Temper Extra
Description
đ Temper Extra â Paracetamol 500 mg + Caffeine 65 mg
Manufacturer: SinoHealth Pharmaceuticals LTD
1. Indications:
Temper Extra is indicated in the following conditions â
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Headache
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Migraine
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Toothache
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Neuralgia
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Feverishness
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Period pain
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Sore throat
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Backache
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Helps reduce fever and temperature
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Aches and pains associated with colds and flu
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2. Pharmacology:
Temper Extra combines Paracetamol and Caffeine.
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Paracetamol provides analgesic and antipyretic effects with mild anti-inflammatory activity.
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Caffeine, a xanthine derivative, enhances the absorption and action of Paracetamol by increasing solubility and transmembrane permeability.
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Caffeine also raises the pain threshold, improves alertness, and constricts dilated blood vessels in the brainâhelpful in relieving headache and migraine.
3. Dosage & Administration:
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Adults: 1â2 tablets every 4â6 hours as needed.
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Maximum dose: 8 tablets in 24 hours.
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Children: Not recommended for children under 12 years.
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4. Drug Interactions:
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May reduce serum levels with anticonvulsants (e.g., phenytoin, barbiturates, carbamazepine).
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May enhance the anticoagulant effect of warfarin and other coumarins with prolonged use.
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Absorption increased with metoclopramide and domperidone.
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Serum levels increased with probenecid and chloramphenicol.
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Reduced absorption with colestyramine (if taken within 1 hour).
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May cause severe hypothermia with phenothiazines.
5. Contraindications:
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Severe hepatic disease or viral hepatitis.
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Severe renal impairment.
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Known hypersensitivity to Paracetamol or Caffeine.
6. Side Effects:
Generally well tolerated.
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Rare: skin rashes, allergic reactions.
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Occasional: nausea, abdominal pain, dizziness.
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Very rare: blood disorders (thrombocytopenia, leukopenia, agranulocytosis).
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Prolonged use may cause insomnia or restlessness due to caffeine.
7. Pregnancy & Lactation:
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Pregnancy: Use only under medical supervision.
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Lactation: Safe to use while breastfeeding in recommended doses.
8. Precautions & Warnings:
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Use cautiously in patients with liver or kidney impairment.
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Avoid prolonged or excessive use without consulting a physician.
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Do not combine with other Paracetamol-containing products.
9. Overdose Effects:
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Early symptoms (within 24 hours): pallor, nausea, vomiting, anorexia, and abdominal pain.
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Severe overdose may cause liver damage within 12â40 hours.
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Medical attention and acetylcysteine therapy may be required.
10. Therapeutic Class:
Non-Opioid Analgesic and Antipyretic Combination
11. Storage Conditions:
Store in a cool, dry place below 30°C, protected from light and moisture.
Keep all medicines out of the reach of children.




