Stopussin tablets - instructions for use. Stopussin drops - instructions for use Stopussin instructions for use

In this article, you can read the instructions for use medicinal product Stopussin... The reviews of website visitors - consumers of this medicine, as well as opinions of doctors of specialists on the use of Stopussin in their practice are presented. A big request is to actively add your reviews about the drug: did the medicine help or did not help get rid of the disease, what complications were observed and side effects, possibly not declared by the manufacturer in the annotation. Stopussin's analogs in the presence of available structural analogs. Use for the treatment of dry cough in adults, children, as well as during pregnancy and lactation. Composition of the preparation.

Stopussin- combination drug, which has a mucolytic (expectorant) and antitussive effect. Butamirate, which is part of the drug, has a local anesthetic effect on the bronchial mucosa, which provides an antitussive effect. In addition, it has a mild bronchodilator effect. Guaifenesin reduces the viscosity of sputum and thereby improves its discharge.

Compound

Guaifenesin + Butamirate dihydrogen citrate + excipients.

Thyme liquid extract + Thyme liquid extract + Plantain liquid extract + excipients (Stopussin Fito).

Added: Perhaps the manufacturer made a mistake in the instructions, since thyme and thyme are one and the same plant.

Indications

As part of the complex therapy of acute and chronic inflammatory diseases respiratory tract accompanied by a dry cough with difficult sputum:

  • tracheitis;
  • bronchitis;
  • tracheobronchitis.

Forms of issue

Oral drops.

Tablets.

Syrup (Stopussin Fito) (ideal form for children from 1 year old).

Instructions for use and dosage

It is advisable to take the drug after meals.

The tablets should be taken without chewing with a liquid (water, tea, fruit juice).

The corresponding number of drops are dissolved in 100 ml of liquid (water, tea, fruit juice).

The dose of the drug depends on the patient's body weight:

  • up to 7 kg - 8 drops 3-4 times a day;
  • 7-12 kg - 9 drops 3-4 times a day;
  • 12-20 kg - 14 drops 3 times a day;
  • 20-30 kg - 14 drops 3-4 times a day;
  • 30-40 kg - 16 drops 3-4 times a day;
  • up to 50 kg - 0.5 tablets 4 times a day - 25 drops 3 times a day;
  • 50-70 kg - 1 tablet 3 times a day - 30 drops 3 times a day;
  • 70-90 kg - 1.5 tablets 3 times a day - 40 drops 3 times a day;
  • more than 90 kg - 1.5 tablets 4 times a day.

Syrup Stopussin Fito

The drug is prescribed orally, after meals (due to the possibility of a decrease in appetite).

Children aged 1 to 5 years - 1 / 2-1 teaspoon 2-3 times a day, from 5 to 10 years old - 1-2 teaspoons 3 times a day, from 10 to 15 years old - 2 -3 teaspoons 3 times a day.

Adults and children over 15 years old - 1 tablespoon 3-5 times a day.

The average course of treatment is 7 days. An increase in the duration of treatment and repeated courses are possible on the recommendation of a doctor.

The interval between doses should be 4-6 hours.

Side effect

  • nausea, vomiting;
  • diarrhea;
  • stomach ache;
  • dizziness;
  • headache;
  • drowsiness;
  • hives;
  • skin rash.

Contraindications

  • myasthenia gravis;
  • childhood up to 1 year (drops and syrup);
  • children under 12 years of age (tablets);
  • 1 trimester of pregnancy;
  • lactation period;
  • hypersensitivity to the components of the drug.

Application during pregnancy and lactation

Stoptussin should not be prescribed in the 1st trimester of pregnancy; there should be especially important reasons for use in subsequent trimesters.

It is not known whether butamirate citrate and guaifenesin are excreted in human breast milk. Therefore, for the use of the drug Stopussin during lactation, there must be vital indications.

Application in children

Contraindication: children under 1 year of age (drops and syrup); children under 12 years of age (tablets).

special instructions

Influence on the ability to drive vehicles and use mechanisms

The drug in high doses may have adverse effects on activities requiring increased attention, coordination of movements and quick decision-making (for example, driving, servicing cars and working at heights).

Drug interactions

The effect of guaifenesin is enhanced by lithium and magnesium preparations.

