Active way of life is always closely related to sudden injuries: sprains, dislocations, pain in the back and joints.
Cinepar, which is available in the form of a gel or tablets, will cope with inflammation and pain in the muscles and joints.
Table of contents
- Preparation in tablets
- Ingredients
- Pharmacological profile
- Indications and contraindications for use of
- "Pills" and cases of overdose
- How to take tablets?
- Reviews for tablets Cinepar
- Use of ointment
- Composition and effect of the gel on the body
- Scope
- Scheme of application
- Application practice
- Special instructions and advice
- Interaction with other drugs
- Other important situations
Drug in tablets
Cinopar in tablets, like gel, relieves pain syndrome and inflammatory processes in the joints. His ATX code is NO2BE51, the pharmacological group is anti-rheumatic non-steroid agents, the manufacturer is MARION BIOTECH.Available in contour packs with 10 cells in each.
Ingredients
In 1 tablet contains:
- 0,05 g of diclofenac sodium;
- 0.5 g of paracetamol;
- auxiliary preparations( microcrystalline cellulose, povidone K-30, magnesium stearate, HPMC and others).
The tablets are round, white, odorless and equipped with a dash on the outside.
It is recommended to store it in a dark room at a temperature of up to 25 ° C. Shelf life is up to 4 years.
Pharmacological profile
Zinepar belongs to analgesics-antipyretics. In it, paracetamol is combined with other components with the exception of
Diclofenac sodium formula
of psycholeptics. ATC code N02BE 51.
After oral administration, diclofenac and other ingredients are drained from the digestive tract. After 1-1, 5 hours in the blood cells the maximum concentration of this component is collected.
The cynopar is in excellent contact with the plasma protein and quickly penetrates into the synovial fluid and tissues. In the synovial fluid, the concentration of diclofenac may be significantly higher than in the blood plasma. The drug is withdrawn from the blood for 2 hours, and from the synovial fluid - for 6 hours.
It should be noted that more than 60% of the drug is excreted from the body by the kidneys in the form of metabolites, 1% is extruded unchanged. The remaining components are excreted from the body in the form of metabolites along with bile.
Paracetamol is rapidly absorbed from the digestive tract, distributed evenly throughout the tissues and is rapidly excreted. Acts in half an hour after oral administration.
The period of the maximum concentration in the blood plasma varies from 10 minutes to an hour. The amount of concentration is up to 6 μg / ml, and after that it is gradually eliminated. The primary metabolism of paracetamol is produced by the liver, and only about 5% is unchanged.
Active components of tablets:
Indications and contraindications for the use of
. Indications for the use of tablets. Cynopar:
- psoriatic, juvenile, gouty, rheumatoid arthritis;
- ankylosing spondylitis;
- osteoarthritis;
- osteochondrosis;
- pains of a myalgic and neuralgic nature;
- post-operative pain and caused by trauma;
- tooth pain;
- pains of ENT organs( otitis, tonsillitis, etc.);
- adnexitis, algodismenorea and other ailments with pain in the area of female genital organs;
- febrile syndromes.
Contraindicated in the following cases:
- for hypersensitivity to components( most often it occurs to diclofenac);
- with gastrointestinal ulcers;
- for exacerbations of intestinal ailments;
- with the "aspirin triad";
- with a weak bone marrow hemopoiesis;
- for pregnant and lactating women;
- to a minor.
Use with caution when:
- severe liver disease and hepatic porphyria;
- marked renal impairment;
- heart failure.
"Pillows" and cases of overdose
This drug has side effects, such as: 
- Often : cephalalgia, nausea, abdominal pain. Sometimes there is drowsiness, nephro- and hepatotoxicity.
- Rarely are : dizziness, shortness of breath, visual disturbances, asthenia, sexual disorders, thrombocytopenia and agranulocytosis. Also there are skin reactions in the form of hives or angioedema.
- Possible manifestation of : vomiting, diarrhea and other disorders of the gastrointestinal tract. Depression, some peripheral disorders, tachycardia, skin hyperemia and arterial hypotension are manifested.
Signs of overdose:
- pallor of the skin;
- anorexia;
- nausea, sometimes accompanied by vomiting;
- hepatonecrosis;
- toxic effect, expressed by an increase in "hepatic" transaminases;
- marked pattern of violations of the liver after a day to six days;
- may develop tubular necrosis.
