The information presented here are based on the original package insert of the medicine, We also consult professionals in the field, ensuring the accuracy and reliability of the data.
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At the end of this article, you can download the complete and original package insert.
We recommend that you read it carefully. If you have any questions, consult your doctor or pharmacist for personalized guidance.
What is Nasaliv for?
Nasaliv is indicated to relieve and treat the symptoms of flu and colds, such as headaches and body aches, fever, nasal congestion (blocked nose) and runny nose.
How does Nasaliv work?
Nasaliv combines three substances that work together to relieve flu and cold symptoms:
- Paracetamol: reduces pain and fever.
- Phenylephrine: decongests a blocked nose.
- Carbinoxamine: reduces runny nose.
These ingredients help relieve pain, fever, stuffy nose and runny nose, which are common with colds and flu.
What should I know before using Nasaliv?
Do you have any of these problems?
If you have heart problems, high blood pressure, diabetes, thyroid or liver problems, use Nasaliv only under medical supervision.
Diabetics
This medicine contains sugar, which may increase your blood glucose after use.
Kidney or liver problems
Use with caution and caution if you have kidney or liver problems. Although rare, long-term use of acetaminophen can affect the liver, so it is important to monitor your liver function after use.
Severe symptoms after use
If you notice yellow eyes, dark nails, swelling, or severe back pain, stop using the medicine and consult a doctor immediately.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, talk to your doctor before using Nasaliv. Do not use the medicine in the first 3 months of pregnancy and, after that period, use only if necessary and under medical supervision.
Elderly patients
Nasaliv may increase blood pressure in the elderly, so it should be used with caution.
Attention when driving
During use, avoid driving or operating machinery, as the medication can impair your attention, which could lead to accidents.
Doping
Nasaliv can cause results positives in doping tests.
Avoid duplication of Paracetamol
Do not use Nasaliv together with other medicines that contain paracetamol, to avoid excess of this substance in your body, which may aggravate the side effects of paracetamol.
Effects of Nasaliv on other medicines and foods (Drug interactions)
Coumarin Anticoagulants
Avoid using this medicine if you are taking anticoagulants such as warfarin and acenocoumarol, as there is a risk of potentiating the effects of these medicines.
Barbiturates and Tricyclic Antidepressants
Do not use Nasaliv together with barbiturates (such as phenobarbital and thiopental), tricyclic antidepressants (such as amitriptyline and nortriptyline), carbamazepine or alcohol, due to the increased risk of liver damage.
MAO antidepressants and high blood pressure medications
Avoid using Nasaliv if you are taking MAO inhibitor antidepressants (such as phenelzine and iproniazid) or hypertensive effect medications, as there may be a risk of hypertension.
Phenytoin
The combination of phenytoin and Nasaliv may reduce the effectiveness of paracetamol and increase the risk of liver toxicity.
Probenecid
Using probenecid with Nasaliv may decrease the efficiency with which paracetamol is eliminated from the body by up to two times, increasing the risk of side effects.
Alcohol
If you regularly consume alcohol, be cautious when using Nasaliv, as the combination may overload the liver or aggravate existing liver failure.
Laboratory Tests
The use of paracetamol can generate false-positive results for 5-hydroxyindoleacetic acid in urine tests and a false increase in blood uric acid levels.
Food
Taking paracetamol with food may reduce the peak plasma concentration of the substance.
Information for the Doctor or Dentist
Always inform your doctor or dentist if you are taking other medications.
Where and how should I store it?
Storage
Store in its original packaging and keep at room temperature, between 15°C and 30°C. Protect the medicine from light. Keep the medicine out of the reach of children to avoid accidents.
Expiration Date
The shelf life is 24 months from the date of manufacture as indicated on the packaging. Do not use the medicine after the expiration date.
Physical Appearance
Nasaliv should be a clear, red, cherry-scented solution. Before using, check the appearance of the medicine. If there is any change in appearance, even if it is within the expiration date, consult a pharmacist.
