INTRODUCTION

PACINOVA INJECTION contains Paracetamol which belongs to the group of medicines called Analgesics and Antipyretics. It is used for short-term treatment of moderate pain (especially after surgery) and fever when administered by the intravenous route is clinically justified.

Before receiving PACINOVA INJECTION, inform your doctor if you have heart, lung, liver or kidney problems or if you suffer from alcoholism or alcohol abuse, malnourishment and severely low blood volume due to dehydration or blood loss.

PACINOVA INJECTION should be used with caution in pregnant and breastfeeding women only if clearly advised by the doctor. PACINOVA INJECTION should be used with caution in children and elderly patients.

The most common side effects of receiving PACINOVA INJECTION are nausea, vomiting, headache, sleep problems and itching. Inform your doctor if any of these side effect worsens.

USES OF PACINOVA INJECTION

• For short-term treatment of moderate pain (especially after surgery) and fever

HOW PACINOVA INJECTION WORKS

PACINOVA INJECTION relieves pain by increasing the pain threshold by inhibiting certain enzymes (COX-1 and COX-2) involved in the synthesis of chemicals responsible for inducing pain (prostaglandins). It reduces fever by directly acting on heat-regulating centers in the brain, resulting in vessel relaxation, sweating and loss of body heat.

DIRECTIONS FOR USE

PACINOVA INJECTION will be given to you only by a doctor or a nurse into the vein as an intravenous infusion. Your doctor will decide the correct dose and duration for you based on your age, body weight and disease condition.

SIDE EFFECTS OF PACINOVA INJECTION

HOW TO MANAGE SIDE EFFECTS

Nausea or vomiting:

Stick to simple meals while receiving this medicine. Avoid eating oily rich, fried or spicy foods. Do not lie down or sleep immediately after eating. Inform your doctor if the symptom does not improve.

Constipation:

Try to eat more high-fibre foods such as fresh fruit, vegetables, cereals and drink plenty of water. If this does not help, inform your doctor to receive alternate treatment for constipation.

Headache:

Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to be relaxed and stress-free. Apply pain relieving balm on your forehead if necessary. Inform your doctor if the symptom does not improve.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug - Drug interactions:

Before receiving PACINOVA INJECTION, inform your doctor if you are taking any of the following medicines:

• other medicines containing paracetamol or propacetamol
• probenecid (used to treat gout)
• medicines used for blood thinning (Ex. warfarin)

Overdosage:

PACINOVA INJECTION will be administered to you only by a doctor or a nurse in a hospital and so it is unlikely to receive an overdose. However, consult your doctor if you experience any unusual symptoms such as nausea, vomiting, anorexia (eating disorder), paleness, stomach pain and a risk of liver injury.

SYNOPSIS

MORE INFORMATION

Store below 25°C

FAQs ABOUT PACINOVA INJECTION

What is PACINOVA INJECTION used for?

PACINOVA INJECTION is used for short-term treatment of moderate pain (especially after surgery) and fever and when administered by the intravenous route is clinically justified. Consult your doctor for advice before administration of PACINOVA INJECTION.

What should I tell my doctor before receiving PACINOVA INJECTION?

Patients receiving PACINOVA INJECTION must inform their doctor about pre-existing conditions like heart, lung, liver or kidney problems, alcoholism, malnourishment or dehydration. Patients should also inform the doctor if they are pregnant, breastfeeding or allergic to anything. Inform your doctor if you experience any unusual symptoms during treatment with this medicine.

Can PACINOVA INJECTION be used during pregnancy?

PACINOVA INJECTION should be used with caution in pregnant women only if clearly advised by the doctor. Your doctor may use the lowest possible dose to reduce the pain and fever only for a shorter duration in pregnant women. Consult your doctor before receiving PACINOVA INJECTION.

How does PACINOVA INJECTION work?

PACINOVA INJECTION relieves pain by increasing the pain threshold by inhibiting certain enzymes (COX-1 and COX-2) involved in the synthesis of chemicals responsible for inducing pain (prostaglandins). It reduces fever by directly acting on heat-regulating centers in the brain, resulting in vessel relaxation, sweating and loss of body heat.

Is PACINOVA INJECTION safe to use in patients with liver disease?

PACINOVA INJECTION is not recommended for use in patients with severe liver disease. It should be used with caution in patients with liver disease. Your doctor may monitor your liver function test before and during treatment with this medicine to prevent the risk of liver damage. Consult your doctor before receiving PACINOVA INJECTION.

REFERENCES

1. Tilo Grosser, Emer Smyth and Garret A. FitzGerald. Anti-inflammatory, Antipyretic and Analgesic agents; Pharmacotherapy of gout. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 693.

2. KD. Tripathi. NSAIDs and Antipyretic-Analgesics. Essentials of Medical Pharmacology. Seventh edition. 2013. Page – 206.

3. Ulderico Freo, Chiara Ruocco, Alessandra Valerio, Irene Scagnol and Enzo Nisoli. Paracetamol: A Review of Guideline Recommendations. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. August 2021. [Accessed on 16th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347233/

4. Olivier Malaise, Olivier Bruyere and Jean-Yves Reginster. Intravenous paracetamol: A review of efficacy and safety in therapeutic use. ResearchGate. November 2007. [Accessed on 16th August 2022] https://www.researchgate.net/publication/247872458_Intravenous_paracetamol_A_review_of_efficacy_and_safety_in_therapeutic_use

5. Altan Pharmaceutical. Electronic Medicines Compendium (EMC). [Revised in December 2021] [Accessed on 16th August 2022] https://www.medicines.org.uk/emc/files/pil.13649.pdf

6. B. Braun Medical Inc. U.S. Food & Drug Administration. [Revised in February 2021] [Accessed on 16th August 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/204957s000lbl.pdf

7. Therapeutic Pharmaceuticals. Aeknil injection (Paracetamol). [Revised in May 2016] [Accessed on 16th August 2022] https://aeknil.com/pi/aekinj.pdf

8. Central Drugs Standard Control Organization (CDSCO). Paracetamol. [Accessed on 16th August 2022] https://cdscoonline.gov.in/CDSCO/Drugs

USEFUL DIAGNOSTIC TESTS

• Complete blood count
• Liver function test