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Paracetamol zur Linderung von Schmerzen und Fieber - ein Arzt klärt auf

Paracetamol to relieve pain and fever - a doctor explains

Brief overview of paracetamol

Paracetamol is a widely used and popular painkiller that is often used to relieve pain and fever. It belongs to the group of non-opioid analgesics and is available both over the counter and on prescription, depending on the dosage and country. Paracetamol works by inhibiting an enzyme in the body that is responsible for the production of prostaglandins, which can cause pain and inflammation. Paracetamol has proven to be effective and safe and is often recommended by doctors as the first choice for the treatment of mild to moderate pain, especially in patients who cannot tolerate anti-inflammatory agents such as ibuprofen. It is also a common antipyretic and is often used to treat cold and flu symptoms. Despite its wide use, it is important not to exceed the maximum recommended dosage and to take precautions to avoid side effects such as liver damage. It is recommended that before using paracetamol it is recommended to read the package leaflet or consult a doctor or pharmacist.

Meaning of paracetamol in pain treatment and fever reduction

Paracetamol is a widely used and popular medication for treating pain and reducing fever. It is often recommended as the first choice as it is well tolerated and does not usually cause any serious side effects.

Paracetamol has an analgesic effect and can be used for mild to moderate pain. It blocks the pain receptors in the brain and thus provides noticeable relief. It can also be used for febrile illnesses such as flu or colds. Paracetamol can also help to reduce fever and thus improve general well-being.

The dosage of paracetamol depends on the patient's age and body weight. It is important not to exceed the recommended maximum daily dose, as this can lead to an overdose. An overdose of paracetamol can affect the liver and have serious consequences. It is therefore important to adhere to the specified dosage and to consult a doctor or pharmacist if you are unsure.

Side effects of paracetamol are relatively rare and usually only occur with an overdose or prolonged use. Possible side effects include gastrointestinal complaints such as nausea or abdominal pain. In rare cases, allergic reactions such as skin rash or itching may occur. It is advisable to consult a doctor if such side effects occur.

Overall Paracetamol is a proven and well-tolerated medication for treating pain and reducing fever. With the correct dosage and caution against overdosing, it can be used safely and provide noticeable relief from pain and fever.

Mechanism of action

Paracetamol is a commonly used painkiller that is also known as paracetamol is also known as paracetamol. It belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs) and is often used to relieve pain and fever. Paracetamol works by blocking the production of certain substances in the body that are involved in the development of pain and inflammation. More precisely, it inhibits paracetamol inhibits the action of an enzyme called cyclooxygenase (COX), which is responsible for the production of prostaglandins that cause pain and inflammation. By reducing the production of these prostaglandins, paracetamol helps Paracetamolhelps to relieve pain and inflammation without irritating the gastrointestinal tract, as can be the case with some other painkillers. Paracetamol also has an antipyretic effect, as it acts on the temperature regulation systems in the brain and thus lowers the body temperature. It is important to note that paracetamol only has a symptomatic effect and does not treat the underlying cause of pain or fever. It is therefore advisable to stop taking paracetamol with a doctor and not to exceed the recommended dosage.

How Paracetamol works in the body

Paracetamol is a widely used painkiller and antipyretic whose mode of action in the body has been well researched. It mainly inhibits the cyclooxygenase enzymes, also known as COX enzymes. These enzymes play an important role in the production of prostaglandins, which can cause inflammation and pain.

The exact mechanism of action of paracetamol has not yet been fully clarified, but it is assumed that, in addition to inhibiting COX enzymes, it also plays a role in influencing the perception of pain in the central nervous system. In fact Paracetamol appears to exert its effect primarily in the brain.

Paracetamol influences the perception of pain by reducing the production and release of prostaglandins. These messenger substances are responsible for amplifying pain signals in the body. By inhibiting the prostaglandins Paracetamol has a pain-relieving effect.

It can also paracetamol can also have an antipyretic effect, as it influences temperature regulation in the central nervous system. This can have a supportive effect on fever and improve general well-being.

In conclusion, it can be said that paracetamol is an effective treatment option for pain and fever due to its effect on COX enzymes and its influence on the perception of pain in the central nervous system. It reduces the production of inflammatory messenger substances and therefore has an anti-pain and anti-inflammatory effect.

Antipyretic effect of paracetamol

Paracetamol is a widely used over-the-counter painkiller and antipyretic. It has been shown to be effective in reducing fever by affecting the body.

The exact mechanism of action of paracetamol is not yet fully understood, but it is thought to act mainly in the central nervous system. It inhibits an enzyme called cyclooxygenase, which is involved in the production of prostaglandins, a substance that has a pro-inflammatory effect in the body. By inhibiting the production of prostaglandins, it reduces Paracetamol reduces inflammation and pain.

Fever is a natural defense reaction of the body against infection and inflammation. It occurs when the immune system raises the body temperature to kill pathogens. Paracetamol has an antipyretic effect by acting on the hypothalamus in the brain, which is responsible for regulating body temperature. It influences temperature regulation by reducing the production of prostaglandins.

