
MBBS
Panaram tablet 500 mg 200’s
- Does this requires a prescription ? Yes
- Generic Name: Paracetamol
- Manufactured by : Efroze Pharmaceuticals
- Drug Strength : 500 mg
- Drug Form : Tablet
- Pack Size : 200s
- Product SKU : pg_17723_24525
Panaram tablet contains Paracetamol | belongs to Para-aminophenol derivative
Alternate brands of Panaram tablet 500 mg 200’s
Brand Name | Price | Savings |
---|---|---|
Zancpal suspension 120 mg 450 mL | ₨ 40.00 | You can save 140 |
Zancpal suspension 120 mg 60 mL | ₨ 16.80 | You can save 163.2 |
Yanil suspension 120 mg 60 mL | ₨ 25.00 | You can save 155 |
Xtramol Injection 300 mg/2 mL 5 Ampx2 mL | ₨ 55.00 | You can save 125 |
Xtramol Infusion 1 gm 1 Vialx100 mL | ₨ 80.00 | You can save 100 |
How it works
Panaram tablet 500 mg 200’s increases the pain threshold and decreases swelling. It also brings down elevated body temperature by acting on heat regulatory centers in the brain.
Side effects
Major & minor side effects for Panaram tablet 500 mg 200’s
- Nausea or Vomiting
- Gastric / Mouth Ulcer
- Anemia
- Fatigue
- Stevens-Johnson Syndrome severe
Uses of Panaram tablet 500 mg 200’s
What is it prescribed for?
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Fever
Panaram tablet 500 mg 200’s is used to provide temporary relief from fever without treating the underlying cause.
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Headache
Panaram tablet 500 mg 200’s is used to relieve acute headaches including a migraine.
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Muscle Pain
Panaram tablet 500 mg 200’s is used to relieve mild to moderate pain in the muscles.
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Menstrual Cramps
Panaram tablet 500 mg 200’s is used to relieve pain and cramping associated with menstrual cycles in women.
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Post Immunization Pyrexia
Panaram tablet 500 mg 200’s is used in the treatment of pain and fever that sets in after one has taken vaccinations.
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Arthritis
Panaram tablet 500 mg 200’s is used to relieve joint pain including mild to moderate pain in arthritis.
When not to use?
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Allergy
This medicine is not recommended for use if you have a known allergy to Panaram tablet 500 mg 200’s or any other components present along with it.
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Analgesic Nephropathy (Kidney Disease)
This medicine is not recommended for use in patients suffering from kidney diseases associated with the excessive use of painkillers.
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Severe liver impairment
This medicine is not recommended for use in patients with severe liver diseases due to the increased risk of worsening of the patient's condition.
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Overdose
This medicine is available in the market in various dosage forms. Read the label carefully before consuming this medicine to avoid overdosage. Overdose may result in liver damage. Seek emergency medical attention if an overdose of this medicine is suspected.
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Liver Disease
This medicine should be used with extreme caution in patients suffering from liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
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Chronic Malnutrition
This medicine should be used with extreme caution in patients suffering from malnourishment due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Dosage
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Missed Dose
Oral and rectal forms: Since Panaram tablet 500 mg 200’s is administered as an when required, the likelihood of missing a dose is very low. If you are on a scheduled dosing regimen of this medicine, the missed dose should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not double the dose to make up for the missed one. Since Panaram tablet 500 mg 200’s injection is usually administered by a qualified healthcare professional in a clinical or hospital setting, the likelihood of missing a dose is very low.
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Overdose
Oral and rectal forms: Seek emergency medical attention or contact your doctor in case of an overdose with Panaram tablet 500 mg 200’s. Injection: Since this medicine is administered in the hospital or clinical setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.
Interactions
Interaction with Medicines- Carbamazepine moderate
- Phenytoin moderate
- Sodium Nitrite severe
- Leflunomide severe
- Prilocaine severe
- Isoniazid moderate
- Naltrexone moderate
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severe
This medicine should be used with extreme caution in patients with chronic alcohol use due to the increased risk of serious liver injuries. Close monitoring of liver function is recommended for such patients. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
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severe
This medicine should be used with extreme caution in patients with liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Report any symptoms such as nausea, fever, rashes, dark urine, etc. to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
General Instructions
Oral forms: Take Panaram tablet 500 mg 200’s as advised by your doctor. You may take this medicine with or without food. Do not take in larger amounts than advised. Usage should never exceed the recommended daily maximum dosage limit of 4 grams in a 24-hour time period. Rectal forms: Use Panaram tablet 500 mg 200’s exactly as advised by your doctor. Do not take in larger or smaller quantities than advised. Injection: Panaram tablet 500 mg 200’s should be administered by a trained healthcare professional as per the doctor's instructions. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Other details
- Can be taken with or without food, as advised by your doctor
- To be taken as instructed by doctor
- Does not cause sleepiness
References
- practo.com - Paracetamol [Internet]. Available from: https://www.practo.com/medicine-info/paracetamol-219-api [cited 29 August 2019]. 8 Jul 2019
- medicines.org.uk - Paracetamol [Internet]. Available from: https://www.medicines.org.uk/emc/medicine/18127 [cited 29 August 2019]. 22 Jul 2019
- pubchem.ncbi.nlm.nih.gov - Acetaminophen [Internet]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/1983#section=Top [cited 29 August 2019]. 2019-08-24
- medlineplus.gov - Acetaminophen [Internet]. Available from: https://medlineplus.gov/druginfo/meds/a681004.html [cited 29 August 2019]. 22 Jul 2019
How to use Panaram tablet 500 mg 200’s
IV Inj 10 mg/mL: By IV infusion over 15 min.