Guaifenesin enhances the analgesic effect of paracetamol and acetylsalicylic acid; enhances the effect of sedatives, hypnotics and general anesthetics on the central nervous system; the action of muscle relaxants, ethanol (alcohol).

Stopussin should not be used concurrently with drugs containing codeine and other antitussive drugs, because this makes it difficult to cough up the liquefied sputum.

Analogs of the drug Stopussin

Structural analogues for the active substance:

  • Butamirate citrate;
  • Codelac Neo;
  • Omnitus;
  • Panatus;
  • Panatus Forte;
  • Sinecode.

In the absence of analogues of the drug for the active substance, you can follow the links below to the diseases for which the corresponding drug helps, and see the available analogues for the therapeutic effect.

Stopussin – a drug with a strong expectorant, mucolytic effect and a complex formation designed to combat a variety of coughs. Stopussin for children is a phytopreparation in a sweet syrup dosage form. Stoptussin tablets and drops are combined agents that include active ingredients that allow you to achieve several active effects at once - on nerve endings, weakening seizures, and on phlegm in order to liquefy and excrete. Such Double punch for reasons causing coughing, contributes to the rapid relief of the attack.

Dosage form

The combined drug, created on the basis of two active substances, is available in 3 dosage forms Oh:

  • Stoptussin tablets are flat-cylindrical, white, with a chamfer and a line;
  • Stoptussin drops, which look like a transparent, viscous liquid, yellowish-brown in color, and contain the same active ingredients as the tablets;
  • syrup Stopussin, intended for the treatment of children, and is an antitussive agent of peripheral action.

The drugs that make up the drugs are perfectly absorbed in the body, providing a quick and effective antitussive, mucolytic and expectorant effect. The herbal components that make up the syrup enhance the secretion of the bronchi, promote liquefaction, rapid separation and transport of sputum. Produces medicine "Ivex Pharmaceuticals" (Czech Republic)

Description and composition

The composition of Stopussin contains two active components, which is why it is called a combined drug. Butamirate dihydrogen citrate and guaifenesin have a double effect and contribute to the onset of relief in the patient. Butamirate dihydrogen citrate has a local anesthetic effect on the nerve endings of the small bronchi and bronchioles, thereby weakening the cough. Guaifenesin - actively liquefies and removes phlegm.
Stoptussin tablets are flat-cylindrical, white with a beveled and scored, contain 100 mg of guaifenesin and 4 mg of butamirate. Of the auxiliary components, they contain cellulose, magnesium stearate, minnitol, colloidal dioxide. The standard packaging of the tablet preparation is 10 tablets in a foil blister, which is packed in a cardboard box complete with instructions.

Drops are a transparent viscous substance of a yellowish-brown hue, with the same active active ingredients, and several other auxiliary components: a flower aroma with the smell of alpine meadows, a liquid extract, purified water and polysorbate. Drops are available in dark glass vials, equipped with a dropper and a protective cap, packed in a cardboard box with the accompanying instructions. The volume of the bottle can be 10, 25 and 50 ml.

The volume of the syrup bottle is 100 ml, it is a thick, viscous brown substance with the smell of thyme. The syrup contains only natural ingredients:

  • liquid extracts of thyme;
  • honey and sucrose, dissolved in a water base;
  • extract, thyme;
  • concentrated extract of plantain;
  • All herbal extracts are presented in the same amount and presented in the same volume (4.166 g each).

Stoptussin syrup is produced in dark bottles (100 ml), equipped with a measuring cap, packed in a cardboard box and supplied with instructions for use.

Pharmacological group

Stoptussin is a combined drug with mucolytic, expectorant, antitussive action. The syrup contains plant extracts that enhance the secretion of the bronchi, promote liquefaction, rapid separation and transport of sputum. This remedy copes well with dry, debilitating cough in adults and children, reduces inflammation, relieves irritation symptoms and relieves coughing attacks. Stopussin for children is a herbal preparation in the form of a sweet syrup, made from herbal ingredients. Its composition differs in dosage forms of this medication intended for adult patients, and gives reason to class it as an antitussive herbal remedy that does not contain codeine, does not cause depression of the respiratory center and does not provoke addiction and drug dependence.

