Lekadol Plus C

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Lekadol Plus C

Quick Facts

Property Description
Active Ingredients Acetaminophen (Paracetamol), Ascorbic Acid (Vitamin C)
Form Effervescent Tablet (Soluble Oral Dosage Form)
Pharmacological Class Non-Opioid Analgesic and Antipyretic in combination with a Vitamin Supplement
Common Use Symptomatic relief of pain and fever
Origin Synthetic (Acetaminophen), Essential Vitamin (Ascorbic Acid)

What Type of Medicine is Lekadol Plus C?

Lekadol Plus C is pharmacologically classified as a Fixed-Dose Combination (FDC) preparation intended for Symptomatic Treatment. The composition of an analgesic/antipyretic with a vitamin supplement makes it distinct from single-ingredient pain relievers. The main component, Acetaminophen (Paracetamol), is classified within the N02BE subgroup, reflecting its established pharmacological identity. This dual-action nature is clinically recognized for addressing the general malaise often accompanying fever and body aches. The product is frequently positioned for over-the-counter (OTC) use, targeting adults and adolescents who require effective relief from symptoms of the common cold or influenza.


Composition and Physical Form

The two active ingredients are Acetaminophen and Ascorbic Acid, delivered as an Effervescent Tablet for oral administration. The primary agent, Acetaminophen, is a synthetic compound with analgesic and antipyretic properties. The secondary component, Ascorbic Acid (Vitamin C), is an essential vitamin included to address the increased metabolic demand during illness. Ascorbic Acid functions as a potent antioxidant that is vital for supporting immune health. The choice of the Effervescent Tablet form is a key differentiator, as it provides a solution ready for rapid ingestion, often preferred by patients seeking potentially quicker symptomatic action compared to conventional tablets.


General Purpose and Mechanism Principles

The general purpose of Lekadol Plus C is to provide quick symptomatic relief from pain and fever, while contributing to the body's general wellness. The Acetaminophen component has a central effect in reducing the perception of pain signals and lowering elevated body temperatures. Simultaneously, the supplementary Ascorbic Acid component provides cellular support. This combination offers a targeted strategy to manage the common discomfort and temperature elevation typically associated with transient ailments, aiming to alleviate discomfort and provide supplemental support during the course of illness.

Regulatory References

  1. WHO Collaborating Centre for Drug Statistics Methodology

What side effects are possible with Lekadol Plus C?

Possible Side Effects and Safety Information

The safety profile of this medicine, containing Acetaminophen and Ascorbic Acid, is defined by documented adverse reactions categorized according to official regulatory standards (e.g., EMA/FDA).


Official Regulatory Classifications

The most serious safety consideration involves the potential for acute liver injury from the acetaminophen component, primarily associated with exceeding the maximum dose. Consequently, the medicine is contraindicated in severe hepatic impairment.

Adverse reactions are grouped by the body system affected and assigned frequency tiers:

System-Organ-Class Key Documented Adverse Reactions
Hepatobiliary Disorders Liver damage, including increased hepatic transaminases.
Immune System Disorders Hypersensitivity reactions, including anaphylactic shock (frequency not known).
Blood Disorders Rare blood dyscrasias, such as agranulocytosis and thrombocytopenia.
Skin Disorders Rash, urticaria, and very rare Severe Cutaneous Adverse Reactions (SCARs).
Renal Disorders Potential for renal calculi (kidney stones) with the Ascorbic Acid component.

Population-Specific and Duration-Related Safety

Regulatory documents emphasize that the total daily intake of acetaminophen from all sources must be monitored to avoid cumulative toxicity. Specific caution is required for patients with pre-existing conditions, including severe renal impairment and states of chronic malnutrition.

Most documented severe adverse reactions, such as SCARs and severe blood disorders, are classified as Rare or Very Rare. Long-term, frequent use of analgesics has been associated with the development of medication-overuse headache.

Overdose and Emergency Response

Overdose and When to Seek Help

Overdose of this medicine, primarily due to the acetaminophen component, presents a time-critical risk classified in regulatory documents as potentially leading to severe, delayed organ damage.

