Acogesic Capsule: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is tempol syrup used for?
This medicine is a combination of ibuprofen and paracetamol used for short-term relief of moderate to severe pain and fever. It works by reducing inflammation and blocking pain signals. Take it with food and do not exceed the recommended dose.
- Generic Name: Ibuprofen (NA) + Paracetamol (NA)
- Manufacturer: Megha Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 tempol syrup के बारे में (Hindi Summary)
उपयोग: यह दवा इबुप्रोफेन और पैरासिटामोल का संयोजन है, जिसका उपयोग मध्यम से गंभीर दर्द और बुखार से राहत के लिए किया जाता है। यह दांत दर्द, मांसपेशियों के दर्द, सिरदर्द, और सर्जरी के बाद के दर्द में प्रभावी है। यह सूजन को कम करने और दर्द को कम करने में मदद करती है। इसे भोजन के साथ लें और डॉक्टर की सलाह के बिना लंबे समय तक न लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में रक्तस्राव, गुर्दे की समस्या, और यकृत की क्षति शामिल हो सकती है। यदि आपको काला मल, खून की उल्टी, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा भोजन या दूध के साथ लें ताकि पेट में जलन न हो। शराब का सेवन न करें क्योंकि इससे पेट में रक्तस्राव और यकृत की क्षति का खतरा बढ़ सकता है। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको गुर्दे या यकृत की बीमारी है, तो डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के अन्य दर्द निवारक दवाएं न लें।
💊 tempol syrup Uses & Benefits
[{"condition":"Dental pain","description":"Relieves moderate to severe toothache and pain after dental procedures.","evidence":"Well-established"},{"condition":"Musculoskeletal pain","description":"Reduces pain and inflammation in conditions like sprains, strains, and back pain.","evidence":"Well-established"},{"condition":"Headache","description":"Provides relief from tension headaches and mild migraines.","evidence":"Well-established"},{"condition":"Fever","description":"Lowers elevated body temperature due to infections or other causes.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Manages pain after minor surgical procedures.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Menstrual cramps","description":"Sometimes used to relieve dysmenorrhea, though not specifically approved for this combination.","evidence":"Limited"},{"condition":"Migraine","description":"May be used off-label for acute migraine attacks, but not first-line.","evidence":"Limited"}]
Primary treatment for: Pain and fever
Also treats: Dental pain, Musculoskeletal pain, Headache, Post-operative pain
📋 Drug Information
| Generic Name(s) | Ibuprofen (NA) + Paracetamol (NA) |
| Brand Name | tempol syrup |
| Manufacturer | Megha Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with different mechanisms. Ibuprofen is a non-selective cyclooxygenase (COX) inhibitor that blocks both COX-1 and COX-2 enzymes, reducing prostaglandin synthesis and thereby decreasing pain, inflammation, and fever. Paracetamol acts primarily in the central nervous system, where it inhibits prostaglandin synthesis and may also modulate pain perception through other pathways. The combination provides additive analgesic and antipyretic effects.
Mechanism Steps
💡 How to Take tempol syrup
Strength: Capsule containing ibuprofen 400 mg and paracetamol 500 mg (typical strength; actual strength may vary).
Dosage Information
| Adult Dosage | The usual adult dose is one capsule taken orally every 4 to 6 hours as needed for pain or fever. Do not exceed 6 capsules in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Take with food or milk to reduce stomach upset. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney problems. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with kidney impairment. Dose reduction may be necessary. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with liver impairment. Dose reduction may be necessary. Consult your doctor. |
| Maximum Daily Dose | Maximum daily dose is 6 capsules in 24 hours. Do not exceed. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of tempol syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Methotrexate | Major | |
| ACE inhibitors | Major | |
| Corticosteroids | Moderate | |
| Diuretics | Moderate | |
| SSRIs | Moderate | |
| Antacids | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Warfarin
- Methotrexate
- ACE inhibitors
⚡ Moderate Interactions
- Corticosteroids
- Diuretics
- SSRIs
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding and can potentiate liver damage, especially with paracetamol.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to ibuprofen, paracetamol, or any component","History of asthma, urticaria, or allergic reaction to aspirin or other NSAIDs","Active or history of peptic ulcer or gastrointestinal bleeding","Severe kidney impairment","Severe liver impairment","Heart failure (severe)","Third trimester of pregnancy","Children under 12 years (unless directed by doctor)"]
⚠️ Warnings & Precautions
["Take with food to reduce stomach irritation.","Do not exceed recommended dose or duration.","Avoid alcohol.","Use with caution in elderly patients.","Consult doctor if you have a history of ulcers, kidney or liver disease, high blood pressure, or heart disease.","Do not use for more than 3 days for fever or 10 days for pain without medical advice.","May cause dizziness; avoid driving if affected."]
