How many are in 500

Paracetamol ratiopharm® 500 mg tablets

Paracetamol ratiopharm®must not be taken

  • if you are allergic to paracetamol or any of the other ingredients of this medicine (listed in section 6).

Warnings and Precautions

Please talk to your doctor or pharmacist before using Paracetamol ratiopharm®take in,

  • if you are chronically alcoholic.
  • if you suffer from impaired liver function (inflammation of the liver, Gilbert syndrome).
  • with previously damaged kidneys.
  • if you are taking drugs that affect liver function at the same time.
  • if there is a hereditary deficiency of the enzyme glucose-6-phosphate dehydrogenase, which can lead to severe anemia, also called favism.
  • if you have hemolytic anemia (anemia due to the breakdown of red blood cells).
  • if there is a deficiency in the protein glutathione, which is involved in liver metabolism (e.g. in the event of malnutrition, alcohol abuse).
  • if there is a lack of fluid in the body (dehydration), e.g. B. by drinking too little, diarrhea or vomiting.
  • with chronic malnutrition.
  • if you weigh less than 50 kg.
  • with older age.

In patients with reduced glutathione reserves (caused by malnutrition, pregnancy, liver disease, blood poisoning / infection, kidney disease, alcohol abuse), the use of paracetamol can increase the risk of liver damage, which can also lead to overacidification of the blood.

To avoid the risk of overdose, it should be ensured that other medicinal products used at the same time do not contain paracetamol.

Long-term, high-dose, improper use of painkillers can lead to headaches that should not be treated with increased doses of the drug.

In general, the habitual use of painkillers, especially when combining several pain relievers, can lead to permanent kidney damage with the risk of kidney failure (analgesic nephropathy).

If you stop abruptly after prolonged, high-dose, improper use of painkillers, headaches as well as fatigue, muscle pain, nervousness and vegetative symptoms can occur. The withdrawal symptoms subside within a few days. Until then, you should not take painkillers again and should not take them again without medical advice.

Take Paracetamol ratiopharm®do not use it for long periods or in higher doses without medical or dental advice.

A single intake of the total daily dose can lead to severe liver damage; in such a case, medical help should be sought immediately.

Taking of Paracetamol ratiopharm®together with other medicines

Tell your doctor or pharmacist if you are taking / using, have recently taken / used or may take / use any other medicines.

Interactions are possible with:

  • Probenecid (medicine for gout)
  • possible liver-damaging substances and enzyme-inducing substances, e.g. B. Phenobarbital (sleeping pills), phenytoin, carbamazepine (drugs against epilepsy) and rifampicin (drugs against tuberculosis). Under certain circumstances, if taken at the same time, it can also be caused by otherwise harmless doses of Paracetamol ratiopharm®cause liver damage. The same applies to alcohol abuse.
  • Anti-nausea medicines (metoclopramide and domperidone): These can accelerate the absorption and onset of action of Paracetamol ratiopharm®cause.
  • Medicines that slow gastric emptying: These can delay the absorption and onset of action of paracetamol.
  • Medicines to lower high blood lipid levels (cholestyramine): These can reduce the absorption and thus the effectiveness of Paracetamol ratiopharm®reduce.
  • Medicines for HIV infection (zidovudine): the tendency to reduce white blood cells (neutropenia) is increased. Paracetamol ratiopharm®should therefore only be used concurrently with zidovudine on medical advice.
  • anticoagulants (oral anticoagulants, especially warfarin). Repeated use of paracetamol for more than a week increases the bleeding tendency. In this case, long-term use of paracetamol should only be carried out under medical supervision. Occasional use of paracetamol has no effect on the bleeding tendency.

Effects of taking Paracetamol ratiopharm® on laboratory tests

The determination of uric acid and blood sugar can be influenced.

Taking of Paracetamol ratiopharm®along with alcohol

Paracetamol ratiopharm®must not be taken or administered together with alcohol.

pregnancy and breast feeding period

If necessary, can Paracetamol ratiopharm®be taken during pregnancy. You should take the lowest dose that will relieve your pain and / or fever, and take the medicine for the shortest possible time. If the pain and / or fever does not go down, or if you need to take the medicine more often, contact your doctor.

Paracetamol passes into breast milk. Since no adverse consequences for the infant have become known so far, an interruption of breastfeeding will usually not be necessary.

Driving and using machines

Paracetamol ratiopharm®has no or negligible influence on the ability to drive and use machines. Nevertheless, caution is always advised after taking a pain reliever.

Paracetamol ratiopharm®contains sodium

This medicinal product contains less than 1 mmol (23 mg) sodium per tablet, i.e. less than 1 mmol (23 mg) sodium per tablet. H. it is almost "sodium free".