Citramon for toothache: a complete review of the drug

February 28, 2019

In the first aid kit of any Russian there will almost certainly be such a universal remedy as Citramon. After all, it can be used for headaches and colds, and indeed in any case, if you don’t feel very well and don’t know where the “root of evil” lies. Many people take it with them on vacation, throw it in their bag before going on a business trip, or prefer to take a blister of tablets to the countryside or to nature just like that, just in case.

And quite naturally the question arises about what else this drug is capable of. For example, will it help in a critical situation from toothache? The editors of the UltraSmile.ru portal will tell you the answer. As always, in the article you will find many interesting facts about this medicine.

Citramon is an exclusively Russian brand

Interestingly, no foreign pharmaceutical company has yet released such a medicine. Today, Citramon is produced exclusively by Russian factories, and there are about 48 different manufacturers. The names of the medicine are different - “Citramon-P”, “Citramon Ultra”, “Aquacitramon”, but the composition is always the same. True, as for the composition, it was somewhat different back in the USSR, but in recent years it has undergone changes, because the components previously included in it caused too many side effects.


Citramon is an exclusively Russian brand

In Europe, America and other continents, this medicine is not certified and is not sold in pharmacies at all, because foreign pharmacists simply do not miss it. This is due to the fact that the drug contains two analgesics at once, which is quite dangerous for health. Many Russians do not think at all about the composition of this medicine, and therefore those who go on vacation to other countries, for the most part, often take Citramon with them on the road, which saves them from headaches, including helping with toothache. In Europe, there is a medicine that is similar in principle of action, but with a slightly different composition - “Migrenol”.

When to see a doctor

After vaccination, it is better to wait half an hour rather than leave immediately. This is necessary to make sure there is no allergic reaction. If it becomes difficult to breathe, there is a feeling of a strong heartbeat, tinnitus, rash, dizziness, or swelling of the face begins, you need to contact the vaccination center for medical help.

You should also consult a doctor if after vaccination:

  • headache, weakness or fever does not go away within three to four days;
  • high fever is not brought down by medications;
  • Redness and thickening at the injection site increases on the second or third day.

The success of tablets rests on “three pillars”

We are talking about the composition of the medicine, today it is a kind of mix of active ingredients: aspirin, caffeine and paracetamol. Essentially, Citramon is a combined medicine with non-steroidal anti-inflammatory, analgesic and antipyretic properties.

Aspirin or acetylsalicylic acid

This component is known for its ability to thin the blood and increase the speed of blood flow. That is why it is often prescribed and even recommended as a prevention of cardiovascular diseases, heart attack and stroke, and atherosclerosis.

Read more about a medicine such as Aspirin in a separate article on our website.


Aspirin, which is part of the drug, is prohibited in European countries

However, all the positive properties of this substance are more than offset by its negative qualities. It can cause internal bleeding and lead to stomach ulcers. It has a particularly negative effect on children under 15 years of age, which is why the drug is prohibited for use before this age. Also, pregnant and breastfeeding women should absolutely not use medications based on this component. In the first case, the effect of the drug can cause fetal malformations (for example, it has been proven that when taken in the first trimester of pregnancy, a woman increases the risk of her unborn child being born with a cleft palate). When breastfeeding, acetylsalicylic acid passes through milk perfectly and, once in the baby’s body, can cause bleeding and platelet dysfunction.

Caffeine or coffee tree alkaloid

This substance stimulates the activity of the brain and respiratory centers of the body, constricts blood vessels, stimulates metabolism and helps cope with pain. But this component also has a stimulating effect and raises blood pressure. Therefore, it will be good for hypotensive patients, but for hypertensive patients it will only further aggravate the situation and can lead to a deterioration in well-being.

Paracetamol or acetaminophen

This is an antipyretic and analgesic component; it also helps fight any inflammatory process, so, for example, if the dental pulp or periosteum is inflamed, there will definitely be no harm from a single dose of the tablet. But you shouldn’t abuse Citramon, even if it helps you well against toothache. Firstly, the drug will not eliminate or cure the problem. Secondly, paracetamol, when taken frequently and systematically, “hits” the liver well, i.e. causes irreparable harm to her and can even lead to the development of drug-induced hepatitis.


Paracetamol is an anti-inflammatory drug

Read on our website in a specially prepared article only the most interesting facts about such a medicine as Paracetamol.

