic acid.

    In this medical article, you can get acquainted with the drug Citramon. The instructions for use will explain in which cases you can take pills, what the medicine helps with, what are the indications for use, contraindications and side effects. The annotation presents the form of release of the drug and its composition.

    In the article, doctors and consumers can only leave real reviews about Citramon, from which you can find out if the medicine helped in the treatment of headache and toothache, lowering the temperature in adults and children, for which it is also prescribed. The instructions list the analogues of Citramon, the prices of the drug in pharmacies, as well as its use during pregnancy.

    The drug Citramon instructions for use refers to the group of non-steroidal anti-inflammatory drugs. Tablets, including coated Ultra, are prescribed for headaches, inflammation, fever. It is not recommended to take the drug for hypertensive patients.

    Release form and composition

    The drug Citramon is available in the dosage form of a tablet for oral administration. They have a round shape, a flat-cylindrical surface, and also a light brown color. The composition of this drug includes several main active ingredients, their content in 1 tablet is:

    1. Caffeine - 30 mg.
    2. Paracetamol - 180 mg.
    3. Acetylsalicylic acid - 240 mg.

    Citramon tablets are packaged in a blister of 10 pieces. A cardboard pack contains 1 or 2 blisters, as well as instructions for use.

    Ultra coated tablets are also produced.

    pharmachologic effect

    Citramon is a combined drug and its therapeutic effect is due to the properties of the active components that make up its composition:

    Acetylsalicylic acid - has anti-inflammatory and antipyretic effects, relieves pain caused by inflammation, to a certain extent reduces blood clotting and improves blood circulation in the focus of the inflammatory process;

    Caffeine produces an exciting effect on the central nervous system and stimulates the work of the psychomotor centers of the central nervous system. It increases the lumen of blood vessels and reduces the feeling of drowsiness and fatigue. Caffeine is also known for its stimulating effect on physical and mental activity. It has caffeine and a mild analgesic effect.

    - a drug with analgesic, antipyretic and moderately pronounced anti-inflammatory properties.

    Indications for use

    What helps Citramon? The main medical indication for taking Citramon (P) tablets is the symptomatic treatment of fever and pain of inflammatory origin in various pathological conditions:

    • Pain in the muscles (myalgia) and joints (arthralgia).
    • Toothache.
    • Increased body temperature in acute respiratory viral pathology and influenza.
    • Headache of moderate severity of various origins.
    • Reducing the severity of discomfort with painful menstruation in women.
    • Pain, the development of which is provoked by aseptic inflammation of the peripheral nerves (neuralgia).

    At what pressure is prescribed?

    Citramon contains caffeine in its composition. As a result, the pressure may increase. This fact must be taken into account in patients suffering from high blood pressure.

    Instructions for use

    Citramon is taken orally (during or after meals) 1 tablet every 4 hours, with pain syndrome - 1-2 tablets; the average daily dose is 3-4 tablets, the maximum daily dose is 8 tablets. The course of treatment is no more than 7-10 days.

    The drug should not be taken for more than 5 days as an analgesic and for more than 3 days as an antipyretic (without a doctor's prescription and supervision). Other dosages and regimens are set by the doctor.

    Contraindications

    The instructions list the following contraindications for taking Citramon:

    • concomitant use of anticoagulants;
    • full or partial combination of recurrent nasal polyposis / paranasal sinuses, bronchial asthma and intolerance to NSAIDs or ASA (including history);
    • portal hypertension;
    • hemorrhagic diathesis;
    • avitaminosis K;
    • sleep disorders;
    • increased excitability;
    • deficiency of the cytosolic enzyme G6PD;
    • kidney failure;
    • erosive and ulcerative lesions of the gastrointestinal tract in the acute phase;
    • hemophilia;
    • IHD of severe course;
    • surgical interventions accompanied by bleeding;
    • hypersensitivity to the components of the tablets;
    • lactation;
    • children's age (in children under fifteen years of age with hyperthermia against a viral infection, the likelihood of developing Reye's syndrome is high);
    • stomach or intestinal bleeding;
    • dissecting aortic aneurysm;
    • glaucoma;
    • hypoprothrombinemia;
    • severe arterial hypertension;
    • pregnancy (especially the first and last trimesters).

    Relative contraindications are gout and existing liver pathologies.

