Generic
Paracetamol
7 brands available in the market
Compare all brand prices
Sorted from cheapest to most expensive
| Brand | Company | Form | Price/unit |
|---|---|---|---|
| Renova500mg | Renata Limited | Tablet | ৳ 1 |
| Fast500mg | ACI Limited | Tablet | ৳ 1.15 |
| Ace500mg | Square Pharmaceuticals | Tablet | ৳ 1.20 |
| Napa500mg | Beximco Pharmaceuticals | Tablet | ৳ 1.20 |
| Ace Plus500mg+65mg | Square Pharmaceuticals | Tablet | ৳ 2.50 |
| Napa Extra500mg+65mg | Beximco Pharmaceuticals | Tablet | ৳ 2.50 |
| Napa Syrup120mg/5ml | Beximco Pharmaceuticals | Syrup | ৳ 35 |
At a glance
Paracetamol is a safe, widely used analgesic and antipyretic. Adults: 500 mg–1 g every 4–6 hours, max 4 g/day. Overdose can damage the liver.
Description
Paracetamol (acetaminophen) is the most common over-the-counter painkiller and fever reducer in Bangladesh, sold under many brands including Napa, Ace and Renova.
Indications
Used to relieve fever, headache, toothache, body ache and cold-related pain. It is the most widely used painkiller and fever reducer in Bangladesh.
Therapeutic class
Non-opioid analgesic & antipyretic
Pharmacological class
Para-aminophenol derivative
Pharmacology
Paracetamol relieves pain and fever by inhibiting prostaglandin synthesis in the central nervous system. It acts as an analgesic and antipyretic but has little anti-inflammatory effect.
Mechanism of action
Inhibits COX enzymes (mainly central COX-2/COX-3) to reduce prostaglandin production, dampening pain signalling and acting on the hypothalamic heat-regulating centre to lower fever.
Dosage
Adults: 500 mg–1 g every 4–6 hours. Maximum 4 g per day. Children: 10–15 mg/kg by body weight.
Administration
Oral. May be taken with or without food; take after food if it upsets the stomach. Swallow with enough water.
Side effects
Safe at normal doses. Overdose can cause severe liver damage. Consult a doctor for long-term use.
Precautions & warnings
Caution in severe liver or kidney disease, chronic alcohol use or malnutrition. Never exceed the maximum daily dose (4 g) and do not combine multiple paracetamol-containing products.
Contraindications
Use with caution in severe liver disease.
Drug interactions
Long-term use with warfarin may increase bleeding risk. Caution with liver-enzyme–inducing drugs. Regular alcohol use raises the risk of liver damage.
Food interactions
No significant food interaction, but regular alcohol increases the risk of liver damage — avoid it.
Use in pregnancy
Generally considered safe and often the analgesic of choice in pregnancy. Use the lowest effective dose on a doctor's advice.
Pregnancy Category: B — always consult a doctor before taking during pregnancy.
Use in lactation
Small amounts pass into breast milk but are considered safe for the infant; it can be used while breastfeeding.
Pediatric use
Dose children by weight at 10–15 mg/kg per dose every 4–6 hours. Syrup or paediatric drops are convenient.
Geriatric use
Safe at usual doses in the elderly; adjust the dose if liver or kidney function is reduced.
Renal / hepatic impairment
In severe liver or kidney impairment the dose may need to be reduced or the interval lengthened; consult a doctor.
Overdose effects
Overdose can cause nausea, abdominal pain and severe liver damage after 24–48 hours. Seek hospital care immediately if overdose is suspected; N-acetylcysteine is used as the antidote.
Storage conditions
Store below 30°C in a dry place, away from light. Keep out of the reach of children.
Chemical structure
N-(4-hydroxyphenyl)acetamide — molecular formula C8H9NO2.
Common questions
Q: Can I take paracetamol on an empty stomach? A: Yes, but take it after food if it upsets your stomach. Q: What is the maximum daily dose? A: Up to 4 g per day for adults (usually eight 500 mg tablets). Q: Is it safe in pregnancy? A: Generally considered safe, but consult your doctor.