Indications for use

The indication for the use of Stopussin is a dry irritating cough, which develops under the influence of negative factors of internal and external influences, which include infectious and inflammatory processes of the mucous membrane of the upper and lower respiratory tract.

for adults

For adults, Stoptussin is prescribed both in the form of drops and tablets, and in the form of a cough syrup, which is considered a drug for childhood, but can also be used in the treatment of adult pathologies. Adult patients often have a preference for baby syrup because it consists of natural ingredients and does not affect the nervous system by chemical action. Indications for use for adults are:

  • inflammatory diseases (acute and chronic) of the respiratory tract;
  • dry, unproductive cough;
  • difficult sputum with tracheobronchitis;
  • infectious lesions of the upper and lower sections respiratory system.

for kids

For children, Stoptussin syrup is the drug of choice that can have an effective and quick effect on an existing problem, liquefy phlegm, remove sore throat and do all this using only natural ingredients and without affecting the nerve endings, as is the case with tablets and drops.

Stopussin syrup can be recommended in the 2nd and 3rd trimester, as a drug that does not contain harmful chemical additives, but during lactation, due to the herbal components contained in the syrup, which can become a potential allergen for the baby, breastfeeding will have to be interrupted. Tablets and drops are contraindicated during pregnancy and lactation.

Contraindications

  • with myasthenia gravis;
  • when breastfeeding;
  • up to 6 months for drops;
  • up to 12 years for tablets;
  • in the presence of allergic reactions and individual intolerance to individual components of the drugs.

The syrup has contraindications in the form of:

  • individual intolerance or allergic reactions to individual components of the drug;
  • liver disease;
  • pathology of the kidneys and adrenal glands;
  • violation of the digestibility of galactose, glucose and lactose;
  • deficiency of enzymes that break down maltose and sucrose.

The ethanol present in the syrup makes it necessary to use it with extreme caution in persons suffering from epilepsy, trauma and brain diseases, and alcoholism.

Applications and doses

Stoptussin tablets and drops are calculated for administration in relation to the patient's body weight. In any case, the prescription of medicines should be carried out by a doctor, and the use should be made strictly after meals, with drinking plenty of liquid.

for adults

For adults, syrup is prescribed in a dosage of 1 tbsp. l. from three to five times a day, depending on the severity of the condition, the nature of the pathology and the patient's body weight.

for kids

Dosing of the syrup depends not only on body weight, but also on the nature of the disease, and on the individual condition of the patient:

  • from 1 year to 5 years give ½ tablet twice a day, or 1 tsp. syrup.
  • from 5 to 10 years can be given three times a day;
  • from 10 to 15 years old optimal daily dose the drug is 4-6 tsp, divided into 3 doses;
  • over 15, an adult dosage is prescribed.

Medicines should be taken at the same time interval, after consuming the syrup, you should not drink or eat for a certain period so that the drug has time to take effect. After about ½ hour, you can give juice, milk or compote, tea with milk, jam or lemon, fruit drink or ordinary drinking water to replenish the need for fluid that occurs after taking the syrup.


for pregnant women and during lactation

Can be taken in the 2nd and 3rd trimester, not recommended during lactation.

Side effects

The use of Stoptussin can cause from the outside digestive system- lack of appetite, nausea, diarrhea, abdominal pain, tachycardia, shortness of breath, chest pain. Manifestation of allergic reactions.

Interaction with other medicinal products

Stopussin should not be used concomitantly with other antitussives containing codeine. This can make it difficult for sputum to pass, cause it to accumulate in the bronchi, and provoke the development of complications. which is especially dangerous in young children.

special instructions

Taking the drug can affect the accuracy of the work performed, slow down the reaction rate.

Overdose

In case of an overdose, the stomach and intestines are washed, intestinal sorbents are prescribed (), symptomatic therapy, since there is no specific antidote.

Storage conditions

Store in a dark, dry place out of reach of children, at room temperature.

Analogs

The following medicines can be attributed to Stoptussin's analogues:

  1. refers to substitutes for Stopussin in the clinical and pharmacological group. It contains butamirate as an active ingredient and is available in drops (from 2 months it can be taken) and in syrup (from 3 years old). With dry coughs of various etiologies, the drug is allowed to be taken in the II and III trimester of pregnancy.
  2. contains butamirate as an active ingredient, and is used to suppress dry cough, regardless of its cause. Available in drops, syrup and modified release tablets. can be taken by patients older than 2 months (drops).
  3. Tussin Plus is available in syrup, which can be used from 6 years old. He is a substitute for Stopussin in the therapeutic group. The drug has an antitussive and expectorant effect. It is allowed to be prescribed for pregnant and lactating patients.
  4. is a combined drug that is a substitute for the drug Stopussin in the therapeutic group. In tablets, it is approved for use as an expectorant and mucolytic medicine from the age of 6. In syrup, it can be taken at an earlier age.

