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ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS

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About the medicine

How to use ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

ASPIRINA C 400 mg/ 240 mg Effervescent Tablets

Acetylsalicylic Acid/ Ascorbic Acid

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 5 days for pain or 3 days for fever.

Package Leaflet Contents

  1. What ASPIRINA C is and what it is used for
  2. What you need to know before taking ASPIRINA C
  3. How to take ASPIRINA C
  4. Possible side effects
  5. Storage of ASPIRINA C
  6. Package Contents and Additional Information

1. What ASPIRINA C is and what it is used for

This medication contains acetylsalicylic acid and ascorbic acid (vitamin C) as active ingredients and acts by reducing pain and fever.

It is indicated for the symptomatic relief of occasional mild or moderate pain, such as headaches, dental pain, menstrual pain, muscle pain (cramps) or back pain (lumbago). Febrile states.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking ASPIRINA C

Do not take ASPIRINA C if

  • you are allergic (hypersensitive) or have had an allergic reaction to acetylsalicylic acid, ascorbic acid, or any of the other components of this medication,
  • you have stomach ulcers, intestinal ulcers, or recurring gastric discomfort,
  • you have had allergic reactions of an asthmatic type (difficulty breathing, shortness of breath, bronchospasm, and in some cases cough or wheezing when breathing) when taking non-steroidal anti-inflammatory drugs, acetylsalicylic acid, other analgesics, as well as the tartrazine dye,
  • you have asthma,
  • you have nasal polyps associated with asthma that are produced or increased by acetylsalicylic acid,
  • you have hemophilia or other blood coagulation problems,
  • you are being treated with oral anticoagulant medications,
  • you have kidney and/or liver disease (renal and/or hepatic insufficiency),
  • you have had kidney stones (nephrolithiasis) accompanied by oxaluria (elimination of oxalate calcium in the urine) or aciduria (acidic urine),
  • you have hyperoxaluria (concentration of oxalic acid or oxalates in urine higher than normal),
  • you have any of the following diseases related to alterations in red blood cells: glucose-6-phosphate dehydrogenase deficiency, hemochromatosis, sideroblastic anemia, and/or thalassemia,
  • you are under 16 years old, as the use of acetylsalicylic acid has been linked to Reye's Syndrome, a rare but serious disease,
  • you are in the third trimester of pregnancy.

Be careful with ASPIRINA C

You should consult your doctor if you need this medication:

  • if you have high blood pressure, or have reduced kidney, heart, or liver function, or have blood coagulation disorders,
  • if you have had stomach or intestinal ulcers,
  • if you are being treated with anticoagulants,
  • if you are taking non-steroidal anti-inflammatory drugs or other types of medications, as certain medications can interact with Aspirina C and produce undesirable effects (see "Use of other medications"),
  • if you are allergic to other non-steroidal anti-inflammatory drugs or antirheumatics,
  • if you have a glucose-6-phosphate dehydrogenase deficiency,
  • if you have had rhinitis or urticaria,
  • patients with a history of kidney stone formation or gout,
  • if you have recently undergone or are to undergo surgery in the next 7 days, including dental surgery,
  • do not administer systematically to prevent possible discomfort caused by vaccinations,
  • if you are diabetic, due to the content of this medication in ascorbic acid, there is a possibility that it may cause erroneous results in urine glucose tests, including tests with reactive strips.

Use of other medications

Inform your doctor or pharmacist if you are using or have recently used other medications, including those purchased without a prescription, homeopathic products, herbal remedies, and other health-related products, as it may be necessary to interrupt treatment or adjust the dose of one of them.

This is especially important in the case of:

  • other analgesics or non-steroidal anti-inflammatory drugs, high doses of salicylates (medications used to treat muscle pain and/or inflammation),
  • certain antidepressants, such as selective serotonin reuptake inhibitors, as they increase the risk of bleeding,
  • anticoagulants (medications used to "thin" the blood and prevent the formation of clots) such as warfarin,
  • hormonal contraceptives,
  • oral antidiabetics (medications to lower blood sugar levels),
  • barbiturates (medications used to treat seizures),
  • beta-blockers (medications for blood pressure control),
  • cimetidine and ranitidine (used for stomach acidity),
  • medications used to prevent transplant rejection (cyclosporine and tacrolimus),
  • corticosteroids, as they may increase the risk of gastrointestinal bleeding,
  • digoxin (heart medication),
  • high blood pressure (diuretics and ACE inhibitors),
  • phenytoin and valproic acid (antiepileptics),
  • interferon alpha (used to treat certain viral and tumor infections),
  • lithium (used in certain psychiatric illnesses),
  • cancer or rheumatoid arthritis (methotrexate),
  • medications used to treat gout (probenecid),
  • sulfonamides, trimethoprim/sulfamethoxazole, and vancomycin (antibiotics used for infections),
  • zidovudine (used in the treatment of patients infected with the human immunodeficiency virus, the cause of AIDS).

