NeoCitran Flu Cold Plv Adult Btl 12 pcs

NeoCitran flu/cold brings relief from flu and cold symptoms, alleviates symptoms such as chills, body aches and headaches, colds and reduces fever. Paracetamol has an antipyretic and analgesic effect. Pheniramine hydrogen maleate has a secretion-inhibiting effect. Pheniramine hydrogen maleate and Phenylephrine reduce swelling in the nasal mucosa, thereby relieving a cold and allowing freer breathing. Ascorbic acid (vitamin C) helps meet increased vitamin C needs during fever and flu.

Swissmedic-approved patient information

What is NeoCitran flu/cold and when is it used ?

NeoCitran flu/cold brings relief from flu and cold symptoms, alleviates symptoms such as chills, body aches and headaches, colds and reduces fever. Paracetamol has an antipyretic and analgesic effect. Pheniramine hydrogen maleate has a secretion-inhibiting effect. Pheniramine hydrogen maleate and Phenylephrine reduce swelling in the nasal mucosa, thereby relieving a cold and allowing freer breathing. Ascorbic acid (vitamin C) helps meet increased vitamin C needs during fever and flu.

What should be considered?

Remember that NeoCitran flu/cold does not replace the usual rules of conduct (bed rest, etc.) for fever and flu, but only ease the time to recovery.

NeoCitran flu/cold should be used for a maximum of 3 days without a doctor's prescription. Painkillers should not be taken regularly over a long period of time without medical supervision. Prolonged pain or fever require a medical evaluation.

The dosage indicated or prescribed by the doctor must not be exceeded.

To prevent the risk of overdose, it should be ensured that other medicines taken at the same time (e.g. other painkillers, medicines for fever or cold symptoms) do not contain paracetamol. An overdose of paracetamol can lead to severe liver damage.

It is also important to remember that long-term use of painkillers can itself contribute to headache persistence.

Long-term use of painkillers, especially when taking several painkillers in combination, can lead to permanent kidney damage with the risk of kidney failure.

Note for diabetics: 1 sachet of NeoCitran flu/cold contains approx. 20 g of usable carbohydrates.

When must NeoCitran flu/cold not be taken?

You must not take NeoCitran flu/cold in the following cases:

• In case of hypersensitivity to one of the active ingredients: paracetamol (and related substances, e.g. propacetamol), pheniramine, phenylephrine, ascorbic acid or one of the excipients (see «What does NeoCitran Flu/Cold contain?»). Such hypersensitivity manifests itself e.g. through asthma, shortness of breath, circulatory problems, swelling of the skin and mucous membranes or skin rashes (urticaria).
• In the case of severe liver or kidney diseases.
• In the case of a hereditary liver disorder ( Meulengracht disease).
• If you are taking or have taken in the last 14 days MAO inhibitors (medicines for depression and Parkinson's disease).
• If you suffer from seizures (epilepsy). .
• If you have high blood pressure, cardiovascular disease, thyroid disease, enlarged prostate, glaucoma (increased pressure in the eye), pheochromocytoma (an adrenal tumor): ask your doctor whether you can take the medicine (see «When is caution required when taking NeoCitran flu/cold?»).
• For children and adolescents under the age of 14.

Ask your Doctor or your doctor if you have any doubts about the existence of any of these symptoms.

When should you be careful when taking NeoCitran Flu/Cold?

NeoCitran Flu/Cold contains paracetamol. Do not use with other medicines containing paracetamol (e.g. for pain, fever, cold/flu symptoms), or medicines for nasal congestion, allergies (antihistamines), sleeping pills.

Do not exceed the recommended dosage, overdose can result in severe liver damage.

During treatment with NeoCitran flu/cold, alcohol should be avoided.