Contraindications of Citramon and its side effects

Like any other medicine, it should be used taking into account indications and contraindications.


Citramon is contraindicated for children under 14 years of age

It is contraindicated for use by children under the age of 14 years, because components such as caffeine and aspirin act as an irritant to the nervous system, and acetylsalicylic acid has a pronounced negative effect on the mucous membrane of the digestive tract.

Doctors do not recommend using Citramon:

  • Throughout pregnancy
  • During breastfeeding
  • In cases of impaired renal and liver function
  • For bleeding disorders
  • In the presence of open-angle glaucoma

About how “Citramon copes with toothache”

Does Citramon help with toothache? Yes, but only if it is of mild or medium intensity. The tablet begins to act quickly, within half an hour. But if there is no effect, then there is no point in experimenting further, although the manufacturers admit that you can take up to eight tablets per day. Never take the tablets on an empty stomach, and also remember to take them with enough water or milk so as not to harm the stomach.


Do not abuse the drug.

Well, don’t forget that if you take “Citramon” for a toothache and it still helps you alleviate the condition, then you should not abuse it, and you need to exclude it 5-6 days before going to the doctor if surgical surgery is planned intervention - tooth extraction, installation of implants, removal of the nerve of the tooth. After all, the drug can cause severe and long-lasting bleeding.

“Personally, citramon helps me with toothache, but only after the second tablet. Therefore, sometimes I swallow two at once, even though the doctors would clearly be against such an intake. But this doesn’t happen so often, one might even say that it happened only three times in four years. But I always carry these tablets in my purse just in case, and I often share them with my work colleagues when they have a headache. So far the effect has been only positive, and the price is great.”

Irina, from correspondence on woman.ru

How to take the pills

Citramon is recommended to be taken for pain of mild to moderate intensity. When used correctly and in accordance with recommended doses, it does not harm the body. The daily dose should not exceed 6 tablets. Take 1-2 tablets with enough water. Treatment should not be carried out on an empty stomach, as this may cause damage to the gastric mucosa. Citramon, like any other anti-inflammatory drug, should not be taken for more than 5 days.

The medicinal cocktail contained in the tablets can harm the body

That is why you should not drink Citramon for toothache, even if you are sure that it will help you, in cases where there are serious contraindications: blood clotting is impaired, pressure is increased (especially intraocular). Those who are at risk of developing an allergic reaction or sensitivity to one of the components of the drug should not take the medicine. For example, you can check that you have a negative reaction to acetylsalicylic acid (aspirin) by remembering allergies to such foods as apricots, cucumbers or tomatoes, blueberries or dates. These fruits and berries contain large amounts of salicylic acid derivatives. If you take the medicine if you have an allergy, then there is every risk of eventually getting Quincke's edema or an asthmatic attack.


Taking the medicine can cause allergies and angioedema

There are also interesting facts discovered by independent researchers that suggest that a combination of components such as acetylsalicylic acid, caffeine and paracetamol can even lead to death. For example, caffeine greatly enhances the negative effects of two other components when taken simultaneously. So, if a person has a headache and takes a Citramon tablet, and the culprit is an ischemic stroke, then the drug is even more harmful, because causes the death of brain cells due to a vasoconstrictor effect.

Therefore, always remember that even such a harmless medicine as Citramon can cause even greater troubles. If any type of pain occurs, try to solve the true cause of its occurrence, and do not suppress unpleasant symptoms with pills. If your tooth hurts, consult a dentist; if you have a constant headache, visit a neurologist or therapist who will conduct an examination and refer you to a more specialized specialist.

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toothache

Consulting specialist

Varlamova Tatyana Vitalievna

Specialization: Dentist-therapist Experience: 6 years

What adverse events can the Sputnik V vaccine cause (GamCovidVac)

15-20% of vaccinated people experience a flu-like syndrome (headache or muscle pain, malaise) or pain at the injection site. Serious adverse events following GamCovidVac vaccination are rare. 0.001% had a severe anaphylactic reaction. This is one person per hundred thousand vaccinated.

