Pentalgin - combined antispasmodic and anti-inflammatory drug.  Pentalgin

Pharmacological action

Pentalgin has antipyretic, analgesic, antispasmodic and anti-inflammatory effect. The therapeutic effect of the drug due to the properties of the active ingredients that make up Pentalgin:

  • Naproxen refers to the group of nonsteroidal anti-inflammatory drugs and has an analgesic, antiinflammatory and antipyretic action pronounced that is associated with normalization of prostaglandin synthesis;
  • Drotaverine affects smooth muscle biliary tract, gastrointestinal tract, genitourinary system, and vessels;
  • Paracetamol has analgesic and antipyretic properties due to blockade of COX in the central nervous system and inhibitory effects on the thermoregulatory centers and pain;
  • Caffeine, which is part of Pentalgin, tones blood vessels of the brain, causes dilation of the blood vessels of the heart, skeletal muscle and kidney, helps to eliminate the state of drowsiness. As psychostimulant agent caffeine increases the bioavailability of non-narcotic analgesics and increases the permeability of gistogematicheskih barriers, which contributes to the therapeutic effect;
  • Pheniramine has a slight sedative and antispasmodic effect and strengthens the analgesic effect of the active ingredients paracetamol and naproxen.

Since some of the active ingredients penetrate the placental barrier, apply Pentalgin during pregnancy is not recommended.

Release form and composition Pentalgin

Pentalgin produced in the form of green lenticular tablets, film-coated embossed «PENTALGIN» on one side. The composition of each tablet contains:

  • 325 mg of acetaminophen;
  • 50 mg caffeine;
  • Pheniramine maleate, 10 mg;
  • 100 mg of Naproxen;
  • Drotaverine hydrochloride 40 mg.

12 tablets per cell package.

Indications Pentalgin

According to the instructions Pentalgin used for:

  • Pain caused by spasm of smooth muscles arising in cholelithiasis, chronic cholecystitis, renal colic, postcholecystectomy syndrome;
  • Colds, which are accompanied by a feverish syndrome;
  • Pain syndromes of different genesis, including headache, muscle aches and joint pain, sciatica, neuralgia, algodismenorei, toothache;
  • Post-traumatic and postoperative pain.


Pentalgin instructions for a wide range of contra-indications, namely:

  • Erosive and ulcerative lesions of the gastrointestinal tract in the acute phase;
  • The combination of asthma, recurrent nasal polyposis, and paranasal sinuses on the background of intolerance to aspirin or other nonsteroidal drugs;
  • Severe renal insufficiency;
  • Condition after coronary artery bypass surgery;
  • Paroxysmal tachycardia;
  • Severe hypertension;
  • Gastrointestinal bleeding;
  • Severe hepatic impairment;
  • Suppression of bone marrow hematopoiesis;
  • Heavy organic diseases of the cardiovascular system, including acute myocardial infarction;
  • Frequent ventricular premature beats;
  • Age of 18 years;
  • Hyperkalemia;
  • Hypersensitivity to the Pentalgin.

Not recommended for use during pregnancy and Pentalgin during breastfeeding. Moreover, the drug used with caution in the elderly, as well as:

  • Cerebrovascular diseases;
  • Peripheral arterial disease;
  • Kidney and liver failure mild or moderate;
  • Alcoholic liver disease;
  • Epilepsy;
  • Lack of glucose-6-phosphate dehydrogenase;
  • Diabetes;
  • Ulcerative lesions of the gastrointestinal tract in history;
  • Viral hepatitis;
  • Benign hyperbilirubinemia, including Gilbert syndrome, Dubin-Johnson and Rotor;
  • Propensity to seizures.

Dosing Pentalgin

According to the instructions Pentalgin taken orally one tablet. The maximum daily dose should not exceed 4 tablets. Duration of treatment depends on the symptoms Pentalgin:

  • As anesthetic Pentalgin according to the instructions take up to five days;
  • As antipyretic medication should not take more than three days. If during this time there was no improvement, it is advisable to consult a doctor for further diagnosis.

The ability to use Pentalgin longer need to be addressed with your doctor. In the case of appointments Pentalgin during pregnancy, the drug should be taken in the shortest possible time.

Do not exceed the dosage specified in the instructions Pentalgin to avoid overdose, which manifests itself as:

  • Lack of appetite;
  • Gastrointestinal bleeding;
  • Restlessness;
  • Tachycardia;
  • Frequent urination;
  • Increase in liver transaminases;
  • Headache;
  • The increase in prothrombin time;
  • Pale skin;
  • Nausea, abdominal pain, vomiting;
  • Initiation;
  • Confusion;
  • Tremor or muscle twitching;
  • Arrhythmia;
  • Increased body temperature;
  • Seizures;
  • Gepatonekroz.

Symptoms of liver dysfunction may not be immediately apparent, but after 12-48 hours after the overdose. Large doses Pentalgin can lead to coma, liver failure with progressive encephalopathy, arrhythmia, pancreatitis and death.

Avoid prolonged Pentalgin combination with barbiturates, rifampicin, tricyclic antidepressants and ethanol, to avoid the development of hepatotoxicity.

Concomitant use Pentalgin with caffeinated beverages, and other means of stimulating the central nervous system, may result in an over-stimulation.  Pentalgin pills

Side effects

In therapeutic doses of reviews Pentalgin well tolerated. In some cases, the application Pentalgin disorders may develop different systems that appear most often as:

  • Skin rash, urticaria, pruritus, angioedema;
  • Tremor, increased reflexes, agitation, headache, anxiety, sleep disturbances, decreased concentration, dizziness;
  • Abnormal liver function, vomiting, abdominal pain, epigastric discomfort, nausea, constipation;
  • Impaired renal function;
  • Hearing loss, increased intraocular pressure in angle-closure glaucoma, tinnitus;
  • Methemoglobinemia, anemia, thrombocytopenia, agranulocytosis;
  • Arrhythmia, palpitations, high blood pressure;
  • Tachypnea, dermatitis.

If the reception Pentalgin observed in any of the described symptoms should discontinue treatment and seek medical advice.

Storage conditions

Pentalgin refers to antispasmodic drugs without prescription from the manufacturer shelf life of 24 months.