Because paracetamol has an antipyretic effect, it is a common choice for relieving fever, especially in children. It is important to adhere to the recommended dosage and Paracetamol for longer than recommended, as it can be toxic to the liver in higher doses.

Overall paracetamol is an effective and well-tolerated medication for reducing fever. It influences the body by inhibiting the production of pro-inflammatory substances and thus lowering the body temperature.

Analgesic properties of paracetamol

Paracetamol is a widely used painkiller that is mainly used to treat mild to moderate pain. It has analgesic properties, which means that it can relieve pain. The exact mechanism of action of paracetamol is not yet fully understood.

It is assumed that paracetamol primarily exhibits its analgesic properties through the inhibition of COX-2 prostaglandins. COX-2 prostaglandins are inflammation-mediating substances that are released in the body during the pain reaction. By inhibiting these substances Paracetamol reduces the inflammation and thus relieves the pain.

Another possible mechanism of action of paracetamol could be the influence on the central nervous system. It is assumed that paracetamol influences the production of certain chemical messengers in the brain that are involved in the processing of pain signals. This could lead to a reduction in the perception of pain.

Paracetamol is generally well tolerated and is well tolerated by most people. Nevertheless, it should only be taken in the recommended dosage and not over a long period of time, as an overdose or long-term use can lead to liver damage.

Overall paracetamol is an effective painkiller with analgesic properties. It relieves pain by inhibiting inflammation and possibly influencing the perception of pain in the central nervous system.

Dosage and administration

Paracetamol is a widely used painkiller and antipyretic that can be used in various age groups and weight ranges.

The dosage and administration of paracetamol depends on the age and weight of the patient. For children between 3 months and 12 years of age, it is recommended to calculate the dosage based on body weight: 15 mg per kilogram of body weight every 4-6 hours. The maximum daily dose is 60 mg per kilogram of body weight.

For adults and adolescents aged 12 years and over, the recommended single dose is 500-1000 mg every 4-8 hours. The maximum daily dose should not exceed 4000 mg.

In patients with liver or kidney dysfunction or Gilbert's syndrome, the dosage may need to be reduced or the interval between doses extended. In such cases, it is recommended to seek medical advice to determine the correct dosage.

It is important to adhere to the stated dosage recommendations to avoid overdose and possible adverse effects. Paracetamol should not be taken for longer than 10 days without medical advice.

Overall paracetamol is a safe and effective medication for pain relief and fever reduction when taken according to age groups, weight ranges and dosage recommendations.

Recommended dosage for adults

Paracetamol is a common analgesic used for pain relief. The recommended dosage for adults is usually 500-1000 mg every 4-6 hours, although the total daily dose should not exceed 4000 mg (4 g). It is important to adhere to the prescribed dosage and not to exceed the maximum daily dose, as this can lead to undesirable side effects.

The intake of paracetamol is taken orally in the form of tablets or capsules. It is advisable to take the tablets with plenty of water to ensure effective absorption of the medication. If necessary Paracetamol can also be taken as a juice or suppository.

However, it is important to note that the recommended dosage may vary depending on individual needs and the severity of the pain. It is recommended that before taking Paracetamol read the package leaflet or ask a doctor or pharmacist for advice.

Paracetamol is an effective analgesic for the relief of pain and fever in adults. However, it is important to always stick to the recommended dosage to avoid unwanted side effects.

Pediatric dosing guidelines

for paracetamol based on the specified age groups and body weights:

Paracetamol is a widely used painkiller and antipyretic that is also used in children. The dosage of paracetamol in children is based on their age and weight to ensure safe and effective treatment.

For infants up to 3 months of age with a body weight of 4 kg or less, it is recommended that no paracetamol preparations unless prescribed by a doctor.

For infants aged 4-11 months with a body weight of 4-8 kg, the recommended dosage is 60 mg paracetamol per dose. This dose can be taken up to 4 times a day every 4-6 hours. It is important that the recommended daily dose of 240 mg is not exceeded.

For children aged 1-5 years and weighing 9-17 kg, the recommended dose is 120 mg Paracetamol per dose. Here too, the dose can be taken up to 4 times a day, but care should be taken to ensure appropriate intervals between doses. The maximum daily dose should not exceed 480 mg.

For children aged 6-11 years with a body weight of 18-32 kg, the recommended dosage is 240 mg paracetamol per dose. Here too, intake should be limited to a maximum of 4 times a day and the daily dose should not exceed 960 mg.

It is important to note that these are general guidelines and consultation with a doctor is required for specific conditions or individual needs. A doctor can give an individualized dosage recommendation based on the child's age, weight and specific medical condition. It is therefore advisable to consult a doctor before taking paracetamol always consult a doctor.

Frequency of dosage

Paracetamol is a widely used and effective painkiller that can be used in different age groups and body weights. Dosage recommendations vary depending on the age and weight of the patient.

For adults and adolescents over 50 kg, the recommended dose is usually 500-1000 mg paracetamol every 4-6 hours, up to 4 times a day. It is important to adhere to the specified interval and not to take the tablets more often than every 4 hours.