Drug price

The cost of Stopussin is on average 215 rubles. Prices range from 96 to 452 rubles.


Stopussin- a drug of complex action with antitussive, mucolytic and expectorant effects.
After oral administration, the drug is well absorbed by the body and is almost completely excreted through the intestines and kidneys within 6 - 12 hours.
Active substance stopussina butamirate has the ability to exert a local anesthetic effect on the nerve endings of the small bronchi and bronchioles, which leads to a weakening of the cough. The second component of the drug, guaifenesin, liquefies phlegm and promotes its discharge.
Metabolic products of the drug in breast milk stopussin no nursing mothers were found.

Indications for use

Conditions accompanied by a dry, debilitating cough with infectious and inflammatory diseases of the respiratory system, cough with bronchial asthma, pneumoconiosis. To stop coughing during surgery.

Mode of application

The dosage of the drug is calculated depending on the patient's weight.

Stopussin tablets:
- with a mass of up to 50 kg - half a tablet 4 times a day;
- with a mass of 50 - 70 kg - 1 tablet 3 times a day;
- with a mass of 70 - 90 kg - one and a half tablets 3 times a day;
- with a mass of 90 kg or more - one and a half tablets 4 times a day.
Do not chew the tablets (you can cut them in two), take them with a liquid after meals.

Drops Stopussin:
- with a body weight of less than 7 kg - 8 drops three to four times a day;
- with a body weight of 7 to 12 kg - 9 drops three to four times a day;
- with a body weight of 13 to 20 kg - 14 drops three times a day;
- with a body weight of 21 to 30 kg - 14 drops three to four times a day;
- with a body weight of 31 to 40 kg - 16 drops three to four times a day;
- with a body weight of 41 to 50 kg - 25 drops three times a day;
- with a body weight of 51 to 70 kg - 30 drops three times a day;
- with a body weight of 71 to 90 kg - 40 drops three times a day.
Before taking the drop, dilute it in half a glass of liquid.

Side effects

Possible headache and dizziness, nausea, vomiting, diarrhea, local allergic reactions (skin rash, urticaria), epigastric pain.

Contraindications

The drug is contraindicated in the first trimester of pregnancy. Should not be assigned stopussin during lactation. Individual hypersensitivity to its components is also a contraindication to prescribing the drug.

Pregnancy

Appointment stopussina pregnant and lactating women is possible only if the expected benefit to the mother prevails over the likely harm to the fetus or child.

Interaction with other medicinal products

Lithium and magnesium-containing drugs can enhance the effect of the stopussina guaifenesin. In turn, guaifenesin is able to potentiate the analgesic effects of aspirin and paracytamol, enhance the effect of alcohol and muscle relaxants, and the sedative effect of hypnotics and narcotic drugs.

Overdose

The component of the drug - guaifenesin in high doses is toxic, which can manifest itself as nausea, vomiting and depression of the central nervous system (lethargy, drowsiness). In cases of overdose, the tactics are reduced to gastric lavage, ingestion activated carbon and other symptomatic measures. There are no specific antidotes for the main components of the drug.

Release form

Tablets, 20 pcs. packaged; drops for oral administration, vials of 10 and 25 ml.

Storage conditions

The drug is stored at room temperature in a dry, dark place.

Compound

Stopussin tablets:
Butamirate dihydrogen citrate - 4 mg
Guaifenesin - 100 mg
Additional substances: microcrystalline cellulose, anhydrous silicon dioxide, glycerol tribegenate, mannitol, magnesium stearate.

Drops Stopussin:
Butamirate dihydrogen citrate - 0.004 g / ml
Guaifenesin - 0.1 g / ml
Additional substances: ethyl alcohol 96%, propylene glycol, liquid extract of lecinnamon, polysorbate 80, flavoring 740025H ("alpine flowers"), purified water.

Additionally

During treatment stopussin you can not drink alcohol. Patients whose activities are associated with increased concentration of attention and require clear coordination of movements (drivers, operators of complex equipment, high-altitude crane operators, etc.), the drug is prescribed with caution due to its ability to blunt this type of reaction in large doses.
Children under 12 years of age are advised to prescribe stopussin in the form of drops.