Treatment in this case is symptomatic. Enter donors SH-groups 9 hours after an overdose. N-acetylcysteine is used after 12 hours. Additional therapeutic actions may not be required, it all depends on the overall clinical picture and the concentration of paracetamol in the blood.
How do I take pills?
The drug is consumed 30 minutes before meals. The number of tablets is prescribed by the attending physician, on average, it is 1 unit 3 times a day, washed down with a large amount of water.
Therapy lasts about a week.
Warning! The drug may reduce the function of the psychomotor reaction! This means that driving a car during treatment is not recommended.
Reviews for tablets Cinepar
Opinion of people about these tablets is ambiguous, but having studied it you can identify the advantages and disadvantages of the tool.
Welcome. Recently, my hand hurt so much that a large bruise appeared on my shoulder. At first I decided that I had broken it. But in the traumatology department I was taken a picture and I realized that this is just a bruise. Unfortunately, doctors prescribed ointments with a bad effect, but in the drugstore I was advised to try the Cinepar tablets. It turned out that diclofenac and paracetamol are included in them, due to which both anti-inflammatory and analgesic effects are produced. I liked the powerful effect of tablets, and as a whole I was happy with them. Another would act longer.
Advantages: fast acting. Disadvantages: painless period lasts no more than 3 hours.
Lena 0506, Ust-Kamenogorsk, Kazakhstan
Cephalgia( headaches) disturb me quite often. And, moreover, I often encounter such a problem that, having found a suitable drug in the pharmacy, next time I can not find it anywhere. Phrase of pharmacists - the drug was withdrawn from production. I've always liked Spazmalgon and Fanigan, but they are not in our pharmacies now.
And now I came again to the local pharmacy in search of a new drug. The pharmacist advised Cinepar. I still thank this pharmacist, these pills help me from any pain. I do not feel any unpleasant sensations after their adoption.
No weakness, no fatigue, no other side effects. The medicine is available, operates safely and effectively.
Advantages: quickly and without consequences relieves pain. Disadvantages: not found.
Reviewed by Vera Sido, Kazakhstan
Using an ointment
With active rest, working in the country, during sports and on working days, people often get injured. The most common are stretching, bruising, joint and ligament damage, back pain.
In the elderly, people often diagnose diseases of the musculoskeletal system in conjunction with inflammatory processes.
In such situations, orthopedists and traumatologists often prescribe CinePar ointment. The drug is appropriate not only to keep in the home medicine chest, but 
and take it to work or other places where there is a high probability of injury, because it is effective in the removal of pain and inflammation.
Pain is the most common complaint among people who seek medical help. For its facilitation or complete elimination, NSAIDs are used. But too often you can not drink painkillers - there may be side effects of the digestive tract:
- heartburn;
- nausea;
- vomiting;
- rubs and cramps in the abdomen.
Therefore, many patients practice local treatment using ointments or gels. Especially often, their doctors prescribe if the patient has gastrointestinal diseases. With topical application of side effects occurs much less than with oral intake.
The composition and effect of the gel on the body
The main components of the gel Cinepar:
- Diclofenac sodium .This component has at once 3 actions: antipyretic, anti-inflammatory and intensity-reducing pain. Often diclofenkac sodium greatly reduces the intensity of the inflammatory process and the sensitivity of nerve endings in the damaged area. With local therapy, diclofenac enters the surrounding tissues, removes pain in joints during movement and at rest, as well as in other areas. The edema in the joints and the feeling of morning stiffness are eliminated.
- Methylsalicylate .This component helps to reduce the synthesis of prostaglandins. This normalizes capillary permeability, regulates microcirculation and its processes, and also reduces inflammatory edema in tissues. In addition, with its local application, methyl salicylate has a warming effect.
- Menthol .This component exerts an expanding effect on blood vessels and improves local microcirculation. Simultaneously with the vasodilator action, an anesthetic effect is produced. Menthol also improves the absorption of sodium diclofenac. It should be noted that menthol also has healing properties for reflex reactions. These reactions are closely related to the sensitivity of nerve endings, due to which the biologically active substances regulating endorphins and pain sensations are formed and released.
- Other components characterized by synergistic properties of .
Composition of the gel Cinopar per 100 g of product:
- 1160 mg of diclofenac diethylamine or 1 g of diclofenac sodium;
- 3 gr of linseed oil, in which the dominant component is α-linolenic acid;
- 10 g of methylsalcylate;
- 5 g of menthol.