Mandatory Emergency Action

Urgent medical attention must be sought immediately following any suspected overdose. This mandate applies even if the individual appears well or if the initial symptoms, such as pallor, nausea, vomiting, and abdominal pain, are mild or absent. Contacting emergency services or a Poison Control Center right away is officially required because the most severe outcomes are frequently delayed.

Documented Manifestations and Severe Outcomes

The most severe outcome is documented as acute liver failure and hepatic necrosis, which can be fatal. Other officially noted complications include acute renal failure and serious metabolic disturbances. Individuals with chronic alcoholism, pre-existing hepatic impairment, or chronic malnutrition are listed as being at increased risk of severe toxicity.

Antidote and Required Monitoring

The specific pharmacological treatment listed is the administration of the antidote, N-acetylcysteine (NAC). This intervention is time-critical, with the greatest benefit realized when treatment is started within eight hours of ingestion. Hospital monitoring protocols officially require the measurement of plasma acetaminophen concentration to guide the necessary supportive and antidote therapy.

Therapeutic Uses of Lekadol Plus C

What Lekadol Plus C Treats: Main Uses and Benefits

The medicine is applied across domains where additional symptomatic support is needed, and may assist with symptom clusters that become intense or disruptive. The active ingredient is commonly used to help with pain and high temperature, which are symptoms associated with acute or episodic changes. This supports general well-being during symptomatic phases.


Managing Discomfort and Functional Strain

Lekadol Plus C is relevant for managing symptoms that create noticeable functional strain or interfere with daily comfort, and is used for addressing conditions presenting with systemic or localized discomfort. It is applicable within clinical settings that involve acute or disruptive symptom patterns, providing supportive relief when these symptoms interfere with routine activities. The medicine supports patients during episodes of heightened discomfort.

The product generally assists with symptoms related to physical discomfort and systemic imbalance, such as aches, muscle pains, and fever. The formulation generally assists with maintaining functional stability during episodes of heightened discomfort.

Supports Comfort During Physical Discomfort (Contributes to easing the overall symptom load during symptomatic periods.)

Eligibility and Restrictions for Use

Lekadol Plus C is governed by strict regulatory rules that define eligibility, primarily due to the acetaminophen component, focusing on organ function, age, and hypersensitivity.

Eligibility Scope

Classification Population Rule (Official Labeling)
Contraindicated Patients with severe hepatic impairment, severe renal impairment, or known hypersensitivity to the active substances or excipients.
Restricted Use Individuals with mild to moderate hepatic or renal insufficiency; patients with chronic alcoholism, chronic malnutrition, or glutathione depletion are advised use with caution.
Permitted Use Adults, older adults, and adolescents typically from 12 or 16 years of age, depending on the specific product labeling.
Not Recommended Children below the minimum age threshold stated on the label (e.g., often children under 12 years).

Physiological State Eligibility

State Official Regulatory Status
Pregnancy Use is permitted if clinically needed, using the lowest effective dose for the shortest duration.
Lactation Use is generally not contraindicated; active components are excreted into breast milk in amounts deemed clinically insignificant.

Regulatory documents establish absolute non-eligibility for those with severe organ dysfunction and hypersensitivity. Eligibility is conditional or restricted for patients with moderate organ impairment or specific metabolic risk factors, while use is permitted for the standard approved age groups.

What should I know about interactions with other medicines?

The interaction profile for this medicine is defined by the pharmacokinetic and pharmacodynamic properties of its active component, Acetaminophen (Paracetamol). All interaction statements are derived from official government regulatory documents.

Interaction Category Documented Interacting Substances Official Interaction Description
Prohibited Combination Other Paracetamol-containing products The co-administration is strictly restricted due to the serious, officially documented risk of overdose and subsequent severe liver toxicity.
Blood Clotting Warfarin and other Coumarins Prolonged, regular use of Acetaminophen may enhance the anticoagulant effect, increasing the risk of bleeding. Occasional use is not noted to have a significant effect.
Drug Absorption Metoclopramide, Domperidone, Colestyramine These agents modify the absorption: Metoclopramide increases the rate, while Colestyramine reduces it. A separation of at least one hour is required when co-administering with Colestyramine.
Metabolic Risk Flucloxacillin, Phenytoin, Rifampicin, Ethanol (Alcohol) Concomitant use with Flucloxacillin is associated with the risk of High Anion Gap Metabolic Acidosis (HAGMA). Other agents, including alcohol, increase the documented risk of liver damage by altering metabolism.

