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Efferalgan 1g Paracetamol 8 Sticks Cappuccino Flavor
Over-the-counter medication

Efferalgan 1g Paracetamol 8 Sticks Cappuccino Flavor

Brand : UPSA BMS UPSA BMS
€2.67 EXCL. VAT €2.94 INCL. VAT
In stock
Reference : 3400930006177
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EFFERALGAN 1g Paracetamol 8 Sticks cappuccino flavor in our pharmacy bio, Give your opinion on the advice and dosage of EFFERALGAN 1g Paracetamol 8 Sticks flavor cappuccino with our partner reviews checked after your purchase.

EFFERALGAN 1G PARACETAMOL 8 CAPPUCCINO FLAVOR STICKS

For warnings, precautions for use and contraindications, please consult the instructions for use.

Description of Efferalgan 1g Paracetamol 8 Sticks Cappuccino Flavor

Efferalgan is a drug from UPSA laboratories. Based on paracetamol , this medication can be dispensed over the internet without a prescription. Efferalgan is recommended in case of pain or fever . The 1 gram form is reserved for adults or adolescents over 50 kg.

Directions for use and dosage

Administration mode

  • Oral use only.
  • Please take the granules directly in the mouth, on the tongue, then swallow them without water.

Read the instructions before use.

Give your opinion on the advice for use and dosage of EFFERALGAN 1g Paracetamol 8 Sticks flavor cappuccino with our partner Avis checked after your purchase.

Composition

GRANULATED (WHITE OR ALMOST WHITE): 1 G PARACETAMOL. EXCIPIENTS: SORBITOL (E 420), TALC, BASIC METHACRYLATE COPOLYMER, LIGHT MAGNESIUM OXIDE, SODIUM CARMELLOSE, SUCRALOSE (E955), STÉARATE ACID, MAGNETIC STEMAROSE SODIUM, TITANIUM DIOXIDE (E 171), SIMETICONE, CAPPUCCINO FLAVOR, (MALTODEXTRIN, ARABIC GUM (E 414), NATURAL FLAVORING SUBSTANCES IDENTICAL TO NATURALS, GLYCERYLE TRIACETATE). EXCIPIENT WITH KNOWN EFFECT: SORBITOL (E420) 806 MG

Precautions for use

Allergy to paracetamol or other constituents; hepatocellular insufficiency; phenylketonuria.

EFFERALGAN is a medicine containing paracetamol. It is essential to avoid overdose by checking the absence of paracetamol in the composition of other drugs. The maximum recommended dose should not be exceeded. EFFERALGAN is possible during pregnancy and lactation under normal conditions of use. EFFERALGAN contains sorbitol, so it is not recommended in case of fructose intolerance.

Presentation

Available in boxes of 8 sachets containing 1g of paracetamol in the form of granules with a cappuccino taste. No water required

Our advice and opinions from pharmacy experts

Medicines are active substances that can quickly turn into poison when too much is consumed. In order to guard against complications due to an overdose, it will be necessary to respect:

  • Dosage
  • a sufficient time interval between two takes
  • the maximum daily dose.

Similarly, it is essential not to combine or alternate painkillers of different composition, unless your doctor prescribes it.
If the analgesic treatment you have chosen is not quickly effective and the pain persists, consult your doctor. The body keeps in mind the pain, which after a certain time can become chronic.

This medicine contains paracetamol. Other drugs also contain it. In order not to exceed the recommended daily dose, do not combine them. If you need to take other medicines containing paracetamol or propacetamol, you should first consult your doctor or pharmacy.

Warnings on pain relievers

Attention, the drug is not a product like the others. Read the package leaflet carefully before ordering. Keep medicines out of the reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

  • Please inform your online pharmacist of the treatments in progress in order to identify any incompatibilities. The order validation form contains a personalized message field provided for this purpose.
  • Click here to find the leaflet for this medication on the website of the National Agency for the Safety of Medicines and Health Products.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Last updated: 06/12/2016

Name of the medicinal product

EFFERALGAN 1000 mg, granules in sachets

Paracetamol

framed

Please read this leaflet carefully before you start taking this medicine because it contains important information for you.

