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At a glance

Paracetamol — brands, prices, indication, dosage and side effects available in Bangladesh.

Indications

• Pain relief • Fever

Pharmacology

Napa 500 mg Tablet contains Paracetamol, a well-established analgesic and antipyretic medicine used to relieve pain and reduce fever. It primarily acts within the central nervous system and is known for its effectiveness in controlling mild to moderate pain while lowering elevated body temperature. After oral administration, Paracetamol is rapidly absorbed, with therapeutic effects usually beginning within 30 to 60 minutes. Its pain-relieving and fever-reducing action generally lasts for 4 to 6 hours. The medicine is metabolized mainly in the liver and eliminated from the body through the kidneys. Compared with many other pain relievers, Paracetamol is less likely to cause stomach irritation or affect normal blood clotting when used at recommended doses. It has an excellent safety profile when taken correctly; however, excessive use can lead to serious liver injury. Patients should always follow the recommended dosage and avoid exceeding the maximum daily limit.

Dosage

Adult Dose: Oral Mild to moderate pain and fever Tablet Adult: 1 - 2 tablets every 4 to 6 hours up to a maximum of 4 g (8 tablets) daily Extended Release (XR) Tablet Adults: 2 tablets, swallowed whole, every 6 to 8 hours (maximum of 6 tablets in any 24 hours). Syrup/Suspension: Adults: 4-8 Measuring spoonful 3-4 times daily; Rectal Suppository Adults: 500 mg-1 g every 4-6 hours to a maximum of 4 g daily. Child Dose: Oral Mild to moderate pain and fever Tablet Children (6 - 12 years) : 1/2 to 1 tablet 3 to 4 times daily Extended Release (XR) Tablet Children over 12 years: 2 tablets, swallowed whole, every 6 to 8 hours (maximum of 6 tablets in any 24 hours). Syrup Mild to moderate pain and fever Children: 3 months - <1 year : 60 - 120 mg (1/2 - 1 measuring spoonful), 1 - 5 years : 1 - 2 measuring spoonful 6 - 12 years : 2 - 4 measuring spoonful Children: 2 months: 60 mg (1/2 measuring spoonful) for post immunization pyrexia; Paediatric Drops Mild to moderate pain and fever Children Up to 3 months: 0.5 ml (40 mg) 4 to 11 months: 1.0 ml (80 mg) 1 to <2 years: 1.5 ml (120 mg) 2 to 3 years: 2 ml (160mg) 4 to 5 years: 3 ml (240 mg) Dose can be repeated, every 4 hours. Rectal Mild to moderate pain and fever Suppository Children: 3 months-<1 year: 60-125 mg 1-<5 years: 125-250 mg 5-12 years: 250-500 mg These doses may be repeated every 4-6 hours as necessary (maximum 4 doses in 24 hours). Children over 12 years: 500 mg-1 g every 4-6 hours to a maximum of 4 g daily. Post-immunisation pyrexia Child: 2-3 mth 60 mg. If necessary, a 2nd dose may be given after 4-6 hr.

Side effects

Common: • No common side effects seen

Use in pregnancy

[SAFE IF PRESCRIBED] Paracetamol is safe to use during pregnancy. Most studies have shown low or no risk to the developing baby.

Precautions & warnings

[SAFE] Paracetamol does not usually affect your ability to drive. Paracetamol should be taken with food or milk to prevent upset stomach. Take it as per the dose and duration prescribed by your doctor. Long term use may lead to serious complications such as stomach bleeding and kidney problems. Do not take indigestion remedies (antacids) within two hours of taking Paracetamol. Avoid consuming alcohol while taking this medicine as it can increase your risk of stomach problems. Inform your doctor if you have liver disease as your dose may need to be adjusted. Your doctor may regularly monitor your kidney function, liver function and levels of blood components if you are taking this medicine for long-term treatment.

Overdose effects

Taking more than the recommended dose of Napa 500 mg Tablet may cause serious liver damage. Early symptoms can include nausea, vomiting, loss of appetite, sweating, weakness, and abdominal pain. If an overdose is suspected, seek immediate medical attention, even if symptoms are not yet noticeable.

Storage conditions

Store Napa 500 mg Tablet below 30°C in a cool, dry place away from direct sunlight, heat, and moisture. Keep the medicine in its original packaging and out of the reach of children and pets. Do not use the product after its expiry date.

Paracetamol — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.