Connection to the overall interaction profile: Regulatory documents define the product’s interaction structure primarily through pharmacokinetic changes affecting Acetaminophen clearance and absorption. These official statements identify a crucial prohibition with other Paracetamol products and specify conditions where metabolic toxicity risk is increased by enzyme-inducing drugs. The profile also includes a pharmacodynamic interaction requiring caution with Coumarins and a mandatory timing separation rule for co-administration with Colestyramine, based strictly on official labeling.

Mechanism of Action

Central Modulation of Thermoregulatory and Nociceptive Signaling

Lekadol Plus C contains paracetamol, which primarily acts within the central nervous system (CNS). It engages mechanisms that influence thermoregulatory pathways in the hypothalamus and descending inhibitory serotonergic pathways. This selective CNS activity results in the modulation of overactive neural signaling associated with pyresis and nociception, leading to an alteration in central signal intensity.


Inhibition of Prostaglandin Synthesis

The analgesic and antipyretic effects are mechanistically linked to paracetamol's ability to inhibit prostaglandin (PG) synthesis, predominantly in the CNS. The molecule modulates cyclooxygenase (COX) enzyme activity, modifying early molecular steps to limit the production of PGs, which are lipid mediators of pyresis and pain signaling. The resulting physiological consequence is the modification of overactive central signaling.


Antioxidant Pathway Support

The ascorbic acid component functions as a reducing agent, affecting systems involved in oxidative processes. It engages mechanisms that regulate cellular dynamics by neutralizing free radicals, thereby contributing to the maintenance of redox potential within affected biological systems.

Dosage and Administration Information

How to Use Lekadol Plus C

This section describes the administration guidelines for Lekadol Plus C (Paracetamol 500 mg / Ascorbic Acid), focusing on procedural usage patterns and labeled dosing.


Official Administration Guidelines

Usage Parameter Instruction
Route of Administration The preparation is for oral use after complete dissolution.
Preparation Requirement The effervescent tablet or granules must be fully dissolved in a glass of water before the solution is swallowed.
Standard Adult Dose ( >50 kg) The single dose range is 500 mg to 1000 mg of Paracetamol (1 to 2 units).
Minimum Dosing Interval The minimum required time between administrations is 4 hours.
Maximum Total Daily Dose The dose must not exceed 4000 mg of Paracetamol in any 24-hour period.

Usage Structure and Restrictions

The medicine is designed for short-term, intermittent use, with guidelines typically restricting continuous self-administration to a maximum of 3 to 10 days without professional review. Administration is permitted with or without food.

Population-Specific Constraints: Dose adjustment is mandatory for certain individuals. For patients with renal impairment, the interval between 500 mg doses is extended to 6 or 8 hours, depending on the severity of impairment. Furthermore, the maximum daily intake is restricted to 2000 mg for individuals with chronic alcoholism, hepatic impairment, or a body weight under 50 kg.

Procedural Constraint: To prevent exceeding the maximum safe daily dose, patients must not concurrently take any other products that contain Paracetamol.


Note: All numerical doses, frequencies, and administration constraints are derived from standardized labeling. This information defines the approach for using the medicine.

Recent Clinical Evidence

Lekadol Plus C: Recent Clinical Evidence

Evidence Supporting Symptom Relief of Acute Viral Illness

Research into Lekadol Plus C, which combines Acetaminophen and Ascorbic Acid, primarily relies on Systematic Reviews and Meta-analyses of Randomized Controlled Trials (RCTs). Research examined this combination in studies exploring symptom patterns associated with acute viral illness. Studies focused on outcomes related to physical discomfort and systemic or functional imbalance, including fever and generalized aches. The primary research monitored patient-reported outcomes describing perceived discomfort. Findings describe patterns observed in the studies regarding short-term changes in symptoms. In these research contexts, combination therapies were associated with patterns of reported change in certain overall symptom scores.