Interference with diagnostic tests

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

Taking ASPIRINA C with food and drinks

Take this medication after meals or with some food.

If you habitually consume alcohol (three or more alcoholic beverages - beer, wine, liquor, etc. - per day), taking ASPIRINA C may cause stomach bleeding.

Pregnancy

Consult your doctor or pharmacist before using any medication.

This medication should not be used during pregnancy.

If you are pregnant or think you may be pregnant, consult your doctor before taking this medication.

Pregnancy - last trimester

Do not take Aspirina C if you are in the last 3 months of pregnancy, as it may harm the fetus or cause problems during delivery. This medication can cause kidney and heart problems in the fetus. It may affect your tendency to bleed and that of your baby, causing a possible delay in delivery or prolonging it more than expected.

Pregnancy - first and second trimester

Do not take Aspirina C during the first 6 months of pregnancy unless it is absolutely necessary and your doctor advises you to do so. If you need treatment during this period or while trying to become pregnant, the dose will be limited to the lowest possible dose for the shortest possible time.

If you take this medication for several days from the 20th week of pregnancy, it may cause kidney problems in the fetus that could lead to low levels of amniotic fluid (oligohydramnios) or narrowing of a blood vessel (ductus arteriosus) in the baby's heart. If you need treatment for several days, your doctor may recommend additional monitoring.

Under normal conditions, doses of vitamin C above 100 mg per day do not need to be administered during pregnancy, and in any case, always under medical supervision. Although there is no evidence of harmful effects, the fetal safety of high doses of vitamin C has not been established.

Breastfeeding

Consult your doctor or pharmacist before using any medication.

Women who are breastfeeding should consult their doctor before taking this medication, as acetylsalicylic acid and ascorbic acid pass into breast milk.

Use in children:

Do not administer to children under 16 years old.

Use in adults over 65 years

Older adults should not take this medication without consulting their doctor, as they are more prone to its side effects.

Driving and using machines

No effects on the ability to drive or use machines have been described.

Important information about some components of ASPIRINA C

This medication contains 471 mg of sodium (main component of table salt/cooking salt) per effervescent tablet. This is equivalent to 24% of the maximum daily recommended sodium intake for an adult.

Consult your doctor or pharmacist if you need to take 1 or more tablets per day for a prolonged period, especially if you have been advised to follow a low-sodium diet.

3. How to take ASPIRINA C

Follow these instructions unless your doctor has given you different instructions.

Consult your doctor or pharmacist if you have doubts.

This medication is administered orally.

Adults and children over 16 years old: 1 effervescent tablet every 6 hours, if necessary.

Do not exceed 4 effervescent tablets in 24 hours.

Patient with reduced liver or kidney function: consult your doctor, as the dose should be reduced.

Dissolve the effervescent tablet completely in a glass of water and drink the entire contents of the glass when the bubbling has stopped completely.

Do not take this medication on an empty stomach, so it is recommended to take the medication after meals or with some food, especially if you notice digestive discomfort.

Always use the lowest effective dose.

The administration of this preparation is subject to the appearance of painful or febrile symptoms. As these symptoms disappear, this medication should be discontinued.

If the pain persists for more than 5 days, or the fever for more than 3 days, or the symptoms worsen or other symptoms appear, you should interrupt treatment and consult your doctor.

If you take more ASPIRINA C than you should

The main symptoms of overdose are: headache, dizziness, ringing in the ears, blurred vision, drowsiness, sweating, rapid breathing, mental confusion, nausea, vomiting, and occasionally diarrhea.

Doses of vitamin C above 1 gram per day (5 or more tablets per day) may cause diarrhea, kidney stones, and abdominal cramps. There is also a risk of stone formation and triggering acute gout attacks in predisposed individuals.

