Narcogin Forte is now available from Kiwi Drug It is shipped from our trusted partner pharmacy overseas and comes with a tracking number which provides detailed tracking to your doorstep. IMPORTANT: This product may take 5 business days to ship. Delivery time-frame is 2-4 weeks once it leaves the post office. Order Issues: Upon proof of a missing shipment we will immediately issue YOUR CHOICE of either 1 free reshipment via regular delivery method, or a refund of the entire order. Beyond the 1 free reshipment or refund we will not be liable for any refunds or reshipments. Narcogen Forte contains 650 mg of acetaminophen / Tylenol and 30 mg of codeine phosphate. Narcogen Forte is used in the treatment of mild to severe pain. Narcogen Forte is not intended for long-term used. It should be used to treat short periods of pain. Should your pain persist after taking Narcogen Forte you should consult your health care professional. You may only order up to 200 tablets per order of this product. Additional information will be requested during checkout. Dose: 1 Narcogin tab if required for pain relief up to a MAX of 6 Narcogin Forte tablets per day Exceeding 6 tabs per day can cause irreversible liver toxicity which can ultimately lead to death. Paracetamol has a daily max of 4000mg . This maximum dose must not be exceeded as this product will cause drowsiness and possible sever constipation. Narcogin Forte is supplied in tablet form for oral administration. NARCOGIN FORTE CLINICAL PHARMACOLOGY: This product combines the analgesic effects of a centrally acting analgesic, codeine, with a peripherally acting analgesic, acetaminophen. Narcogin Forte Pharmacokinetics: The behavior of the individual components is described below. Codeine: Codeine is readily absorbed from the gastrointestinal tract. It is rapidly distributed from the intravascular spaces to the various body tissues, with preferential uptake by parenchymatous organs such as the liver, spleen and kidney. Codeine crosses the blood-brain barrier, and is found in fetal tissue and breast milk. The plasma concentration does not correlate with brain concentration or relief of pain; however, codeine is not bound to plasma proteins and does not accumulate in body tissues. The plasma half-life is about 2.9 hours. The elimination of codeine is primarily via the kidneys, and about 90% of an oral dose is excreted by the kidneys within 24 hours of dosing. The urinary secretion products consist of free and glucuronide conjugated codeine , free and conjugated norcodeine , free and conjugated morphine , normorphine , and hydrocodone . The remainder of the dose is excreted in the feces. At therapeutic doses, the analgesic effect reaches a peak within 2 hours and persists between 4 and 6 hours. Acetaminophen: Acetaminophen is rapidly absorbed from the gastrointestinal tract and is distributed throughout most body tissues. The plasma half-life is 1.25 to 3 hours, but may be increased by liver damage and following overdosage. Elimination of acetaminophen is principally by liver metabolism and subsequent renal excretion of metabolites. Approximately 85% of an oral dose appears in the urine within 24 hours of administration, most as the glucuronide conjugate, with small amounts of other conjugates and unchanged drug. INDICATIONS AND USAGE: Narcogin Forte is indicated for the relief of mild to moderately severe pain. NARCOGIN FORTE CONTRAINDICATIONS: Narcogin Forte should not be administered to patients who have previously exhibited hypersensitivity to codeine or acetaminophen. Narcogin Forte Interactions: Narcogin Forte may enhance the effects of: other narcotic analgesics, alcohol, general anesthetics, tranquilizers such as chlordiazepoxide, sedative-hypnotics, or other CNS depressants, causing increased CNS depression. NARCOGIN FORTE OVERDOSAGE: Following an acute overdosage, toxicity may result from codeine or acetaminophen. Narcogin Forte Signs and Symptoms: Codeine: Toxicity from codeine poisoning includes the opioid triad of: pinpoint pupils, depression of respiration, and loss of consciousness. Convulsions may occur. Acetaminophen: In acetaminophen overdosage: dose-dependent, potentially fatal hepatic necrosis is the most serious adverse effect. Renal tubular necrosis, hypoglycemic coma and thrombocytopenia may also occur. Early symptoms following a potentially hepatotoxic overdose may include: nausea, vomiting, diaphoresis and general malaise. Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 hours post-ingestion. In adults hepatic toxicity has rarely been reported with acute overdoses of less than 10 grams, or fatalities with less than 15 grams. Narcogin Forte Treatment: A single or multiple overdose with acetaminophen and codeine is a potentially lethal polydrug overdose, and consultation with a regional poison control center is recommended. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption. Vomiting should be induced mechanically, or with syrup of ipecac, if the patient is alert . Oral activated charcoal should follow gastric emptying. The first dose should be accompanied by an appropriate cathartic. If repeated doses are used, the cathartic might be included with alternate doses as required. Hypotension is usually hypovolemic and should respond to fluids. Vasopressors and other supportive measures should be employed as indicated. A cuffed endo-tracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration. Meticulous attention should be given to maintaining adequate pulmonary ventilation. In severe cases of intoxication, peritoneal dialysis, or preferably hemodialysis may be considered. If hypoprothrombinemia occurs due to acetaminophen overdose, vitamin K should be administered intravenously. Naloxone, a narcotic antagonist, can reverse respiratory depression and coma associated with opioid overdose. Naloxone hydrochloride 0.4 mg to 2 mg is given parenterally. Since the duration of action of codeine may exceed that of the naloxone, the patient should be kept under continuous surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration. A narcotic antagonist should not be administered in the absence of clinically significant respiratory or cardiovascular depression. If the dose of acetaminophen may have exceeded 140 mg/kg, acetylcysteine should be administered as early as possible. Serum acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity. Do not await acetaminophen assay results before initiating treatment. Hepatic enzymes should be obtained initially, and repeated at 24-hour intervals. Methemoglobinemia over 30% should be treated with methylene blue by slow intravenous administration.
supplements size: 200 tablets
Product Title: Narcogin Forte 650mg/30mg
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