Stability: Store intact vial at room temperature 20°C-25°C. Do not refrigerate or freeze. Use within 6 hours of opening vial or transferring to another container.
UNLICENSED USE
Children: Not recommended for use of oral dosage form under 2 mth; rectal dosage form under 3 mth; IV infusion in preterm neonates. Max 4 doses/24 hr.
ORAL: Pain; pyrexia with discomfort: Neonate 28-32 wk corrected gestational age, 20 mg/kg as a single dose then 10-15 mg/kg every 8-12 hr as necessary, max 30 mg/kg/day in divided doses. Neonate over 32 wk corrected gestational age, 20 mg/kg as a single dose then 10-15 mg/kg every 6-8 hr as necessary, max 60 mg/kg/day in divided doses; 1-2 mth, 30-60 mg every 8 hr as necessary, max 60 mg/kg daily in divided doses.
RECTAL: Pain; pyrexia with discomfort: Neonate 28-32 wk corrected gestational age, 20 mg/kg as a single dose then 10-15 mg/kg every 12 hr as necessary; max. 30 mg/kg daily in divided doses; Neonate over 32 wk corrected gestational age, 30 mg/kg as a single dose then 15-20 mg/kg every 8 hr as necessary, max. 60 mg/kg/day in divided doses; 1-3 mth, 30-60 mg every 8 hr as necessary, max 60 mg/kg/day in divided doses.
Postoperative pain: 1-3 mth, 30 mg/kg as a single dose then 15-20 mg/kg every 4-6 hrs, max 75 mg/kg/day in divided doses.
INJECTION: IV infusion over 15 min. Pain; pyrexia with discomfort: Preterm neonate over 32 wk corrected gestational age, 7.5 mg/kg every 8 hr, max 25 mg/kg/day.
what are the adverse effects of Panaram tablet 500 mg 200’s?
Cyanosis, skin eruptions, hypoglycaemia, CNS stimulations. Inj: Hypotension, flushing and tachycardia.
What happens if I miss a dose of Panaram tablet 500 mg 200’s?
Adults: ORAL: Repeat every four hr if necessary up to max 4 doses in 24 hr. Single dose of 500 mg to 1000 mg which may be repeated every 4 hr, max 4000 mg/day.
RECTAL: 500-1000 mg every 4-6 hr, max 4 gm/day.
INJECTION: 1 amp (2 mL) IM 6 hourly. IV infusion over 15 min: Over 50 kg body-weight, 1 gm every 4-6 hr, max 4 gm daily.
Children: Not recommended for use of oral dosage form under 2 mth; rectal dosage form under 3 mth; IV infusion in preterm neonates.
ORAL: Pain; pyrexia with discomfort: 2-3 mth, 30-60 mg every 8 hr as necessary, max 60 mg/kg daily in divided doses; 3-6 mth, 60 mg every 4-6 hr, max 4 doses/day; 6 mth-2 yr, 120 mg every 4-6 hr, max 4 doses/day; 2-4 yr, 180 mg every 4-6 hr, max 4 doses/day; 4-6 yr, 240 mg every 4-6 hr, max 4 doses/day; 6-8 yr, 240-250 mg every 4-6 hr, max 4 doses/day; 8-10 yr, 360-375 mg every 4-6 hr, max 4 doses/day; 10-12 yr, 480-500 mg every 4-6 hr, max 4 doses/day; 12-16 yr, 480-750 mg every 4-6 hr, max 4 doses/day; 16-18 yr, 500 mg-1 gm every 4-6 hr, max 4 doses/day.
RECTAL: Pain; pyrexia with discomfort: 3-12 mth, 60-125 mg every 4-6 hr as necessary, max 4 doses/day; 1-5 yr, 125-250 mg every 4-6 hr as necessary, max 4 doses/day; 5-12 yr, 250-500 mg every 4-6 hr as necessary, max 4 doses/day; 12-18 yr, 500 mg every 4-6 hr.
Postoperative pain: 1-3 mth, 30 mg/kg as a single dose then 15-20 mg/kg every 4-6 hr, max 75 mg/kg/day in divided doses; 3 mth-6 yr, 30-40 mg/kg as a single dose then 15-20 mg/kg every 4-6 hr, max 75 mg/kg daily in divided doses; 6-12 yr, 30-40 mg/kg, (max 1 gm) as a single dose then 15-20 mg/kg every 4-6 hr, max 75 mg/kg (max 4 g) daily in divided doses; 12-18 yr, 1 gm every 4-6 hr, max 4 doses/day.
INJECTION: IV infusion over 15 min. Pain; pyrexia with discomfort: Neonate, 10 mg/kg every 4-6 hr, max 30 mg/kg/day; child body-weight under 10 kg, 10 mg/kg every 4-6 hr, max 30 mg/kg/day; child body-weight 10-50 kg, 15 mg/kg every 4-6 hr, max 60 mg/kg/day; child body-weight over 50 kg, 1 gm every 4-6 hr, max 4 gm daily.
One of the following licensed pharmacy from the nearest location will deliver Panaram tablet 500 mg 200’s. The details of the licensed pharmacy shall be shared once you request the drugs and the respective pharmacy accepts your request based on valid prescription and availability.
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