EUSPIFLU*20CT 400MG+240MG

Euspiflu 400 mg + 240 mg effervescent tablets
Acetylsalicylic acid/ascorbic acid

What it is and what it is used for
Euspiflu contains two active ingredients, acetylsalicylic acid and ascorbic acid (vitamin C), and belongs to the group of analgesic (pain reliever) and antipyretic (fever reducer) medicines.
Euspiflu is used in adults for the symptomatic treatment of feverish and painful conditions (flu-like symptoms, common colds, headaches, toothaches, rheumatic and muscular pains, menstrual pains, neuralgia).

What you need to know before taking this medicine
Do not take Euspiflu:
- if you are allergic to acetylsalicylic acid, ascorbic acid, or any of the other ingredients of this medicine (listed in section 6);
- if you are allergic to another salicylate (the group of substances to which acetylsalicylic acid belongs) or other non-steroidal anti-inflammatory drugs (NSAIDs);
- if you have an active gastro-duodenal ulcer or other gastropathies (stomach diseases);
- if you are at risk of bleeding, especially if you have hemophilia, or other blood coagulation disorders (such as decreased prothrombin, a protein involved in the blood coagulation chain, and vitamin K deficiency, which activates certain coagulation proteins);
- if you have or have had severe kidney (renal failure) or liver (hepatic failure) dysfunction;
- if you suffer from bronchial asthma, particularly if associated with nasal polyps (growths in the nose) and swelling of the skin and mucous membranes (angioedema);
- during the third trimester of pregnancy (see section Pregnancy and lactation);
- in children and adolescents under 16 years of age.

Warnings and precautions
Talk to your doctor or pharmacist before taking Euspiflu.

Pay particular attention when taking Euspiflu and inform your doctor:
- if you are elderly with reduced kidney function or if you have decreased albumin levels in the blood, as there may be an increased risk of toxicity;
- if you are over 70, especially if you are undergoing other therapies;
- if you have glucose-6-phosphate dehydrogenase deficiency, as hemolysis (breakdown of red blood cells in the blood) may occur;
- if you are taking anticoagulants (i.e., medicines that slow down or stop the blood clotting process), as there may be an increased risk of bleeding (see section Other medicines and Euspiflu);
- if you are taking corticosteroids (steroidal anti-inflammatory drugs), as there may be an increased risk of gastrointestinal bleeding (see section Other medicines and Euspiflu);
- if you suffer or have suffered from nephrolithiasis (kidney stones);
- if you have a disease characterized by an abnormal accumulation of iron in organs and tissues (hemochromatosis), an inherited disease characterized by anemia (thalassemia) or sideroblastic anemia;
- if you are taking diuretics, medicines used to increase urine production and elimination, such as spironolactone and furosemide, or medicines used for the treatment of gout (see section Other medicines and Euspiflu);
- if you are about to undergo surgery, because acetylsalicylic acid administered before the operation can hinder blood coagulation processes during the operation (intraoperative hemostasis).

After 3 days of using the maximum dose or after 5-7 days of use without appreciable results, consult your doctor.

Talk to your doctor before taking Euspiflu if high doses and/or prolonged use of this medicine is necessary.

If prolonged vomiting and profound drowsiness occur during treatment, you must immediately stop taking Euspiflu and consult your doctor.

Children and adolescents
Euspiflu should not be used in children and adolescents under 16 years of age.
In adolescents over 16 years of age, in case of viral conditions such as flu or chickenpox, consult your doctor before administering this medicine.

Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

During treatment with Euspiflu, the following may occur:
- reduction in platelets (thrombocytopenia);
- gastric disturbances such as burning sensation (pyrosis) or pain (epigastralgia), constipation or nausea;
- bleeding (hemorrhage) and gastrointestinal ulcers;
- allergic reactions of a dermatological type (such as skin redness, itching, etc.), and of a respiratory type such as narrowing of the bronchi (bronchospasm), swelling in the region immediately below the vocal cords before the trachea (laryngeal edema);
- acute asthma attacks, increased nasal secretions (rhinorrhea), sudden and transient swelling of the skin or mucous membranes (angioedema), and nasal polyps.

Furthermore, at higher dosages, the following may occur:
- hearing loss and ringing in the ears (tinnitus);
- headache;
- laxative-type gastrointestinal disturbances.

In such situations, you should contact your doctor, reduce the dosage, or temporarily suspend treatment.
In patients with reduced kidney function, acetylsalicylic acid can induce acute renal failure (see section 2 Do not take Euspiflu).

Following the instructions in the package leaflet reduces the risk of side effects.
These side effects are generally transient. However, if they occur, it is advisable to consult your doctor or pharmacist.

Reporting side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse.
By reporting side effects, you can help provide more information on the safety of this medicine.