PARACETAMOL CINFA 1 g TABLETS

2. What you need to know before taking Paracetamol Cinfa

Do not take Paracetamol Cinfa

• If you are allergic to paracetamol or any of the other components of this medication (listed in section 6).

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Paracetamol Cinfa.

• Do not take more than the recommended dose in section 3, "How to take Paracetamol Cinfa".
• Avoid taking this medication simultaneously with other medications that contain paracetamol, such as medications for flu and colds, as high doses can cause liver damage. Do not use more than one medication that contains paracetamol without consulting your doctor.
• Chronic alcoholics should be cautious not to take more than 2 g/24 hours of paracetamol.
• Patient with kidney disease due to its paracetamol content of 1 g cannot take this medication. Those suffering from liver, heart, or lung disease and patients with anemia should consult their doctor before taking this medication.
• When being treated with medication for epilepsy, consult your doctor before taking this medication, as the efficacy of paracetamol may be decreased and hepatotoxicity may be increased, especially in high-dose treatments.
• Inform your doctor before taking this medication if you are an asthmatic patient sensitive to acetylsalicylic acid.
• Paracetamol can cause severe skin reactions, such as acute generalized exanthematous pustulosis(AGEP), Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. Patients should be informed about the signs of severe skin reactions and should discontinue the use of the medication at the first symptom of skin rash or any other sign of hypersensitivity.
• If you have severe diseases, such as severe renal failure or sepsis (when bacteria and their toxins circulate in the blood, causing damage to organs), or if you suffer from malnutrition, chronic alcoholism, or are also taking flucloxacillin (an antibiotic). A severe disease called metabolic acidosis (an anomaly in blood and fluids) has been reported in patients in these situations when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken with flucloxacillin. The symptoms of metabolic acidosis may include: severe breathing difficulties with deep and rapid breathing, drowsiness, feeling of discomfort (nausea) and vomiting.

Children and Adolescents

Due to the dose of paracetamol, this medication should not be used in children or adolescents under 15 years of age (and weighing less than 50 kg). Ask your doctor or pharmacist about the available presentations that allow for adequate dosing of these patients.

Interference with Analytical Tests

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

Paracetamol may alter the values of analytical determinations of uric acid and glucose.

Other Medications and Paracetamol Cinfa

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

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

• Medication to prevent blood clots: oral anticoagulants (acenocoumarol, warfarin).
• Medications for treating epilepsy: antiepileptics (lamotrigine, phenytoin or other hydantoins, phenobarbital, methylphenobarbital, primidone, carbamazepine).
• Medications for treating tuberculosis: (isoniazid, rifampicin).
• Medications for treating depression and convulsions: barbiturates (used as hypnotics, sedatives, and anticonvulsants).
• Medications for reducing cholesterol levels in the blood (cholestyramine).
• Medications used to increase urine elimination (loop diuretics such as furosemide).
• Medications used for the treatment of gout (probenecid and sulfinpyrazone).
• Medications used to prevent nausea and vomiting: metoclopramide and domperidone.
• Medications used in the treatment of high blood pressure and heart rhythm disorders (arrhythmias): propranolol.

Also, inform your doctor or pharmacist if you are taking:

flucloxacillin (antibiotic), due to a serious risk of alteration of blood and fluids (called metabolic acidosis with high anion gap) that should be treated urgently (see section 2).

Taking Paracetamol Cinfa with Food, Drinks, and Alcohol

Taking paracetamol in patients who habitually consume alcohol (three or more alcoholic beverages per day: beer, wine, liquor) can cause liver damage.

Taking this medication with food does not affect its efficacy.

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.

If necessary, paracetamol can be used during pregnancy. You should use the lowest possible dose that reduces pain or fever and use it for the shortest possible time. Contact your doctor if the pain or fever does not decrease or if you need to take the medication more frequently.

Paracetamol passes into breast milk, so breastfeeding women should consult their doctor or pharmacist before taking this medication.

Driving and Using Machines

The influence of paracetamol on the ability to drive and use machines is zero or insignificant.

3. How to Take Paracetamol Cinfa

Follow the administration instructions of this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

This medication is taken orally.

According to your preferences, the tablets can be swallowed directly or broken in half, with the help of a glass of liquid, preferably water.

The recommended dose is:

Adults and Adolescents Over 15 Years of Age (and Weighing More Than 50 kg)

The recommended dose is 1 or half a tablet (1 g-500 mg of paracetamol) as needed. The doses should be spaced at least 4 hours apart. Do not take more than 4 tablets (4 g) in 24 hours.