For children and adolescents with a body weight between 20 and 50 kg, the recommended dose is normally 250-500 mg paracetamol every 4-6 hours, up to 4 times a day. For children under 20 kg, the dosage should be determined individually by the doctor.

It is advisable, paracetamol on an empty stomach, as this promotes the onset of action. It is recommended to take the tablets with sufficient liquid to ensure the effectiveness of the medication.

It is important to strictly adhere to the recommended dosage and intervals in order to achieve adequate pain relief and at the same time avoid possible side effects. A doctor or pharmacist should always be consulted in case of uncertainty or if a different dosage is required.

Maximum daily dose

Paracetamol is one of the most commonly used painkillers and antipyretics in the world. It is used to treat pain and fever and is available in many different dosage forms, such as tablets, capsules or as a juice for children.

The maximum daily dose of paracetamol for adults was recently reduced to 4 g per day. Previously, the maximum daily dose was 6 g. This reduction was made to reduce the risk of liver damage. Paracetamol is broken down by the liver and high doses can lead to an overload of this important organ. This can lead to severe liver damage, especially if taken over a long period of time or in combination with alcohol.

The package leaflet of paracetamol indicates the graduated maximum daily doses for children and adolescents. These are based on the child's body weight and are generally lower than the maximum daily dose for adults. It is important to observe the correct dosage for children in order to avoid overdoses.

Overall, it is important, paracetamol responsibly and in accordance with the doctor's instructions or the package leaflet. The reduction of the maximum daily dose for adults and the graduated maximum daily doses for children and adolescents serve to ensure the safety of users and minimize the risk of liver damage.

Indications for use

from paracetamoldosage recommendations, possible side effects and contraindications.

Paracetamol is a widely used painkiller and antipyretic that is used for a variety of ailments. It is one of the most commonly used medicines in the world and is available over the counter in many countries. Paracetamol is a non-opioid analgesic that has an anti-inflammatory effect and can be taken both orally and intravenously.

Indications for the use of paracetamol include mild to moderate pain such as headaches, toothache, menstrual pain and joint pain as well as fever. It can also be used for cold symptoms such as sore throats and colds to relieve symptoms.

The dosage recommendations for paracetamol vary according to age and weight. For adults, the recommended maximum daily dose is usually 4,000 mg. For children, the dose should be adjusted according to body weight. It is important to follow the dosage instructions on the packaging and not to exceed the maximum daily dose in order to avoid possible side effects.

Paracetamol generally has few side effects when taken in therapeutic doses. Occasionally, however, allergic reactions such as skin rash and itching may occur. However, overdoses can cause serious liver damage and are potentially life-threatening. It is important to, paracetamol responsibly and to consult a doctor if symptoms persist or are severe. People with liver disease should Paracetamol in consultation with their doctor or use alternative painkillers, as it may be contraindicated for them.

Treatment of mild to moderate pain

The treatment of mild to moderate pain can be achieved through the use of paracetamol can be used. Paracetamol is a widely used painkiller that can be used effectively to relieve pain. It is available in various forms, such as tablets, capsules or juice.

The use of paracetamol for the treatment of mild to moderate pain is relatively simple. First, the recommended dosage should be determined according to the instructions on the packaging or the doctor's instructions. This is important to avoid possible side effects.

Next, the painkiller should be taken with plenty of water. Paracetamol can be taken either before or after meals, depending on individual preference or doctor's instructions.

It is important not to exceed the specified dosage and not to take the painkiller over a longer period of time unless recommended by your doctor. If the pain persists despite the use of paracetamol a doctor should be consulted to obtain an accurate diagnosis and appropriate further treatment options.

Overall, the treatment of mild to moderate pain with paracetamol is a simple and effective method. However, it is important to follow the dosage recommendations and seek medical advice if necessary.

Treatment of high fever

Paracetamol-ratiopharm 500 mg is a commonly used medicine for the treatment of high fever. It is important to know how to take it correctly to avoid an overdose.

The dosage of Paracetamol-ratiopharm 500 mg is based on the patient's body weight and age. For children and adolescents under 50 kg, the dosage should be based on one kilogram per 15 mg. For adults and adolescents over 50 kg, the dosage is 1-2 tablets every 4-6 hours, with a maximum daily dose of 4000 mg. However, it is important not to exceed the maximum duration of use of 3 days.

An overdose of paracetamol can cause serious liver damage. It is therefore crucial to observe the correct dosage and never take more than the recommended daily dose.

To avoid the risk of overdose, always read the package leaflet and follow the doctor's or pharmacist's instructions. It is also advisable not to take other medicines at the same time that paracetamol at the same time so as not to exceed the maximum daily dose.

Overall Paracetamol-ratiopharm 500 mg is a safe and effective medicine for the treatment of high fever if it is dosed and used correctly. It is important to follow the instructions to avoid possible complications.

Use as first-line treatment for pain and fever

Paracetamol is often used as a first-line treatment for pain and fever. It is a widely used analgesic and antipyretic that is suitable for both adults and children. It is effective in relieving headaches, toothache, muscle pain and joint pain. In addition, it can paracetamol can also be used to treat fever, for example in the case of colds or infections.