    Side effects

    Against the background of the use of Citramon, various side effects may occur on the part of individual organs and systems:

    • headaches, dizziness - from the side of the central nervous system;
    • pain in the epigastric region, nausea and vomiting, development of erosive gastritis (with prolonged use of the drug) - from the digestive system;
    • disorders of kidney / liver function; various manifestations of allergic reactions (in particular, itching and skin rash, Stevens-Johnson syndrome, urticaria, Lyell's syndrome, Reye's syndrome, anaphylactic shock, etc.);
    • the occurrence of tinnitus, visual disturbances;
    • decrease in blood clotting, increase in the duration of bleeding - from the hematopoietic system.

    To minimize the risk of side effects, the drug should be taken strictly according to the instructions.

    Children, during pregnancy and breastfeeding

    Citramon is contraindicated in the first and third trimester of pregnancy. Acetylsalicylic acid, which is part of it, has a teratogenic effect, which can lead to the development of congenital anomalies of the fetus.

    Taking in the third trimester contributes to premature closure of the aortic duct and increases the risk of bleeding in childbirth. In the second trimester, indications for Citramon should be carefully evaluated by a doctor. The drug can be used only in cases where the expected benefit of the treatment significantly outweighs the potential risk of affecting the development of the fetus.

    The use of ASA-containing drugs for the treatment of acute respiratory viral infections in children (with or without hyperthermia) is contraindicated without prior consultation with a doctor.

    With some viral infections (particularly infections caused by the varicella-zoster virus or influenza A or B-type viruses), there is a possibility of developing acute hepatic encephalopathy (Reye's syndrome), which requires immediate medical attention. One of the signs of Reye's syndrome is prolonged vomiting.

    Given the above reasons, the use of tablets in patients under the age of sixteen is contraindicated. Since the drug has a large number of side effects, it is better for children with a headache or when a toothache hurts to choose safer remedies.

    special instructions

    Before you start taking Citramon tablets, you should carefully read the instructions for the drug, and also pay attention to a few precautions:

    Patients with concomitant allergic pathology, this drug can be used with caution.

    Acetylsalicylic acid, which is part of the drug, when taken by children with acute respiratory viral pathology, can provoke the development of Raynaud's syndrome.

    The drug does not directly affect the functional state of the nervous system.

    Prolonged use of this drug requires periodic laboratory monitoring of the functional state of the liver, kidneys, as well as the picture of peripheral blood.

    Long-term use of Citramon tablets can provoke a decrease in the excretion of uric acid from the body and an attack of gout in patients with metabolic disorders.

    The active components of the drug can interact with drugs of other pharmacological groups (anticoagulants, glucocorticosteroids), so a medical specialist should be warned about their possible use.

    Patients before surgery, the drug should be canceled, as it reduces blood clotting.

    drug interaction

    Citramon is able to enhance the effect of hypoglycemic and steroid drugs, indirect anticoagulants. When it is taken together with Methotrexate and other non-steroidal anti-inflammatory drugs, the risk of side effects increases dramatically.

    According to the instructions, it is unacceptable to prescribe Citramon simultaneously with antiepileptic drugs, Rifampicin and barbiturates, because. in this case, the formation of hepatotoxic metabolites occurs in large quantities.

    Citramon's analogs

    According to the structure, analogues are determined:

    1. Coficil plus.
    2. Aquacitramon.
    3. Migrenol Extra.
    4. Excedrin.
    5. Citramon P.
    6. Citramon Forte.
    7. Acifein.
    8. Askofen.
    9. Citrapar.
    10. Citramon Borimed (Ultra; LekT; MFF).
    11. Citramarine.

    Headache medications include:

    1. Betaserc.
    2. Oksadol.
    3. Brustan.
    4. Noshpalgin.
    5. migrenol.
    6. Vinpocetine.
    7. Khairumat.
    8. Spazmonet.
    9. Aldolor.
    10. Memoplant.
    11. Analgin.
    12. Citrapar.
    13. Nalgezin.
    14. Solpadein.
    15. Flamax.
    16. Katadolon.
    17. Cavinton.
    18. Insti.
    19. Betahistine.
    20. Solpaflex.
    21. Stugeron.
    22. Vestibo.
    23. Nikospan.
    24. Idebenone.
    25. Paracetamol.
    26. Amitriptyline.
    27. Pentalgin.
    28. Kaffetin.
    29. Piracetam.
    30. Acetaminophen.
    31. MIG 400.
    32. MIG 200.
    33. Lupocet.
    34. Aminalon.
    35. Askofen.
    36. Anopyrin.
    37. Unispaz.
    38. Cefekon D.
    39. Febricet.

