hitem 300mg tablet md - Paracetamol (300mg) medicine

Dispar 300mg Tablet: Complete Medicine Guide

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🏭 Sigman Wellness 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for pain and fever.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of the skin or eyes (jaundice)
  • Dark-colored urine or pale stools
  • Severe abdominal pain or tenderness
  • Blood in vomit or black, tarry stools
  • Difficulty breathing or swelling of the face, lips, or throat
  • Unusual bruising or bleeding
  • Decreased urine output or inability to urinate
  • Severe skin rash with blistering or peeling

If experiencing severe symptoms, call emergency services immediately.

What is hitem 300mg tablet md used for?

This medicine contains paracetamol 300 mg, an analgesic and antipyretic used to relieve mild to moderate pain and reduce fever. It works by reducing prostaglandin production in the brain. The usual adult dose is 300 mg to 1000 mg every 4 to 6 hours as needed, not exceeding 4000 mg per day. Always follow your doctor's advice.

  • Generic Name: Paracetamol (300mg)
  • Manufacturer: Sigman Wellness
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 hitem 300mg tablet md के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल 300 मिलीग्राम की एक टैबलेट है, जिसका उपयोग हल्के से मध्यम दर्द और बुखार को कम करने के लिए किया जाता है। यह सिरदर्द, दांत दर्द, मासिक धर्म के दर्द, मांसपेशियों के दर्द और पीठ दर्द में राहत देती है। यह बुखार को भी कम करती है। यह दवा मस्तिष्क में प्रोस्टाग्लैंडिन नामक पदार्थ के उत्पादन को कम करके काम करती है। इसे डॉक्टर की सलाह के अनुसार ही लें। अधिक मात्रा में लेने से लीवर को नुकसान हो सकता है।

साइड इफेक्ट्स: आमतौर पर यह दवा सही मात्रा में लेने पर सुरक्षित मानी जाती है। कुछ लोगों को मतली, पेट में असहजता या हल्के दाने हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन लीवर की क्षति, गंभीर त्वचा प्रतिक्रियाएं और रक्त विकार हो सकते हैं। अगर आपको पीलिया, गहरे रंग का पेशाब, पेट में तेज दर्द या आसानी से चोट लगने जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। अनुशंसित मात्रा से अधिक न लें और बिना सलाह के लंबे समय तक न लें। इस दवा के साथ शराब न पिएं, क्योंकि इससे लीवर को नुकसान का खतरा बढ़ जाता है। अगर आपको लीवर या किडनी की समस्या है, या आप गर्भवती या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। बुखार के लिए 3 दिन से अधिक और दर्द के लिए 10 दिन से अधिक इस दवा का उपयोग न करें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 hitem 300mg tablet md Uses & Benefits

[{"condition":"Mild to moderate pain","description":"Relieves pain such as headache, toothache, menstrual cramps, muscle aches, and back pain.","evidence":"Well-established"},{"condition":"Fever","description":"Reduces fever by acting on the hypothalamus to lower body temperature.","evidence":"Well-established"},{"condition":"Osteoarthritis pain","description":"Provides symptomatic relief of mild to moderate pain associated with osteoarthritis.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used as part of multimodal analgesia for mild to moderate post-operative pain.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine attacks, though evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, but NSAIDs are generally preferred.","evidence":"Limited"}]

Primary treatment for: Pain and fever

Also treats: Osteoarthritis, Headache, Menstrual cramps, Toothache, Muscle aches

📋 Drug Information

Generic Name(s)Paracetamol (300mg)
Brand Namehitem 300mg tablet md
ManufacturerSigman Wellness
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassAnalgesic & Antipyretic-PCM
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and direct sunlight. Keep in the original container.
Shelf LifeTypically 24 to 36 months from the date of manufacture. Refer to the packaging for the exact expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with food or a glass of water to reduce stomach upset.
2
Never exceed the recommended dose, as it can cause serious liver damage.
3
Avoid alcohol completely while taking this medicine.
4
Do not take other products containing paracetamol simultaneously to prevent overdose.
5
Consult your doctor if pain or fever persists beyond 3 days for fever or 10 days for pain.
6
Inform your doctor if you have liver or kidney disease before taking this medicine.
7
Keep a record of when you take this medicine to avoid missing or doubling doses.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Headache
This medicine is commonly used for mild to moderate headache.
Likely Use
Fever
This medicine is used to reduce fever.
Likely Use
Inflammation
This medicine has little to no anti-inflammatory effect.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. The rate of absorption depends on the formulation and gastric emptying time. Food may delay the onset of action but does not significantly affect the extent of absorption.
DistributionThis medicine is distributed widely throughout most body tissues. It crosses the placenta and is excreted in breast milk. The volume of distribution is approximately 0.8 to 1.0 L/kg.
Protein BindingThis medicine is only minimally bound to plasma proteins (approximately 10-25%).
MetabolismThis medicine is primarily metabolized in the liver by conjugation with glucuronic acid and sulfate. A small fraction is metabolized by cytochrome P450 enzymes, particularly CYP2E1, to form a toxic intermediate called N-acetyl-p-benzoquinone imine (NAPQI). Under normal conditions, NAPQI is detoxified by glutathione. In overdose, glutathione stores are depleted, leading to liver damage.
Half-LifeThe elimination half-life of this medicine is typically 2 to 3 hours in adults with normal liver function. It may be prolonged in patients with liver disease or after overdose.
ExcretionThis medicine and its metabolites are excreted primarily in the urine. About 90% of the dose is excreted within 24 hours, mostly as glucuronide and sulfate conjugates.
BioavailabilityThe oral bioavailability of this medicine is approximately 80-100% when taken as an immediate-release tablet.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration. Fever reduction may start within 30 minutes.
Peak Plasma TimePeak plasma concentrations are reached within 0.5 to 2 hours after oral administration of an immediate-release tablet.
Duration of ActionThe analgesic and antipyretic effects usually last for 4 to 6 hours.

