Aspirin C 400mg + 240mg Acetylsalicylic Acid 40 Effervescent Tablets

Effervescent tablets with analgesic, antipyretic and anti-inflammatory action with vitamin C and acetylsalicylic acid .

Therapeutic indications

Aspirin C 400 mg Effervescent Tablets are used for:

• Symptomatic therapy of feverish states and flu and cold syndromes.
• Symptomatic treatment of head and tooth pain, neuralgia, menstrual pain, rheumatic and muscular pain.

Dosage and posology

Aspirin C 400 mg Effervescent tablets before use must be dissolved (one tablet in half a glass of water) and taken in a dose of 1-2 tablets as a single dose, repeating, if necessary, the dose at intervals of 4-8 hours until to 3-4 times a day.

The use of the product is reserved for adult patients only. Always use the lowest effective dosage and only increase it if it is not sufficient to relieve symptoms (pain and fever). Do not exceed the recommended doses: in particular elderly patients should follow the minimum dosages indicated above. Those most exposed to the risk of serious side effects, who can use the drug only if prescribed by a doctor, must strictly follow its instructions.
Use the medicine for the shortest period possible. Do not take the product for more than 3 - 5 days without medical advice. See your doctor if symptoms persist.

Take the medicine preferably after main meals or, in any case, on a full stomach.

Overdose

In case of accidental ingestion of an excessive dose of Aspirin 400 mg effervescent tablets with vitamin C, notify your doctor immediately or go to the nearest hospital. Salicylate toxicity (a dose greater than 100 mg / kg / day for 2 consecutive days can induce toxicity) may be the consequence of chronic overdose or acute overdose, which is potentially life-threatening and also includes accidental ingestion in children.

Contraindications

Aspirin C 400 mg Effervescent Tablets is contraindicated in case of:

• Hypersensitivity to the active substance (acetylsalicylic acid), to other analgesics (pain relievers) / antipyretics (antipyretics) / non-steroidal anti-inflammatory drugs (NSAIDs) or to any of the excipients
• Gastroduodenal ulcer;
• Hemorrhagic diathesis;
• Severe kidney, heart or liver failure;
• Deficit of glucose -6-phosphate dehydrogenase (G6PD / favism);
• Concomitant treatment with methotrexate (at doses of 15 mg / week or more) or with warfarin;
• History of asthma induced by the administration of salicylates or substances with similar activity, in particular non-steroidal anti-inflammatory drugs;
• Third trimester of pregnancy and lactation;
• Children and teenagers under the age of 16.

Side effects

Like all medicines, this can cause side effects, although not everybody gets them. The most frequently observed side effects are related to the gastrointestinal system. These disorders can be partially alleviated by taking the medicine on a full stomach. Most of the undesirable effects are dependent on both the dose and the duration of treatment. Side effects seen with acetylsalicylic acid are generally common to other NSAIDs.

Pregnancy and breastfeeding

• Pregnancy

Inhibition of prostaglandin synthesis can adversely affect pregnancy and / or embryo / fetal development. Results of epidemiological studies suggest an increased risk of miscarriage and cardiac malformation and gastroschisis after use of a prostaglandin synthesis inhibitor in early pregnancy. The absolute risk of cardiac malformations was increased from less than 1% to approximately 1.5%. It has been estimated that the risk increases with dose and duration of therapy.
In animals, administration of prostaglandin synthesis inhibitors has been shown to cause an increase in pre- and post-implantation loss and embryo-fetal mortality. In addition, an increased incidence of various malformations, including cardiovascular, has been reported in animals given prostaglandin synthesis inhibitors during the organogenetic period.

During the first and second trimester of pregnancy, acetylsalicylic acid should not be administered unless clearly needed. If drugs containing acetylsalicylic acid are used by a woman trying to become pregnant, or during the first and second trimester of pregnancy, treatment should be as short as possible and the dose as low as possible. During the third trimester of pregnancy, all prostaglandin synthesis inhibitors can expose the fetus to: cardiopulmonary toxicity (with premature closure of the arterial duct and pulmonary hypertension); renal dysfunction, which can progress to renal failure with oligohydroamnios; The use of Aspirin C Effervescent Tablets can expose the mother and the unborn child, at the end of pregnancy, to: possible prolongation of the bleeding time, an antiplatelet effect that can occur even at very low doses; inhibition of uterine contractions resulting in delayed or prolonged labor.

Consequently, acetylsalicylic acid is contraindicated during the third trimester of pregnancy

• Feeding time

Aspirin C 400 mg Effervescent Tablets is contraindicated during breastfeeding.