You should always take this medication exactly as prescribed in this leaflet or by your doctor, pharmacist or nurse.

· Keep this leaflet. You might need to read it again.

· Ask your pharmacist for advice or information.

· If you experience any of the side effects, talk to your doctor, pharmacist or nurse. This also applies to any side effects not mentioned in this leaflet. See section 4.

· You should contact your doctor if you experience no improvement or feel less well after 3 days in case of fever and 5 days in case of pain.

Do not use this medication for children.

What is in this leaflet?

1. What is EFFERALGAN 1000 mg, granules in sachets and in which cases is it used?

2. What information should I take before taking EFFERALGAN 1000 mg, granules in sachets?

3. How to take EFFERALGAN 1000 mg, granules in sachets?

4. What are the possible side effects?

5. How to store EFFERALGAN 1000 mg, granules in sachets?

6. Package contents and other information.

1. WHAT IS EFFERALGAN 1000 mg, granules in sachets AND WHAT IT IS USED FOR?

EFFERALGAN 1000 mg, granules in sachets is indicated for the symptomatic treatment of low and moderate pain and / or fever.

2. BEFORE YOU TAKE EFFERALGAN 1000 mg, granules in sachets?

Do not take EFFERALGAN 1000 mg, granules in sachets:

· if you are allergic to paracetamol or to any of the other ingredients of this medication mentioned in section 6.

· if you have severe liver disease (hepatic insufficiency or decompensated progressive disease of the liver).

Warnings and Precautions

Talk to your doctor or pharmacist before taking EFFERALGAN 1000 mg, granules in sachets

· if you weigh less than 50 kg

· in mild to moderate hepatic insufficiency (liver disease)

· in the case of chronic alcoholism, excessive alcohol consumption (3 or more alcoholic beverages per day)

· in patients with renal insufficiency (severe kidney disease) (see also "3. How to take EFFERALGAN 1000 mg, granules in sachets?")

· if you have Gilbert's syndrome (non-haemolytic familial jaundice)

· if you are taking other medicines that have an effect on your liver at the same time as EFFERALGAN 1000 mg, granules in sachets

· if you have a glucose-6-phosphate dehydrogenase deficiency

· in case of haemolytic anemia (abnormal decrease in the number of red blood cells and hemoglobin)

· if you are suffering from chronic malnutrition (low reserves of liver glutathione)

· if you are dehydrated (excessive loss of body water)

· if you are suffering from acute viral hepatitis or if this disease is diagnosed while taking EFFERALGAN 1000 mg, granules in sachets. Talk to your doctor as it may stop treatment with EFFERALGAN 1000 mg, granules in sachets.

Before starting treatment with this drug, check that you are not taking any other medicines containing paracetamol.

Do not continue treatment without consulting your doctor:

· if the pain persists for more than 5 days or if the fever persists for more than 3 days ;

· if the drug does not appear to be effective enough;

· if any other health problem occurs.

IN CASE OF DOUBT, DO NOT HESITATE TO CONSULT YOUR PHYSICIAN OR PHARMACIST.

Children and Youth

When a child is treated with paracetamol, the association of another fever medication is justified only in case of ineffectiveness. Any combination with several medications should be initiated and supervised by a physician.

The use of EFFERALGAN 1000 mg, granules in sachets is reserved for adults and teenagers weighing 50 kg or more (more than 12 years).

Other medicines and EFFERALGAN 1000 mg, granules in sachets

Inform your doctor or pharmacist if you are taking, have recently taken or could take any other medicines, including if these medicines have been obtained without a prescription.

Medicines that can modify the effects of EFFERALGAN 1000 mg, granules in sachets :

- Probenecid (drug used for the treatment of gout). A reduction in the dose of EFFERALGAN 1000 mg, granules in sachets may be necessary, as probenecid increases the concentration of paracetamol in the blood.

- Phenobarbital, phenytoin, carbamazepine, primidone (drugs used for the treatment of epilepsy) and rifampicin (drug used for the treatment of tuberculosis). The use of these medications at the same time as paracetamol may cause liver damage.

