ILVICO COATED TABLETS

2. What you need to know before taking Ilvico

Do not take Ilvico

• If you are allergic (hypersensitive) to paracetamol, caffeine, brompheniramine maleate, or any of the other components of this medication (listed in section 6).
• If you suffer from mental disorders that occur with nervous excitement, epilepsy, anxiety states, and insomnia (sleep problems).
• If you are or have been in treatment, in the last 14 days, with monoamine oxidase inhibitor (MAOI) medications used to treat depression or Parkinson's disease.
• If you have asthma and have suffered severe side effects in the bronchi and lungs when taking allergy medications.
• If you have any brain injury.
• If you have glaucoma.
• If you have severe liver disease.
• If you have difficulty urinating and/or prostate enlargement.
• Children under 12 years of age cannot take this medication.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Ilvico.

• Do not take more medication than recommended in section 3. How to take Ilvico.
• Avoid simultaneous use of this medication with other medications that contain paracetamol, as high doses can lead to liver damage. Do not use more than one medication that contains paracetamol without consulting your doctor, as it may cause an overdose.
• Limit your consumption of products that contain caffeine while taking this medication.
• Consult your doctor before taking this medication:
• • Avoid drinking alcohol while taking this medication.

During treatment with Ilvico, inform your doctor immediately if

If you have severe diseases, such as severe renal insufficiency or sepsis (when bacteria and their toxins circulate in the blood, causing organ damage), or if you have malnutrition, chronic alcoholism, or are also taking flucloxacillin (an antibiotic). A serious disease called metabolic acidosis (a blood and fluid anomaly) has been reported in patients in these situations when using paracetamol at regular doses for a prolonged period or when taking paracetamol with flucloxacillin. The symptoms of metabolic acidosis may include: severe breathing difficulties with deep and rapid breathing, drowsiness, feeling unwell (nausea) and vomiting.

Taking Ilvico with other medications

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication. As many other medications can affect liver function and increase the risk of liver toxicity.

In particular, if you are using any of the following medications, it may be necessary to modify the dose of some of them or even interrupt treatment:

• Antidepressants, anticonvulsants.
• Other antihistamines.
• Anxiety medications.
• Sleep aids.
• Antibiotics (chloramphenicol) and anti-infective quinolones (such as oxolinic acid, ciprofloxacin), linezolid, erythromycin, and terbinafine.
• Oral contraceptives and estrogen treatments.
• Antidepressants, such as monoamine oxidase inhibitors (MAOIs) or lithium, and other medications for depression and mood: buspirone, phenelzine, fluoxetine, venlafaxine, trazodone, amitriptyline, or nortriptyline.
• Clozapine, used to treat psychosis and bipolar disorders.
• Barbituric medications (used as hypnotics, sedatives, and anticonvulsants).
• Asthma medications (adrenergic bronchodilators and theophylline).
• Medications used to increase urine elimination: loop diuretics such as furosemide.
• Cimetidine, used to treat stomach ulcers.
• Disulfiram, a medication used to treat chronic alcoholism.
• Hydrocylamide, used for some muscle contractions and pains.
• Iron supplements for the treatment of anemia (should be taken 2 hours apart).
• Mexiletine used for heart rhythm disorders.
• Ephedrine, a medication used as a cardiac stimulant.
• Thyroxine, a medication used to treat thyroid diseases.
• Medications to prevent blood clots: oral anticoagulants (acenocoumarol, warfarin).
• Medications used to treat epilepsy: antiepileptics (lamotrigine, phenytoin, or other hydantoins, phenobarbital, methylphenobarbital, primidone, carbamazepine).
• Medications used to treat migraines: ergot alkaloids, triptans, valproic acid.
• Medications used to treat tuberculosis: isoniazid, rifampicin.
• Medications used to lower blood cholesterol levels: colestyramine. (The effect of paracetamol may decrease).
• Medications used to treat gout: probenecid and sulfinpyrazone.
• Medications used to relieve stomach, intestine, and bladder spasms or contractions (anticholinergics).
• Medications used to prevent nausea and vomiting: metoclopramide and domperidone.
• Medications used to treat the human immunodeficiency virus (HIV): zidovudine.
• Medications used to treat high blood pressure and heart rhythm disorders (cardiac arrhythmias), such as propranolol.
• Substances used for heart imaging tests, such as adenosine and dipyridamole. You should avoid taking this medication during the 24 hours prior to the test.
• Amphetamines, as well as analgesics such as cyclobenzaprine, fentanyl, meperidine, or tramadol.
• Activated charcoal, and other products that slow down stomach emptying.
• St. John's Wort (Hypericum perforatum).
• Grapefruit juice.
• Other medications and paracetamol: Inform your doctor or pharmacist if you are taking: flucloxacillin (antibiotic), due to a serious risk of blood and fluid anomaly (called metabolic acidosis) that requires urgent treatment (see section 2)
• .

Interference with analytical tests

If you are going to have any analytical tests (including blood, urine, etc.), inform your doctor that you are taking this medication, as it may alter the results.

Taking Ilvico with food and beverages

Coffee, tea, chocolate, or cola drinks are sources of caffeine. Therefore, it is recommended to moderate the consumption of these products while taking Ilvico. Taking up to 400 mg of caffeine per day in healthy adults is considered safe, so it is important that you consider the total caffeine content in other foods or products while taking this medication.

Taking Ilvico by patients who regularly consume alcohol (three or more alcoholic beverages - beer, wine, liquor... - per day) may cause liver damage.

Concomitant consumption of Ilvico with alcoholic beverages may increase its side effects.