Elderly Patients

Your doctor will indicate the frequency and whether the dose needs to be reduced.

Patient with Liver Disease

They should take the prescribed amount of medication by their doctor with a minimum interval between each dose of 8 hours. They should not take more than 2 grams of paracetamol in 24 hours, divided into 2 doses.

Patient with Kidney Disease

Before taking this medication, they must consult their doctor. Take a maximum of half a tablet (500 milligrams) per dose. According to their disease, their doctor will indicate whether they should take their medication with a minimum interval of 6 or 8 hours.

They should not take more than 2 grams in 24 hours, divided into several doses, not exceeding 500 milligrams per dose in any case.

Use in Children and Adolescents

Do not use in children under 15 years of age.

The tablet can be broken into equal doses.

Taking this medication is subject to the appearance of symptoms, pain, or fever. As these symptoms disappear, treatment should be discontinued.

Avoid using high daily doses of paracetamol for prolonged periods, as this increases the risk of suffering from side effects such as liver damage.

If the pain persists for more than 5 days, the fever for more than 3 days, or the pain or fever worsens or other symptoms appear, consult your doctor and reevaluate the clinical situation.

If You Take More Paracetamol Cinfa Than You Should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

The symptoms of overdose may be: dizziness, vomiting, loss of appetite, yellowing of the skin and eyes (jaundice), and abdominal pain.

If you have ingested an overdose, you should go to a medical center immediately, even if you do not notice symptoms, as they often do not appear until 3 days after ingestion, even in cases of severe poisoning.

When an overdose has been taken, treatment of the overdose is more effective if started within 4 hours of ingestion of the medication.

Patient in treatment with barbiturates or chronic alcoholics, an overdose of paracetamol can be more toxic than in other patients.

If You Forget to Take Paracetamol Cinfa

Do not take a double dose to make up for forgotten doses; simply take the forgotten dose when you remember, taking the following doses with the indicated separation between doses (at least 4 hours).

If You Interrupt Treatment with Paracetamol Cinfa

If you have any other doubts about the use of this medication, ask your doctor or pharmacist.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not all people experience them.

Possible side effects are:

Rare side effects (may affect up to 1 in 1,000 people) are: discomfort, low blood pressure (hypotension), and increased levels of transaminases in the blood.

Very rare side effects (may affect up to 1 in 10,000 people) are: kidney disease, cloudy urine, allergic dermatitis (skin rash), jaundice (yellowing of the skin), blood disorders (agranulocytosis, leucopenia, neutropenia, hemolytic anemia), and hypoglycemia (low blood sugar). Very rare cases of severe skin reactions have been reported.

Paracetamol can cause liver damage when taken in high doses or for prolonged periods.

Frequency not known (cannot be estimated from available data): A severe disease that can make the blood more acidic (called metabolic acidosis) in patients with severe disease using paracetamol (see section 2).

Reporting Side Effects

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

5. Storage of Paracetamol Cinfa

Keep this medication out of the sight and reach of children.

This medication does not require special storage conditions.

Do not use this medication after the expiration date shown on the packaging after EXP. 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 the 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 Paracetamol Cinfa

The active ingredient is paracetamol. Each tablet contains 1 g of paracetamol.

The other components are: pregelatinized cornstarch without gluten, stearic acid, povidone, crospovidone, microcrystalline cellulose (E-460), and vegetable magnesium stearate.

Appearance of the Product and Package Contents

Paracetamol Cinfa 1 g EFG tablets are presented in the form of oblong, biconvex, scored, and white tablets for oral administration.

They are presented in packages of 20 or 40 tablets, packaged in PVC-PVDC/ALU blisters.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta

31620 Huarte (Navarra) - Spain

Manufacturer

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta

31620 Huarte (Navarra) - Spain

TOLL MANUFACTURING SERVICES, S.L.

Aragoneses, 2

28108 Alcobendas, Spain

FERRER INTERNACIONAL, S.A.

Joan Buscallá, 1-9

08173 Sant Cugat del Valles, Spain

PHARMALOOP S.L.

C/Bolivia, Nº 15, Pol. Ind Azque

Alcalá de Henares, 28806 Madrid

Spain

Date of the Last Revision of this Package Leaflet:February 2025

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

You can access detailed and updated information about this medication by scanning the QR code included in the package leaflet and packaging with your smartphone. You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/70310/P_70310.html

QR code to: https://cima.aemps.es/cima/dochtml/p/70310/P_70310.html