It is recommended to take the package and package leaflet of the medication to the healthcare professional.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, ASPIRINA C can cause side effects, although not everyone will experience them.

Common side effects (observed in 1 to 10 out of every 100 people):

  • Gastrointestinal disorders, such as stomach ulcers, intestinal ulcers, gastrointestinal bleeding, abdominal pain, indigestion, heartburn, acidity, gastric discomfort, nausea, and vomiting.
  • Respiratory disorders, such as difficulty breathing (asthma, bronchospasm), nasal congestion, and rhinitis.
  • Urticaria (red, raised, and often itchy rashes), skin rashes, angioedema (inflammation and swelling that affects the face, lips, mouth, tongue, or throat, which can cause difficulty swallowing or breathing), and itching.
  • Hypoprothrombinemia (coagulation disorder) when administered in high doses.

Uncommon side effects (observed in 1 to 100 out of every 1,000 people):

  • Reye's Syndrome in children under 16 years old with febrile processes, flu, or chickenpox (see "Before taking ASPIRINA C").
  • Liver disorders, especially in patients with juvenile arthritis.
  • Anemia
  • Occasionally, and at doses above 600 mg/day of vitamin C (3 tablets/day): diarrhea, skin redness, headache, nausea, vomiting, and stomach cramps.
  • There is a risk of stone formation in the urinary tract or gout attacks in predisposed individuals.

With prolonged doses of acetylsalicylic acid, the following side effects have been observed, whose frequency cannot be established with certainty: dizziness, ringing in the ears, deafness, sweating, headache, confusion, renal insufficiency, and acute interstitial nephritis.

If you notice the appearance of:

  • Stomach discomfort or pain, gastrointestinal bleeding, or black stools.
  • Skin disorders, such as rashes or redness.
  • Difficulty breathing.
  • Unforeseen changes in the amount or appearance of urine.
  • Swelling of the face, feet, or legs.
  • Deafness, ringing in the ears, or dizziness.

stop taking the medication and consult your doctor immediately, as they may indicate the appearance of side effects that require urgent medical attention.

Reporting side effects:

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

5. Storage of ASPIRINA C

Keep out of the reach and sight of children.

Do not store above 25°C.

Expiration Date

Do not use ASPIRINA C after the expiration date shown on the package, after the abbreviation CAD. The expiration date is the last day of the month indicated.

Medications should not be thrown down the drain or into the trash. Deposit the packages and medications you no longer need in the Sigre Point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the packages and medications you no longer need. This way, you will help protect the environment.

6. Package Contents and Additional Information

Composition of ASPIRINA C

Each effervescent tablet contains:

  • As active ingredients: acetylsalicylic acid, 400 mg, and ascorbic acid (vitamin C), 240 mg.
  • The other components (excipients) are: sodium hydrogen carbonate, sodium carbonate, saccharin, sodium citrate, citric acid, tetraroma orange flavor, orange flavor, lemon flavor, and raspberry flavor.

Appearance of the product and package contents

This medication is round, white, effervescent tablets. It is available in packages containing 10 and 20 effervescent tablets.

Marketing Authorization Holder and Manufacturer

Bayer Hispania, S.L. Bayer Bitterfeld GmbH

Av. Baix Llobregat, 3-5 OT Greppin

08970 Sant Joan Despí (Barcelona) Salegaster Chausee, 1

Spain 06803- Bitterfeld-Wolfen (Germany)

Date of the last revision of this package leaflet: October 2023

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

Online doctors for ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS

Discuss questions about ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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5.0 (181)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50
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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€55
0.0 (0)
Doctor

Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

  •  Neuroimaging
  •  Musculoskeletal system (MSK)
  •  Angiography
  •  Abdomen and pelvis
  •  Soft tissues

Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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€80

Frequently Asked Questions

Is a prescription required for ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS?
ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS?
The active ingredient in ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS is acetylsalicylic acid, combinations excl. psycholeptics. This information helps identify medicines with the same composition but different brand names.
Who manufactures ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS?
ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS is manufactured by Bayer Hispania S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ASPIRIN C 400 mg/240 mg EFFERVESCENT TABLETS?
Other medicines with the same active substance (acetylsalicylic acid, combinations excl. psycholeptics) include ACTRON COMPUESTO 267 mg/133 mg/40 mg EFFERVSCENT TABLETS, ASPIRIN COMPLEX Effervescent Granules, ASPIRINA PLUS 500 mg / 50 mg TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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