Taking this medication with food does not affect its efficacy.

Use in children

Do not administer to children under 12 years of age.

Use in adults over 65 years

Talk to your doctor before taking brompheniramine, as it is more likely to cause confusion, and you may need to take a lower daily dose. Elderly people are more likely to experience side effects. Consult your doctor before taking this medication.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Pregnant or breastfeeding women cannot take this medication. Its use will only be considered in case of medical recommendation and under strict supervision, if the benefits outweigh the risks.

Driving and using machines

This medication may cause drowsiness, dizziness, or blurred vision, especially if you drink alcoholic beverages while taking this medication. If the medication causes these effects, do not drive or operate hazardous tools or machines while taking it.

Ilvico contains sodium carboxymethylcellulose (type A)

This medication contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially 'sodium-free'.

3. How to take Ilvico

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or pharmacist exactly. In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adults

2 tablets (650 mg of paracetamol) every 8 hours. Do not take more than 6 tablets in 24 hours. Do not take more than 3 g of paracetamol every 24 hours (see "Warnings and Precautions" in section 2).

Adolescents from 12 years of age

1 tablet every 6 or 8 hours. Do not take more than 4 tablets in 24 hours.

Children under 12 years of age

Cannot take this medication.

This medication is taken orally.

Tablets should be taken with a little water.

Suspend treatment once symptoms have disappeared.

If symptoms worsen or persist for more than 5 days of treatment, you should consult a doctor.

If you take more Ilvico than you should

If you have taken an overdose, go to a medical center immediately, even if you do not notice symptoms, as they often do not appear until 3 days after taking the overdose, even in cases of severe poisoning. Taking too much paracetamol can cause severe liver damage.

The symptoms of overdose may be: excitement, discomfort, diarrhea, abdominal pain, convulsions, dizziness, nausea, vomiting, loss of appetite, yellowing of the skin and eyes (jaundice), drowsiness, disorientation, and sweating.

Treatment of overdose is most effective if started within 4 hours of taking the medication.

Patients taking barbiturics or chronic alcoholics may be more susceptible to paracetamol overdose toxicity.

In case of overdose or accidental ingestion, go to a medical center immediately or call the Toxicology Information Service (phone 91 562 04 20), indicating the medication and the amount ingested.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

Side effects are uncommon with paracetamol.

Stop taking the product and contact your doctor immediately if you notice:

• allergic reactions, e.g., skin rashes, itching, urticaria (hives), swelling of lips, tongue, or throat, or difficulty breathing, anaphylaxis.
• an increase in the number of nosebleeds or notice that you bruise or bleed more easily.

Very rare cases of severe skin reactions have been reported. If a skin reaction occurs, discontinue use and seek medical help immediately.

You should discontinue treatment immediately if you experience dizziness or palpitations (abnormally strong heartbeats).

The following side effects have been observed for which the exact frequency cannot be established: pupil dilation, dry eyes, constipation, alterations in intellectual ability, abdominal pain, fatigue, loss of coordination, confusion, vomiting, or digestion problems. Some children may become hyperactive after taking this medication.

Frequent disorders (observed in 1 to 10 people out of 100):

• Drowsiness, headache, blurred vision, increased respiratory secretions, dry mouth, stomach pain. Some patients, particularly those with prostate enlargement, may have difficulty urinating (urinary retention).

Rare disorders (observed in 1 to 10 people out of 10,000):

• Heart rhythm disorders.
• Decreased blood pressure (hypotension).
• Fainting sensation.

Discomfort.

Convulsions and tremors.

• Liver disorders.

Very rare disorders (observed in less than 1 in 10,000 people):

• Decrease in the number of some blood cells, which can increase the likelihood of infections or include a type of anemia.

• Decrease in blood sugar levels.
• Yellowing of the skin.
• Cloudy urine, painful urination.
• Allergy.

Very rare cases of severe skin reactions have been reported. If a skin reaction occurs, discontinue use and seek medical help immediately.

Other side effects related to caffeine have been observed, for which the exact frequency cannot be established. The most commonly observed effects were: insomnia, restlessness, nervousness, irritability, excitement, and disorientation. Nausea, vomiting, and stomach irritation have also been observed.

You should discontinue treatment immediately if you feel dizzy or experience palpitations (abnormally strong heartbeats).

Frequency not known (cannot be estimated from available data): A serious disease called metabolic acidosis (a blood and fluid anomaly) in patients with severe disease using paracetamol (see section 2).

Reporting side effects:

If you experience any side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: http://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Ilvico

Do not store above 30 °C.

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Ilvico

The active ingredients are paracetamol 325 mg, caffeine 30 mg, and brompheniramine maleate 3 mg.

The other components are microcrystalline cellulose, sodium carboxymethylcellulose (type A) (derived from potato starch), crospovidone, hypromellose, cellulose powder, magnesium stearate, glycerol (E-422), colloidal anhydrous silica, titanium dioxide (E171), macrogol, talc.

Appearance of the product and package contents

Ilvico are white, coated tablets, presented in blisters, packaged in boxes of 20 tablets.

Marketing authorization holder

Laboratorios Vicks, S.L.

Avda. Bruselas, 24

28108 Alcobendas (Madrid) Spain

Manufacturer

P&G Health Austria GmbH & Co. OG

Hösslgasse 20

9800 Spittal an der Drau

Austria

Local representative

Procter & Gamble España, S.L.U.

Avda. Bruselas, 24

28108 Alcobendas (Madrid) Spain

Date of the last revision of this package leaflet:January 2025

Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/).