Aspirin Acute effervescent tablets

Aspirin Acute is an analgesic, antipyretic and anti-inflammatory drug (non-steroidal anti-inflammatory / analgesic).

Aspirin Acute is used:
For the symptomatic treatment of headaches in migraine.

Contraindications

Do not take Aspirin Acute

• in acute ulcers of the stomach and intestines;
• if you are hypersensitive (allergic) to acetylsalicylic acid, other salicylates or any of the other ingredients of Aspirin Acute listed in section 6;
• if you have a history of asthma attacks or other hypersensitivity to certain medicines for pain, fever or inflammation (salicylates or other non-steroidal anti-inflammatory drugs);
• in the case of pathologically increased bleeding tendency (hemorrhagic diathesis);
• in liver and kidney failure;
• in case of severe cardiac insufficiency ;
• if you are taking 15 mg or more methotrexate per week at the same time;
• in the last 3 months of pregnancy.

Interactions

The effect of the following drugs or groups of preparations can be influenced by simultaneous treatment with Aspirin Akut.

Increased effect to increased risk of side effects:Anticoagulants (e.g. coumarin, heparin) and blood clot-dissolving drugs:
Acetylsalicylic acid may increase the risk of bleeding if taken before a blood clot-dissolving treatment. Therefore, if you are to undergo such treatment, you need to pay close attention to signs of external or internal bleeding (for example, bruising).
Medicines that inhibit platelets from sticking together and clumping together (antiplatelet agents), e.g. ticlopidine, clopidogrel: increased risk of bleeding.
Medicines containing cortisone or cortisone-like substances (with the exception of products applied to the skin or in cortisone replacement therapy for Addison's disease): increased risk of gastrointestinal side effects.
Alcohol: the risk of gastrointestinal ulcers and bleeding is increased.
Other analgesic and anti-inflammatory drugs (non-steroidal analgesics / anti-inflammatory drugs) at dosages from 6 Aspirin Acute 500 mg effervescent tablets per day and more: increased risk of ulcers and bleeding in the gastrointestinal area.
Blood sugar-lowering medicines (antidiabetics): blood sugar levels may drop.
Methotrexate (medicine used to treat cancer or certain rheumatic diseases).
Valproic acid (medicines used to treat seizures of the brain [epilepsy]).
Selective serotonin reuptake inhibitors (SSRIs, certain medicines used to treat depression): the risk of bleeding in the gastrointestinal tract increases.
Digoxin (medicine to strengthen the strength of the heart).

Attenuation of the effect:
Diuretics (medicines to promote urinary excretion) at dosages of 6 effervescent tablets of Aspirin Acute per day and more.
ACE inhibitors (certain antihypertensive drugs) at dosages of 6 effervescent tablets of Aspirin Acute per day and more.
Uric acid-excreting gout drugs (e.g. probenecid, benzbromarone).

Pregnancy and breastfeeding If you are pregnant or breastfeeding, or if you think you may be pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.
In the first and second trimester of pregnancy, you should not take Aspirin Acute. Therefore, be sure to consult your doctor before taking Aspirin Acute. In the last three months of pregnancy, you must not take acetylsalicylic acid, the active ingredient in aspirin acute, because of an increased risk of complications for mother and child before and during childbirth.
This medicine belongs to a group of medicines (non-steroidal anti-inflammatories) that can affect women's fertility. This effect is reversible after discontinuation of the drug.
The active ingredient acetylsalicylic acid and its degradation products are excreted in small quantities in breast milk. Since adverse consequences for the infant have not yet become known, interruption of breastfeeding is not necessary with occasional use of the recommended dose. However, if you use or take high doses for a longer period of time, you should stop weaning.

Important information about some of the ingredients of Aspirin Acute Please note if you are on a low-sodium diet: One dose (2 effervescent tablets) of Aspirin Acute
contains 1086 mg of sodium.

Application

Always take this medicine exactly as described in this leaflet or exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you're not sure.
The recommended dose is
age, adults, single dose: 2 effervescent tablets, total daily dose: 6 effervescent tablets

Method of administration
Dissolve the two effervescent tablets in a glass of water and drink the entire contents of the glass.

Duration of use
The single dose can be taken at intervals of 4 - 8 hours up to 3 times a day, if necessary.
However, the total daily dose must not be exceeded.
Please seek medical attention if symptoms worsen or persist for more than 3 days, or if migraine attacks become more frequent. If necessary, another form of treatment should be considered.

Side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not listed in this leaflet.
The listed adverse reactions are based on spontaneous reports of all post-marketing aspirin formulations, including short- and long-term oral uses. Therefore, a ranking according to frequency categories is not appropriate (frequency = not known).

Blood:
Hemorrhagic anemia (decreased red blood cell count or hemoglobin caused by bleeding) ¹
Iron deficiency anemia (decreased red blood cell count or hemoglobin caused by iron deficiency) ¹ with appropriate laboratory parameters and clinical signs and symptoms Hemolysis (decay of red blood cells) ²
Hemolytic anemia (decreased red blood cell count caused by their decay) ² 

Immune system:
Hypersensitivity (allergy)Drug hypersensitivity (drug allergy)Allergic edema and angiedema (allergic swelling and rapid swelling of the skin or tissue)
Anaphylactic reaction (severe allergic reaction of the whole body)Anaphylactic shock with corresponding laboratory parameters and clinical manifestations (allergic shock)

Nervous system:
Cerebral and intracranial haemorrhage* (bleeding into the brain and skull)
Dizziness

Ears:
Tinnitus (ringing or whistling sound in the ear)

Heart:
Cardiovascular disease (heart or breathing difficulties)³

Circulatory system:
Hemorrhage (bleeding)Operative hemorrhage (bleeding during or after surgery)Hematomas (a swelling that contains blood)Muscle hemorrhage (bleeding into the muscle)

Respiratory system:
Epistaxis (nosebleeds)Analgesic asthma syndrome (asthma syndrome (wheezing) caused by painkillers)Rhinitis (swelling of the nasal mucosa)

Nasal congestion

Stomach:
Dyspepsia (spoiled stomach)Gastrointestinal pain (stomach pain)Abdominal pain (abdominal pain)Bleeding gums Inflammation in the gastrointestinal area Ulcers, hemorrhage in the gastrointestinal area (bleeding of the stomach or intestines)

Ulcer perforation in the gastrointestinal area
with corresponding laboratory parameters and clinical signs and symptoms

Liver:
Liver disease
Increase in transaminases (abnormally high values in liver function test)

Skin:

Rash Urticaria (hives)Pruritus (itching)

Kidneys:
Genitourinary haemorrhage (bleeding in/from the urinary tract and genital organs)Renal insufficiency (malfunction of the kidneys)
Acute renal failure⁴ 

¹ In connection with bleeding
² In association with severe forms of glucose-6-phosphate dehydrogenase (G6PD) deficiency
³ In connection with severe allergic reactions
⁴ In patients with existing renal impairment or impaired cardiovascular circulation
* This side effect is most common in patients with unstable hypertension and/or in patients receiving anti-haemostatic drugs.

If you observe the above side effects, Aspirin Acute should not be taken again. Notify your doctor so that he or she can decide on the severity and any further action required. Tell your doctor or pharmacist if any of the side effects seriously affect you or if you notice any side effects not listed in this leaflet.

Composition

The active ingredient is acetylsalicylic acid.
1 effervescent tablet contains 500 mg of acetylsalicylic acid.
The other ingredients are: sodium dihydrogen citrate, sodium bicarbonate, citric acid, sodium carbonate.

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