- AZT (zidovudine, a drug used for the treatment of HIV infection). The use of paracetamol at the same time as AZT may reduce the number of white blood cells (neutropenia). Therefore, EFFERALGAN 1000 mg, granules in sachets should not be taken at the same time as zidovudine, except on medical advice.

- Metoclopramide (medication used to treat nausea) and other medicines that accelerate the emptying of the stomach. These medicines can increase absorption and accelerate the occurrence of the effect of EFFERALGAN 1000 mg, granules in sachets .

- Drugs slowing down the emptying of the stomach. These medicines can delay absorption and delay the effect of EFFERALGAN 1000 mg, granules in sachets .

- Cholestyramine (medication used to reduce high levels of lipids in the blood). This drug may reduce absorption and delay the effect of EFFERALGAN 1000 mg, granules in sachets . Therefore, you should not take cholestyramine within 1 hour of taking paracetamol.

- Oral anticoagulants, in particular warfarin (blood thinning medicines). Repeated use of paracetamol for more than one week increases the risk of bleeding. The use of paracetamol in the long term should therefore only be done on medical advice. Occasional intake of paracetamol has no significant effect on the risk of bleeding.

- Aspirin (or Acetylsalicylic acid, medication used for the treatment of pain and fever) and chloramphenicol (antibiotic agent). A reduction in the dose of aspirin and chloramphenicol, supervised by a physician, may be necessary.

Effect of taking EFFERALGAN 1000 mg, granules in sachets on blood tests:

If your doctor prescribes a dosage of uric acid in the blood or blood sugar, tell him or her that you are taking this medicine.

This medicinal product contains paracetamol. Other medications also contain it. In order not to exceed the recommended daily dose, do not combine them (see section 3). If you are taking any other medicines containing paracetamol or propacetamol, you should first consult your doctor or pharmacist.

EFFERALGAN 1000 mg, granules in sachets with food and beverages

Not applicable.

Pregnancy and breast feeding

If you are pregnant or breastfeeding, think you may be pregnant or plan a pregnancy, ask your doctor for advice or pharmacist before taking this medication.

Pregnancy

In case of pregnancy, EFFERALGAN 1000 mg, granules in sachets should be used only after careful assessment of benefits and risks. In this case, the recommended dose and the duration of treatment should be strictly observed.

During pregnancy, you should not take paracetamol for long periods of time, in high doses or in combination with other medicines.

feeding

EFFERALGAN 1000 mg, granules in sachets can be used at recommended doses during lactation.

Sport

Not applicable.

Driving and using machines

Paracetamol has no or negligible effect on the ability to drive and use machines.

EFFERALGAN 1000 mg, granules in sachet contains sorbitol (E420).

If your doctor has told you about an intolerance to some sugars, contact your doctor before taking this medicine.

3. HOW TO TAKE EFFERALGAN 1000 mg, granules in sachets?

Always take this medication exactly as prescribed by your doctor or pharmacist. Check with your doctor or pharmacist if in doubt.

The recommended daily dose of paracetamol is 3000 milligrams (mg) per day, ie 3 sachets.

However, in case of more intense pain, the maximum dosage can be increased up to 4000 mg per day , ie 4 sachets per day.

Use in children and adolescents

EFFERALGAN 1000 mg is reserved for adults and teenagers weighing 50 kg or more (over 12 years).

Frequency of Administration
Regular intakes prevent fluctuations in pain or fever:

· In adults and adolescents, they must be spaced at least 4 hours apart.

Special patient groups

The lowest effective daily dose should be considered, but not more than 60 mg / kg / day (not to exceed 3000 mg / day) in the following situations:

· Adults and adolescents under 50 kg

· Hepatic impairment (liver disease) (mild or moderate)

· Chronic alcoholism

· dehydration

· Chronic malnutrition

· Gilbert's syndrome

No dosage adjustment is necessary in elderly patients .