The dosage of paracetamol should be adjusted according to age and weight. For children, the dosage is calculated on the basis of body weight. It is important to follow the exact dosage recommendation to avoid an overdose. An overdose of paracetamol can lead to severe liver damage. Therefore, the recommended dosage should not be exceeded.

For children, the recommended dosage is paracetamol is usually 10-15 mg per kilogram of body weight every four to six hours. For adults, the recommended dosage is usually 500-1000 mg every four to six hours. It is important not to take more than 4 g paracetamol per day.

Although paracetamol is generally considered a safe medication, side effects may occur in rare cases. Possible side effects include gastrointestinal complaints such as nausea, vomiting or abdominal pain. If an overdose is suspected or side effects occur, a doctor should be consulted immediately.

Overall Paracetamol is an effective and safe option as a first-line treatment for pain and fever. However, it should always be used with caution and according to the recommended dosage recommendations.

1. definition

Paracetamol, also known as acetaminophen, is a commonly used medication for pain relief and fever reduction. It belongs to the class of drugs called analgesics and antipyretics. Paracetamol works by inhibiting the production of certain chemicals in the body that cause pain and fever.

Paracetamol is widely available over-the-counter and is considered safe when used as directed. It is commonly used to alleviate mild to moderate pain, such as headache, toothache, and menstrual cramps. It is also commonly used to reduce fever, especially in children.

While Paracetamol is generally safe, it can have side effects if taken in excessive doses. Liver damage is one of the most serious side effects associated with paracetamol overdose. It is important to follow the recommended dosage instructions and not exceed the maximum daily dose.

In conclusion, Paracetamol is a widely used medication for pain relief and fever reduction. While it is generally safe when used correctly, it is important to be aware of the potential side effects and not exceed the recommended dosage.

Keywords: Paracetamol, acetaminophen, analgesic, antipyretic, pain relief, fever reduction, over-the-counter, side effects, liver damage, recommended dosage.

2. history

The history of paracetamol begins in 1878, when the chemist Harmon S. Northrop for the first time paracetamol was synthesized. However, its analgesic effect was not discovered until many years later. In the 1950s, the German chemist Bernhard Ludwig led research into the development of a new pain-relieving drug. In the process paracetamol was re-examined and its analgesic effect confirmed.

Paracetamol was finally established as a widespread treatment for pain in the 1960s. It was quickly regarded as a safe and effective alternative to other painkillers such as aspirin and ibuprofen. Paracetamol is well tolerated and is also suitable for patients who may be allergic to other painkillers. This is why it has become one of the most widely used painkillers in the world.

In the following decades paracetamol continued to be intensively researched in order to better understand its mode of action and optimal areas of application. It is a versatile medication that not only relieves pain symptoms, but can also help with fever and inflammation.

The history of paracetamol illustrates how continuous research and development in medicine can help to provide effective medicines for the treatment of pain and other ailments. With its long history and established use Paracetamol remains an important part of modern medicine.

3. chemistry

Paracetamolalso known as acetaminophen, is one of the most commonly used pain-relieving and antipyretic drugs. It is often used to treat mild to moderate pain and fever. But what are its chemical properties? paracetamol?

The molecular formula of paracetamol is C8H9NO2. The molar mass is approximately 151.16 g/mol. The structural formula of paracetamol shows that it is a derivative of the aniline compound in which an acetyl group is bonded to the nitrogen atom.

As far as the solubility of paracetamol it is highly soluble in ethanol. Ethanol is a polar solvent and can dissolve the polar and non-polar bonds of paracetamol easily. Paracetamol is also highly soluble in water, as it can form hydrogen bonds with water. This facilitates its dissolution in the body and rapid absorption.

In contrast paracetamol is less soluble in dichloromethane. Dichloromethane is a non-polar solvent and has fewer interactions with the polar molecules of paracetamol. It therefore only dissolves to a limited extent in dichloromethane.

In summary, it can be said that paracetamol has a molecular formula of C8H9NO2, a molar mass of 151.16 g/mol and a structural formula that is a derivative of the aniline compound. It is highly soluble in ethanol and water, while its solubility in dichloromethane is limited.

4. mechanism of action

Paracetamol is a widely used analgesic and antipyretic. Its mechanism of action is based on a combined central and peripheral effect on cyclooxygenases (COX). It acts by inhibiting cerebral prostaglandin synthesis and influences the hypothalamic temperature regulation center by inhibiting the effect of endogenous pyrogens.

The inhibition of COX enzymes is crucial for the effect of paracetamol. COX enzymes are involved in the formation of prostaglandins, which mediate inflammatory and pain reactions in the body. By inhibiting the COX enzymes, Paracetamol reduces Paracetamol reduces the formation of prostaglandins, which leads to relief from pain and inflammation.

In addition, it has paracetamol has a central effect on the brain. It influences the temperature regulation center in the hypothalamus, which regulates the body's core temperature. By inhibiting the effect of endogenous pyrogens, it prevents Paracetamol the increase in body temperature during fever. This explains its antipyretic effect.

