Napa EXTRA (Tablet)
Manufactured by: Beximco Pharmaceuticals Ltd.
Paracetamol + Caffeine Similar medicine
Napa EXTRA is indicated for
- Dor
- febre
- dor de cabeça
- gripe
- enxaqueca
- dor de garganta
- dor nas costas
- dor de dente
- dor reumática
- dismenorreia
- resfriados
Precautions and warnings
Este medicamento apresenta distúrbio hepático ou renal grave. Tais como:
Transtornos de ansiedade:
A cafeína pode agravar estes sintomas. Use-o com cautela.
Transtorno bipolar:
Muita cafeína pode agravar a doença.
Cafeína e distúrbios hemorrágicos:
A cafeína tem sido associada a um aumento de problemas hemorrágicos. Se você tiver problemas de sangramento, use café com cautela.
batimento cardíaco irregular:
A cafeína pode causar batimentos cardíacos irregulares em pessoas hipersensíveis a ela. A cafeína deve ser usada com cautela.
Absorção de açúcar: A cafeína pode afetar a forma como o corpo absorve o açúcar, potencialmente piorando o diabetes, de acordo com algumas pesquisas. As bebidas e suplementos com cafeína, por outro lado, não foram investigados. A cafeína deve ser usada com cautela se você tiver diabetes.
Paciente com diarreia:
A cafeína pode agravar a diarreia, especialmente quando usada em quantidades excessivas.
Epilepsia: A cafeína deve ser evitada em doses excessivas por pessoas que têm epilepsia. A cafeína em pequenas quantidades deve ser usada com cautela.
Paciente com glaucoma:
A cafeína causa glaucoma ao aumentar a pressão dentro do olho. Após a ingestão de bebidas com cafeína, o aumento ocorre em 40 minutos e dura pelo menos 90 minutos.
Pressão arterial:
O uso de cafeína pode aumentar a pressão arterial em pessoas que já apresentam pressão alta. Este efeito, no entanto, pode ser diminuído em pessoas que consomem cafeína diariamente.
Problemas de controle da bexiga:
A cafeína pode agravar os problemas de controle da bexiga, aumentando a frequência da micção e a vontade de urinar.
Síndrome do intestino irritável:
A cafeína, especialmente em doses excessivas, pode agravar a diarreia.
A cafeína pode aumentar a quantidade de cálcio eliminado na urina, o que pode causar ossos fracos (osteoporose). A cafeína deve ser limitada a menos de 300 mg por dia se você tiver osteoporose ou baixa densidade óssea (aproximadamente 2-3 xícaras de café). Também é uma boa ideia obter cálcio extra para compensar qualquer cálcio perdido pela urina. Tomar até 400 mg de cafeína por dia (3-5 xícaras de café) não parece aumentar o risco de desenvolver osteoporose se você for saudável e obtiver cálcio suficiente de alimentos ou suplementos. A cafeína deve ser usada com cautela por mulheres idosas que tenham uma condição hereditária que afete a forma como a vitamina D é usada. A vitamina D ajuda a desenvolver ossos fortes, combinando-se com o cálcio.
A cafeína é possivelmente segura quando administrada a bebês prematuros por via oral ou intravenosa, sob a supervisão e cuidados de um especialista em saúde. A cafeína também é possivelmente segura quando consumida em quantidades encontradas nos alimentos por crianças e adolescentes.
A cafeína é possivelmente segura em mulheres grávidas ou amamentando quando usada em doses diárias inferiores a 300 mg. Isso equivale aproximadamente a 3 xícaras de café. Possivelmente é seguro consumir quantidades maiores durante a gravidez ou amamentação. A cafeína, quando ingerida em quantidades significativas durante a gravidez, pode aumentar o risco de aborto espontâneo e outras complicações. A cafeína também pode ser transferida para o leite materno, portanto, as mulheres que amamentam devem ficar atentas à ingestão de cafeína para garantir que ela seja reduzida ao mínimo. Em bebês amamentados, uma alta ingestão de cafeína pelas mães que amamentam pode causar problemas de sono, irritabilidade e aumento da atividade intestinal.
A cafeína pode exacerbar os sintomas da esquizofrenia.
Side-effects
- Erupção cutânea
- diarreia
- anorexia
- distúrbios gastrointestinais
- epistaxe (raro).
Contraindications
História de hipersensibilidade a qualquer um dos componentes.
Mode of actions
O paracetamol atua como analgésico ao inibir a produção de impulsos dolorosos no sistema nervoso periférico. A antipirese é causada pela inibição da região reguladora do calor do hipotálamo. Suas propriedades antiinflamatórias ineficazes se devem à supressão da produção de prostaglandinas no sistema nervoso central.
A cafeína é uma metilxantina que inibe a fosfodiesterase. Liga-se aos receptores centrais de adenosina e os bloqueia. É um estimulante do sistema nervoso central e do sistema respiratório. Possui qualidades broncodilatadoras e diuréticas e facilita o trabalho muscular.
Dosage & Administration
Adultos:
1-2 comprimidos a cada 4-6 horas. Dose máxima: 8 comprimidos por dia. Não recomendado para crianças menores de 12 anos.
Pregnancy & Lactation
Embora estudos de reprodução animal tenham demonstrado um efeito adverso no feto e não existam estudos adequados e bem controlados em mulheres grávidas, mas durante a gravidez, este medicamento pode ser utilizado apenas quando definitivamente necessário, apesar dos riscos potenciais.
As mães com um bebê recém-nascido que usaram este medicamento durante os últimos 3 meses de gravidez raramente podem apresentar sintomas incluindo sonolência, rigidez ou tremores musculares, problemas de alimentação ou respiração, choro constante. Se você notar algum destes sintomas em seu bebê, especialmente durante o primeiro mês, informe o médico imediatamente.
Este medicamento passa para o leite materno. Converse com seu médico antes de amamentar.
Pack Size & Price
200's pack Price : ৳500
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