Azur contains three active ingredients: 350mg Paracetamol/ 50mg Coffeine/ 30mg Codeine.

Indication
Azur is used to reduce fever and to relieve mild to moderate severe pain.
Its constituents have an effect as follows:

1. Paracetamol is a medicine used in the treatment of mild to moderate pain. It is also useful for fever reducing. It is not fully understood how paracetamol produces these effects.
2. Coffeine increases the pulse rate and is stimulating short term, but can be disturbing if you have an anxiety disorder. The coffeine acts on several neurosubstances: the release of noradrenaline and dopamine increase while the adenosine receptor is blocked (adenosine has a calming effect). You get a kick of energy.
3. Codeine belongs to group of medicines called opioids. Opioids mimic the effects of naturally occurring pain reducing chemicals (endorphins) that are found in the brain and spinal cord. They act on the opioid receptors in the brain and block the transmission of pain signals.

Special precautions
As soon as you start to use Azur, the risks of taking it must be weighed against the good. At first you have to consult a doctor.
Tell your doctor if you have ever had any unusual or allergic reaction to Azur . Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnant women shouls have a special care in taking medicines. Personal consultation is extremely required regarding Azur use.
Too much use of Azur during pregnancy may cause the baby to become dependent on the medicine. This may lead to withdrawal side effects after birth.
Most narcotic analgesics have not been reported to cause problems in nursing babies. However, when the mother is taking large amounts of methadone (in a methadone maintenance program), the nursing baby may become dependent on the medicine. Also, butorphanol, codeine, meperidine, morphine, opium, and propoxyphene pass into the breast milk.
Breathing problems may be especially likely to occur in children younger than 2 years of age if they take Azur. These children are usually more sensitive than adults to the effects of narcotic analgesics. Hydromorphone extended-release capsules should not be used in children younger than 18 years of age.
Elderly people are especially sensitive to the effects of Azur. This may increase the chance of side effects, especially breathing problems, during treatment.

Drug Interactions
Certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.

Precautions
The presence of other medical problems may affect the use of narcotic analgesics. Make sure you tell your doctor if you have any other medical problems, especially:

• Alcohol abuse, or history of, or
• Drug dependence, especially narcotic abuse, or history of, or
• Emotional problems?The chance of side effects may be increased; also, withdrawal symptoms may occur if a narcotic you are dependent on is replaced by buprenorphine, butorphanol, nalbuphine, or pentazocine
• Brain disease or head injury or
• Emphysema, asthma, or other chronic lung disease or
• Enlarged prostate or problems with urination or
• Gallbladder disease or gallstones?Some of the side effects of Azur can be dangerous if these conditions are present
• Colitis or
• Heart disease or
• Kidney disease or
• Liver disease or
• Underactive thyroid?The chance of side effects may be increased
• Convulsions (seizures), history of? Azur can cause convulsions

Order and buy Azur only with reliable pharmacy providers!

Side effects
Along with its needed effects, Azur may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Get emergency help immediately if any of the following symptoms of overdose occur:
•  Cold, clammy skin;  confusion;  convulsions (seizures);  dizziness (severe) ;  drowsiness (severe);  low blood pressure;  nervousness or restlessness (severe) ;  pinpoint pupils of eyes;  slow heartbeat;  slow or troubled breathing;  weakness (severe) 
Also, check with your doctor as soon as possible if any of the following side effects of Azur occur:
•  Less common

• Dark urine (for propoxyphene only);  fast, slow, or pounding heartbeat;  feelings of unreality ;  hallucinations (seeing, hearing, or feeling things that are not there);  hives, itching, or skin rash ;  increased sweating (more common with hydrocodone, meperidine, and methadone);  irregular breathing;  mental depression or other mood or mental changes;  pale stools (for propoxyphene only);  redness or flushing of face (more common with hydrocodone, meperidine, and methadone);  ringing or buzzing in the ears;  shortness of breath, wheezing, or troubled breathing;  swelling of face;  trembling or uncontrolled muscle movements;  unusual excitement or restlessness (especially in children);  yellow eyes or skin (for propoxyphene only) 

Other Azur side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.

Disclaimer
Always read informational leaflet before using medicine! The information can be changed and completed!!

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