    Holiday conditions and price

    The average cost of Citramon P (tablets No. 10) in Moscow is 10 rubles. In the pharmacy network, the drug is dispensed without a doctor's prescription. Before taking them, it is recommended to consult a medical specialist.

    The shelf life of Citramon tablets is 4 years. They must be stored in a whole package, in a dark, dry place inaccessible to children at an air temperature not higher than +25 C.

    Citramon P is a popular drug that is effective for low blood pressure and headaches. It is also antipyretic. In addition, the drug has analgesic, anti-inflammatory and antipyretic effects. These pills are one of the most popular and are also sold without a prescription. Indeed, the drug has a wide range of effects.

    Citramon P - what helps

    Citramon P contains:

    • Acetylsalicylic acid, which suppresses inflammation, reduces fever.
    • Paracetamol suppresses headaches, relaxes the central nervous system.
    • Caffeine dilates blood vessels, which in turn raises blood pressure. This helps to relieve symptoms such as drowsiness, lethargy and deterioration in general condition.

    Citramon P tablets relieve pain. Most often they are taken to get rid of headaches, relieve tension and inflammation. Toothache is also suppressed by this remedy. In addition, Citramon P is effective at elevated body temperature. The medicine is used for viral diseases, but not more than three days.

    Contraindications for use

    Do not use Citramon P for various diseases of the gastrointestinal tract, especially for ulcers, bleeding in the relevant organs. Also, you can not use Citramon P with poor blood clotting. In case of impaired functioning of the kidneys and liver, it is also forbidden to take the presented drug. Doctors strictly prohibit the drug and children under the age of fifteen.

    Like many other medicines, Citramon P is contraindicated in pregnant women. Remember that if you take the medicine without any medical control, then in this case you risk acquiring not a curative, but a negative effect of the drug.

    How and how much to take Citramon P

    This medication is taken strictly as prescribed by the attending physician, and carefully read the instructions for unauthorized use. Usually, tablets are prescribed to children at the allowed age, 1-2 pieces after meals. The drug should be taken at intervals of 8 hours. Be sure to take the tablet with a glass of water.

    The maximum dose of Citramon P is 2 tablets. If you are using this medicine as an antipyretic, then the period of taking this medicine should not last more than three days. From painful sensations, the drug can be taken for about 5 days, but this is discussed individually with the doctor. Only a medical specialist has the right to increase the dose in certain cases.

    Side effects

    The most likely side effects of Citramon P are nausea and vomiting. However, in addition to this, there may be such phenomena as heartburn, abdominal pain, headaches and dizziness, as well as a decrease in blood clotting. Along with this, kidney damage can occur. Allergic reactions in the form of skin itching and urticaria are also possible. Children rarely develop Reye's syndrome. The least likely is anaphylactic shock.

    Citramon P and alcohol

    Usually, when drinking alcohol, people begin to drink these particular pills. But is it possible? You can give an unequivocal answer - no. This can lead to irreparable consequences. Specifically, the kidneys may suffer, namely, their performance will deteriorate. It is also possible to develop methemoglobinemia. This is a terrible process of destruction of red blood cells, which are responsible for the creation of blood cells.

    Many parents are faced with the fact that their child complains of a headache. However, not everyone knows which drugs from those used by adults are suitable for a child. One of the most common questions in a similar situation is whether Citramon can be given to children with a headache. The rules for using this drug as an anesthetic for adolescents have their own characteristics.

    Citramon belongs to the group of painkillers. It is designed to relieve pain of varying degrees and has a wide range of indications for use.

    The remedy is used when the following symptoms are detected:

    • headache and migraine;
    • toothache(temporarily relieves pain);
    • discomfort during menstruation(relieves only weak spasms);
    • fever caused by colds, flu or acute respiratory infections (the components of the drug have an antipyretic and anti-inflammatory effect);
    • joint pain(Citramon allows you to remove them for a short time);
    • muscle pain(effectively copes with muscle pain that occurs after sprains or injuries).

