TOGAL Classic duo tablets, 30 pcs

Instructions for use for TOGAL Classic duo tablets, 30 pcs

Detailed instructions for TOGAL Classic duo tablets, 30 pcs

Field of use

Togal Classic duo (pack size: 30 pc) is a pain relieving, fever-lowering and anti-inflammatory drug (non-steroidal anti-phlogistics / analgesics), a combination of 250 mg acetylsalicylic acid and 200 mg paracetamol. Togal Classic Duo (package size: 30 pc) are used for acute light to moderately severe pain, such as headache, toothache.

Mode of action

Togal Classic duo (pack size: 30 pc) contains the proven active ingredients acetylsalicylic acid (ASS) and paracetamol. ASA lowers the production of prostaglandins and thus has a pain -relieving and anti -inflammatory effect. Paracetamol also has a painful effect, but has fewer side effects than ASA.

Active ingredients / ingredients / ingredients

Active ingredients of Togal Classic Duo (pack size: 30 pcs):

1 tablet contains:
Acetylsalicylic acid 250 mg
Paracetamol 200 mg

Other ingredients: Microcrystalline cellulose, Povidon K 30, croscarmellosis sodium, stearic acid, high-disperse silicon dioxide

Contradictions

Do not apply in the last three months of pregnancy and in children under the age of 12. Gastrointestinal complaints such as nausea, vomiting, heartburn can occur. In the case of hypersensitivity to one of the above ingredients, the product should not be applieden.

dosage

Application recommendation of Togal Classic Duo (pack size: 30 pc):

Togle Togal Classic Duo (pack size: 30 pc) always described exactly as described in the package insert or exactly after the consultation made with your doctor or pharmacist. Ask your doctor or pharmacist if you are not sure.

Unless otherwise prescribed by the doctor, the recommended dose for adults and adolescents from the age of 12: 1 tablet (single dose, corresponding to 250 mg acetylsalicylic acid and 200 mg paracetamol) to max. 4 tablets (total daily dose, corresponding to 1000 mg acetylsalicylic acid and 800 mg paracetamol) . If necessary, the single dose can be taken up to 4 times a day at intervals of 4 to 8 hours.

Please take the tablets with plenty of liquid (e.g. a glass of water). Do not take on an empty stomach.

Togal Classic Duo (pack size: 30 pc) should not be used for more than 4 days or in higher doses without medical or dental advice.
For use in adults and for use in children and adolescents aged 12 and over if other measures do not work.

Taking

• To take
• The drug should not be used for more than 4 days or in higher doses without medical or dental advice.
• Please take the tablets with plenty of liquid (e.g. a glass of water).
• Do not take on an empty stomach.