Renal failure
If you have kidney disease (severe kidney disease), the minimum interval between each dose should be adjusted according to your renal function (assessed on the basis of creatinine clearance) as follows:

Creatinine clearance

Interval between doses

cl greater than or equal to 50 mL / min

4 hours

cl between 10 and 50 mL / min

6 hours

cl less than 10 mL / min

8 hours

The dose of paracetamol should not exceed 3000 mg per day.

Hepatic insufficiency
If you have a chronic liver disease or a compensated progressive disease of the liver, especially liver failure, chronic alcoholism, chronic malnutrition (low reserves of liver glutathione), Gilbert's syndrome (jaundice non-haemolytic family) and dehydration, the dose of paracetamol should not exceed 2000 mg per day.

Administration mode
Oral use only. Take the pellets directly in the mouth, on the tongue, then swallow them without water.

Duration of administration

As with any pain medication (analgesic), the duration of treatment should be as short as possible and appropriate to the symptoms.

The duration of treatment is limited to:

· 5 days in case of pain;

· 3 days in case of fever.

If the pain persists for more than 5 days or if the fever persists for more than 3 days, do not continue treatment without consulting your doctor.

If you take more than EFFERALGAN 1000 mg, granules in sachets that you should:

Consult your doctor or nearest emergency department immediately if overdose with EFFERALGAN 1000 mg, granules in sachets especially in elderly patients, young children, patients with liver disease, patients with chronic alcoholism and patients with chronic malnutrition. Overdose can have very serious consequences and can even lead to death.

Immediate treatment is essential, even if you feel good, due to the delayed risk of severe liver damage. Symptoms may be limited to nausea, vomiting, anorexia, paleness and abdominal pain, and may not reflect the severity of overdose or organ damage.

If you forget to take EFFERALGAN 1000 mg, granules in sachets:

Do not take a double dose to make up for the missed dose.

If you have any further questions on the use of this medication, ask your doctor or pharmacist.

If you stop taking EFFERALGANISO 1000 mg, granules in sachets:

Not applicable.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

Like all medicines, this medicine may cause side effects, although not everybody gets them.

The following side effects may occur:

Rare: can affect up to 1 in 1,000 people

· Anemia, non-hemolytic anemia

· Medullary aplasia, a disease due to a decrease in the production of blood cells, thrombocytopenia, leucopenia and neutropenia (decrease in the number of certain blood cells)

· Edema (abnormal accumulation of fluid in the body)

· Acute and chronic pancreatitis

· Hemorrhage (loss of blood), abdominal pain, diarrhea, nausea, vomiting, hepatic insufficiency, hepatic necrosis, jaundice

· Pruritus, skin rash, sweating, purpura (red or purple spots on the skin), angioedema (rapid swelling of different layers of the skin), urticaria (rash characterized by pale red blisters, accompanied by itching)

· Nephropathy and tubular disorders (kidney disease).

Paracetamol is widely used and reports of adverse effects are rare and in general are associated with an overdose.

Nephrotoxic effects (kidney toxicity) are infrequent and have not been reported at recommended doses except for prolonged administration.

Very rare cases of severe skin reactions have been reported.

Declaration of side effects

If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr

By reporting adverse reactions, you are helping to provide more information about the safety of the drug.

5. HOW TO STORE EFFERALGAN 1000 mg, granules in sachets?

Keep this medicine out of the reach and sight of children.

Do not use this medicine after the expiry date which is stated on the packet and after {EXP}. The expiry date refers to the last day of that month.

Store in the original package, away from light and moisture.

Do not throw any medication into the sewer or household waste. Ask your pharmacist to remove any medications you are no longer using. These measures will help to protect the environment

6. PACKAGE CONTENTS AND OTHER INFORMATION

What EFFERALGAN 1000 mg contains, granules in sachets

· The active substance is : paracetamol

Each sachet contains 1000 mg of paracetamol.

· The other components are: Sorbitol (E420), talc, basic methacrylate copolymer, light magnesium oxide, carmellose sodium, sucralose (E955), magnesium stearate, hypromellose, stearic acid, sodium lauryl sulfate, titanium dioxide 3-trimethyl-2- (propan-2-yl) butanamide, cappuccino flavor.