The Role of Each Active Component in Clinical Research

The Acetaminophen component was evaluated in trials assessing short-term symptom patterns, with research examining outcomes related to pain and fever. The Ascorbic Acid component was studied in research exploring short-term symptom changes, but also in preventative trials. Studies exploring its use included monitoring for associations with the reported duration and severity of the common cold, especially in populations studied during regular use. In contrast, evidence derived from research settings where the component was administered after symptom onset appears more limited.

Research Quality and Where Evidence Remains Uncertain

The overall evidence level for this combination product is considered Moderate, based on its established components and patterns of findings for certain study outcomes. Key limitations include modest sample sizes and heterogeneity across different trials. These trials exhibited variations in study designs and outcome measurement methods. Findings regarding measured changes in specific individual cold symptoms were mixed, suggesting that certainty remains low for those outcomes. Comparative evidence, which would allow for direct assessment against other treatments, is sometimes lacking or presents challenges due to variations in study design. There is limited information for long-term outcomes, and subgroup findings regarding how different individuals may respond are uncertain.

Frequently Asked Questions (FAQ)

Common questions about Lekadol Plus C (FAQ)


Q: How quickly can someone typically expect Lekadol Plus C to start working?

A: According to official regulatory information, the active component, Paracetamol, is typically absorbed into the body fairly quickly. Peak concentrations of the medicine in the bloodstream often occur approximately 30 minutes to 2 hours after ingestion, and this time frame is often associated with the maximum concentration in the bloodstream.


Q: How long does the effect of Lekadol Plus C generally last?

A: The duration of action for the pain-relieving effect of the main component, Paracetamol, is generally described in regulatory documents as lasting for 3 to 4 hours. This duration is consistent with the officially recommended minimum time between administrations.


Q: Is it common for Lekadol Plus C to cause drowsiness?

A: Official labeling for the medicine states that it has no or negligible effect on the ability to drive or use machines. This indicates that central nervous system effects, such as drowsiness, are not typically associated with the use of this product at therapeutic doses.


Q: Is Lekadol Plus C suitable for use during pregnancy, according to official information?

A: Regulatory documents state that the use of this medicine during pregnancy is permitted if it is clinically necessary. Official guidance describes its use as being at the lowest effective dose for the shortest possible duration.


Q: Can individuals with high blood pressure use Lekadol Plus C?

A: Regulatory documents indicate that the active component, Paracetamol, has no stated effect on the cardiovascular and respiratory systems. Therefore, high blood pressure (hypertension) is not generally listed as a contraindication for the active ingredient alone.


Q: Does Lekadol Plus C interact with caffeine or coffee?

A: Regulatory-aligned information for Paracetamol-containing products advises avoiding excessive intake of caffeine while taking the product. This caution is related to the potential for caffeine-related side effects, such as nervousness, rather than a direct drug-caffeine interaction with the main component.


Q: What are the signs of an allergic reaction to Lekadol Plus C?

A: Signs of a serious allergic reaction (hypersensitivity) mentioned in official documents include skin reactions like rash and hives (urticaria). More severe reactions that may occur, though rarely, include anaphylactic shock or angioedema (swelling of the face, tongue, or throat).


Q: Does Lekadol Plus C contain sugar or artificial sweeteners?

A: Effervescent products, like Lekadol Plus C, may contain excipients such as sugar or artificial sweeteners (like aspartame). Individuals with specific dietary concerns, such as diabetes or Phenylketonuria (PKU), are advised to check the product leaflet for the specific ingredients.


Q: Are there warnings about driving or operating machinery while using Lekadol Plus C?

A: Official regulatory documents explicitly state that the medicine has no or negligible influence on the ability to drive or operate machinery. This is consistent with the product's known effects on the central nervous system.


Q: Is Lekadol Plus C the same as regular Lekadol, just with vitamin C?