Special warnings

• Hypersensitivity reactions

Acetylsalicylic acid and other NSAIDs can cause hypersensitivity reactions (including asthma attacks, rhinitis, angioedema or urticaria). The risk is greater in subjects who have already experienced a hypersensitivity reaction in the past after the use of this type of drug and in subjects who have allergic reactions to other substances (eg skin reactions, itching, hives).
In subjects with asthma and / or rhinitis (with or without nasal polyposis) and / or urticaria, the reactions may be more frequent and severe. In rare cases, the reactions can be very serious and potentially fatal. In the following cases, the administration of the drug requires a doctor's prescription after careful evaluation of the risk / benefit ratio:

• Subjects at increased risk of hypersensitivity reactions
• Subjects at increased risk of gastrointestinal lesions

Acetylsalicylic acid and other NSAIDs can cause serious gastrointestinal side effects (bleeding, ulcer, perforation). For that reason
these drugs should not be used by people with gastrointestinal ulcer or gastrointestinal bleeding. It is prudent that even those who in the past have suffered from gastrointestinal ulcer or gastrointestinal bleeding avoid its use. The risk of gastrointestinal lesions is a dose related effect, as gastrolysis is greater in subjects who use higher doses of acetylsalicylic acid. Even subjects with a habit of drinking large quantities of alcohol are more exposed to the risk of gastrointestinal lesions (bleeding in particular).

• Subjects with coagulation defects or treated with anticoagulants

Acetylsalicylic acid and other NSAIDs can cause a severe reduction in haemostatic capacity in subjects suffering from coagulation defects or being treated with anticoagulants, exposing them to the risk of bleeding.

• Subjects with impaired renal or cardiac or hepatic function

Acetylsalicylic acid and other NSAIDs can cause a critical reduction in renal function and water retention; the risk is greater in subjects being treated with diuretics. This can be particularly dangerous for the elderly and for those with impaired kidney or heart or liver function.

• People with asthma

Acetylsalicylic acid and other NSAIDs can cause aggravation of asthma.

• Geriatric age (especially over 75 years)

The risk of serious side effects is greater in people of geriatric age. People over 70 years of age, especially in the presence of concomitant therapies, should only use Aspirin C after consulting their doctor. Aspirin C should not be used in children and young people under the age of 16.

• Subjects with hyperuricemia / gout

Acetylsalicylic acid can interfere with the elimination of uric acid: high doses have a uricosuric effect while (very) low doses can reduce its excretion. It should also be considered that acetylsalicylic acid and other NSAIDs can mask the symptoms of gout by delaying its diagnosis. An antagonistic effect with uricosuric drugs is also possible.

• Combination of drugs not recommended or requiring special precautions or dosage adjustment.

Using acetylsalicylic acid in combination with some medications may increase the risk of serious side effects. Do not use acetylsalicylic acid together with another NSAID or, in any case, do not use more than one NSAID at a time.

• Fertility

The use of acetylsalicylic acid as well as any drug that inhibits prostaglandin synthesis and cyclooxygenase may interfere with fertility; female subjects must be informed of this and in particular women who have fertility problems or who are undergoing fertility investigations.

• Sodium

This medicinal product contains sodium: it may not be suitable for people who must follow a low sodium diet, consult your doctor. If you have to undergo surgery (even a minor one, for example the extraction of a tooth) and in the previous days you have used acetylsalicylic acid or another NSAID, you must inform the surgeon for the possible effects on coagulation .

Since acetylsalicylic acid can cause gastrointestinal bleeding, it must be taken into account in case it is necessary to perform a search for occult blood. Before administering any medicine, all necessary precautions must be taken to prevent unwanted reactions; of particular importance is the exclusion of previous hypersensitivity reactions to this or other medicinal products and the exclusion of other contraindications or conditions that may expose you to risk of potentially serious side effects listed above.

An imperfect and prolonged storage of Aspirin C can cause variations in the color of the tablet which in themselves do not affect either the activity or the tolerability of the active ingredient. In this case it is still advisable to ask for the replacement of the package at the pharmacy.

If in doubt consult your doctor or pharmacist. The product must be taken on a full stomach.

Expiry and retention

The expiry date refers to the product in intact packaging, correctly stored. Keep this medicine out of the reach and sight of children. Store at a temperature below 30 ° C.

Warning : do not use the medicine after the expiry date indicated on the package.

Composition

Aspirin C 400 mg Effervescent Tablets contains for each tablet:

Active principles

Acetylsalicylic acid 0.4 g, ascorbic acid (Vitamin C) 0.240 g.

Excipients

Monosodium citrate, sodium bicarbonate, sodium carbonate, anhydrous citric acid.