What is EFFERALGAN 1000 mg, granules in sachets and contents of the pack

Granules in sachets.

White or almost white pellets.

Box of 8, 10, 16, 20, 48 or 50 sachets.

Not all pack sizes may be marketed.

Marketing Authorization Holder

UPSA SAS

3, RUE JOSEPH MONIER

92500 RUEIL MALMAISON

Marketing Authorization Operator

UPSA SAS

3, RUE JOSEPH MONIER

92500 RUEIL MALMAISON

Maker

LOSAN PHARMA GMBH

OTTO-HAHN-STRASSE 13

79395 NEUENBURG

GERMANY

Names of the medicinal product in the Member States of the European Economic Area

This medicinal product is authorized in the Member States of the European Economic Area under the following names: In accordance with the regulations in force.

The last date on which this leaflet was revised is:

To be completed later by the holder

Other

SANITARY EDUCATION COUNCILS

WHAT TO DO IN CASE OF FEVER:

The normal temperature of the body varies from person to person and is between 36.5 ° C and 37.5 ° C. A rise in temperature above 38 ° C may be considered a fever.

If the disorders that the fever causes are too troublesome, you can take this drug that contains paracetamol in accordance with the indicated dosages.

To avoid any risk of dehydration, consider drinking frequently.

With this medication, the fever should drop rapidly. However :

if other unusual signs appear,

if the fever persists for more than 3 days or if it worsens,

if the headache becomes violent, or in case of vomiting,

CONSULT YOUR DOCTOR IMMEDIATELY.

WHAT TO DO IF PAIN:

The intensity of the perception of pain and the ability to resist it vary from person to person.

If there is no improvement after 5 days of treatment,

if the pain is violent, unexpected and occurs suddenly (including severe pain in the chest) and / or reverses regularly,

if accompanied by other signs such as general malaise, fever, unusual swelling of the painful area, decreased strength in a limb,

if it wakes you up at night,

CONSULT YOUR DOCTOR IMMEDIATELY.

VIDAL OF THE FAMILY

EFFERALGAN pellets

Analgesic and antipyretic

paracetamol

. Presentations . Composition . Indications . Contraindications . Warning . Drug Interactions . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

EFFERALGAN 250 mg: granules (white, vanilla-strawberry aroma); box of 10 sachets.
-

EFFERALGAN 500 mg: granules (white, vanilla-strawberry aroma); box of 16 sachets.
-

EFFERALGAN 1 g: granules (white, capuccino aroma); box of 8 sachets.
-

UPSA Laboratory

COMPOSITION (summary)
p sachet p sachet p sachet
Paracetamol 250 mg 500 mg 1 g
sorbitol 601 mg 801 mg 806 mg
Sucrose + +

INDICATIONS (summary)
This medication is an analgesic and an antipyretic that contains paracetamol.
It is used to lower fever and in the treatment of painful conditions.
CONTRAINDICATIONS (summary)
This medication should not be used in patients with severe liver disease.
WARNING (Contents)
Paracetamol is present alone or in combination with other substances in many medicines: make sure not to take several medicines containing paracetamol simultaneously, as a joint dose leads to a risk of overdosage, which can be toxic to the liver.
Precautions are necessary in case of chronic alcoholism, severe renal failure , G6PD deficiency or malnutrition.
DRUG INTERACTIONS (summary)
If treated with oral anticoagulant and paracetamol at maximum doses (4 g / day) for at least 4 days, increased monitoring of anticoagulant therapy may be required.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
The scientific studies currently available have not revealed any particular problem when using paracetamol in pregnant women.

Breastfeeding:
At the usual doses, the use of this medication is possible during breastfeeding.
DIRECTIONS FOR USE AND DOSAGE (summary)
This medication can be taken indifferently during or between meals, with an interval of 4 to 6 hours between 2 doses. In case of renal insufficiency , the interval between 2 takes must be at least 8 hours.
Pellets should be placed directly in the mouth, on the tongue, and should be swallowed without water.