Patient information

• Warnings and Precautions
  • Please speak to your doctor or pharmacist before taking the preparation.
  • A particularly careful medical monitoring is required:
    • in case of hypersensitivity to other inflammatory inhibitors / anti -rheumatics (certain remedies for rheumatism or inflammation) or other allergy trigger substances
    • if allergies exist (e.g. with skin reactions, itching, nettle fever) or asthma, hay fever, nasal mucosal swelling (nasal polyps), chronic respiratory diseases
    • with limited liver and kidney function
    • in the event of high blood pressure and weakness in the heart (heart failure)
    • before operations (even with smaller interventions, such as the drawing of a tooth; there may be an increased tendency to bleed. Please inform your doctor or dentist if you have taken the preparation
    • with limited liver function (liver inflammation, Gilbert syndrome)
    • in chronic alcohol disease.
  • Effects on the gastrointestinal tract
    • A simultaneous use of acetylsalicylic acid with other non-steroidal inflammatory inhibitors, including so-called COX-2 inhibitors (cyclooxygenase-2-inhibitors), which, among. be used against rheumatic symptoms must be avoided.
    • In older patients, side effects occur more after using non-steroidal inflammatory inhibitors, in particular bleeding in the stomach and intestinal area that can be life-threatening.
    • Bleeding, ulcer formation and breakthroughs in the gastrointestinal area that can lead to death was reported in connection with the intake of all non-steroidal inflammatory inhibitors. of the prehistory at any time of therapy. The risk of this is increased with increasing NSAR dose, in patients with ulcers in the history, especially with the complications bleeding and breakthrough and in the elderly. These patients should begin treatment with the lowest available dose.
    • Here, combination therapy with gastric mucosal drugs (e.g. misoprostol or proton pump inhibitor) should be considered. This is also recommended for patients who take other medicines who increase the risk of a disease of the gastrointestinal tract.
    • Patients, especially at older age, who have a history of side effects on the gastrointestinal tract, should report any symptom in the abdomen, especially at the beginning of the therapy. Vothe view is required in patients who also take drugs who increase the risk of ulcers or bleeding, e.g. B. corticoids, anti -blood clotting medication such as warfarin, thrombocyte aggregation inhibitor, acetylsalicylic acid in low doses z. B. to prevent a heart attack and selective serotonin reuptake inhibitors, which, among other things,. be prescribed for the treatment of depressed moods.
    • Treatment must be canceled when bleeding or ulcer formation occurs in the gastrointestinal tract.
    • In patients with diseases of the gastrointestinal tract such as colitis ulcerative or Crohn's disease (= inflammatory diseases of the colon), non-steroidal inflammatory inhibitors should only be used with caution, since the symptoms can worsen.
  • Skin reactions
    • It was reported in connection with treatment with non-steroidal inflammatory inhibitors of strong skin reactions, partly with a fatal outcome (see under category "Side effects").
    • At the beginning of treatment, it seems to be a higher risk of the occurrence of this reaction. At the first signs of rash, mucous membrane irritation or other signs of hypersensitivity, the drug should be discontinued and the doctor should be consulted immediately.
  • Other information
    • Side effects can be reduced by using the lowest effective dose via the shortest period required for symptom control. If pain relievers are used permanently, headaches can occur, which lead to re -intake and thus in turn can cause a continuation of the headache.
    • The habitual intake of painkillers can lead to permanent kidney damage with the risk of kidney failure (analgesic nephropathy). This risk is particularly great if you take several different painkillers combined.
    • When stopping abruptly, headaches as well as tiredness, muscle pain, nervousness and vegetative symptoms can occur after a long -dose, non -determined use of analgesics. The deductible symptoms subside within a few days. Until then, painkillers will be reinforced and re -taking it again should take place without medical advice.
    • Acetylsalicylic acid reduces uric acid excretion in low doses. In patients who are already less uric acid excretion, this may trigger a gout attack.
  • Children
    • In children and adolescents over the age of 12, the preparation should only be applied to medical instructions with feverish illnesses and only if other measures do not work. If these diseases occur with long vomiting, this can be a sign of Reye syndrome, a very rare but life-threatening illness that is absolutely necessary for immediate medical treatment.
  • Effects of taking laboratory examinations
    • The urinary acid determination and blood sugar determination can be influenced.

• Wateriness and ability to operate machines
  • There are no special precautions required.

Pregnancy

• If you are pregnant or breastfeed, or if you suspect that you are pregnant or intend to become pregnant, ask your doctor or pharmacist before taking / using this drug.
• Pregnancy
  • If pregnancy is determined during an application, you should notify the doctor. In the first and second thirds of pregnancy, you may only take the preparation on the order of your doctor. In the last three months of pregnancy, you may not use the medicine due to an increased risk of complications for mother and child.
  • If necessary, the preparation can be used during pregnancy. You should use the lowest possible dose with which your pain and/or fever are alleviated, and you should use the medicine for the shortest possible period. Contact your doctor/midwife if the pain and/or the fever are not relieved orr they have to take the drug more often.
• Breastfeeding
  • The active ingredients acetylsalicylic acid and paracetamol pass into breast milk. In the event of short -term use or low doses, an interruption of breastfeeding will generally not be necessary.
  • If you use or take higher doses for a long time, you should stop.
• Reproductive ability
  • Acetylsalicylic acid, one of the active ingredients of the preparation, belongs to a group of pharmaceuticals (non -steroidal analgesics / anti -rheumatics) that can affect the fertility of women. This effect is reversible after stopping the drug (reversible).

Hints

Togal® Classic Duo 250 mg / 200 mg tablets application areas: acute light to moderately severe pain, such as headache, toothache, regulation pain. Warning notices: keep medicines for children inaccessible! Do not apply longer for pain or fever without medical advice than specified in the package insert! Do not apply for a long time or in higher doses without medical or dental advice. Read the package supplement and ask your doctor or pharmacist for risks and side effects. State of information: 12/2020