Instructions for Coldrex Hotrem
Pharmacological properties Coldrex:
paracetamol is an antipyretic analgesic. Phenylephrine hydrochloride is a sympathomimetic. Its action is primarily associated with direct stimulation of adrenergic receptors, mainly α-adrenergic receptors. Phenylephrine hydrochloride reduces swelling of the nasal mucosa. Ascorbic acid is a vital vitamin that is added to the drug to compensate for the loss of vitamin C that occurs at the onset of a viral infection. The active ingredients of the drug do not cause drowsiness.
Indications Coldrex:
Symptomatic treatment for flu and colds (to relieve headache, chills, nasal congestion, sore throat and sinuses).
Application Coldrex Hotrem:
The drug Coldrex is intended for oral administration. The contents of one sachet are dissolved in a glass of hot water, stirred until completely dissolved. Add cold water if necessary.
Adults and children over the age of 12 : 1 sachet. If necessary, taking a dose of the drug can be repeated every 4 hours. The daily dose is no more than 4 sachets. Do not take the drug for more than 5 days.
Contraindications Coldrex:
Hypersensitivity to any component of the drug; liver dysfunction or severe renal dysfunction, hypertension, hyperthyroidism, diabetes mellitus, heart disease, pregnancy. The drug Coldrex is contraindicated in patients taking tricyclic antidepressants and β-adrenergic receptor blockers or those who take or have taken MAO inhibitors within the last 2 weeks. Children under the age of 12.
Side effects Coldrex Hotrem:
Adverse reactions when taking paracetamol are rare (1/10 000, ≤ 1/1000).
On the part of the cardiovascular system: edema;
from the immune system: allergic reactions (including angioedema);
from the gastrointestinal tract: bleeding, abdominal pain, diarrhea, nausea, vomiting;
from the hepatobiliary system: liver dysfunction, liver failure, liver necrosis, jaundice;
from the side of the central nervous system: tremor, headache;
mental disorders: depression, hallucinations;
from the side of the skin: rash, itching, urticaria, purpura;
other disorders: visual disturbances, dizziness, anxiety, fever, sedation, thrombocytopenia, agranulocytosis,
Possible side effects of phenylephrine:
on the part of the cardiovascular system: bradycardia, hypertension, prolongation of the Q – T interval ;
from the side of the central nervous system: paresthesia, tremor, headache.
other disorders: allergic reactions, dermatitis, erythroderma.
special instructions Coldrex:
Simultaneous use with other drugs for the symptomatic treatment of influenza and colds, vasoconstrictor drugs for the treatment of rhinitis , as well as drugs containing paracetamol should be avoided . Do not exceed the prescribed dose of the drug.
Combined administration with warfarin is possible only as directed by a doctor.
The use of phenylephrine , which is part of the drug, can cause an attack of angina pectoris.
Use with caution for the treatment of elderly patients.
During pregnancy and breastfeeding. The use of the drug during pregnancy is not recommended.
During breastfeeding, the use of the drug is possible only if the expected benefit to the mother outweighs the potential risk to the child.
Children. It is not recommended to use the drug in children under 12 years of age.
Impact on the ability to drive vehicles or work with equipment. With the development of side effects, taking the drug can affect the ability to drive vehicles or work with complex mechanisms.
Interactions Coldrex Hotrem:
The anticoagulant effect of warfarin and other coumarins can be enhanced with simultaneous long-term regular use of paracetamol with an increased risk of bleeding. Metoclopramide and domperidone may increase the rate of absorption of paracetamol , while cholestyramine may decrease it. With short-term use in accordance with the recommended dosage regimen, these interactions have no clinical significance.
The interaction between phenylephrine and MAO inhibitors causes a hypertensive effect. Phenylephrine reduces the effectiveness of β-adrenergic receptor blockers and other antihypertensive drugs. The simultaneous use of MAO inhibitors potentiates the effects of phenylephrine . The conditions in which these drugs are used are a contraindication for the use of Coldrex Hotrem Honey and Lemon.
Overdose Coldrex:
An overdose of paracetamol can cause the development of liver failure. The risk of developing an overdose is increased in patients with liver disease. In case of an overdose of paracetamol , emergency medical attention is required, even in the absence of symptoms. Paracetamol antidotes are N-acetylcysteine and methionine .
An overdose of phenylephrine can cause the development of headaches, pallor of the skin, an increase in blood pressure, reflex bradycardia, extrasystole are also possible. Nausea and vomiting are also possible. Coldrex