    You should refrain from using the medication if the headache is caused by an increase in blood pressure. People suffering from hypertension should not take the medicine.

    The composition of the drug

    The main active components of Citramon include:

    • aspirin (acetylsalicylic acid);
    • paracetamol;
    • caffeine.

    Aspirin has an antipyretic effect, helps to relieve the inflammatory process, normalizes blood circulation by thinning the blood. Paracetamol relieves pain and lowers body temperature. Caffeine in combination with the above components enhances their action.

    The proportions of parts of the drug may vary depending on the manufacturer.

    Contraindications

    Despite the fact that Citramon can be attributed to such remedies that are suitable for relieving almost any pain, it has a list of contraindications for use:

    • intolerance to the components of the drug;
    • pregnancy and lactation;
    • diseases of the gastrointestinal tract;
    • hypertonic disease;
    • heart and kidney failure;
    • glaucoma;
    • vitamin A deficiency;
    • sleep disorders;
    • hyperactivity and hyperexcitability;
    • children's age up to 15.

    The instruction explains to parents how old you can give Citramon tablets to children. If the child has reached the permissible age, it is important to fully comply with the dosage and the rules for taking the tablets.

    Children with headache

    The list of contraindications suggests that citramon is only suitable for children over 15 years of age. It is strictly forbidden to use it to treat headaches in babies. This is due, first of all, to one of the key components of the composition - aspirin. Under its influence, changes can occur in the child's blood, leading to the development of Raynaud's syndrome.

    Despite the rarity and insufficiently studied reasons for the occurrence of this anomaly, most experts believe that the main reason for its appearance is medications that contain aspirin. Since it is present in many medications used to treat headaches and colds, parents need to know the symptoms of Raynaud's syndrome:

    • severe drowsiness;
    • decrease in reaction;
    • profuse vomiting;
    • convulsions;
    • fainting.

    If, after taking Citramon or other aspirin-containing drugs, parents notice any of the above symptoms in a teenager, they should urgently seek medical help. Treatment of this syndrome requires constant medical supervision and hospitalization.

    For the treatment of headache in a child under 15 years of age, it is recommended to use analogues of the drug designed specifically for younger children.

    Mode of application

    Relieve a headache with Citramon for children over 15 years old must be strictly in accordance with the instructions.
    The medicine is taken orally after a meal and washed down with a small amount of clean water. To get rid of a headache, you need one tablet of Citramon. The effect should come in half an hour.

    The drug is an effective remedy for relieving headaches with concomitant aches in the teeth or muscles. If the child has a headache and an elevated body temperature, it is better to use Paracetamol.

    Side effects

    If the permissible dose of the drug is exceeded, the following side effects may occur:

    • nausea;
    • vomit;
    • headache;
    • convulsions;
    • an allergic reaction in the form of rashes, itching, swelling;
    • blurred vision;
    • bleeding gums;
    • change in blood pressure;
    • cardiopalmus;
    • blood clotting disorder;
    • bleeding;
    • erosion of the gastric mucosa.

    To avoid their appearance, it is necessary to strictly follow the instructions and refrain from taking pills if there are contraindications.

    Pros and cons of using the drug for headaches

    Paracetamol is one of the active substances of Citramon. Thanks to him, the blood circulation of the head is normalized and the pain goes away. Removal of symptoms is also carried out due to the caffeine contained in the preparation, which has a sedative effect. The use of Citramon in the correct dosage leads to the restoration of the functioning of the nervous system, brain function and blood pressure.

    Despite the numerous advantages, Citramon can also negatively affect the state of the body. The composition of the drug contains acetylsalicylic acid, under the influence of which irritation of the mucous membrane may occur. Experts do not recommend frequently using the drug to eliminate headaches or other pain, as this can cause an allergic reaction, ulcers, and bleeding disorders.

    Outcome

    Citramon is suitable for relieving headaches only for children over 15 years old. Babies are encouraged to choose painkillers designed specifically for their age. When using any drug for headache, you must strictly adhere to the instructions, familiarize yourself with the contraindications to the use of tablets, as well as with possible side effects.

    Citramon is included in the category of combined drugs because it has analgesic, antipyretic and anti-inflammatory properties. The ingredients that make up the drug complement each other, providing a pronounced therapeutic effect. To achieve the desired results, the instructions for the use of Citramon must be clearly followed.