Ingredients, nutritional table and composition
- Shape: Oral Solution
- Concentrations: 40 mg/mL + 1 mg/mL + 0.4 mg/mL
- Packaging: 60mL Bottle + Measuring Cup
- Use: Oral
- Suitable for: Adults and children over 2 years old
Ingredients: | Amount per mL: |
Paracetamol | 40 mg |
Phenylephrine Hydrochloride | 1 mg |
Carbinoxamine Maleate | 0.4 mg |
Vehicle: | Macrogol, methylparaben, propylparaben, propylene glycol, glycerol, sodium saccharin, sodium cyclamate, glucose, red dye 40, cherry flavor, lactic acid and purified water. |
When should I not use Nasaliv?
You should not use if:
- For allergic to any of the components of the medicine.
- I'm using antidepressants called MAO inhibitors or drugs that increase blood pressure, as there is a risk of high blood pressure.
- Have glaucoma narrow-angle (a specific type of eye problem).
- Have less than 2 years of age.
How to use Nasaliv (instructions for use)
Nasaliv oral solution is indicated for patients over 2 years of age.
Use of Nasaliv for adults:
For people with body weight over 30 kg:
- Recommended dosage: 1 measuring cup (10mL) every 6 hours.
- Do not exceed 4 doses in 24 hours.
Use of Nasaliv for children:
For children over 2 years old, use the table below to determine the appropriate dose according to weight:
Weight (kg) | Dose (mL) |
12 kg | 3 mL |
14 kg | 3.5 mL |
16 kg | 4 mL |
18 kg | 4.5 mL |
20 kg | 5 mL |
22 kg | 5.5 mL |
24 kg | 6 mL |
26 kg | 6.5 mL |
28 kg | 7 mL |
30 kg | 7.5 mL |
Use: Apply the indicated dose according to weight, every six hours. Do not use more than four doses in less than 24 hours.
Important: Do not administer to children under 2 years of age, even if their weight is in the table.
Follow the instructions for use correctly. If you have any questions, consult a pharmacist. If symptoms persist, seek advice from a doctor or dentist.
What should I do if I forget to use Nasaliv?
If you forget to take it at the scheduled time, take the dose as soon as you remember. However, if it is close to the time for your next dose, wait until the right time to take the medicine.
Do not take two doses at the same time to make up for the forgotten dose.
Side effects and adverse reactions of Nasaliv
It is important to be alert to any unpleasant reactions and inform your doctor if any of the following symptoms occur:
General reactions: Nervousness, tremors, palpitations, headache, nausea, vomiting, abdominal pain and feeling cold (hypothermia).
Long-lasting effects: Prolonged use may lead to changes in the blood, such as a decrease in platelets and white blood cells, anemia, an increase in liver enzymes and, in rare cases, bone marrow problems and necrosis of the renal papillae.
Effects on mental function: May cause drowsiness, nervousness and tremors. Be careful when performing activities that require attention.
Allergic reactions: May cause serious skin rashes, including redness, blisters, and irritation. Stop use and seek medical help immediately if these symptoms occur.
Effects on the eyes: It can affect vision and eye accommodation.
Cardiac effects: It can cause an increase in blood pressure, an increase in heart rate (tachycardia) or a decrease in heart rate (bradycardia).
Other effects: Neutropenia (decrease in white blood cells), leukopenia (reduction in defense cells), diarrhea, contact dermatitis, rash (redness of the skin), dry mouth, heartburn, dizziness, fatigue, sedation, double vision, nervousness, dysuria (burning when urinating), polyuria (increased urine), nasal dryness and shortness of breath.
Tell your doctor, dentist or pharmacist about any unexpected side effects. You can also report these effects to the company's customer service department.
What to do if you use more than the recommended amount?
If you ingest too much of this medicine, it is crucial to seek medical help immediately. Even if there are no symptoms of poisoning, medical support is essential to ensure safety for both adults and children.
If someone uses a large amount of the medicine, go to the emergency room quickly and take the product packaging or leaflet with you, if possible. For more information, you can call 0800 722 6001.
Make sure to follow the recommended dosage. If symptoms persist, consult a doctor for proper guidance.
Download the original manufacturer's leaflet:
Click the button below and download the Manufacturer's complete leaflet:
Sources and bibliography:
This article was extracted from the original package insert. Nasaliva [Package insert], Laboratory: National Pharmaceutical Chemical Union Inc. located in the city of Brasilia, in August 27, 2024, under technical supervision of the responsible pharmacist.
To check the leaflet of other brands, you can visit ANVISA electronic bulletin board and search for the manufacturer of your choice.