If you suffer from the following illnesses, you may only take NeoCitran flu/cold as directed by a doctor:

• In the case of liver or kidney diseases: only take after consulting a doctor . Careful monitoring is necessary.
• Severe infection, underweight, severe malnutrition, regular alcohol consumption: the risk of liver damage and metabolic acidosis may be increased. Signs of metabolic acidosis include: deep, rapid, and heavy breathing; nausea, vomiting; loss of appetite Contact a doctor immediately if you notice a combination of these symptoms.
• High blood pressure, cardiovascular diseases, circulatory disorders (such as Raynaud's syndrome: manifests itself e.g. after exposure to cold with numbness, tingling and color change [white, blue, red] in fingers and toes), diabetes (blood sugar), hyperthyroidism (overactive thyroid gland).
• Glaucoma (increased pressure inside the eye).
• Pheochromocytoma (a rare tumor of the adrenal gland).
• Difficulty urinating due to enlarged prostate.
• Breathing problems such as asthma or chronic bronchitis.

Care should be taken in elderly patients in This age group has an increased risk of adverse effects. Use in elderly patients with confusion should be avoided.

When using medicines at the same time that affect the liver, specifically certain medicines to treat tuberculosis and seizure disorders (epilepsy) or medicines containing the active substance zidovudine, which are used to treat immunodeficiency (AIDS), the Take only as directed by a doctor.

Certain medicines may interact with the active ingredients in NeoCitran Flu/Cold.

If you are taking the following medicines, ask your doctor whether you can take NeoCitran flu/cold:

• Medicines for high blood pressure (e.g. beta blockers) ,
• medicines for heart disease (e.g. digoxin),
• medicines to treat depression (e.g. tricyclic antidepressants such as amitriptyline),
• certain sympathomimetics (e.g. anticongestant drugs of the nasal mucosa, certain appetite suppressants or stimulants),
• anticoagulants (medicines to thin the blood),
• metoclopramide, domperidone (medicines to treat nausea and vomiting),
• Rifampicin, isoniazid (medicines for tuberculosis),
• phenytoin, phenobarbital, carbamazepine, lamotrigine (medicines for epilepsy [seizures]),
• chloramphenicol (medicines for infections),
• colestyramine (medicine to lower blood fats),
• zidovudine (medicine for HIV infection [AIDS]),
• Probenecid (medicine for gout),
• Salicylamide (medicine for pain and fever),
• Ergotamine, methysergide (medicine for migraine).

The effects of alcohol, sleeping pills and tranquilizers can be reduced by NeoCitran influenza/cold are intensified.

Paracetamol can cause severe skin reactions in very rare cases. In this case, stop taking NeoCitran flu/cold and contact your doctor immediately.

Individuals who are hypersensitive to painkillers or antirheumatic drugs may also be hypersensitive to paracetamol (see "What side effects can NeoCitran flu/cold have?").

Considering the indications, NeoCitran Flu/Cold is not suitable for long-term use.

NeoCitran flu/cold contains:

Sucrose: contains approx. 20 g sucrose per sachet. This must be taken into account in patients with diabetes (see «What should be considered?»). Please only take NeoCitran flu/cold after consulting your doctor if you know that you suffer from a sugar intolerance.

Sodium: contains 28.5 mg sodium per sachet (main component of table/table salt). This corresponds to 1.4% of the recommended maximum daily dietary intake of sodium for an adult.

Effect on laboratory tests: This medicine may interfere with the results of uric acid determination using phosphotungstic acid (e.g. in patients suffering from gout).

Effects on the ability to drive and use machines: This medicine can seriously impair your ability to react, the ability to drive and the ability to use tools or machines! It can cause drowsiness, drowsiness, blurred vision, and difficulty with coordination/concentration. Alcohol and tranquilizers can increase these effects.

Tell your doctor, pharmacist or druggist if you

• suffer from other diseases,
• have allergies or
• use other medicines (including those you bought yourself!).

Can NeoCitran Flu/Cold be taken while pregnant or breastfeeding?

NeoCitran Flu/Cold should not be taken during pregnancy and breastfeeding unless specifically prescribed by a doctor and after careful medical benefit-risk assessment.

How do you use NeoCitran flu/cold?

The dosage and frequency of use given below must not be exceeded.

Use the lowest effective dose for the shortest possible treatment period.

Adults and adolescents from the age of 14:

Pour the contents of 1 sachet of NeoCitran flu/cold in a glass of hot (but not boiling) water (approx. 2.5 dl) and take it hot to drink.