    Citramon (citramon) belongs to the category of non-steroidal anti-inflammatory drugs. The effectiveness of the drug is related to its composition. Today, there are several varieties of the drug that contain the same active ingredients. Only the amount of these substances and the composition of additional ingredients differ:

    The composition of Citramon tablets also includes additional ingredients:

    • talc;
    • lemon acid;
    • starch;
    • magnesium stearate;
    • cocoa.

    Companies produce the drug in tablet form. The substance has a light brown tint and various blotches. The composition of the medicine contains cocoa, because it has a characteristic smell.

    Tablets are packaged in blisters containing 6-10 pieces. The substance can be sold in 1 plate or in the form of cardboard packages, which contain several blisters and instructions.

    pharmachologic effect

    Citramon is a combination medicine. The effectiveness of the drug is determined by its constituent ingredients:


    Indications

    Many people are interested in what Citramon tablets are from. First of all, the remedy is prescribed when a moderate pain syndrome of various etiologies appears. Key indications include the following:

    • headache;
    • neuralgia;
    • migraine;
    • arthralgia;
    • toothache;
    • myalgia;
    • algomenorrhea.

    Also, the substance is often prescribed for the appearance of a febrile syndrome and high temperature. This condition often accompanies influenza and SARS.

    Also, many people have a question: do Citramon tablets increase or decrease blood pressure? The preparation contains caffeine, which leads to excitation of the nervous system and an increase in tone.

    As a result, the use of Citramon may cause an increase in pressure. Particular care should be taken when drinking coffee and tea while taking medication, as this is fraught with an overdose of caffeine.

    If a person has hypotension and a headache, you can drink a tablet of the drug. It will help to cope with discomfort and improve the condition. At what pressure this should be done, at what indicators, it is better to find out from the doctor.

    Contraindications

    This medicine may not always be taken. Contraindications to the use of the drug include:


    Instructions for use

    To achieve the desired result, it is necessary to adhere to all doctor's prescriptions. Usually, specialists prescribe 1-2 tablets of the drug. It is recommended to use it after meals. You can take no more than 6 pieces per day.

    If the use of the substance is due to an increase in temperature, it is taken for a maximum of 3 days. If the remedy is used to eliminate pain, it must be consumed within 5 days. An increase in dosage must be agreed with the doctor. In addition, the volume of the drug directly depends on the type of substance.

    Citramon Ultra

    As part of this version of the drug, there is a minimum number of active ingredients, therefore it has a minimum of side effects. The remedy should be taken according to the following scheme: 1-2 pieces of the drug no more than 4 times. Between doses, it is required to maintain an interval of 4-8 hours. The maximum daily volume is 8 tablets.

    Citramon P

    This remedy is prescribed to people over 15 years old according to strict indications. It is recommended to take 1-2 tablets up to 3 times a day. The interval between doses should be 6 hours. For patients with impaired kidney and liver function, this interval is increased to 8 hours. The course of therapy is 7-10 days.

    Citramon Borimed

    This type of medicine is used to relieve pain. The course of the drug can not be more than 10 days. Usually doctors prescribe 3-4 tablets. The maximum daily volume is 8 pieces. It is possible to treat the patient in this way for no more than 1 week.

    Citramon Forte

    This remedy is prescribed for adult patients and children after 14 years of age. It can help increase blood pressure and relieve pain. Also, the drug helps to reduce the temperature.

    Usually doctors prescribe 1-2 tablets. They should be drunk 2-3 times a day. To quickly eliminate pain, you need to use 2 tablets at a time. The maximum daily volume is 6 tablets. You can take the medicine for no more than 7 days.

    Side effects

    Citramon has many side effects:

    1. When the digestive system is affected, nausea and vomiting are observed. There is also a risk of pain in the epigastric region, violations of the liver, the formation of erosions and ulcers in the digestive organs.
    2. From the side of the circulatory system, there is a threat of a decrease in blood clotting. Also, the drug is able to provoke various bleeding.
    3. If the nervous system is disturbed, headaches and dizziness, insomnia are observed.
    4. If the excretory system is affected, there is a risk of kidney damage.
    5. Allergic reactions are manifested in the form of itching, urticaria, Stevens-Johnson syndrome. There is also a risk of developing anaphylactic shock and toxic epidermal necrolysis. In a child, the drug can provoke Reye's syndrome.
    6. An increase in blood pressure, tachycardia, arrhythmia is possible.