Scope of application
The area of application of the Zinepar ointment is wide. It is used for: 
- post-traumatic inflammatory processes in the muscles, joints, ligaments and tendons;
- injuries;
- sustained overvoltage;
- muscle sprains;
- rheumatic diseases of localized form( periarthritis, bursitis, etc.);
- osteoarthritis of vertebral column joints;
- osteoarthritis of peripheral joints, etc.
Scheme of application
The cinope in the form of gel is convenient in application. On the skin of the affected area, 2 to 4 grams of ointment are applied and lightly ground over the entire area.
The amount of gel required directly depends on the area of the damaged area. The number of procedures should not exceed 3 times per 
day. It is worth noting that patients feel relief not only from the action of active components( diclofenac sodium and methyl salicylate), but also due to the slight cooling effect during grinding.
Store gel in a dry place, not exposed to direct sunlight. The optimum storage temperature is up to 25 C, the maximum period is up to 36 months. Gel in pharmacies is dispensed without a prescription, but if it is desired to be used for the treatment of joint diseases, a doctor's consultation is necessary.
Practice of application of
Cinepar recommends a lot of traumatologists, arthrologists, rheumatologists and orthopedists.
Thanks to the low cost and powerful effect, patients about the Cinepar gel leave a lot of positive feedback, of course, they should not be completely relying on them, and it's better to consult a doctor.
Ointment Cinepar is the best remedy for pain. Pluses: quickly relieves pain. Disadvantages: smell. After giving birth, many women recover, and I including. As soon as the child became older than 10 months, I actively went in for sports in order to lose weight. In the first run I strongly twisted my leg, so much that I could not even rely on her. Has tried many ointments( Fastum gel, Najz, some on the basis of a snake venom, many and under the name I do not remember).And then the inevitable turn came to Cinepar. From pain, he helped immediately, but initially I decided that this effect was achieved through the use of all the above mentioned means. But after stretching the ligaments, I finally became convinced of its effectiveness, and I realized that this drug is my savior.
I want to add that now I'm doing sports actively, accordingly, I also get injuries often. There are both stretching and sprains.
After the injury to a problem place at night I put ointment, and by morning I feel much better or not at all healthy. The only thing that a little pushes away from using this ointment is the smell, but I overpower myself, because the effect of it is decent. Advantages: quickly relieves pain. Disadvantages: smell.
Alina, 37
Gel Cinepar is beautiful from back pain and inflammation. I received this gel for promo-actions and I was satisfied with it. I often use this means because of my sick spine. A few years ago, MRI was used to diagnose protrusion of intervertebral discs. The main pain is localized in the lumbar region.
And with my active lifestyle, my back is smeared with analgesics almost every day, so that at the morning I feel a little better. So that's what I want to say. Cynepar is an excellent remedy. It contains an active substance such as diclofenac. Gel eliminates pain and inflammation - just what I need.
Since the tube on the promo was small, the gel lasted only for a week. I smeared a small amount of gel on a painful area, it is perfectly rubbed and leaves no greasy marks, clothes practically do not spoil.
And more often if in the evening I process a loin, by morning I do not feel pain at all. Overall impression: it perfectly helps the patient back, the drug is happy. Advantages: rapidly relieves pain syndrome. Disadvantages: not found.
Valeria
Special instructions and tips
Some important nuances that should be considered, both when using the gel, and taking the tablets.
Interaction with other
preparations For a gel such cases are not described. With the use of tablets with potassium-sparing diuretics, the risk of developing hyperkalemia increases.
In case of a one-time treatment with anticoagulants, bleeding occurs. Diuretic and hypnotic properties of drugs are reduced.
The concentration of diclofenac in plasma is significantly reduced when treated with acetylsalicylic acid.
A severe overdose occurs even with a small amount of stimulants for microsomal hepatic oxidation.
Other Important Situations
The following important points should be considered: 
- Interaction with alcohol .With a single use of alcohol and tablets, CinePar can develop acute pancreatitis.
- Effect on driving ability .The gel does not affect the driver's condition. Tablets can exacerbate the psychomotor reaction, so drivers should not drink before going out.
- Pregnancy, lactation and child age .The gel is contraindicated for children under 6 years old, pregnant and lactating women. Also, tablets should not be consumed by children under 18 years of age.
- If the kidney and liver function of is impaired, the drug is also contraindicated.