If necessary, repeat after 4 hours at the earliest.

Maximum daily dose: Do not take 1 sachet more than 3 times in a 24-hour period. A gap of at least 4 hours must be observed between two intakes.

NeoCitran Flu/Cold can be taken at any time of the day, but preferably in the evening before bed.

If after 3 days there is no significant improvement, the fever rises or if the symptoms worsen, are accompanied by a high fever, rash or persistent headache, you should seek medical advice.

Children and adolescents under 14 years:

NeoCitran flu/cold should not be administered to children and adolescents under 14 years of age.

In the event of overdose/uncontrolled use, seek immediate medical attention. Because of the potential risk of severe liver damage, immediate medical attention is critical. Nausea, vomiting, abdominal pain, loss of appetite and a general feeling of illness can be an indication of an overdose, but only occur several hours to a day after ingestion.

Stick to the dosage given in the package leaflet or as prescribed by your doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.

What side effects can NeoCitran flu/cold have?

Stop taking NeoCitran flu/cold and tell your doctor immediately if one or more of the following symptoms occur:

• Allergic reactions such as skin rash or itching, sometimes with difficulty in breathing, swelling of the face, lips, tongue or throat, sometimes making you feel unwell, sweating and drop in blood pressure.
• wheezing, asthma, shortness of breath, shortness of breath, especially if you have had this before with the use of acetylsalicylic acid or other non-steroidal anti-inflammatory drugs.
• Rash (including hives, itching), skin redness, skin peeling, severe rarely to severe skin reactions, blistering, inflammation of the oral mucosa.
• Unusual bleeding or bruising.
• Unusually rapid pulse, feeling of an unusually fast or irregular heartbeat.
• Visual disturbances / acute angle-closure glaucoma (especially in patients who already suffer from high intraocular pressure).
• Difficulty urinating (especially in the case of an enlarged prostate).

These side effects are rare (affects 1 to 10 users in 10,000) or very rare (affects less than 1 user in 10,000).

The following additional side effects can occur when taking NeoCitran flu/cold:

Common (affects 1 to 10 users in 100)

• Drowsiness, headache, nervousness, difficulty sleeping, nausea, vomiting.

Uncommon (affects 1 to 10 users in 1000)

• Itchy skin reactions, reddening of the skin.

Rare (affects 1 to 10 users in 10,000)

• Drowsiness
• Increased blood pressure
• Constipation
• Feeling full
• Dry mouth.
• Reduced number of blood platelets (thrombocytopenia) or reduced number of certain white blood cells (agranulocytosis)

In rare cases, the results ( laboratory values) of liver function tests may be altered.

Frequency not known (cannot be estimated from the available data)

• Hallucinations, confusion, impaired motor coordination, tremor, problems with memory or concentration, impaired balance.
• Blurred vision.
• Lower blood pressure when standing up.

If you get any side effects, talk to your doctor, pharmacist or druggist or Your doctor, pharmacist or druggist. This also applies in particular to side effects that are not listed in this leaflet.

What else needs to be considered?

Shelf life

The medicine may only be used up to the date on the container and the Bags with the date marked «EXP» are to be used.

Storage instructions

Store at room temperature (15-25°C).

Keep out of the reach of children.

Further information

Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed information for specialists.

What does NeoCitran flu/cold contain?

Active ingredients

1 sachet contains: 500 mg paracetamol, 20 mg pheniramine hydrogen maleate, 10 mg phenylephrine hydrochloride, 50 mg ascorbic acid (vitamin C).

Excipients

Sucrose, citric acid, sodium citrate, tricalcium phosphate, malic acid, flavoring (grapefruit, lemon), quinoline yellow (E 104), erythrosine (E 127), titanium dioxide (E 171).

Approval number

47346 (Swissmedic).

Where can you get NeoCitran flu/cold? What packs are available?

In pharmacies and drugstores, without a doctor's prescription.

Pack of 12 bags.

Authorization holder

GSK Consumer Healthcare Schweiz AG, Risch.

This leaflet was last checked by the Medicines Agency (Swissmedic) in August 2022.