The NEW ERA of PANADOL and its types

What is Panadol?

Panadol is the Market or you can say brand name of the drug Paracetamol.

What is the Classification of Panadol?

  1. Analgesic, non-narcotic
  2. Antipyretic
  3. Non-steroidal anti-inflammatory drug but due to its low degree of analgesic activity it is not consider in NSAID derivatives

Generic Name of Panadol:

it is known as Paracetamol or chemical name as acetaminophen. Acetaminophen (IUPAC: N(4-hydroxyphenyl)acetamide, chemical formula: C8H9NO2), also known as paracetamol, is classified as an “Aniline analgesic” and it is the only drug of this family still used nowadays. The terms "acetaminophen" and "paracetamol" both come from a chemical name of the compound, para-acetylaminophenol, and it can be also abbreviated as APAP. Even though there is evidence that paracetamol and NSAIDs (Non steroidal anti-inflammatory drugs) have a similar pharmacological activity, it is not considered part of this class because of its lack of significant anti-inflammatory activity. It is the active metabolite of phenacetin, now felt into disuse because carcinogenic in therapeutic doses

What Products Come into the Market:

Panadol as brand product, Paracetamol as Generic product and Acetaminophen come into a branded product shown below.

Structure of Panadol Paracetamol is same

There are more than 6 types of Panadol in the Market, So what is the difference between them?

The main ingredient of Panadol is acetaminophen, which is an analgesic or painkiller that rarely has adverse effects if used correctly. In the average normal human body, the drug stays in the body for a maximum of 24 hours and is metabolized out of the body by the liver in a minimum of 4 to 5 hours.

1. Original Panadol 500 mg
This is the most common form of Panadol and the main ingredient is acetaminophen, which is the most commonly used painkiller ingredient in the world. This Panadol does not irritate the stomach and intestines when taken on an empty stomach and is suitable for most people.





2. Paracetamol Actifast
This Panadol is characterized by a relatively fast pain relief effect. Since this Panadol contains sodium (Sodium), there are 173mg of sodium in each painkiller tablet, it is not suitable for people with high blood pressure, or those who cannot eat foods high in sodium.

3. Panadol Extra
This Panadol has added caffeine to relieve migraines, and is suitable for people with migraine problems.


4. Panadol Extended
This Panadol is a high dose pain reliever so it can provide long-lasting pain relief.

5. Panadol Soluble
This Panadol is for people who are not good at swallowing pills.

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6. Panadol Menstrual
This type of Panadol is indicated for women who suffer from menstrual pain. This Panadol has added Pamabrom to eliminate or reduce the water that accumulates in the body due to hormones and also to relieve the pain of cramps in the lower abdomen.

For the Consumer

Applies to acetaminophen: capsule, capsule liquid filled, elixir, liquid, powder, solution, suppository, suspension, tablet, tablet chewable, tablet disintegrating, tablet extended release

Other dosage forms:

  • intravenous solution

Side effects requiring immediate medical attention

Along with its needed effects, acetaminophen (the active ingredient contained in Panadol) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking acetaminophen:

Rare

  • Bloody or black, tarry stools
  • bloody or cloudy urine
  • fever with or without chills (not present before treatment and not caused by the condition being treated)
  • pain in the lower back and/or side (severe and/or sharp)
  • pinpoint red spots on the skin
  • skin rashhives, or itching
  • sore throat (not present before treatment and not caused by the condition being treated)
  • sores, ulcers, or white spots on the lips or in the mouth
  • sudden decrease in the amount of urine
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur while taking acetaminophen:

Symptoms of overdose

  • Diarrhea
  • increased sweating
  • loss of appetite
  • nausea or vomiting
  • stomach cramps or pain
  • swelling, pain, or tenderness in the upper abdomen or stomach area

For Healthcare Professionals

Applies to acetaminophen: compounding powder, intravenous solution, oral capsule, oral granule effervescent, oral liquid, oral powder, oral powder for reconstitution, oral suspension, oral tablet, oral tablet chewable, oral tablet disintegrating, oral tablet extended release, rectal suppository

General

In general, acetaminophen (the active ingredient contained in Panadol) is well-tolerated when administered in therapeutic doses. The most commonly reported adverse reactions have included nausea, vomiting, constipation. Injection site pain and injection site reaction have been reported with the IV product.

Hepatic

Common (1% to 10%): Increased aspartate aminotransferase

Rare (less than 0.1%): Increased hepatic transaminases

Frequency not reported: Liver failure

Gastrointestinal

Very common (10% or more): Nausea (up to 34%), Vomiting (up to 15%)

Common (1% to 10%): Abdominal pain, diarrhea, constipation, dyspepsia, enlarged abdomen

Frequency not reported: Dry mouth

Hypersensitivity

Postmarketing reports: Anaphylaxis, hypersensitivity reactions

Hematologic

Common (1% to 10%): Anemia, postoperative hemorrhage

Very rare (less than 0.01%): Thrombocytopenia, leucopenia, neutropenia

Dermatologic

Common (1% to 10%): Rash, pruritus

Rare (less than 0.1%): Serious skin reactions such as acute generalized exanthematous pustulosis, Stevens-Johnson syndrome, and toxic epidermal necrolysis

Very rare (less than 0.01%): Pemphigoid reaction, pustular rash, Lyell syndrome

Respiratory

Common (1% to 10%): Dyspnea, abnormal breath sounds, pulmonary edema, hypoxia, pleural effusion, stridor, wheezing, coughing

Cardiovascular

Common (1% to 10%): Peripheral edema, hypertension, hypotension, tachycardia, chest pain

Metabolic

Common (1% to 10%): Hypokalemia, hyperglycemia

Nervous system

Common (1% to 10%): Headache, dizziness

Frequency not reported: Dystonia

Musculoskeletal

Common (1% to 10%): Muscle spasms, trismus

Psychiatric

Common (1% to 10%): Insomnia, anxiety

Genitourinary

Common (1% to 10%): Oliguria

Local

Common (1% to 10%): Infusion site pain, injection site reactions

Ocular

Common (1% to 10%): Periorbital edema

Other

Common (1% to 10%): Pyrexia, fatigue

Rare (0.01% to 0.1%): Malaise

References:

www.drugs.com

www.ncbi.com

British National Formulary


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