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| Drug class description : | Analgesic and Antipyretic |
| Generic Name : | Paracetamol, Codeine Phosphate |
| Drug description : | Capsule hard Opaque white hard gelatine capsule with “Feminax” in red along cap and body. |
| Presentation : | Feminax Period Pain Capsules - Paracetamol 500.0 mg, Codeine Phosphate 8.0 mg |
| Indications : | Treatment of pain including: - muscular and rheumatic pains, headache, migraine, neuralgia, toothache, sore throat, period pains, aches and pains. Discomfort associated with influenza, feverishness and feverish colds. |
| Adult Dosage : | For oral administration. Adults: 1 - 2 capsules. If necessary, the dose may be repeated every 4 - 6 hours with a maximum of 8 capsules in 24 hours. Do not take for more than 3 days continuously without medical review. |
| Child Dosage : | Children under 12 years, not recommended. |
| Elderly Dosage : | No current evidence for alteration of the adult dose except where there is impaired hepatic function when dosage reduction may be necessary. |
| Contra Indications : | Hypersensitivity to paracetamol and/or other constituents of Feminax Period Pain Capsules. |
| Special Precautions : | Care is advised in the administration of paracetamol to patients with severe renal or severe hepatic impairment. The hazards of overdose are greater in those with non-cirrhotic alcoholic liver disease. In cases of renal insufficiency the rate of excretion of codeine and paracetamol metabolites may be reduced, and dosage schedules may need to be revised accordingly. Do not exceed the stated dose. If symptoms persist, consult your doctor. Contains paracetamol. Do not take with any other paracetamol-containing products. Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage. Keep out of the reach and sight of children. The leaflet will state in a prominent position in the 'before taking' section: • If you need to use this medicine for more than three days at a time, see your doctor, pharmacist or health care professional. • Taking codeine regularly for a long time can lead to addiction, which might cause you to feel restless and irritable when you stop the tablets. • Taking a painkiller for headaches too often or for too long can make them worse. The label will state (To be displayed prominently on outer pack – not boxed): • If you need to use this medicine for more than three days at a time, see your doctor or pharmacist. Taking codeine regularly for a long time can lead to addiction. • Taking a painkiller for headaches too often or for too long can make them worse. |
| Interactions : | Paracetamol should be given with care to patients taking other drugs that affect the liver. The speed of absorption of paracetamol may be increased by metoclopramide or domperidone. Concurrent use need not be avoided. The absorption of paracetamol may possibly be reduced if colestyramine is given at the same time, but the reduction in absorption is small if given an hour later. The anticoagulatory effect of warfarin and other coumarins may be enhanced by prolonged regular use of paracetamol with increased risk of bleeding. Pregnancy and lactation Epidemiological studies in human pregnancy have shown no ill effects due to paracetamol used in the recommended dosage, but patients should follow the advice of their doctor regarding its use. Paracetamol is excreted in breast milk but not in a clinically significant amount. Available published data do not contraindicate breast feeding. There is inadequate evidence of safety of codeine in pregnancy. Codeine has been used for many years without apparent ill-consequences, and animal studies have not shown any hazard. The use of Feminax Period Pain Capsules in pregnancy is therefore acceptable if there is no safer alternative. Use during lactation is also acceptable. |
| Adverse Reactions : | Adverse effects of paracetamol are rare but hypersensitivity including skin rash may occur. There have been reports of blood dyscrasias including thrombocytopenia and agranulocytosis, but these were not necessarily causally related to paracetamol. Regular prolonged use of codeine is known to lead to addiction and symptoms of restlessness and irritability may result when treatment is then stopped. Prolonged use of a painkiller for headaches can make them worse. |
| Manufacturer : | Bayer |
| Drug Availability : | (POM) |
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