"Citramon": composition and other characteristics
"Citramon" is an anesthetic that prevents inflammatory processes and also has an antipyretic effect. The only form of release is tablets. They are packaged in cardboard packages, each containing 10 or 6 pieces.
The active ingredient is acetylsalicylic acid (240 mg per tablet). The following are used as auxiliary components:
- citric acid (20 mg);
- phenacetin (180 mg);
- caffeine (20 mg).
The composition and dosage of components may vary significantly, as determined by manufacturers. The features of the tablet may also differ. For example, “Citramon Ultra”, unlike the classic “Citramon”, is a drug with film-coated tablets. This makes oral administration easier.
The effect on the body is complex:
- Acetylsalicylic acid reduces temperature and resists inflammatory processes.
- Caffeine stimulates excitation processes in the central nervous system and activates the brain.
- In combination with acetylsalicylic acid and paracetamol, the drug has a pronounced analgesic effect.
The product is available freely and does not require a prescription. Stored at normal room temperature up to 25 degrees. The shelf life is 2 years from the date of production.
For reference
One of the common types of the drug is Citramon P. Along with the main components, it contains paracetamol, which enhances the analgesic and antipyretic effect.
Action and indications of the drug
Citramon is an anti-inflammatory, antipyretic, analgesic agent. Most often, the medication is taken for headaches, colds, and respiratory diseases. The drug contains components that determine its complex effect on a weakened body.
The most important thing that the medicine helps with is pain and the developing inflammatory process.
The list of pathologies subject to Citramon indicates many types of pain. The medication can eliminate mild or severe pain in joints, muscles, tendons, head or toothache. Citramon slightly dilates blood vessels. Designed for complex therapy. Prescribed for the following indications:
- weak, intense pain;
- migraine;
- pain due to arthritis and other rheumatic diseases;
- menalgia;
- pain in the lower back;
- sciatica;
- osteochondrosis;
- high temperature.
This is a cheap pain reliever and often an indispensable tool in every first aid kit. The cost varies from 10 to 60 rubles. Several dozen versions of the drug are sold in Russia. But when asked whether it is always necessary, the answer should be that the drug has a long list of contraindications, which we will discuss below.
Many people, when the first signs of a cold or ARVI appear, mistakenly choose antibiotics for treatment at home. But in some situations it is necessary to take antiviral drugs, among which Ingavirin is considered one of the most effective. Read more in the article: “Ingavirin: indications for use.”
What do Citramon tablets help with?
The main purpose of the drug is to relieve moderate and mild pain in the presence of concomitant diseases:
- ARVI;
- flu;
- general malaise;
- febrile syndrome;
- neuralgia;
- arthralgia;
- algodysmenorrhea;
- migraine;
- myalgia;
The drug is used to treat headaches, muscle pain, dental pain, and joint pain. "Citramon" is effective in relieving any pain that is associated with inflammatory processes. It contains several active components that mutually enhance each other's actions.
Contraindications for use
Restrictions associated with the use of the product contain a fairly large list of disorders and diseases:
- nasal polyposis;
- bronchial asthma;
- hypersensitivity to one or more components;
- bleeding of the gastrointestinal tract;
- diathesis of hemorrhagic type;
- erosion, ulcer of the gastrointestinal tract (in the acute stage);
- portal hypertension"
- severe course of coronary heart disease;
- hemophilia;
- renal failure;
- increased nervous excitability;
- kidney failure;
- sleep problems;
- bleeding during operations;
- severe hypertension;
- glaucoma;
- simultaneous use of anticoagulant drugs;
- aortic aneurysm;
- pregnancy period (especially during the 1st and 3rd trimesters);
- feeding period (any stage);
- children up to 15 years old inclusive.
There are also relative contraindications in which Citramon should be taken with caution. These are liver dysfunctions, as well as gout.
Side effects
In case of overdose, long-term use, chronic diseases, as well as individual intolerance to the components, side effects are possible:
- anorexia;
- nausea;
- bleeding of the gastrointestinal tract;
- the appearance of ulcers on the mucous membranes of the gastrointestinal tract;
- liver failure;
- hypersensitivity;
- nephrotic syndrome;
- kidney failure;
- anemia;
- fatty hepatosis in acute form;
- complications associated with heart failure;
- sleep disorders, insomnia;
- headaches;
- tinnitus;
- dizziness;
- increased anxiety;
- heart rhythm disturbances;
- high blood pressure;
- psychological dependence (only in case of long-term use of high doses).
Why is Citramon banned all over the world?