A: Official information defines Lekadol Plus C as a Fixed-Dose Combination (FDC) that contains two active ingredients: Paracetamol and Ascorbic Acid (Vitamin C). A product designated as 'regular' or single-ingredient Paracetamol would typically contain only the pain-relieving component, making this a distinct combination product.


Q: Is Lekadol Plus C considered an anti-inflammatory drug?

A: Regulatory documents classify the main component, Paracetamol, as an analgesic and antipyretic—meaning it relieves pain and fever. While it has some influence on the body's processes, official sources describe it as having only weak anti-inflammatory properties.


Q: Why is vitamin C included in Lekadol Plus C?

A: Ascorbic acid (Vitamin C) is included as a supplement. According to the rationale defined in regulatory documents, it is intended to help replenish the body’s Vitamin C levels, which may be depleted during the course of an illness, thereby supporting general wellness.


Q: Can Lekadol Plus C be taken by people with stomach sensitivity?

A: Official documents note that the active ingredient, Paracetamol, is generally well-tolerated by the stomach. It does not typically cause gastric irritation or bleeding at therapeutic doses, which is a characteristic often noted in comparisons with other analgesic classes.


Q: Is there a risk of interaction with common antibiotics?

A: Regulatory-aligned medical sources indicate that it is generally safe to take the active ingredient with most common prescription medicines. No major clinically significant interactions are generally cited in official documents regarding many common antibiotics.


Q: Is it generally safe to use Lekadol Plus C if I also take a multivitamin?

A: Official interaction screening generally does not cite clinically significant interactions between the active ingredients and standard multivitamins. Users should ensure, however, that the total daily intake of all components, including supplemental Vitamin C, remains within the officially recommended limits.


Q: Can Lekadol Plus C be used for tension headaches?

A: The therapeutic indications for the main component, Paracetamol, include the treatment of most painful and febrile conditions. This often specifically includes common types of pain such as headache.


Q: Is it possible to become dependent on Lekadol Plus C?

A: The medicine is intended for short-term, intermittent use. Prolonged and frequent use of analgesics has been officially associated with the development of a medication-overuse headache. The primary concern cited in regulatory documents related to frequency of use is the development of a medication-overuse headache.


Q: Does Lekadol Plus C contain aspirin?

A: Official product composition lists the active ingredients as Paracetamol (Acetaminophen) and Ascorbic Acid (Vitamin C). Aspirin (Acetylsalicylic Acid) is a distinct medicine and is not listed as one of the active ingredients in this product.


Q: Does the medication affect lab test results?

A: Regulatory documents note that the main component, Paracetamol, may interfere with the results of certain laboratory tests. This includes specific methods used to test for uric acid and blood sugar levels.


Q: How does Lekadol Plus C's purpose differ from other common pain relievers?

A: The product's purpose is distinguished by its classification as a Fixed-Dose Combination. It uniquely combines a pain and fever reliever (Paracetamol) with a supplemental vitamin (Ascorbic Acid), designed for symptomatic relief during illness.


Q: Does Lekadol Plus C have any effect on blood pressure or heart rate?

A: Official documents describe the active component, Paracetamol, as having no stated effect on the cardiovascular system. This indicates that it is not typically associated with influencing blood pressure or heart rate at therapeutic doses.


Q: Can Lekadol Plus C cause issues with sleep?

A: The medicine is officially described as having no or negligible effect on central nervous system functions. Insomnia or other issues with sleep are generally not associated with the use of this medicine.

How should Lekadol Plus C be stored and disposed of?

Storage and Disposal Requirements

Official regulatory guidelines strictly define the conditions necessary to maintain the stability and safety of Lekadol Plus C (Paracetamol/Ascorbic Acid Effervescent Tablets).


Storage Conditions

  • Temperature: Store the medicine at a temperature not exceeding 25, C. Do not freeze.
  • Protection: The product must be protected from light and moisture. Store the tablets in the original package and ensure the container is kept tightly closed after initial opening.
  • Child Safety: It is mandatory to keep Lekadol Plus C out of the sight and reach of children.

Disposal Instructions

  • Do not throw away the medicine via wastewater or household waste.
  • Unused or expired product must be disposed of according to local regulations, typically by returning it to a pharmacy.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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