Citramon and Citramon P, Ultra, Lect - how they differ

Headaches and toothaches are the most common ailments.

Such pain is very difficult to endure, so many decide to fight it with the help of various medications.

The range of medications for headaches is very wide, but few people know that pain can be caused by different reasons and they need to be treated differently.

The most common option that people use to get rid of headaches is Citramon. But today there are several versions of this drug in pharmacies, and in this article we will analyze their main differences.

Citramon

For headaches, people most often resort to this medicine. Its effectiveness has been confirmed by many years of experience in use, and the effect of the drug extends not only to headaches. It can be used for migraines, dental pain, various neuralgic, muscle and joint pains.

Citramon has this effect due to its composition:

• The main active ingredient is acetylsalicylic acid, which is often called aspirin. This substance primarily helps reduce fever and reduce inflammation, easing pain, especially if it occurs due to inflammatory processes.
• It also contains paracetamol, which also helps reduce fever and is also an analgesic. The anti-inflammatory effect of this substance is weak.
• Caffeine is included in Citramon in small quantities. It is not enough to stimulate the central nervous system, but it is quite enough to bring vascular tone to normal and speed up blood flow.

The composition also includes excipients that affect the structure of the drug and its taste.

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"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:

1. Acetylsalicylic acid reduces temperature and resists inflammatory processes.
2. Caffeine stimulates excitation processes in the central nervous system and activates the brain.
3. 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.

Citramon P

If you look for analogues of Citramon in pharmacies, then the first thing they offer is this medicine. In fact, now this drug is identical in composition to regular Citramon. The letter P in the name appeared when pharmacists replaced phenacetin with paracetamol. Previously, phenacetin was one of the main active ingredients. They replaced it because it had many side effects.

In its action it is similar to Citramon, lowering the temperature and relieving pain, it also has an anti-inflammatory effect and acts as a psychostimulant. And the spectrum of action of Citramon P is similar to regular Citramon.

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.

Similarities of drugs

The unconditional similarity of all drugs is their composition. In all of them, the content of active ingredients is present in the following concentration:

• contains the most aspirin – 0.24 g;
• also quite a lot of paracetamol - 0.18 g;
• and very little caffeine – 0.03 g.

It is this combination of these ingredients that allows you to relieve pain, relieve inflammation, and also have a slight psychostimulating effect.

All medications are available in the form of light brown tablets. They have a characteristic smell of cocoa and are heterogeneous in color (there are inclusions of a darker color).

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).

Doctors' opinion

The main task of all 4 types of paracetamol is to relieve pain, reduce fever and relieve inflammation.

From individual recommendations, it can be noted that if a patient has increased stomach acidity, then it is better for him to take Citramon Ultra in order to protect the stomach from the negative effects of aspirin.

There are also a number of general contraindications that are best taken into account when choosing a medicine:

• hypersensitivity to individual components;
• ulcers and gastritis in the acute phase;
• bleeding in the gastrointestinal tract;
• severe coronary heart disease;
• arterial hypertension of a pronounced nature;
• other contraindications that the doctor may warn you about.

Ignoring these recommendations can cause serious harm to the patient's health.

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.

Citramon-LekT, 20 pcs., tablets

Acetylsalicylic acid.

Increases the toxicity of methotrexate, reducing its renal clearance, enhances the effects of narcotic analgesics (oxycodone, propoxyphene, codeine), oral antidiabetic drugs, heparin, indirect anticoagulants, thrombolytics and platelet aggregation inhibitors, reduces the effect of uricosuric drugs (benzbromarone, sulfinpyrazone), antihypertensive drugs, diuretics (spironolactone, furosemide).

Glucocorticoids, ethanol and ethanol-containing drugs enhance the negative effect on the mucous membrane of the gastrointestinal tract and increase clearance. Increases the concentration of digoxin, barbiturates, lithium salts in plasma. Antacids containing magnesium and/or aluminum slow down and impair the absorption of acetylsalicylic acid. Myelotoxic drugs increase the manifestations of hematotoxicity of acetylsalicylic acid.

Paracetamol.

Barbiturates, rifampicin, salicylamide, antiepileptic drugs and other inducers of microsomal liver enzymes contribute to the formation of toxic paracetamol metabolites that affect liver function.

Metoclopramide accelerates the absorption of paracetamol.

Under the influence of paracetamol, the half-life of chloramphenicol increases 5 times. When taken repeatedly, paracetamol may enhance the effect of anticoagulants (coumarin derivatives).

Caffeine.

Caffeine is an adenosine antagonist (larger doses of adenosine may be required). With the combined use of caffeine and barbiturates, primidone, anticonvulsants, disulfiram, ciprofloxacin, norfloxacin - a decrease in the metabolism of caffeine in the liver (slowing its elimination and increasing its concentration in the blood).

Caffeine-containing drinks and other drugs that stimulate the central nervous system - may cause overstimulation of the central nervous system.

Mexiletine – reduces caffeine excretion by up to 50%; nicotine – increases the rate of caffeine elimination.

Monoamine oxidase inhibitors, furazolidone, procarbazine and selegiline - large doses of caffeine can cause the development of dangerous cardiac arrhythmias or a marked increase in blood pressure.

Caffeine accelerates the absorption of ergotamine. Caffeine reduces the absorption of calcium preparations into the gastrointestinal tract.

Reduces the effect of narcotic and sleeping pills.

Increases the excretion of lithium drugs in urine.

Accelerates absorption and enhances the effect of cardiac glycosides, increasing their toxicity.

Concomitant use of caffeine with beta-blockers may lead to mutual suppression of therapeutic effects; with adrenergic bronchodilators - to additional stimulation of the central nervous system and other additive toxic effects. Caffeine may decrease the clearance of theophylline and possibly other xanthines, increasing the potential for additive pharmacodynamic and toxic effects.

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.