Main settings

Name: STOPTUSSIN
ATX code: R05FB02 -

Dry, lingering, irritating cough, including in infectious and inflammatory diseases of the upper and lower respiratory tract, BA and pneumoconiosis; stopping cough in the pre- and postoperative period.

Contraindications to the use of Stopussin

Myasthenia gravis, hypersensitivity to the components of the drug, I trimester of pregnancy, lactation.

Stopussin Application during pregnancy and children

During pregnancy and lactation, the drug is prescribed only in cases where the potential benefit from the use to the mother outweighs the potential risk to the child. For children under 12 years of age, the drug is prescribed in the form of drops.

Stopussin Side effects

Possible nausea, vomiting, diarrhea, epigastric pain, dizziness, headache, urticaria, and skin rash.

Dosage Stopussin

The dose of the drug depends on the patient's body weight. Tablets: up to 50 kg-1/2 tablets 4 times a day; 50-70 kg-1 tablet 3 times; 70-90 kg-11/2 tablets 3 times; more than 90 kg-11 / 2 tablets 4 times a day. The tablets are swallowed whole (or 1/2 tablet), washed down with water, tea or fruit juice. It is advisable to take the drug after meals. Drops: up to 7 kg, 8 drops 3-4 times a day; 7-12 kg, 9 drops 3-4 times; 13-20 kg - 14 drops 3 times; 21-30 kg - 14 drops 3-4 times; 31-40 kg - 16 drops 3-4 times; 41-50 kg - 25 drops 3 times; 51-70 kg - 30 drops 3 times; 71-90 kg - 40 drops 3 times a day. The appropriate number of drops are diluted in 100 ml of liquid (water, tea or fruit juice).

Stopussin (guaifenesin + butamirate dihydrogen citrate) is an antitussive drug used to symptomatic treatment diseases of the respiratory tract, incl. in children. In the structure of childhood morbidity, diseases of this profile occupy a leading position in our country. The need for therapeutic measures arises, as a rule, with an unproductive, dry cough. Its feature is poor expectoration of sputum (or lack thereof). An important place in the treatment of respiratory diseases is occupied by antitussive drugs, one of which is the combined drug Stoptussin. Butamirate dihydrogen citrate reduces the resistance of the respiratory tract without suppressing the respiratory center. The substance has a local anesthetic and secretolytic effect, eliminates bronchial spasms. It acts on the central part of the cough reflex reflex arc. Guaifenesin, in turn, is both an expectorant and a mucolytic. Its ability to facilitate the passage of sputum is based on a decrease in the adhesive properties and viscosity of the latter. The ability to change the rheological properties of sputum led to the inclusion of guaifenesin in a number of antitussive drugs. The combination in the composition of Stopussin of two pharmacologically active substances (which is important - with a different mechanism of action) provides a combined therapeutic effect and a wide range of indications for the use of the drug. So, Stoptussin is effective both for dry and for productive cough with abundant secretion of sputum.

Butamirate dihydrogen citrate is a peripheral local anesthetic that acts on afferent nerve endings localized in the bronchial mucosa and increases mucus secretion. Guaifenesin stimulates the bronchial glands, resulting in increased mucus fluidity. Mucus increases activity ciliated epithelium lining the bronchi, which facilitates its removal by coughing up. Medicine should be taken after meals. The tablets are coated with a special acid-resistant coating, so they cannot be chewed. The specific dose is calculated based on the patient's body weight (see the package insert for the calculation table). The frequency of admission is 4-6 times a day. When using the drug in the recommended doses, the risk of side effects is minimized and is no more than 1%. These can be disorders of the digestive system (nausea, vomiting, diarrhea, poor appetite, epigastric pain), headaches, vertigo, allergic reactions. The above side effects are temporary and do not require discontinuation of the drug (moreover, they disappear even without dose adjustment). Contraindications to taking Stoptussin: pregnancy (1st trimester), breastfeeding, individual intolerance to active or auxiliary components. In pediatric practice, the drug is allowed to be used only after the patient reaches 12 years of age. During the course drug therapy you should refrain from consuming alcoholic beverages. Stopussin has proven its effectiveness in several clinical trials at once, incl. in children.

Pharmacology

A combined drug that has a mucolytic (expectorant) and antitussive effect.

