Product image of N – Calmant Iii (Paracetamol, Codeine Phosphate Hemihydrate, Anhydrous Caffeine) supplied by GNH India

N – Calmant Iii

Active Ingredient:
Paracetamol, Codeine Phosphate Hemihydrate, Anhydrous Caffeine
Origin:
EU

N – Calmant Iii (Paracetamol, Codeine Phosphate Hemihydrate, Anhydrous Caffeine)

Paracetamol, Codeine Phosphate Hemihydrate and Caffeine, the active ingredients in N – Calmant III, are analgesic, antipyretic and central nervous system stimulant agents presented as an oral tablet for oral use. The combination provides relief of mild to moderate pain such as headache, musculoskeletal or dental pain, and reduces fever in adult patients.

GNH India supplies N – Calmant III as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide through diverse markets and healthcare providers globally.

Manufacturer / TM Owner

Arena Group S.A

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Indications & Clinical Uses

  • N – Calmant III targets pain and fever pathways to provide symptomatic relief.
  • Headache: reduces pain intensity and improves daily functioning in adult patients.
  • Musculoskeletal pain: alleviates aches and stiffness associated with strains or arthritis.
  • Dental pain: eases postoperative or procedural discomfort after dental work.
  • Fever: lowers elevated body temperature in febrile conditions.

How It Works

  • Paracetamol inhibits central cyclooxygenase enzymes, decreasing prostaglandin synthesis to lower pain and temperature. Codeine phosphate hemihydrate acts as a μ‑opioid receptor agonist, providing analgesia and modest cough suppression. Caffeine antagonizes adenosine receptors, enhancing central alertness and potentiating the analgesic effect of the other two components.

Side Effects

Common Side Effects

  • Nausea or upset stomach.
  • Dizziness or light‑headedness.
  • Drowsiness or mild sedation.
  • Constipation.
  • Dry mouth.
  • Increased heart rate.

Serious or Rare Side Effects

  • Respiratory depression, especially with high doses or in susceptible individuals.
  • Severe allergic reactions such as rash, swelling, or anaphylaxis.
  • Liver toxicity with prolonged or excessive paracetamol intake.
  • Seizures in rare cases.
  • Dependence or withdrawal symptoms with prolonged codeine use.

Precautions & Warnings

Before using N – Calmant III, consider the following precautions:

  • Liver function assessment: avoid in patients with severe hepatic impairment.
  • Respiratory disorders: use cautiously in asthma or COPD.
  • Age restriction: not recommended for children under 12 years.
  • CNS depressants: avoid concurrent use with alcohol, benzodiazepines, or other opioids.
  • Dependence risk: monitor for signs of misuse with prolonged therapy.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

N – Calmant III may interact with several medicines. Review the following:

Major Interactions (Avoid)

  • Other opioid analgesics: risk of additive respiratory depression.
  • Central nervous system depressants (e.g., benzodiazepines, barbiturates): may enhance sedation and respiratory effects.
  • Alcohol: increases risk of hepatotoxicity and CNS depression.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, quinidine): can raise codeine plasma levels.
  • Antihistamines or decongestants: may augment drowsiness or cardiovascular effects.

Frequently Asked Questions

N – Calmant III is indicated for the relief of mild to moderate pain such as headache, musculoskeletal or dental pain, and for the reduction of fever in adult patients. It may also help with occasional cough associated with mild pain.

Paracetamol reduces pain and fever by inhibiting central cyclooxygenase enzymes, lowering prostaglandin production. Codeine acts as a μ‑opioid receptor agonist, providing analgesia and cough suppression. Caffeine blocks adenosine receptors, increasing alertness and enhancing the analgesic effect of the other two ingredients.

The appropriate dose of N – Calmant III is determined by the prescribing healthcare professional based on the patient’s age, weight, clinical condition and response to therapy. Patients should follow the prescriber’s instructions and not exceed the recommended amount.

Safety in pregnancy and lactation has not been fully established for this combination. Healthcare providers should weigh the potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing women.

To request N – Calmant III, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with single‑ingredient paracetamol, the addition of codeine provides stronger opioid‑mediated pain relief, while caffeine can improve onset and potency. This combination may be more effective for moderate pain than paracetamol alone, but it also carries higher risk of opioid‑related side effects.

Store N – Calmant III at room temperature, below 25 °C, in the original packaging. Keep the tablets away from moisture, direct sunlight and excessive heat to maintain product stability.

N – Calmant III is taken orally, usually with a full glass of water. It should be swallowed whole and not chewed or crushed unless directed otherwise by a healthcare professional.

The most serious risks include respiratory depression, especially when combined with other depressants, severe allergic reactions, and potential liver injury from excessive paracetamol exposure. Patients should seek immediate medical attention if they experience difficulty breathing, rash, or signs of liver dysfunction.

Individuals with known hypersensitivity to any component, severe hepatic impairment, uncontrolled respiratory disease, children under 12 years, or those taking other strong opioids or CNS depressants should not use N – Calmant III unless specifically advised by a qualified clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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