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【药物名】对乙酰氨基酚【其他名称】乙酰氨基酚;扑热息痛;退热净;醋氨酚;Acetaminophen;N-acetyl-P-aminophenol【英文名称】Paracetamol【适应症】用于感冒及流感,发热,减轻中度疼痛如关节痛、神经痛、肌肉痛、头痛、偏头痛、痛经、牙痛等症状。对阿司匹林过敏或不适应的患者应用本品尤为适宜。【用法与用量】口服:成人每次300-500毫克,日2-3次。儿童每日2-3次,每次2-3岁50-100岁100-150岁150-200岁200-250毫克;12岁以上250-500毫克;1岁以下儿童避免使用。【注意事项】(1)对阿司匹林过敏者一般对本品不发生过敏,但也有因对阿司匹林过敏而发阿司匹林过敏者慎用。(2)孕妇和哺乳期妇女慎用。(3)服用本品后如出现红斑或水肿症状,应立即停药。【不良反应】一般剂量较少引起不良反应,对胃肠道刺激小,不会引起胃肠道出血。但也偶可引起恶心、呕吐、出汗、腹泻及面色苍白等不良反应。长期大量用药,对肝、肾均有损害,尤其是肾功能低下者,可能出现肾绞痛或急性肾功能衰竭。另外还可发生高铁血红蛋白血症。【禁忌症】(1)对本品过敏者禁用。(2)1岁以下儿童及新生儿因肝、肾功能发育不全,应避免使用。(3)酒精中毒、患肝病或病毒性肝炎时,本品有增加肝脏毒性作用的危险,应禁用。(4)肾功能不全者禁用。【限定剂型】片剂,咀嚼片,缓释片,泡腾片,分散片,胶囊剂,口服溶液剂,滴剂,糖浆剂,颗粒剂,泡腾颗粒剂,栓剂。【药物贮藏】应在阴凉干燥处密闭保存。【药物配伍】他抗痉挛药的患者,连续使用本品,有发生肝脏毒性反应的危险。2、长期大量与阿司匹林、其他水杨酸盐制剂或其他非甾体抗炎药合用时(如每年累积用量达1000克,应用3年以上),可明显增加肾毒性的危险。3、与抗病毒药剂多夫定合用时,会增加毒性,应避免同时应用。4、与抗凝血药合用时可增加抗凝血作用,故要调整抗凝血药的用量。ParacetamolMainUse:Pain,feverActiveIngredient:ParacetamolManufacturer:Non-proprietaryHowdoesitwork?Thismedicinecontainstheactiveingredientparacetamol,whichisamedicineusedtorelievemildtomoderatepain.Itisalsousefulforreducingfever.Itisnotfullyunderstoodhowparacetamolproducestheseeffects.Paracetamolcanbeusedtorelievemildtomoderateachesandpainsassociatedwithconditionssuchasheadaches,migraine,toothache,teething,coldsandflu.Itisalsousefulforreducingfeveranddiscomfortassociatedwithcoldsandfluandfollowingvaccinations.Thelegalcategoryofparacetamolrangesfromprescriptiononly,topharmacyonly,togeneralsaleslist(availablefromoutletssuchassupermarketsandgarages)dependingonthequantityandstrengthofparacetamolsuppliedinacontainerorpacket.Whatisitusedfor?Fever(pyrexia)MildtomoderatepainWarning!Alcoholincreasestheriskofliverdamagethatcanoccurifanoverdoseofparacetamolistaken.Thehazardsofparacetamoloverdosearegreaterinpersistantheavydrinkersandinpeoplewithalcoholicliverdisease.Ifsymptomspersistformorethanthreedaysconsultyourdoctor.Donottakethismedicinewithanyotherparacetamolcontainingproducts.Anoverdoseofparacetamolisdangerousandcapableofcausingseriousdamagetotheliverandkidneys.Youshouldneverexceedthedosestatedintheinformationleafletsuppliedwiththemedicine.Immediatemedicaladviceshouldbesoughtintheeventofanoverdosewiththismedicine,evenifyoufeelwell,becauseoftheriskofdelayed,seriousliverdamage.Someproductscontainingparacetamolarenotrecommendedforuseinchildrenundercertainages.Consultthepackageliteratureorinformationleafletsuppliedwiththeproductforfurtherinformation.UsewithcautioninDecreasedkidneyfunctionDecreasedliverfunctionNottobeusedinAninheriteddisorderofproteinmetabolismcalledphenylketonuria(CalpolFastMeltsonly)KnownsensitivityorallergytoanyingredientThismedicineshouldnotbeusedifyouareallergictooneoranyofitsingredients.Pleaseinformyourdoctororpharmacistifyouhavepreviouslyexperiencedsuchanallergy.Ifyoufeelyouhaveexperiencedanallergicreaction,stopusingthismedicineandinformyourdoctororpharmacistimmediately.PregnancyandBreastfeedingCertainmedicinesshouldnotbeusedduringpregnancyorbreastfeeding.However,othermedicinesmaybesafelyusedinpregnancyorbreastfeedingprovidingthebenefitstothemotheroutweightheriskstotheunbornbaby.Alwaysinformyourdoctorifyouarepregnantorplanningapregnancy,beforeusinganymedicine.Therearenoknownharmfuleffectswhenthismedicineisusedduringpregnancy.Smallamountsofthismedicinemaypassintobreastmilk,howevertherearenoknownharmfuleffectswhenitisusedbybreastfeedingmothers.LabelwarningsDonottakethismedicationwithanyotherproductscontainingparacetamol.Refertotheprintedinstructionsformaximumdailyintake.SideeffectsMedicinesandtheirpossiblesideeffectscanaffectindividualpeopleindifferentways.Thefollowingaresomeofthesideeffectsthatareknowntobeassociatedwiththismedicine.Becauseasideeffectisstatedhere,itdoesnotmeanthatallpeopleusingthismedicinewillexperiencethatoranysideeffect.BlooddisordersSkinrashesThesideeffectslistedabovemaynotincludeallofthesideeffectsreportedbythedrug'smanufacturer.Formoreinformationaboutanyotherpossiblerisksassociatedwiththismedicine,pleasereadtheinformationprovidedwiththemedicineorconsultyourdoctororpharmacist.Howcanthismedicineaffectothermedicines?Youshouldavoidtakingothermedicinesthatcontainparacetamolwhiletakingthismedicine,asthiscaneasilyresultinexceedingthemaximumrecommendeddailydoseofparacetamol.Manycoldandfluremediesandover-the-counterpainkillerscontainparacetamolsobesuretochecktheingredientsofanyothermedicinesbeforetakingthemwiththisone.Cholestyraminemayreducetheabsorptionofparacetamolfromthegut.Metoclopramideanddomperidonemayincreasetheabsorptionofparacetamolfromthegut.Long-termorregularuseofparacetamolmayincreasetheanti-blood-clottingeffectofwarfarinandotheranticoagulantmedicines,leadingtoanincreasedriskofbleeding.Regularmonitoringofbloodclottingtimesshouldbeperformedifparacetamolisusedregularlywiththesemedicines.Thiseffectdoesnotoccurwithoccasionalpain-killingdoses.OthermedicinescontainingthesameactiveingredientsAlvedonsuppositoriesAnadinparacetamoltabletsCalpolFastMeltsCalpolinfantsuspensionCalpolinfantsuspensionsachetsCalpolsixplussuspensionDisprolparacetamolsuspensionDisprolsolubleparacetamoltabletsFenningschildren'scoolingpowdersHedextabletsInfadropsMedinolover6suspensionMedinolunder6suspe

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