Butamirate dihydrogen citrate has a peripheral local anesthetic effect on the sensitive nerve endings of the bronchial mucosa, which provides an antitussive effect.

Guaifenesin increases the secretion of the bronchial glands and reduces the viscosity of mucus. The increase in secretion is due both to a direct effect on the bronchial glands - stimulation of secretion from the bronchial glands and the removal of acidic glycoproteins from acinar cells, and by reflex, when the afferent parasympathetic fibers of the gastric mucosa are irritated and the respiratory center is inhibited. Increased tone n. vagus stimulates the production of bronchial secretions. The mucus produced by the bronchial glands enhances the activity of the ciliated epithelium, as a result of which the evacuation of mucus from the bronchi and its coughing up is facilitated.

Pharmacokinetics

Butamirate dihydrogen citrate

When taken orally, butamirate dihydrogen citrate is rapidly and completely absorbed from the gastrointestinal tract. Plasma protein binding is 94%. Undergoes metabolism with the formation of 2 metabolites, which also have an antitussive effect. T 1/2 - 6 hours Metabolites are excreted mainly (90%) by the kidneys and only a small part through the intestines.

Guaifenesin

When taken orally, guaifenesin is rapidly absorbed from the gastrointestinal tract. Plasma protein binding is negligible. Guaifenesin is rapidly metabolized, with the formation of inactive metabolites, which are excreted by the kidneys. T 1/2 - 1 h.

Release form

Tablets are white or almost white, flat-cylindrical, beveled, with a dividing line.

1 tab.
guaifenesin100 mg
butamirate dihydrogen citrate4 mg

Excipients: colloidal silicon dioxide - 1 mg, mannitol - 60 mg, microcrystalline cellulose - 60 mg, glyceryl tribegenate - 1 mg, magnesium stearate - 4 mg.

10 pieces. - blisters (2) - cardboard boxes.

Dosage

The drug is taken orally, after meals. The tablets should be taken without chewing with a liquid (water, tea, fruit juice).

For adults and children over 12 years of age, the drug is prescribed depending on the patient's body weight:

The interval between doses is 4-6 hours.

Overdose

Symptoms: Signs of toxic effects of guaifenesin are drowsiness, nausea and vomiting.

Treatment: gastric lavage, intake of activated charcoal, symptomatic therapy, there is no specific antidote for guaifenesin.

Interaction

The effect of guaifenesin is enhanced by lithium and magnesium preparations.

Guaifenesin enhances the analgesic effect of paracetamol and acetylsalicylic acid; enhances the effect of sedatives, hypnotics and general anesthetics on the central nervous system; the action of muscle relaxants, ethanol.

Side effects

From the digestive system: 1% - nausea, vomiting, diarrhea, loss of appetite, stomach pain.

From the side nervous system: 1% - dizziness, headache, drowsiness.

Allergic reactions: 1% - urticaria and skin rash.

These effects usually resolve without dose reduction.

The frequency of the adverse reactions listed below was determined in accordance with the following criteria: very often (≥ 1/10), often (> 1/100,< 1/10); иногда (> 1/1000, < 1/100); редко (> 1/10000, < 1/1000); очень редко (< 1/10 000), включая отдельные сообщения.

From the nervous system: often - headache.

On the part of the organ of hearing and balance: often - dizziness.

From the digestive system: often - nausea, anorexia, abdominal pain, vomiting, diarrhea; very rarely - a bitter taste in the mouth, heartburn, a feeling of heaviness in the epigastrium.

From the respiratory system: very rarely - shortness of breath.

From the side of cardio-vascular system: rarely - chest pain; very rarely - tachycardia, palpitations.

Application features

Application during pregnancy and lactation

Stopussin should not be used in the first trimester of pregnancy. If it is necessary to use it in the II and III trimester of pregnancy, you should make sure that the intended benefit to the mother outweighs the potential risk to the fetus.

There is no reliable data on the penetration of butamirate and guaifenesin into breast milk... Must stop breast-feeding for the period of use of the drug Stopussin.

Application in children

Contraindication: children under 12 years of age (tablets).

special instructions

Influence on the ability to drive vehicles and use mechanisms

The drug in high doses can have an adverse effect on activities requiring increased attention, coordination of movements and quick decision-making (for example, driving a car, servicing cars and working at heights).