Vaccination has been going on at GMS Clinic since January 2022; more than 5 thousand people have been vaccinated; adverse events were observed in less than 15%. More often observed: rise in body temperature, pain at the injection site, rise in blood pressure. Most of these events were not considered serious, so patients were able to successfully receive the second component of the vaccine. Once I had a severe allergic reaction. This patient was not given the second component. The symptoms went away safely, but for further vaccination this patient will most likely be recommended a different drug.

Adverse reactions usually subside within three days after vaccination. Their intensity and duration depend on various factors and indicate the reaction of the immune system. Common and harmless adverse events include:

  • temperature (if it does not cause discomfort, you don’t have to take anything);
  • muscle pain;
  • weakness;
  • headache;
  • local reaction: redness and swelling at the injection site.

Adverse events such as increased body temperature or local manifestations at the injection site usually disappear after a maximum of three days. If side effects are very bothersome, you can take a non-steroidal anti-inflammatory drug (NSAID), such as paracetamol or ibuprofen. You can apply a cool compress to the injection site.

Any medicine, including vaccines, can cause allergic reactions. Not a single manufacturer, unless he is a charlatan, will forget to indicate the possibility of an allergic reaction in the instructions for use of the drug. Also, any food product, any molecule heavier than salt, can cause an allergic reaction. If you suspect an allergy, you should consult a doctor.

Comments

I drink citramon in case of headaches and toothaches, because... It is always at hand, but after it my stomach always starts to hurt badly. And when I ask the pharmacy what to replace it with, they always prescribe very expensive medications. Maybe you can tell me what to do?

Alina (03/02/2019 at 15:06) Reply to comment

    Dear Alina! The stomach may hurt due to a reaction to the aspirin (acetylsalicylic acid) included in Citramon. Never take tablets on an empty stomach, and if, regardless of this, the pain recurs, then try replacing the medicine with Paracetamol in its pure form. It is also advisable to consult a gastroenterologist, because acetylsalicylic acid can provoke peptic ulcers of the stomach and duodenum.

    Editorial staff of the portal UltraSmile.ru (03/07/2019 at 11:46 am) Reply to comment

I'm going to take citramon in order to increase my blood pressure, because... My whole head hurts when I lower it. How long does the effect of high blood pressure from these tablets last?

Svetlana Valerievna (03/16/2019 at 18:07) Reply to comment

    Dear Svetlana Valerievna! Everything here is purely individual and depends on the condition of the blood vessels. It is also possible that the medicine has no effect on a person at all and does not raise blood pressure. In addition, Citramon is not the best option for treating hypotension on an ongoing basis, because today there are a large number of safer remedies. Seek advice from a physician who will provide a referral for tests. You may also need to consult a cardiologist and neurologist.

    Editorial staff of the portal UltraSmile.ru (03/20/2019 at 09:14) Reply to comment

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What is a hangover and how is it classified?

The hangover of a healthy person and an alcoholic are two completely different conditions. Without understanding the fundamental difference between them, it is impossible to prescribe adequate treatment for a hangover.

The basis of a hangover in a healthy person, the so-called veisalgia, is poisoning by the products of the breakdown of ethanol by liver cells. Acetaldehyde plays a major role in the formation of hangover symptoms. At the same time, the influence of alcohol itself and fusel oils contained in alcohol should not be excluded. A hangover manifests itself as a severe headache, nausea, vomiting, thirst (in common parlance, dried fruit) and other unpleasant sensations.

In a patient with chronic alcoholism, a hangover is a withdrawal syndrome and is called a hangover or withdrawal syndrome. It occurs due to the cessation of ethanol intake, which has already been integrated into the metabolic processes of the body and has become a physiological need. In fact, alcohol, as a more accessible and easily digestible energy material, replaces glucose and becomes vital. Alcohol withdrawal can provoke such severe conditions as delirium tremens and other alcoholic psychoses. A hangover, the treatment of which in this case requires the mandatory assistance of an experienced narcologist, has to be relieved with the help of a dropper. Its composition is determined by the doctor depending on the severity of the patient’s condition and the presence of concomitant diseases.

Treating alcoholism with acupuncture is an effective way to deal with addiction in the early stages.

More details about the symptoms of a hangover - how do they manifest themselves and what causes them?