In summary, it inhibits paracetamol inhibits COX enzymes, reduces the formation of prostaglandins and acts on the hypothalamic temperature regulation center. This leads to relief from pain and inflammation and to a reduction in body temperature during fever. Paracetamol is therefore an important medication for the treatment of pain and fever.

5 Pharmacokinetics

Paracetamol is a widely used analgesic and antipyretic used to relieve pain and reduce fever. The pharmacokinetics of paracetamol describes how it is absorbed, metabolized and excreted in the body.

After oral ingestion paracetamol is rapidly and almost completely absorbed from the gastrointestinal tract. Absorption occurs mainly in the small intestine and is independent of food intake. After absorption Paracetamol enters the systemic circulation and is distributed throughout the body.

The metabolization of paracetamol mainly takes place in the liver. Here it is first conjugated to inactive metabolites by sulphation and glucuronidation, which are then excreted into the intestine via the bile. A small part of the paracetamol is converted into a reactive intermediate by the liver enzyme system, which is normally broken down by glutathione peroxidase. In the event of an overdose, however, the reactive intermediate product can be formed to an increased extent and cause liver damage.

Paracetamol has a high bioavailability of about 70-90% and reaches its maximum plasma concentration within 30-60 minutes after oral ingestion. Plasma protein binding is about 15-25%. Paracetamol is mainly excreted via the kidneys, with about 80-90% of the dose being eliminated within 24 hours after ingestion.

In total paracetamol is well absorbed, rapidly metabolized and largely excreted by the kidneys. It is important not to exceed the recommended dosage to avoid possible liver damage.

6. dosage

Paracetamol is a widely used and popular medication that is used to relieve pain and fever. It has an analgesic and antipyretic effect, but has no anti-inflammatory properties. Paracetamol is available over the counter in many countries and can be taken by both adults and children. It is available in various dosage forms such as tablets, capsules and juice to enable individual dosage.

6. dosage:

When taking paracetamol it is important to observe the recommended dosage in order to avoid possible side effects. The dosage depends on various factors, such as the patient's weight and age. For adults, the recommended single dose is usually 500 to 1000 milligrams, which can be taken every four to six hours. However, the maximum daily dose should not exceed 4000 milligrams. In children, the dosage varies according to age and weight. It is important to read the package leaflet or the doctor's or pharmacist's instructions carefully to ensure the correct dosage and to avoid overdosing. It is also advisable, before taking paracetamol with a doctor or pharmacist to ensure that there are no contraindications or specific instructions to follow.

6.1 Maximum daily dose

Paracetamol is a commonly used active substance for the treatment of pain and fever. The maximum daily dose for adults is normally 4 grams.

In recent years, however, this maximum dose has been reduced due to the increasing number of paracetamol intoxications. An overdose of this drug can lead to severe liver damage, which in the worst case can be life-threatening. Therefore, the maximum daily dose for adults has been reduced to 3 grams to reduce the risk of intoxication.

For children and adolescents, the dosage of paracetamol is determined based on their weight. The recommended dose is approximately 10-15 mg per kilogram of body weight. It is important to follow these dosage recommendations exactly to avoid overdose in children.

Overall Paracetamol is an effective and safe medication when taken in the correct dosage. However, it is important to be aware that an overdose can have serious consequences. It is therefore advisable to always read the package leaflet and adhere to the recommended dosages to ensure that paracetamol is used safely.

7. intake

To Paracetamol correctly, certain steps should be followed. Paracetamol is taken orally, i.e. it is swallowed and thus enters the digestive tract. It is important that paracetamol is taken on an empty stomach. This means that you should not have eaten a meal before taking it. It is recommended to take at least 4 hours before taking paracetamol not to eat anything.

The correct procedure is to paracetamol with sufficient liquid, for example a glass of water. This makes it easier for the body to absorb the active ingredient. Sometimes it is also recommended to drink something after taking the medicine to ensure that the paracetamol passes completely through the digestive tract.

If paracetamol is taken at the same time as a meal, this can delay the absorption of the active ingredient. This is because a meal increases the absorption of paracetamol in the gastrointestinal tract. If the medication is taken with food, it may take longer for the active ingredient to be absorbed into the body and take effect.

Overall, it is important to follow the instructions for taking paracetamol should be followed. It should be taken on an empty stomach to ensure optimal absorption and sufficient fluids should be drunk to make the medication easier to swallow and digest. Taking it at the same time as a meal can lead to delayed absorption.

8 Side effects

Paracetamol is a widely used painkiller and is also used to reduce fever. Although it is generally considered safe, side effects can occur, especially if the recommended dosage is exceeded or if Paracetamol is taken over a long period of time.

A possible side effect of paracetamol is an increase in transaminases, which may indicate liver damage. This can manifest itself in some people as nausea, abdominal pain or jaundice. Another possible risk is hypersensitivity reactions, which can range from skin rashes to severe allergic reactions such as Stevens-Johnson syndrome (SJS) or acute generalized pustular exanthema. Although these are rare, they can be life-threatening.

Bronchospasm can also occur as a side effect. This is a sudden constriction of the airways that can lead to breathing difficulties, coughing and chest tightness.