How It Works

This medicine works primarily in the central nervous system. It reduces the synthesis of prostaglandins in the brain by inhibiting the cyclooxygenase (COX) enzymes, particularly COX-2, but its action is different from NSAIDs because it does not significantly inhibit COX enzymes in peripheral tissues. This central action helps to relieve pain and reduce fever. Additionally, it may act on the hypothalamic heat-regulating center to produce antipyresis. The exact mechanism is not fully understood, but it is believed to involve multiple pathways including inhibition of prostaglandin E2 synthesis and activation of descending serotonergic pathways.

Mechanism Steps

1
Central COX inhibition: This medicine inhibits cyclooxygenase enzymes in the central nervous system, reducing prostaglandin synthesis.
2
Reduced prostaglandin E2: Lower levels of prostaglandin E2 in the brain lead to decreased pain perception and fever reduction.
3
Activation of descending pathways: It may activate descending serotonergic pathways in the spinal cord to inhibit pain transmission.

💡 How to Take hitem 300mg tablet md

Strength: Immediate-release tablet, 300 mg

1Take this medicine by mouth with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with or without food, but taking with food may reduce stomach upset.
4Follow the dosage instructions exactly as prescribed by your doctor.
5Do not take more than the recommended dose in 24 hours.

Dosage Information

Adult DosageFor adults and children over 12 years, the usual dose is 300 mg to 1000 mg every 4 to 6 hours as needed for pain or fever. The maximum recommended daily dose is 4000 mg (4 grams) from all sources. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information for this specific 300 mg tablet. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more susceptible to the side effects of this medicine. Use with caution and adjust the dose as advised by a clinician, especially in those with liver or kidney impairment.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance less than 30 mL/min), the dosing interval should be increased. Consult a doctor for dose adjustment.
Hepatic ImpairmentIn patients with hepatic impairment, the dose should be reduced or the dosing interval increased. Avoid use in severe liver disease. Consult a doctor for guidance.
Maximum Daily DoseThe maximum recommended daily dose for adults is 4000 mg (4 grams) from all sources. For this 300 mg tablet, that would be a maximum of 13 tablets per day, but the actual dose should be determined by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of hitem 300mg tablet md

✅ Common Side Effects

Nausea (Common (1-10%))
Usually resolves on its own. Take with food if it persists.
Stomach discomfort (Common (1-10%))
Take with a meal or snack to reduce discomfort.
Rash (Uncommon (0.1-1%))
Discontinue use and consult a doctor if rash develops.

🚨 Serious Side Effects

Liver damage (Rare (<0.1%))
Seek immediate medical attention if you experience yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you develop a blistering rash, peeling skin, or sores in the mouth.
Thrombocytopenia (Very rare (<0.01%))
Report unusual bruising or bleeding to your doctor immediately.

⚠️ Rare Side Effects

Agranulocytosis
Seek medical attention if you develop fever, sore throat, or mouth ulcers.
Anaphylaxis
Call emergency services if you experience difficulty breathing, swelling of face or throat, or severe dizziness.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Carbamazepine Moderate
Phenytoin Moderate
Rifampicin Moderate
Isoniazid Moderate
Metoclopramide Minor
Cholestyramine Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol

⚡ Moderate Interactions

  • Carbamazepine, phenytoin, rifampicin
  • Isoniazid

🍷 Alcohol Interaction

Avoid consuming alcohol while taking this medicine. Alcohol increases the risk of liver damage, especially with regular or high-dose use of paracetamol. Even moderate drinking may enhance the toxic effects on the liver.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe liver disease or active liver failure","Known hypersensitivity to paracetamol or any component of the formulation","Severe kidney impairment (use with caution)"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose. Taking more than the maximum daily dose can cause serious liver damage.","Avoid concomitant use with other paracetamol-containing products.","Use with caution in patients with chronic alcohol consumption.","Consult a doctor before use in patients with liver or kidney disease.","Discontinue use and seek medical advice if symptoms persist or worsen.","Keep out of reach of children."]