Everything that a person experiences with a hangover is a subjective unpleasant sensation. The most common symptoms of a hangover include:

  • Throbbing, pounding, severe headache.
  • Tachycardia and arrhythmias.
  • Tremors of the hands and whole body. Patients often complain that they are shaking after drinking.
  • Heartburn, dry mouth and severe thirst, the so-called dry mouth.
  • A sharp reaction to extraneous stimuli - increased sensitivity to any loud sound, noise and light, causing a surge in severe headaches
  • Redness of the sclera of the eyes.
  • “Adrenaline melancholy” is a complex of depressive phenomena associated with a feeling of guilt for past drinking and one’s behavior.

All these manifestations, as I said earlier, are associated with acetaldehyde poisoning. The kinetics of its effect on the body is quite complex and not fully understood. It is believed that acetaldehyde, when interacting with the hormones dopamine and norepinephrine, forms tetrahydroisocholines, and carbonyls with the amino acid tryptophan. All these metabolic products of acetaldehyde have a psychotropic effect with an effect on motor activity and convulsive readiness of the body. This is why convulsions after alcohol and even epileptic seizures are possible.

The development of hangover symptoms is not influenced by the type of alcohol, although some experts believe that strong alcohol is less likely to lead to a hangover than low-alcohol drinks, cocktails, and sweet alcohol. Basically, the occurrence of a hangover in a healthy person is observed when the risk dose is exceeded - 1 g of pure ethanol per 1 kg of body weight.

In addition, the diuretic effect of ethanol leads to increased urination and disturbances in the electrolyte composition of the blood. It also causes and increases inflammation of the intestines, pancreas, stomach, liver and kidneys. Nausea and vomiting during a hangover are associated with the inflammatory reaction in the gastrointestinal tract.

What not to do if you have a hangover?

Let's rephrase the question: what should never be used to treat a hangover? Because all the actions of a person suffering from a hangover are aimed at alleviating the symptoms. At the same time, the set of methods and means can be very diverse. But if some of them really help, while others play the role of a placebo, then others can only do harm. It is precisely these methods that I want to warn against:

  • As already mentioned, you should not relieve a hangover with coffee or strong tea. The caffeine contained in them increases the myocardial need for oxygen, and the heart already needs it. And besides, caffeine can increase blood pressure, and this is already dangerous and can result in a stroke.
  • You shouldn't fight a hangover in a bathhouse. It seems that all toxic metabolites will be released with sweat. But this is far from true. Excessive sweating will cause even more severe dehydration of the body, which, together with high temperature and high humidity, can be extremely dangerous for the heart and result in a heart attack.
  • And I won’t tire of repeating – you can’t get hungover. This is the greatest harm, leading to increased intoxication, alcoholization of the body, and even binge drinking. The latter is especially relevant for the first stage of alcoholism and symbolizes its transition to the second stage.

By the way, call an ambulance immediately if, during a hangover, you suddenly feel something unusual in the form of:

  • too pronounced tachycardia, when the heart almost jumps out of the chest;
  • interruptions in cardiac activity (arrhythmias);
  • sharp throbbing headache;
  • pressing pain behind the sternum radiating to the left arm, etc.

These may be symptoms of a stroke or heart attack.

How to relieve a hangover in a mildly intoxicated person?

Typically, a hangover in a healthy person lasts about 24 hours. You need to hold out for 24 hours. How to do it? Regardless of the severity of the symptoms, the most important way to relieve hangover symptoms is to quickly remove acetaldehyde from the body, and for this you need to drink as much as possible - water, weak sweet tea, tomato juice, cabbage or cucumber pickle.

When choosing an anti-hangover drink, listen to your body - drink what you want. The exception is strong tea or coffee. They will not help you, but will only increase the load on the heart, which is already damaged. It is advisable not to drink carbonated drinks.

And one more recommendation for mild intoxication is sleep, during which the liver enzyme systems will independently cope with the incoming dose of alcohol poison. What you should never do is get hungover. A new portion of alcohol will return the state of euphoria for an hour, but the ethanol processing systems already running in enhanced mode will quickly utilize ethanol to acetaldehyde and increase its concentration in the blood. This will ultimately only increase intoxication and initiate the onset of alcohol dependence. To summarize, we can say that if hangover intoxication is not severe, the best ways to cure a hangover are to drink plenty of fluids and sleep.

For severe headaches, you can take medications based on acetylsalicylic acid. To remove unabsorbed alcohol and reduce nausea, you can take enterosorbents. But do not experiment, use only drugs that you have already tested and tolerate well.

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