Usual dosage:

  • Adult and child over 50 kg (about 12 years of age): 1 sachet to 1 g, 1 to 3 times a day. Do not exceed 3 g of paracetamol per day without medical advice.
    In severe pain in adults, the maximum dosage can be increased to 1 g of paracetamol, 4 times a day, only on medical prescription.
  • Child: 60 mg / kg / day, ie 15 mg / kg every 6 hours, or 10 mg / kg every 4 hours. It is necessary to choose a suitable presentation and follow the recommendations of your pharmacist or doctor. The following dosages are given for information only:
    • child from 14 to 21 kg (approximately 2 to 6 years): 1 sachet to 250 mg, 1 to 4 times a day;
    • child between 21 and 27 kg (approximately 6 to 8 years): 1 sachet to 250 mg, 1 to 6 times per day;
    • child of 27 to 41 kg (approximately 8 to 10 years): 1 sachet to 500 mg, 1 to 4 times per day;
    • child of 41 to 50 kg (approximately 10 to 12 years): 1 sachet to 500 mg, 1 to 6 times per day;
    • children over 50 kg (over 12 years): 2 sachets to 500 mg, 1 to 3 times a day.
    The maximum daily dose of paracetamol in children is 80 mg per kg in 4 doses, not to exceed 3 g per day.
TIPS (summary)
In the treatment of childhood fever, when paracetamol is used at 60 mg / kg / day, the addition of aspirin or its use alternately with paracetamol is unnecessary, as aspirin does not does not allow for an additional decrease in fever.
Abundant sweating usually accompanies the drop in temperature during the treatment of high fevers. This is normal.
This medicinal product may be freely available in certain pharmacies; nevertheless, do not hesitate to ask your pharmacist for advice.
POSSIBLE ADVERSE EFFECTS (summary)
Exceptionally: diarrhea, nausea, vomiting, jaundice, itching, rash, renal impairment, blood count disorder .


GLOSSARY (summary)


analgesic
Medication that works against pain. Analgesics act either directly on the centers of pain in the brain or by blocking the transmission of pain to the brain.
Synonym: analgesic.


anticoagulant
Medication that prevents blood from coagulating and therefore prevents clots from forming in the blood vessels.
Anticoagulants are used to treat or prevent phlebitis, pulmonary embolism, certain infarcts. They also prevent the formation of clots in the heart during rhythm disorders such as atrial fibrillation or in the case of an artificial heart valve.
There are two main types of anticoagulants:
  • oral anticoagulants, which block the action of vitamin K (antivitamin K, or AVK) and whose effectiveness is controlled by a blood test: INR (formerly TP);
  • injectable anticoagulants derived from heparin, the efficacy of which can be controlled by the blood assay of anti-Xa activity, Howell's Time (TH) or Cephalin Kaolin Time (TCK) depending on the products used. A regular dosage of blood platelets is necessary throughout the life of a heparin derivative.


antipyretic
Medication used to lower the body temperature during bouts of fever.


G6PD
glucose-6-phosphate dehydrogenase deficiency, an enzyme normally present in the red blood cell. His congenital absence (deficiency) is responsible for a disease called favism; it prohibits the use of certain drugs.


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


blood count
The count measures the number of red blood cells (red blood cells), white blood cells (leukocytes) and platelets in the blood. The blood formula specifies the percentage of different white blood cells: neutrophils, eosinophils, basophils, lymphocytes, monocytes.
Abbreviation: NFS.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


overdose
Excessive intake of a drug may result in an increase in the intensity of adverse effects or even in the development of specific adverse effects.
This overdose may result from accidental or voluntary poisoning for suicide, so consult your local Poison Control Center (listed in the appendix to the book). However, in most cases, overdose is the result of an error in the understanding of the prescription, or the search for an increase in efficacy by exceeding the recommended dosage. Finally, untimely self-medication may lead to excessive absorption of the same substance contained in different drugs. Some drugs are particularly prone to this risk because they are (wrongly) considered to be harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake helps to remove the disorders associated with an overdose.

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