Paramax Extra (Paracetamol, Caffeine)

Paracetamol, the active ingredient in Paramax Extra, is an Analgesic/Antipyretic and Central Nervous System Stimulant presented as a tablet for oral use. It treats mild to moderate pain and fever in adults and children when appropriate dosing is applied.

GNH USA supplies Paramax Extra as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Paramax Extra combines paracetamol and caffeine, acting on pain‑related pathways and central fatigue to provide relief in several common conditions. - Headache: reduces intensity and improves alertness during episodic tension‑type headaches. - Fever: lowers elevated body temperature associated with viral or bacterial infections. - Minor musculoskeletal pain: eases discomfort from strains, sprains and low‑back tension. - Migraine (adjunct): enhances the analgesic effect of paracetamol in acute migraine attacks. - Dental pain: provides short‑term relief following dental procedures.

Paracetamol/caffeine is generally well tolerated, but adverse reactions can occur.

Common Side Effects: - Nausea: mild stomach upset reported in some users. - Insomnia: difficulty falling asleep, especially when taken later in the day. - Restlessness: feeling of increased nervous energy. - Gastro‑intestinal discomfort: mild abdominal pain or heartburn. - Headache: paradoxical worsening of head pain in rare cases.

Serious or Rare Side Effects: - Allergic reaction: rash, itching, swelling, or anaphylaxis. - Hepatotoxicity: liver injury from excessive paracetamol exposure. - Cardiac arrhythmia: irregular heartbeat linked to high caffeine intake. - Seizures: rare occurrence, particularly in overdose situations.

When using Paramax Extra, consider the following safety measures: - Dose limitation: do not exceed the maximum daily amount of paracetamol. - Liver health: avoid use in patients with severe hepatic impairment. - Caffeine sensitivity: caution in individuals prone to anxiety, insomnia or tachycardia. - Pregnancy and lactation: consult a healthcare professional before use. - Drug interactions: review concomitant medications for potential additive effects. - Store below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Paramax Extra may interact with several medicines; monitoring is advised.

Major Interactions (Avoid): - Warfarin: increased risk of bleeding due to altered metabolism. - Isoniazid: heightened risk of liver toxicity when combined with paracetamol. - Monoamine oxidase inhibitors (MAOIs): potential for hypertensive crisis with caffeine.

Moderate Interactions (Monitor Closely): - Anticonvulsants (e.g., carbamazepine): may reduce paracetamol effectiveness. - Beta‑blockers: caffeine can diminish blood‑pressure‑lowering effects. - Diuretics: may increase caffeine‑related diuresis and electrolyte loss.