- Medicine India
- Generic Medicines
- I
- Pharmacology For Ibuprofen + Paracetamol + Caffeine
Ibuprofen + Paracetamol + Caffeine Pharmacology
Ibuprofen + Paracetamol + Caffeine
About Ibuprofen + Paracetamol + CaffeineN/AMechanism of Action of Ibuprofen + Paracetamol + CaffeineN/APharmacokinets of Ibuprofen + Paracetamol + CaffeineN/AOnset of Action for Ibuprofen + Paracetamol + CaffeineN/ADuration of Action for Ibuprofen + Paracetamol + CaffeineN/AHalf Life of Ibuprofen + Paracetamol + CaffeineN/ASide Effects of Ibuprofen + Paracetamol + CaffeineN/AContra-indications of Ibuprofen + Paracetamol + CaffeineN/ASpecial Precautions while taking Ibuprofen + Paracetamol + CaffeineN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Ibuprofen + Paracetamol + CaffeineN/AInteractions for Ibuprofen + Paracetamol + CaffeineN/ATypical Dosage for Ibuprofen + Paracetamol + CaffeineN/ASchedule of Ibuprofen + Paracetamol + CaffeineN/AStorage Requirements for Ibuprofen + Paracetamol + CaffeineN/AEffects of Missed Dosage of Ibuprofen + Paracetamol + CaffeineN/AEffects of Overdose of Ibuprofen + Paracetamol + CaffeineN/AIbuprofen
About IbuprofenNSAID, a propionic acid derivative, Analgesic and anti-inflammatory.Mechanism of Action of IbuprofenIbuprofen has analgesic, anti-inflammatory and antipyretic action. It acts by inhibiting Prostaglandin (PGs) synthesis and their release at the site of injury. Prostaglandins cause tenderness and amplify the action of other algesics. Ibuprofen inhibits cyclo-oxygenase enzyme and antagonizes prostaglandin actions. It also inhibits platelet aggregation and prolongs bleeding time.Pharmacokinets of IbuprofenAbsorption: Ibuprofen is rapidly absorbed after oral administration. Distribution: It is distributed in the body in protein bound form. Metabolism: It is metabolised in the liver. Excretion: Ibuprofen and its metabolites are excreted mainly in the urine and some amount in bile.Onset of Action for Ibuprofen? hoursDuration of Action for Ibuprofen4-6 hours.Half Life of Ibuprofen2 hoursSide Effects of Ibuprofen1.Nausea
2.Vomiting
3.Diarrhoea
4.Gastrointestinal bleeding
5.Abdominal distress
6.Constipation
7.Peptic ulcer
8.Dyspepsia
9.Headache
10.Drowsiness
11.Blurring of vision
12.Tinnitus
13.Depression
14.Thrombocytopenia
15.Rash
16.Pruritis
Contra-indications of Ibuprofen1.Hypersensitivity to Ibuprofen and other NSAIDs
2.Peptic ulcer
Special Precautions while taking Ibuprofen1.Hepatic impairment
2.Renal impairment
3.Hypertension
4.Gastrointestinal diseases
5.Pre existing asthma
6.Bleeding disorders
7.Phenylketonuria
8.Oedema
9.Heart failure
10.Myocardial infarction
11.Stroke
Pregnancy Related InformationUse with caution
PREGNANCY in third trimester: contraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with caution
CHILDREN below 6 months: contraindicatedIndications for Ibuprofen1.Rheumatoid arthritis
2.Ankylosing spondylitis
3.Acute gout
4.Joint disorders e.g. inflammatory disease in joints, crystal deposition in the joints
5.Osteoarthritis
6.For the relief of fever, pain and inflammation in dental, minor surgery and orthopedic
7.Dysmenorrhoea
8.Juvenile arthritis
9.Migraine
10.Patent ductus arteriosus(IV)
Interactions for IbuprofenN/ATypical Dosage for IbuprofenAdult: 1.2 g / day in3 divided doses
Arthritis, gout and dental pain: 300 - 800 mg 3 times daily dose can be increased if needed.