It is important to follow the recommended dosage of paracetamol and consult a doctor if side effects occur. People with liver disease or hypersensitivity should be particularly careful and Paracetamol only under medical supervision.

Keywords: transaminase increase, bronchospasm, hypersensitivity reactions, SJS, acute generalized pustular exanthema.

9. interactions

In section "9. Interactions" the possible interactions of paracetamol with other medicines or substances. It is important to mention some relevant facts from the background knowledge. Paracetamol is mainly broken down by the liver, and this process is induced by the enzyme CYP450.

Certain drugs or substances can influence the activity of CYP450 inducers and thus reduce the degradation rate of paracetamol . For example, probenecid, a drug used to treat gout, can influence the excretion of paracetamol and thus lead to an increased concentration in the body. The antiviral drug zidovudine can also slow down the breakdown of paracetamol which leads to a longer retention time in the body.

In some cases, colestyramine, a drug used to lower cholesterol levels, can slow down the absorption of paracetamol in the intestine. This can reduce the effectiveness of paracetamol may be reduced. It is also important to note that the combination of paracetamol and alcohol can increase the risk of liver damage.

In summary, the section "9. Interactions" focuses on how paracetamol can interact with various drugs or substances. Important aspects such as CYP450 inducers, probenecid, zidovudine, colestyramine and ethanol are mentioned.

11 Pregnancy and lactation

Paracetamol is one of the most commonly used painkillers and antipyretics during pregnancy. It is assumed that paracetamol is generally safe when used properly. However, studies have shown that long-term use of paracetamol during pregnancy could lead to neurological developmental disorders in the child.

The intake of paracetamol during pregnancy has been associated with an increased risk of neurodevelopmental disorders such as attention deficit hyperactivity disorder (ADHD) and autism. In particular, prolonged exposure to paracetamol during the first trimester of pregnancy appears to increase the risk of these disorders.

Another potential risk of taking paracetamol during pregnancy is the premature closure of the ductus arteriosus botalli. This blood vessel plays an important role in fetal circulation and should normally close after birth. If it closes prematurely, this can lead to serious cardiovascular problems in the newborn.

Alternatives to paracetamol during pregnancy may be other non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. However, these medications should also only be used under medical supervision and in consultation with a specialist in order to weigh up the possible risks and benefits.

Overall, it is important to be aware when taking painkillers during pregnancy as they can pose potential risks to the child's neurological development and the ductus arteriosus botalli. It is advisable to check before using paracetamol or other medications during pregnancy.

12. toxicity

Paracetamol is a widely used painkiller that can be used safely when dosed correctly. However, in high doses or overdose, it can lead to life-threatening toxicity. The toxicity of paracetamol is closely related to its metabolism via the enzyme CYP2E1.

In the normal metabolism of paracetamol produces a toxic intermediate metabolite called N-acetyl-p-benzoquinoneimine (NAPQI). Under normal conditions, NAPQI is rapidly detoxified by glutathione, an endogenous antioxidant. In the event of an overdose paracetamol the amount of NAPQI can be so high that the available glutathione is depleted.

The latency period, i.e. the time between the ingestion of an excessive paracetamoldose and the onset of symptoms is usually 1-2 hours. During this period, the concentration of paracetamol in the blood may not yet have reached toxic levels. Therefore, continuous monitoring of liver enzymes, especially serum paracetamol levels, is necessary to detect toxicity at an early stage.

Indications for a need for treatment Paracetamoldoses include ingestion of more than 150 mg/kg body weight or more than 7.5 g in adults. Treatment involves the administration of N-acetylcysteine, an antidote that counteracts the toxic effects of paracetamol by increasing the concentration of glutathione.

Overall paracetamol is a safe painkiller, but an overdose can lead to severe liver damage. However, timely treatment with N-acetylcysteine can reduce the toxicity of paracetamol and prevent liver damage.

The active ingredient paracetamol in the treatment of pain

Paracetamol is a widely used painkiller that is used in the treatment of pain. It has an analgesic and antipyretic effect. However, its exact mode of action is not fully understood. It is assumed that paracetamol influences the pain receptors in the brain and thus reduces the perception of pain.

The dosage of paracetamol depends on various factors, such as the patient's age and weight. For adults, a dosage of 500 to 1000 mg is usually recommended, which can be taken every 4 to 6 hours. However, the total dose should not exceed 4000 mg per day to avoid possible liver damage.

Paracetamol can be used for various complaints and illnesses. It is mainly used for mild to moderate pain, such as headaches, toothache or menstrual pain. It can also be taken to reduce fever in the case of colds or flu.

Although paracetamol is generally considered a safe painkiller, side effects can occur. Possible side effects include gastrointestinal complaints such as nausea or stomach pain. In rare cases, allergic reactions such as skin rash or shortness of breath may occur.

When using paracetamol during pregnancy, special precautions should be taken. In the first three months Paracetamol should only be taken after consulting a doctor. In the second and third trimester, low doses of paracetamol can be used under medical supervision to treat pain or fever. However, it is recommended to limit the intake to what is necessary, as Paracetamol in high doses may be harmful to the unborn child. It is important before taking paracetamol during pregnancy.