Citramon's substances mutually reinforce each other, their properties become more intense, in contrast to taking each of the components separately. For this reason, the medicine is really capable of relieving severe pain, and with high blood pressure it has an adverse effect on the person’s condition.
Americans and Europeans do not allow Citramon into their markets, since the combination of several painkillers at once is quite toxic and dangerous.
If you take the medication once, the development of side effects is unlikely. But there is a group of people who refuse to go to the doctor to find out their daily alarming symptoms and try to be treated with Citramon, taking it every day.
If the cause of the pain is an ischemic stroke, this remedy will worsen the condition. In hemorrhagic stroke, ASA increases intracranial hemorrhage and makes the prognosis for the patient even more dangerous. Not recommended in early and late pregnancy.
Side effects
Citramon has an effect on many tissues and organs at once, so there are many side effects. It should not be used in children; it affects the liver and central nervous system. Chronic use will also worsen liver and kidney function. But all these complications occur at high doses.
The functioning of the body will deteriorate and due to the use of the product with alcohol, a rash, other allergic reactions, and internal bleeding may occur. Mixing the drug with alcoholic beverages will cause hearing loss (noise, ringing in the ears), and increased restlessness and anxiety. With severe intoxication, hallucinations will appear, and the patient may lose consciousness. Also, this combination is especially dangerous at high blood pressure.
During pregnancy
Whether pregnant women can take Citramon largely depends on the duration of pregnancy. It turns out that the drug is dangerous for both mother and child. Can cause weak labor and associated complications.
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The drug should not be taken in the early stages and in the third trimester. In the second, there is also a risk to the fetus, but less.
The teratogenic property of aspirin can open bleeding in a woman and close the baby’s aortic duct early.
If you take Citramon frequently, the child may suffer from stomach ulcers, and the functioning of his central nervous system is disrupted.
Aspirin travels through the bloodstream through the placenta to the fetus. Such an impact can even lead to deafness. Also, do not forget that the medicine raises blood pressure. This can be dangerous for the expectant mother.
During lactation, you should also not resume taking the drug. But if the body is accustomed to this particular drug and it seems that nothing else is helping, some doctors allow you to take half a tablet. But it is better to find an analogue that is less harmful and suitable for a pregnant woman.
Other contraindications
It is possible that the body may experience a negative reaction after taking Citramon. It's safe in many ways, but it's medicine. The product has contraindications, and some have already been mentioned in the article. Contraindications:
- ASA acid is incompatible if the patient has problems with the cardiovascular system or poor blood clotting. If the patient is preparing for surgery, Citramon is also contraindicated.
- Pregnancy. Taking it in the first and last trimesters sometimes leads to pathologies in fetal development.
- The functioning of platelets may be disrupted if the active ingredients of the drug enter the child’s body along with mother’s milk.
- Aggravated erosive and ulcerative lesions of the gastrointestinal tract.
- It has a negative effect on blood pressure, increasing it due to the caffeine content. Patients often worsen their condition by taking this drug for headaches caused by hypertension.
- With disturbed sleep.
- Gout, liver diseases.
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Also, the body sometimes reacts to taking medication with intestinal disorders, allergic manifestations, rash, no matter how many pills the patient takes. ASA blocks the process of excretion of uric acid. Because of this, the medicine often provokes a gout attack.
Cases of overdose
In small quantities, an overdose leads to ringing in the ears, nausea, vomiting, dizziness, and pale skin. In case of severe overdose, more serious disorders are observed:
- breathing problems;
- circulatory disorders;
- increased anxiety;
- feeling dazed;
- headache;
- nausea;
- bleeding;
- sweating;
- fatigue, increased drowsiness;
- convulsions;
- extremely rarely - coma.
In these cases, you must immediately stop taking the drug and its analogues with the same active ingredients. If the symptoms are severe, you will need to seek emergency medical help.
Effect on pressure
To understand whether Citramon increases or decreases blood pressure, you should pay attention to the composition of the medicine. Aspirin and paracetamol have no effect on it. But caffeine stimulates the nervous system, can normalize blood flow, and eliminate lethargy.
If the blood pressure is high, the patient may feel unwell. It all depends on the patient’s individual tolerance to the drug. Headaches with high blood pressure should be treated with antihypertensive medications. While taking them, the dosage of caffeine is too small to worsen the general condition of the patient.
Doctors emphasize that Citramon does not treat hypertension. And the risk of increasing blood pressure remains if you take several tablets at once or take them uncontrollably. Hypertensive patients are better off turning to other decaffeinated medications that have stronger analgesic properties.
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For hypotensive patients, the medicine increases blood pressure. But you need to take into account the individual characteristics of the body. The frequency of drinking caffeinated drinks is also important.