Hitem 300mg Tablet MD belongs to the group of medicines called analgesics (pain killers) and antipyretics (fever-reducing agents) used to reduce fever and treat mild to moderate pain. It is also used to relieve headaches, migraine, toothache, period pain, back pain, muscle pain, and rheumatic pain. Pain and fever are caused by the activation of pain receptors due to the release of certain natural chemicals in the body, like prostaglandin. 

Hitem 300mg Tablet MD works by inhibiting the production of certain chemical messengers in the brain known as prostaglandins, reducing pain. Also, Hitem 300mg Tablet MD affects an area of the brain that regulates body temperature, known as the hypothalamic heat-regulating centre, reducing fever.

Take Hitem 300mg Tablet MD as advised by your physician. Your doctor will recommend how often you need to take Hitem 300mg Tablet MD based on your medical condition. In some cases, Hitem 300mg Tablet MD may cause side effects such as nausea, stomach pain and dark-coloured urine. Most of these side effects of Hitem 300mg Tablet MD do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

Avoid taking Hitem 300mg Tablet MD if allergic to it. Hitem 300mg Tablet MD is not recommended for children below 6 years of age. If you are pregnant or breastfeeding, please consult a physician before using Hitem 300mg Tablet MD. Avoid alcohol consumption with Hitem 300mg Tablet MD as it may increase the risk of liver damage. If you have an impaired nutritional state caused by anorexia (eating disorder), malnutrition or alcohol abuse or if you are dehydrated, inform your doctor before taking Hitem 300mg Tablet MD.

Hitem 300mg Tablet MD contains Paracetamol, an analgesic (pain killer) and antipyretic (reduces fever). It inhibits the production of certain chemical messengers in the brain known as prostaglandins, reducing pain. Also, Hitem 300mg Tablet MD affects an area of the brain that regulates body temperature known as the hypothalamic heat-regulating centre, reducing fever.

• Nausea
• Stomach pain
• Dark coloured urine

Avoid taking Hitem 300mg Tablet MD if allergic to it. Hitem 300mg Tablet MD is not recommended for children below 6 years of age. If you are pregnant or breastfeeding, please consult a physician before using Hitem 300mg Tablet MD. Avoid alcohol consumption with Hitem 300mg Tablet MD as it may increase the risk of liver damage. If you have an impaired nutritional state caused by anorexia (eating disorder), wrong nutrition or alcohol abuse or if you are dehydrated, inform your doctor before taking Hitem 300mg Tablet MD. Avoid taking more than recommended doses as it may increase the risk of serious liver damage.

Drug-Drug Interactions: Hitem 300mg Tablet MD may interact with blood thinners (warfarin), cholesterol-lowering drugs (cholestyramine), analgesics (aspirin), antibiotics (chloramphenicol, rifampicin), anti-gout medicines (probenecid), antitubercular drug (isoniazid), anticonvulsants (lamotrigine, carbamazepine, phenytoin), and anti-nausea agents (metoclopramide, domperidone). 

Drug-Food Interactions: Hitem 300mg Tablet MD may interact with St. John’s wort (herbal medicine to treat depression).  Avoid foods rich in carbohydrates, and pectin including jellies, cabbage, Brussels sprouts and broccoli as Hitem 300mg Tablet MD may interact with these foods. Also, avoid intake of alcohol with Hitem 300mg Tablet MD as it may increase the risk of liver damage.

Drug-Disease Interactions: If you have kidney or liver disease, hepatitis, Gilbert's syndrome (a liver condition), hemolytic anaemia (abnormal breakdown of red blood cells), G-6-PD deficiency (a hereditary condition resulting in low red blood cell counts), blood poisoning, inform your physician before taking Hitem 300mg Tablet MD.

• WARFARIN
• CHOLESTYRAMINE
• ASPIRIN
• METOCLOPRAMIDE
• DOMPERIDONE
• CHLORAMPHENICOL
• RIFAMPICIN
• PROBENECID
• ISONIAZID
• LAMOTRIGINE
• CARBAMAZEPINE
• PHENYTOIN

• Get adequate sleep, as resting the muscles can help in reducing inflammation and swelling.
• Follow heat or cold therapy, and regularly apply a cold or hot compress on the joints for 15-20 minutes.
• Acupuncture, massage and physical therapy may also be helpful.
• Eat foods rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
• Foods containing flavonoids, such as soy, berries, broccoli, grapes, and green tea, help reduce inflammation. 
• Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
• Avoid smoking and alcohol consumption.

If you have a high fever or signs of infection after using Hitem 300mg Tablet MD for more than 3 days or if pain persists after using Hitem 300mg Tablet MD for more than 5 days, please consult a physician.

Pain: It is a term used to describe any unpleasant feeling or discomfort. It occurs due to nerve damage (in cases of backache, toothache, or muscle pain) or persistent stimulation (in headaches or migraine). Pain may vary from mild to severe, depending on the underlying condition.

Fever: It is an abnormal increase in body temperature due to infection, chemotherapy, or various disease conditions. If the body temperature is 98.6°F, it is normal and if it goes above 100.4°F (38℃), it is called fever or pyrexia. Body temperature is increased in response to infection or varied problems to protect the body. Flu is one of the most common causes of fever.