How it works Paracetamol

Paracetamol is a widely used painkiller and is often used to relieve pain and fever. It belongs to the group of non-opioid analgesics and is available over the counter in many countries. Paracetamol is available in both tablet and liquid form and is easy to take. It works quickly and effectively as it acts directly on the central nervous system, where it inhibits the production of prostaglandins, which are thought to play an important role in the development of pain and inflammation. In addition, it influences Paracetamol also influences the temperature regulation center in the brain, whereby it has an antipyretic effect. It is important to take the recommended dosage of paracetamol and not to take it over a longer period of time or in higher doses than recommended, as this can lead to liver damage. Paracetamol is generally well tolerated but can occasionally cause gastrointestinal discomfort in sensitive individuals. It is important to seek medical advice if the pain persists despite taking paracetamol persists or worsens.

Inhibition of prostaglandins

Paracetamolalso known under the trade name acetaminophen, is a widely used painkiller and antipyretic. Its mode of action is based on the inhibition of prostaglandins, which are involved in the inflammatory reaction. Prostaglandins are synthesized by the enzyme cyclooxygenase (COX).

In contrast to non-steroidal anti-inflammatory drugs (NSAIDs), prostaglandins inhibit paracetamol selectively inhibits a specific sub-form of the COX enzyme, the COX-3 enzyme, in the central nervous system. This specific inhibition has the effect of reducing the production of prostaglandins in the brain.

Through the inhibition of prostaglandins Paracetamol has an analgesic and antipyretic effect. Due to its good tolerability and low side effects, it is particularly suitable for children and people with gastrointestinal problems.

Paracetamol is used for various pain conditions such as headaches, toothache, muscle pain and menstrual pain. It is also used for fevers to reduce body temperature.

In summary, it can be said that paracetamol reduces the production of prostaglandins by inhibiting the COX-3 enzyme in the central nervous system. This has a pain-relieving and antipyretic effect. The most important areas of application of paracetamol are various types of pain and fever.

Influence on the endocannabinoid and serotonin system

Paracetamol is a widely used analgesic and antipyretic drug whose effect on the endocannabinoid and serotonin systems has been studied in detail in recent years.

The endocannabinoid system plays an important role in the regulation of pain sensations in the body. Paracetamol has been found to modulate the activity of the endocannabinoid system, which can lead to a reduction in pain sensitivity. This effect is partly due to the inhibition of the enzyme FAAH, which is responsible for the breakdown of endocannabinoids. By inhibiting FAAH, an increased concentration of endocannabinoids is maintained in the body, which can have sedative and analgesic effects.

In addition, it influences paracetamol also influences the serotonin system. Serotonin is a neurotransmitter that plays an important role in the regulation of mood, sleep, appetite and pain perception. Paracetamol increases the availability of serotonin in the brain by inhibiting the breakdown of the serotonin precursor tryptophan. This can lead to an improved mood, relaxation and pain relief.

Serotonin has various functions in the nervous system. It regulates mood, promotes sleep quality, influences eating behavior and affects the perception of pain. A disturbed serotonin system can lead to depression, anxiety disorders, sleep disorders and chronic pain.

In summary, it can be said that Paracetamol affects the endocannabinoid and serotonin systems, which can lead to sedative and analgesic effects. This drug has been shown to be a valuable option for the treatment of pain and fever.

Absorption and excretion of paracetamol

Paracetamol is a widely used painkiller that is administered orally or rectally. After oral administration Paracetamol enters the gastrointestinal tract and is absorbed into the blood from there. The concentration of paracetamol in the blood reaches a maximum after about 30 minutes.

Paracetamol has a half-life of about 2-4 hours. This means that half of the absorbed paracetamol is broken down in the body within this period. The main responsibility for the breakdown of paracetamol is the liver, which converts it into various metabolites that are then excreted in the urine.

With the rectal application of paracetamol the medication is absorbed directly via the rectum. As a result, the gastrointestinal tract is bypassed and absorption into the blood is faster. In this case, the paracetamol concentration in the blood reaches a maximum after around 20 minutes.

The excretion of paracetamol and its metabolites are largely excreted via the kidneys. About 85-90% of the paracetamol is excreted unchanged in the urine, while the rest is excreted in the stool.

Overall paracetamol is well tolerated and provides effective pain relief. However, it is important not to exceed the recommended dosage to avoid possible liver damage. 

When is Paracetamol used?

Paracetamol is a widely used painkiller and is often used for various symptoms. It is particularly well known for its antipyretic effect and is therefore often used to treat fever. In addition paracetamol is also used to relieve mild to moderate pain, such as headaches, toothache or muscle and joint pain.

Normally paracetamol is only used in the short term to treat acute symptoms. It is important not to exceed the recommended dosage and not to take the medication over a longer period of time in order to avoid possible side effects. In some cases, however, long-term use of paracetamol may be prescribed by a doctor to treat chronic pain.

Paracetamol can also be used in combination with other analgesic agents to achieve a stronger effect. Popular combinations are paracetamol with codeine or paracetamol with ibuprofen. These combinations are used to treat more severe pain when paracetamol alone is not sufficient.