🤱 Lactation Safety
Ibuprofen and paracetamol are excreted in breast milk in small amounts. Short-term use is generally considered compatible with breastfeeding. Consult your doctor.
💊 Overdose Management
Overdose can cause severe liver damage, kidney failure, and gastrointestinal bleeding. Seek emergency medical attention immediately. Treatment may include activated charcoal, gastric lavage, and administration of acetylcysteine for paracetamol toxicity. Supportive care for ibuprofen toxicity.
⏰ 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 double dose.
Additional Safety Advice
Always take this medicine with food or milk to reduce stomach irritation. Do not exceed the recommended dose or duration without consulting your doctor. Avoid alcohol while taking this medicine as it increases the risk of stomach bleeding and liver damage. Inform your doctor if you have a history of ulcers, kidney or liver disease, high blood pressure, or heart problems. Do not take other pain relievers or cold medicines containing paracetamol or ibuprofen without checking with your doctor. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function.
🤰 Pregnancy Planning (TTC)
Consult your doctor before taking this medicine if you are planning pregnancy. Ibuprofen may affect ovulation and is generally avoided in the third trimester.
🏥 Post-Surgery Considerations
This medicine can be used for post-operative pain as prescribed by your surgeon. Inform your surgeon about all medicines you are taking.
🦷 Dental Procedures
This medicine can be used for dental pain. Inform your dentist if you are taking this medicine before any dental procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have pain or inflammation. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. It may affect your ability to concentrate.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms do not improve within 3 days for fever or 10 days for pain, or if you experience any serious side effects.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of gastrointestinal bleeding, kidney problems, liver damage, and cardiovascular events. Regular monitoring of kidney and liver function may be required. Use the lowest effective dose for the shortest duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedMay help relieve localized pain and inflammation.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are established. 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
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme heat. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30-60 minutes after taking it.
A: It is best taken with food or milk to reduce stomach upset.
A: Consult your doctor. It is generally avoided in the third trimester.
🤔 Common Patient Concerns
🔄 Substitutes for tempol syrup
View AllAlternative brands with exact same active ingredient:
-
novaflam plus kid tabletSynchem Lab ₹3.13 83.9% CHEAPER
-
antidol kid tabletOmega Pharmaceuticals Pvt Ltd ₹4.50 76.9% CHEAPER
-
primafen plus tabletTorque Pharmaceuticals Pvt Ltd ₹5.67 70.9% CHEAPER
-
mexipar tabletWin-Medicare Pvt Ltd ₹6.44 67% CHEAPER
-
ibusar tabletServe Pharmaceuticals ₹6.68 65.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is safe to take on an empty stomach.
Fact: It should be taken with food to reduce stomach irritation. - Myth: This medicine can be taken indefinitely for chronic pain.
Fact: Long-term use increases risk of side effects. Use only as prescribed. - Myth: This medicine is safe to combine with other pain relievers.
Fact: Combining with other NSAIDs or paracetamol can increase risk of toxicity.
🔄 Alternative Options
Generic Alternatives
- Ibuprofen + Paracetamol combination (generic)
Brand Alternatives
- Combiflam
- Brufen Plus
- Ibugesic Plus