Maximum dose: 3200 mg / day
Pain, Dysmenorrhoea: 1600 - 2400 mg / day in 4 - 6 divided doses
Fever: 600 mg / day in 3 divided doses.
Maximum dose: 1200 mg / day
For migraine: 400 -800 mg 3 times daily
Children: 15- 20 mg / kg body weight / day in 3 - 4 divided doses
Maximum dose: 40 mg / kg body weight / day
Schedule of IbuprofenHStorage Requirements for IbuprofenStore Ibuprofen at 15-30 degree C in a tightly closed light resistant container.Effects of Missed Dosage of IbuprofenTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of IbuprofenGive supportive measures and symptomatic treatment. Drug can be removed from the body by gastric lavage or by inducing emesis. Absorption of the drug can be reduced by administration of activated charcoal. Excretion of the drug can be enhanced by administration of alkaline diuretics.Paracetamol
About ParacetamolAcetanilide derivative, Non narcotic Analgesic,Antipyretic.Mechanism of Action of ParacetamolParacetamol has analgesic and antipyretic action.
It is more active on cyclo-oxygenase enzyme in brain. Peripherally it is a poor inhibitor of prostaglandin synthesis.
Analgesic action: Paracetamol raises the pain threshold and produces analgesic effect.
Antipyretic action: Paracetamol lowers fever by direct action on the thermoregulatory centre in the Hypothalamus and block the effects of endogenous pyrogen.
Pharmacokinets of ParacetamolAbsorption: Paracetamol is rapidly and completely absorbed after oral administration.
Distribution: It is distributed mostly in the body in unbound form.
Metabolism: It is extensively metabolised in the liver.
Excretion: Excreted in the urine.
Onset of Action for Paracetamol30 - 60 minutesDuration of Action for Paracetamol6 hoursHalf Life of Paracetamol1-4 hoursSide Effects of Paracetamol1. Nausea
2. Abdominal distress
3. Allergic reactions
4. Rash
Contra-indications of Paracetamol1. Hypersensitivity to ParacetamolSpecial Precautions while taking Paracetamol1. Hepatic impairment
2. Renal impairment
3. Hypertension
Pregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with caution
NEONATES : Contraindicated
Indications for Paracetamol1. To relieve pain and fever
2. Acute gout
3. Migraine
Interactions for ParacetamolCholestyramine: Reduces absorption of paracetamol.
Charcoal: Activated, administered immediately reduces absorption of paracetamol.
Domperidone and metochlopramide: Enhance absorption of paracetamol.
Alcohol: Chronic excessive ingestion of alcohol potentiates hepatotoxicity of paracetamol.
Zidovudine: Effects zidovudine may be decreased.Typical Dosage for ParacetamolAdult:
500 - 1000 mg in 3 times daily
Maximum dose: 4 g / day
For migraine: 500 mg to be taken at the first sign of migraine attack and repeated 4 - 6 hourly until suppress mild attacks.
Children:
60 mg / kg body weight /day in 4 divided doses.
Schedule of ParacetamolHStorage Requirements for ParacetamolStore at 15-30 degree C in a tightly closed container. Protect from heat and moisture. Keep out of the reach of children.Effects of Missed Dosage of ParacetamolTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of ParacetamolGive supportive measures and symptomatic treatment. Drug can be removed from the body by gastric lavage or by inducing emesis. Absorption of the drug can be reduced by administration of activated charcoal. N-acetylcysteine is the specific antidote for Paracetamol poisoning. Dose: 150 mg /kg body weight as IV infusion over 15 minutes followed by same dose over 20 hours.
Maintenance dose: 75 mg / kg orally every 4 - 6 hours for 2 - 3 days. Haemodialysis can be done in emergency conditions.