Overall paracetamol is a versatile medication that can be used for a variety of symptoms. It is important to follow the doctor's instructions or the package leaflet exactly to ensure safe and effective use.

This is how Paracetamol is used

Paracetamol is a widely used painkiller that is used to relieve pain and fever. It comes in various dosage forms such as tablets, suppositories and juice to make it easier to use.

Paracetamol tablets are normally taken with sufficient liquid. The dosage depends on age, weight and individual requirements. It is important not to exceed the specified maximum dosages and to adhere to the intake intervals.

For people who have difficulty swallowing tablets or who are unable to take the medication orally, there are Paracetamol suppositories are available. Suppositories are inserted rectally and offer an alternative form of administration.

Especially for children paracetamol is also available as a juice. The juice has a lower concentration of the active ingredient per milliliter and the dosage is based on the child's body weight. Parents should follow the exact dosage recommendation to ensure safe use.

Paracetamol is used in various situations to relieve pain such as headaches, toothache, joint pain or menstrual pain. It can also be used to reduce fever during colds or flu.

Combination preparations are also available in which paracetamol is combined with other active ingredients such as caffeine or antihistamines in order to achieve an enhanced effect or additional symptom relief.

Overall paracetamol offers various dosage forms for flexible application and is used in various situations to relieve pain and fever.

What side effects does paracetamol?

Paracetamol is a widely used painkiller that is used to treat headaches and other mild to moderate pain. Although it is generally considered safe Paracetamol can cause side effects with excessive use or paracetamol poisoning.

The most common side effects of paracetamol are nausea, abdominal pain and allergic reactions such as skin rash or itching. These side effects usually occur rarely and are usually mild and temporary.

In rare cases, an overdose paracetamol can lead to severe liver damage. Symptoms of paracetamol poisoning are initially nausea, vomiting and loss of appetite, followed by jaundice, abdominal pain and dark urine. Paracetamol poisoning can be life-threatening and requires immediate medical attention.

Treatment of paracetamol poisoning usually consists of the administration of N-acetylcysteine, a drug that protects the liver from further damage. N-acetylcysteine should be taken as soon as possible after the overdose to achieve the best effect. In severe cases, hospitalization may be required to ensure accurate dosing and monitoring of treatment.

Overall Paracetamol is a safe and effective active ingredient when used correctly. However, it is important not to exceed the recommended dosage and to seek medical advice immediately if there are signs of an overdose.

What to avoid when taking paracetamol should be taken into account?

Paracetamol is a widely used painkiller and antipyretic used to relieve mild to moderate pain and fever. It is one of the most commonly used medicines in the world and is available over the counter in many countries. Paracetamol has proven to be relatively safe and effective when used properly. Nevertheless, there are some important points to bear in mind when taking paracetamol to avoid potential health risks. The following headings provide guidance on what to look out for when taking paracetamol is taken.

Paracetamol and alcohol

Paracetamolalso known under the trade name "acetaminophen", is a widely used painkiller and fever-reducing medication. It is often used to treat headaches, toothache, muscle and joint pain. Paracetamol is popular due to its low side effects and good tolerability.

However, the simultaneous intake of paracetamol and alcohol can lead to a dangerous interaction. Both substances are broken down in the liver. The liver is the main organ for the detoxification of foreign substances, including alcohol and medication. When paracetamol and alcohol are consumed at the same time, the load on the liver increases, which can lead to liver damage. Both paracetamol and alcohol increase the production of toxic compounds in the liver, which can lead to severe side effects at high doses.

For this reason, during the intake of paracetamol alcohol consumption should be avoided. Possible side effects of this double burden on the liver can include liver damage, liver inflammation or liver failure.

It is important to follow the dosage and application instructions for paracetamol to avoid possible complications. The recommended maximum daily dose for adults is 4 grams, divided into several single doses. In case of prolonged or excessive use of paracetamol should always be consulted with a doctor to prevent liver damage.

Overall, caution is advised when paracetamol and alcohol are consumed together, as this leads to increased stress on the liver and can have serious consequences. Therefore, while taking paracetamol should be avoided to protect the health of the liver.

How to obtain medication with paracetamol

Paracetamol is a widely used and popular painkiller and antipyretic that is available over the counter in Germany, Austria and Switzerland. To take medication with paracetamol you can simply go to a pharmacy and buy it there. There are different dosage forms such as tablets, capsules or juice, which are suitable for different needs.

In Germany, Austria and Switzerland paracetamol available without a prescription as long as the total quantity of ten grams per pack is not exceeded. This means that you can buy several packs as long as the individual pack does not exceed ten grams. However, a prescription is required for higher-dose tablets or infusion solutions.

Paracetamol has a pain-relieving and antipyretic effect and is therefore particularly popular for headaches, toothache, joint pain or fever. It can also be used for cold and flu symptoms. Paracetamol has been on the market since 1950 and has proven to be a safe and effective medication ever since.

Overall paracetamol is a reliable and well-tolerated option for pain relief and fever reduction. It is available in various strengths and dosage forms and can be obtained from pharmacies without a prescription.

Source: istockphoto Kateryna Onyshchuk

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