    The medicine can cause disturbances in the functioning of the organ of hearing - they manifest themselves in the form of deafness and the appearance of tinnitus. Some people complain of blurred vision.

    Overdose

    When using an excess amount of the drug, undesirable consequences appear. Most often, their occurrence is due to an overdose of acetylsalicylic acid. In case of mild intoxication, nausea and vomiting, dizziness, gastralgia, ringing in the ears are observed.

    In more difficult situations, there is a risk of inhibition of reactions, increased drowsiness, and seizures. In some patients, bronchospasm, respiratory failure, bleeding are observed. Many complain of bronchospasm and anuria. There is also the risk of a state of collapse.

    Initially, central hyperventilation of the lungs provokes respiratory alkalosis. This condition is characterized by shortness of breath, cyanosis, perspiration, and symptoms of suffocation. As the signs of poisoning increase, respiratory paralysis is observed, which progresses all the time. Uncoupling of oxidative phosphorylation also develops. This causes respiratory acidosis.

    When symptoms of an overdose appear, you need to constantly monitor the acid-base and electrolyte balance. Depending on metabolic processes, citrate, bicarbonate or sodium lactate may be administered. By increasing the reserve alkalinity, it is possible to accelerate the excretion of acetylsalicylic acid.

    Interaction with other drugs

    Citramon may affect the effectiveness of other drugs. Therefore, before starting treatment, you should consult a doctor. Other drugs also affect the action of Citramon.

    This medicine leads to an increase in the activity of anticoagulants. It can also increase adverse reactions from the use of glucocorticoid hormones. In addition, Citramon leads to a weakening of the activity of diuretics and antihypertensive drugs. A similar result is observed when the drug is combined with drugs for gout.

    Interaction with alcohol


    Is it possible to give the drug to children?

    The instructions indicate that Citramon can only be used from the age of 14. Young children are strictly prohibited from using the medicine.

    Citramon contains acetylsalicylic acid, which can provoke damage to the liver, kidneys and nervous system. Even a single dose of medication by a child can cause the development of Reye's syndrome.

    After using the substance, there is a risk of hemorrhagic diathesis. This condition is accompanied by the appearance of hemorrhages that occur in the structure of the skin and subcutaneous tissue.

    Important: Children are characterized by high sensitivity of the mucous membranes of the digestive organs. In this regard, they are quickly irritated by the action of acetylsalicylic acid.

    Can the drug be used by pregnant women?

    Citramon is forbidden to be used in the initial stages and in the third trimester of pregnancy. The drug contains acetylsalicylic acid. It has a teratogenic effect. This can provoke the development of congenital malformations of the fetus.

    When using Citramon in the later stages of pregnancy, there is a risk of premature closure of the aortic duct and an increased risk of bleeding during childbirth.

    In the second trimester, the appropriateness of the use of the drug should be assessed by the doctor. The drug is prescribed only when the benefit of such therapy outweighs the risk to the child.

    During the treatment period, it is strictly forbidden to breastfeed the baby. This is due to the presence of acetylsalicylic acid in the preparation. It penetrates into breast milk and leads to various consequences - impaired platelet production, liver damage, bleeding. There is also a risk of damage to the digestive tract and allergies.

    special instructions

    To get the desired results and avoid undesirable consequences, you need to follow a number of medical recommendations:

    1. It is forbidden to use the medicine during surgery. Otherwise, it is fraught with the development of bleeding.
    2. Acetylsalicylic acid slows down the excretion of uric acid. In some people, taking the medicine can cause an exacerbation of gout.
    3. In case of damage to the kidneys and liver, the drug should be taken with an interval of 8 hours.
    4. During treatment it is forbidden to drink alcohol.
    5. With alcohol intoxication of the liver, the dosage should be selected individually.
    6. During therapy, it is forbidden to drink drinks containing caffeine, since this substance is already present in the preparation.
    7. If the symptoms of inflammation and pain persist, it is strictly forbidden to independently increase the dosage.
    8. Very carefully you need to use the substance for people with diseased vessels and damage to the circulatory system.

    Analogues

    With intolerance to Citramon, you can pick up effective analogues that have a similar effect. Common drugs include the following: