Sometimes it's really hard on your body, isn't it? Your body hurts, and on top of that, you can't sleep at night. Today we're talking about a medicine that's used at times like these, which helps relieve pain and get a good night's sleep. This is a medicine that comes in the form of a powder. Let's see how to use it exactly, and what things to be careful about.
What does this medicine contain?
Simply put, this medicine is a combination of two main things.
1. Acetaminophen: This is a type of paracetamol that you are familiar with. Its main function is to relieve pain.
2. Diphenhydramine: Although this is a medicine for allergies, one of its side effects is that it causes drowsiness. So in this medicine, that drowsiness is used to get a good night's sleep.
When these two come together, your body's pain will decrease and you will be able to sleep soundly.
Things you should tell your doctor before taking medication
Before you start taking this medicine, you should definitely tell your doctor if you have any of the following medical conditions, as this medicine may interact with those conditions.
| Illness or condition | Why should I inform the doctor ? |
|---|---|
| Asthma or lung diseases | The effects of the medication may increase breathing difficulties. |
| Glaucoma condition | This may further increase the pressure in the eyes. |
| High blood pressure or heart disease | Heart rate or blood pressure may be affected. |
| If you drink alcohol frequently | The combination of acetaminophen and alcohol is very dangerous for the liver. |
| Liver disease | Since this medication is primarily eliminated from the body through the liver, a diseased liver may not be able to tolerate it. |
| Difficulty urinating or prostate problems | The effects of the medication may make it more difficult to urinate. |
| Stomach ulcers or stomach problems | Sometimes it can increase stomach discomfort. |
| Allergies to other medicines, foods or things | There is a possibility of an allergic reaction to this medicine. |
| If you are pregnant or expecting a baby | The unborn child may be affected. Medical advice is essential. |
| If the baby is breastfed | The medicine can pass to the baby through breast milk. |
How exactly do you use this?
There are two ways to use this medicine.
1. Place the medicine directly on your tongue and drink a glass of water.
2. Alternatively, add this powder to a glass of water or other beverage, stir well, and drink.
The most important thing is to take only the prescribed amount, at the prescribed time, as directed on the package or in the instructions provided by your doctor. Never take more than the prescribed amount.
Warning: This medicine is not approved for use in children under 12 years of age. Therefore, do not give it to young children without the advice of a doctor.
What to do if you take too much medicine?
If you have even the slightest suspicion that you have taken more medicine than you think, don't delay for a minute. Don't wait for symptoms to appear.
- Go to the nearest hospital's Emergency Department (ETU) immediately.
- Alternatively, call the National Poison Information Centre at the Colombo National Hospital .
This medicine is for your own use only. Do not share it with anyone else, even if you think your symptoms are the same.
What are the things that should not be taken with this medicine?
Some medications can react with this medicine and cause dangerous results.
| Never take these with you! | |
|---|---|
| A class of medications called MAOIs (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) used to treat mental illnesses such as depression. It is not advisable to take this medicine `Acetaminophen; Diphenhydramine` even for two weeks after stopping these medications. | |
| Be very careful when taking these things together (seek medical advice) | |
| Alcohol | The damage to the liver is very high. Drowsiness also increases dramatically. |
| Any other medicine containing paracetamol (Acetaminophen) | Many medicines for fever and colds contain paracetamol. Taking these together can cause liver damage. |
| Other sleeping pills, tranquilizers | Drowsiness and dizziness may increase excessively. |
| Other specific medications like Barbiturates, Imatinib, Isoniazid | Tell your doctor about all the medications you are taking. |
It is very important to tell your doctor about all the medications you are taking (including vitamins and traditional medicines).
Other things to keep in mind when taking medication
- Drowsiness and dizziness: You may feel drowsy or dizzy after taking this medicine. This is normal. Therefore, do not drive, work at heights, or operate machinery while taking this medicine. Be careful when getting up or sitting down suddenly, especially if you are elderly.
- Dry mouth: You may feel like your mouth is dry. Chewing sugar-free gum and sipping water can help.
- Dry eyes and blurred vision: Your eyes may feel dry and your vision may be a little blurry. If you wear contact lenses, you may experience discomfort. Lubricating drops can be used. If this problem persists, see a doctor.
Very important: Do not take any other medicine containing acetaminophen (for example Panadol, some fever reducers) while taking this medicine. Read the label of all medicines carefully. Taking too much paracetamol can be very dangerous for the liver. If you suspect you have taken too much, even if you do not have any symptoms, seek medical advice immediately.
Side effects that may occur due to the medicine
Like any medicine, this can cause side effects in some people.
| Serious side effects that should be reported to your doctor immediately | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Symptoms of liver injury | Pain in the upper right abdomen, loss of appetite, nausea, light-colored stools, dark yellow or brown urine, yellowing of the skin or eyes, and extreme fatigue. |
| Serious skin reactions | Skin redness, blistering, peeling (even inside the mouth). |
| Eye problems | Sudden eye pain, blurred vision, seeing rings around lights, loss of vision. |
| Difficulty urinating | Inability or difficulty urinating. |
| Things that are usually not serious, but should be reported to the doctor if they persist | |
| Constipation, Drowsiness, Headache, Nausea, Upset stomach | |
Take-Home Message
- This medicine is a combination of two drugs that relieve pain and help you sleep.
- Tell your doctor about any other medical conditions you have (especially liver disease, asthma, glaucoma) and all other medications you are taking.
- Do not drink alcohol for any reason while taking this medicine.
- Very important: When taking this medicine, do not take any other medicine containing paracetamol (Acetaminophen) at the same time. This is very dangerous for the liver.
- Avoid driving and performing tasks that require attention, as drowsiness may occur after taking the medication.
- If you have taken more than the prescribed amount, go to a hospital emergency room (ETU) immediately or contact the National Poisons Information Center, even if there are no symptoms.
- If you have any concerns or doubts , talk to your doctor.


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