Name
TACHIPIRINA 500 mg tablets
Paracetamol


What it is and what it is used for
Tachipirina contains the active ingredient paracetamol which works by reducing fever (antipyretic) and relieving pain (analgesic).

Tachipirina is used in adults , adolescents and children for:
- symptomatic treatment of febrile conditions such as influenza, exanthematous diseases (infectious diseases typical of children and adolescents), acute respiratory tract diseases, etc.;
- pain of various origins and natures (headaches, neuralgia, muscular pain and other painful manifestations of medium severity).

Contact your doctor if you/your child does not feel better or if you/your child feels worse after 3 days of treatment.


What you need to know before taking the medicine
Do not use Tachipirina:
- if the person taking the medicine is allergic to paracetamol or any of the other ingredients of this medicine (listed in section 6).


Warnings and precautions
Talk to your doctor or pharmacist before using Tachipirina.

In the following cases, use Tachipirina with caution if you have to take the medicine:
- uses alcohol chronically or excessively (3 or more alcoholic drinks per day);
- suffers from anorexia (an eating disorder characterized by lack or reduction of appetite);
- suffers from bulimia (an eating disorder in which a person eats an excessive amount of food and then resorts to various methods to eliminate it);
- suffers from cachexia (a condition characterized by extreme thinness, reduced muscle mass and thinning of the skin due to chronic diseases);
- has been following an incorrect diet for a long time (chronic malnutrition);
- suffers from dehydration (severe loss of water/fluid from the body);
- suffers from hypovolemia (reduced blood volume in circulation);
- suffers from liver diseases that reduce its functionality (liver failure, hepatitis, Gilbert's syndrome);
- is undergoing concomitant treatment with medicines that alter liver function (see "Other medicines and Tachipirina");
- suffers from glucose-6-phosphate dehydrogenase deficiency (a substance normally present in the human body, the deficiency of which can cause a blood disease);
- suffers from hemolytic anemia (destruction of red blood cells).

During treatment with TACHIPIRINA, inform your doctor immediately if:
- if you have serious illnesses, including severe kidney failure or sepsis (when bacteria and their toxins circulate in the blood causing organ damage) or malnutrition, chronic alcoholism or if you are also taking flucloxacillin (an antibiotic). A serious condition called metabolic acidosis (an abnormality of the blood and fluids) has been reported in patients in these situations when paracetamol is used at regular doses over a long period or when paracetamol is taken in combination with flucloxacillin. Symptoms of metabolic acidosis may include: severe breathing difficulties with rapid deep breathing, drowsiness, nausea and vomiting.

Use of high doses and/or for prolonged periods
The use of high and/or prolonged doses of this medicine can cause even serious alterations to the kidney and blood. In these cases, the doctor will monitor over time, through appropriate tests, the functionality of the liver, kidneys and the composition of the blood. Before taking this medicine, inform the doctor if the person who must take the medicine suffers from kidney or liver disease.

Children and adolescents
Tachipirina can be given to children and adolescents (see section 3 "How to use Tachipirina").


Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you/your child experiences the following side effects STOP taking this medicine and contact your doctor immediately :
• allergic reactions with:
- redness of the skin accompanied by itching (hives);
- swelling of the throat (laryngeal edema);
- swelling of the hands, feet, ankles, face, lips, tongue and/or throat (angioedema);
- severe allergic reaction (anaphylactic shock).

In addition, people taking the medicine may experience the following side effects, for which there are not enough data to establish the frequency.
• reduction in the number of platelets in the blood (thrombocytopenia);
• reduction in the number of white blood cells in the blood (leukopenia/agranulocytosis);
• reduction of hemoglobin in the blood, the substance that carries oxygen in the blood (anemia);
• dizziness;
• stomach and intestinal disorders;
• abnormal liver function;
• inflammation of the liver (hepatitis);
• red spots, bullous lesions with areas of skin detachment, blisters, skin rashes (erythema multiforme, Stevens Johnson syndrome, toxic epidermal necrolysis);
• reduction in kidney function (acute renal failure);
• inflammation of the kidneys (interstitial nephritis);
• blood in the urine (hematuria);
• cessation or reduction in urine production (anuria);
• serious condition which can make the blood more acidic (called metabolic acidosis), in patients with a serious illness who use paracetamol (see section 2).

Very rare cases of serious skin reactions have been reported.

Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse .
By reporting side effects you can help provide more information on the safety of this medicine.