What Is in a Paracetamol Tablet?

Paracetamol is one of the world’s most widely used over-the-counter medications, known globally for its ability to relieve pain and reduce fever. In the United States and Canada, this compound is commonly known as acetaminophen. A tablet is a complex pharmaceutical product, resulting from a precise blend of the active ingredient and several inactive substances. This formulation requires careful engineering to ensure the drug is stable, accurately dosed, and effectively delivered to the body.

The Core Chemical: Paracetamol (Acetaminophen)

The active ingredient is the chemical compound that produces the desired therapeutic effect. In a standard tablet, this is typically 500 milligrams of N-acetyl-para-aminophenol, or paracetamol. This molecule is classified as a p-aminophenol derivative, giving it analgesic (pain-relieving) and antipyretic (fever-reducing) properties.

Paracetamol works primarily through its actions within the central nervous system. It is thought to inhibit certain isoforms of the cyclooxygenase (COX) enzyme, particularly in the brain, reducing the synthesis of prostaglandins. Prostaglandins are lipid compounds that contribute to the body’s perception of pain and the regulation of body temperature. Reducing these compounds helps to alleviate symptoms.

Excipients: Ingredients Beyond the Drug

The remainder of the tablet’s mass is composed of inactive ingredients known as excipients. These substances have no direct therapeutic effect but are necessary for the drug to be successfully manufactured and utilized. Excipients provide the tablet with proper physical characteristics, such as size, shape, and mechanical strength.

Excipients also ensure the drug’s stability, protecting the active chemical from degradation due to moisture or light. They control how and when the paracetamol is released from the tablet once swallowed. Without these components, the drug would not be reliably absorbed by the body.

Functional Categories of Tablet Excipients

The various excipients in a paracetamol tablet are grouped by their specific function in the final product. One of the primary needs is to increase the tablet’s size to something manageable, which is accomplished by fillers, also called diluents. Common diluents include maize starch, lactose, or microcrystalline cellulose, which add the necessary bulk to the 500-milligram dose.

Another category is binders, such as polyvinylpyrrolidone (PVP) or starch paste, which act as the “glue” holding the powder particles together. Binders are incorporated during the manufacturing process to ensure the tablet maintains its integrity and does not crumble during packaging or handling.

To ensure the drug is released efficiently, disintegrants are included to break the tablet apart quickly once it reaches the stomach’s fluid environment. These materials, which include compounds like croscarmellose sodium or sodium starch glycolate, swell rapidly upon contact with water. This rapid breakdown is necessary for the active paracetamol to dissolve and be absorbed into the bloodstream.

Finally, lubricants and glidants are added to facilitate the high-speed manufacturing process. Lubricants, such as magnesium stearate or stearic acid, prevent the tablet mixture from sticking to the compression machine. Glidants, often purified talc or colloidal silicon dioxide, improve the flow properties of the powder blend, ensuring a consistent flow of material into the tablet molds.