🤱 Lactation Safety

Paracetamol is excreted in breast milk in small amounts. It is generally considered safe for use during breastfeeding when taken at recommended doses. Consult your doctor before use.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage, which may be delayed. Symptoms of overdose may include nausea, vomiting, abdominal pain, and sweating within the first 24 hours, followed by liver failure. If you suspect an overdose, seek emergency medical attention immediately, even if you feel well. The antidote is N-acetylcysteine, which is most effective when given within 8-10 hours of ingestion. Do not wait for symptoms to appear.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose or use it for longer than advised without consulting a healthcare professional. Avoid drinking alcohol while taking this medicine, as it increases the risk of liver damage. If you have liver or kidney problems, or if you are pregnant or breastfeeding, inform your doctor before taking this medicine. Do not use this medicine to treat a fever for more than 3 days or pain for more than 10 days unless directed by a doctor. Keep this medicine out of the reach of children. Store it at room temperature, away from moisture and heat. Do not share this medicine with others, even if they have similar symptoms. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for your next dose. Never double the dose to make up for a missed one.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially if they have liver or kidney impairment. Lower doses or longer dosing intervals may be needed. Consult a doctor for guidance.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Paracetamol is generally considered safe during pregnancy when used as directed, but prolonged use should be avoided.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain relief as part of a multimodal approach. Follow your surgeon's instructions regarding dosing and duration.

🦷 Dental Procedures

This medicine can be taken for dental pain, including after dental procedures. Inform your dentist that you are taking it. It does not typically interfere with dental anesthetics.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints and muscles.
🥗
Stay hydrated by drinking plenty of water throughout the day.
😴
Get regular exercise, but avoid overexertion if you are in pain.
💧
Practice good posture to prevent back and neck pain.
🧘
Include anti-inflammatory foods like fruits and vegetables in your diet.
🌞
Get adequate sleep to help your body recover.
🚭
Manage stress through relaxation techniques like deep breathing or meditation.

🏋️ Exercise Considerations

While taking this medicine, you can generally exercise as normal. However, if you are taking it for pain, avoid activities that worsen your condition. Listen to your body and rest if you feel dizzy or unwell.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce intake of processed and fried foods.
Eat plenty of fruits and vegetables.
Stay well hydrated.
Avoid alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it usually does not interfere with daily activities.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve after 3 days for fever or 10 days for pain, or if they worsen. Do not stop suddenly if you have been taking it regularly for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine at high doses can lead to liver damage and kidney problems. It is not recommended for chronic use without medical supervision. Regular monitoring of liver and kidney function may be advised if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can help manage chronic pain and improve mobility.

Evidence: Well-established
Hot or cold compresses

May provide local pain relief for muscle aches and strains.

Evidence: Well-established
Relaxation techniques

Can help reduce tension headaches and stress-related pain.

Evidence: Some evidence

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. It can be taken before or after vaccination if needed for pain or fever. However, consult your doctor if you have concerns.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust your dosing schedule accordingly, but do not exceed the maximum daily dose. Check local customs regulations regarding carrying medicines. Always keep it in your carry-on luggage if flying.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with a severe headache
She took this medicine as directed by her doctor for a tension headache. Within 45 minutes, her pain significantly reduced. She made sure not to exceed the recommended dose and avoided alcohol. She also kept track of her doses to prevent accidental overdose.
💡 Lesson: Taking this medicine exactly as prescribed provides effective relief without complications.
👤 A 50-year-old man with fever due to viral infection
He was advised to take this medicine every 6 hours for fever. He took it with food to avoid stomach upset. His fever subsided within an hour of each dose. He was careful not to take any other paracetamol-containing products and recovered fully in 3 days.
💡 Lesson: Adhering to the dosing schedule and avoiding duplicate paracetamol sources ensures safety and efficacy.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it by mouth.

Q: Can I take this medicine on an empty stomach?

A: It can be taken on an empty stomach, but taking it with food may reduce the chance of stomach upset.

Q: Is it safe to take this medicine every day?

A: It should not be taken daily for long periods without medical advice. Prolonged use may increase the risk of liver damage.

Q: What should I do if I accidentally take too much?

A: Seek emergency medical help immediately, even if you feel fine. Overdose can cause delayed liver damage.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for hitem 300mg tablet md

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Paracetamol is completely safe and you can take as much as you want.
    Fact: Exceeding the recommended dose can cause severe liver damage. Always follow the prescribed dose.
  • Myth: Paracetamol is an anti-inflammatory medicine like ibuprofen.
    Fact: Paracetamol has little to no anti-inflammatory effect. It primarily relieves pain and fever.
  • Myth: You can drink alcohol while taking paracetamol without any risk.
    Fact: Alcohol increases the risk of liver damage when taken with paracetamol. It is best to avoid alcohol.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol 300 mg tablet (various manufacturers)

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol 300 mg","class":"Analgesic/Antipyretic","primary_use":"Pain and fever","anti_inflammatory":"No","gi_risk":"Low","liver_risk":"Yes (overdose)"},{"medicine":"Ibuprofen 400 mg","class":"NSAID","primary_use":"Pain, fever, inflammation","anti_inflammatory":"Yes","gi_risk":"Moderate to high","liver_risk":"Low"}]

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