Caffeine
About CaffeineXanthine alkaloid, Central stimulant and metabolic stimulant.Mechanism of Action of CaffeineBecause caffeine is both water-soluble and lipid-soluble, it readily crosses the blood?brain barrier .Caffeine stimulates medullary, vagal, vasomotor, and respiratory centers, promoting bradycardia, vasoconstriction, and increased respiratory rate. Xanthines such as caffeine act as antagonists at adenosine-receptors within the plasma membrane of virtually every cell. As adenosine acts as an autocoid, inhibiting the release of neurotransmitters from presynaptic sites but augmenting the actions of norepinephrine or angiotensin, antagonism of adenosine receptors promotes neurotransmitter release. This explains the stimulatory effects of caffeine. Blockade of the adenosine A1 receptor in the heart leads to the accelerated, pronounced "pounding" of the heart upon caffeine intake.Pharmacokinets of Caffeine1.Absorption:Readily absorbed after oral or parenteral administration, C max is 5 to 25 mcg/mL; T max is 15 to 120 min.
2.Distribution:Widely distributed,Protein binding Low (25 to 36%).
3.Metabolism:Hepatic cytochrome P450 1A2
4.Elimination: Renal;In young infants, the elimination of caffeine is much slower than that in adults due to immature hepatic and/or renal function.
Onset of Action for CaffeineN/ADuration of Action for CaffeineN/AHalf Life of Caffeine3 to 7 hours in adults, 65 to 130 hours in neonatesSide Effects of Caffeine1.Insomnia
2.Nervousness or anxiety
3.Irritability
4.Nausea
5.Headache
Contra-indications of Caffeine1.Hyper sensitivity
2.Caffeine and sodium benzoate solution in pediatrics.
Special Precautions while taking Caffeine1.Heart disease
2.Kidney disease
3.Liver disease
4.Stomach problems (e.g., peptic ulcers, necrotizing enterocolitis)
5.Seizures.
Pregnancy Related InformationUse with cautionOld Age Related InformationMay be usedBreast Feeding Related InformationUse with cautionChildren Related InformationNot recommended uder 12years of ageIndications for Caffeine1.Orthostatic hypotension
2.Short term treatment of apnea of prematurity in infants
3.Fatigue and drowsiness
4.Analgesia
5.Respiratory depression.
Interactions for Caffeine1.Aspirin, clozapine, theophylline :Plasma levels of these agents may be elevated by caffeine, increasing their pharmacologic effects and adverse reactions.
2.Cimetidine, disulfiram, fluoroquinolones, mexiletine, oral contraceptives :May increase caffeine levels, enhancing the effects.
3.Lithium :Plasma levels may be reduced by caffeine, decreasing the pharmacologic effect.
4.Phenytoin, smoking :May decrease caffeine levels.
Typical Dosage for Caffeine1.Fatigue/Drowsiness :Oral:100 to 200 mg every 3 to 4 h as needed.
2.Apnea of Prematurity
Preterm infants Loading dose: (caffeine citrate) IV 20 mg/kg (1?mL/kg) over 30 min once.
Maintenance dose: (caffeine citrate) IV (over 10?min) or PO 5 mg/kg (0.25 mL/kg) every 24?h.
Schedule of CaffeineN/AStorage Requirements for CaffeineStore caffeine at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light.
Effects of Missed Dosage of CaffeineN/AEffects of Overdose of Caffeine1.Get immediate medical attention
2.Symptoms of overdose may include agitation; anxiety; confusion; frequent urination; irregular or fast heartbeat; muscle twitching; ringing in the ears; seizures; stomach pain; trouble sleeping.
Home Delivery for Ibuprofen + Paracetamol + Caffeine in Your City
Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including ibuprofen + paracetamol + caffeine.
However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for ibuprofen + paracetamol + caffeine and other medicines and health products. Home delivery services for ibuprofen + paracetamol + caffeine may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.
Please be aware that you should take ibuprofen + paracetamol + caffeine only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for ibuprofen + paracetamol + caffeine before they complete the sale. You can get this information while placing the order for ibuprofen + paracetamol + caffeine with the pharmacy.
Ibuprofen + Paracetamol + Caffeine is a generic medicine name and there are several brands available for it. Some of the brands for ibuprofen + paracetamol + caffeine might be better known than ibuprofen + paracetamol + caffeine itself. If the pharmacy that's willing to deliver medicines to your home doesn't have ibuprofen + paracetamol + caffeine in stock, you can ask for one of the branded alternatives for ibuprofen + paracetamol + caffeine.
