Napa Extra is a widely used combination analgesic and antipyretic containing Paracetamol (500 mg) and Caffeine (65 mg). It is specifically formulated to provide faster and more effective relief from pain compared to standard paracetamol. Produced by Beximco Pharmaceuticals Ltd., the caffeine component acts as an adjuvant that enhances the pain-relieving efficacy of paracetamol.
What is Napa Extra Used For?
Napa Extra is prescribed for the symptomatic relief of various mild to moderate pain conditions and fever:
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Headaches & Migraines: Effectively treats tension headaches and acute migraine attacks.
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Fever & Flu: Reduces high body temperature and relieves aches associated with the common cold and influenza.
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Musculoskeletal Pain: Relief from backache, joint pain, and muscle soreness.
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Other Pains: Management of toothache, period pain (dysmenorrhoea), and neuralgias.
Key Reminder: Caffeine increases the pain threshold and tolerance, while also narrowing blood vessels in the brain to specifically target headaches. For a detailed clinical look at this synergistic combination, you can review the Paracetamol + Caffeine profile on MedEx.
Dosage
For adults and adolescents aged 12 years and older:
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Standard Dose: 1 to 2 tablets every 4 to 6 hours as needed.
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Maximum Dose: Do not exceed 8 tablets in any 24-hour period.
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Administration: Swallow the tablet whole with water. It can be taken with or without food, though taking it with food may help those with sensitive stomachs.
Common Side Effects
Napa Extra is generally safe when taken at recommended doses, but the presence of caffeine and paracetamol may cause:
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Insomnia or restlessness (due to caffeine, especially if taken at night)
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Nausea or gastrointestinal discomfort
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Palpitations or increased heart rate
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Allergic reactions (rare skin rashes)
Important Warnings & Precautions
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Alcohol Warning: Avoid alcohol while taking this medication, as it significantly increases the risk of liver failure.
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Other Medications: Do not take with other paracetamol-containing products to avoid accidental overdose.
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Caffeine Intake: Limit other sources of caffeine (coffee, tea, energy drinks) to prevent jitteriness and sleep issues.
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Liver/Kidney Health: Patients with existing liver or kidney disease must consult a doctor before use.
Napa Extra vs. Napa 500: Key Differences
While both contain paracetamol, Napa Extra is designed for more stubborn pain that requires a “boost.”
| Feature | Napa Extra | Napa 500 |
| Active Ingredients | Paracetamol + Caffeine | Paracetamol (Single) |
| Pain Relief Speed | Faster (Caffeine boosts absorption) | Standard |
| Primary Use | Migraines & Moderate Pain | General Fever & Mild Pain |
| Drowsiness Risk | Low (Caffeine may act as a stimulant) | Low |
| Unit Price | ৳ 2.50 | ৳ 1.20 |
Napa Extra Tablet Price in Bangladesh (January 2026 Update)
The following table provides the updated retail pricing for Napa Extra and its popular variants by Beximco Pharmaceuticals Ltd.
| Product Name | Strength | Unit Price (BDT) | Strip Price (12 Tablets) |
| Napa Extra | 500 mg + 65 mg | ৳ 2.50 | ৳ 30.00 |
| Napa Extend | 665 mg (Extended) | ৳ 2.00 | ৳ 20.00 (10’s) |
| Napa Rapid | 500 mg (Fast Acting) | ৳ 1.30 | ৳ 13.00 (10’s) |
Napa Extra Alternative Brands & Prices
If you are looking for an alternative to Napa Extra, here are the top 10 brands in Bangladesh as of January 2026.
| Brand Name | Company Name | Price per Unit (BDT) |
| 1. Ace Plus | Square Pharmaceuticals PLC | ৳ 2.50 |
| 2. Reset Plus | Incepta Pharmaceuticals | ৳ 2.50 |
| 3. Fast Plus | The ACME Laboratories Ltd. | ৳ 2.50 |
| 4. Renova Plus | Opsonin Pharma Limited | ৳ 2.50 |
| 5. Xpa-C | Aristopharma Limited | ৳ 2.50 |
| 6. Xcel Plus | ACI Limited | ৳ 2.50 |
| 7. Tamen Turbo | Eskayef (SK+F) | ৳ 2.50 |
| 8. Cafedon | Healthcare Pharmaceuticals | ৳ 2.50 |
| 9. Pac | Ibn Sina Pharmaceuticals | ৳ 2.50 |
| 10. Pyrenol | Delta Pharma Limited | ৳ 2.50 |
Frequently Asked Questions (FAQ) About Napa Extra
Q: What is the Napa Extra price in Bangladesh?
As of January 2026, the retail price for Napa Extra is ৳ 2.50 per tablet. A full strip of 12 tablets costs ৳ 30.00.
Q: What are the Napa Extra side effects?
Common side effects include insomnia, nervousness, and mild stomach upset. In rare cases, skin rashes or blood disorders may occur.
Q: What is Napa Extra used for?
It is primarily used for headaches, migraines, fever, and musculoskeletal pains. It is more effective than plain paracetamol for tension-type headaches.
Q: What is the recommended Napa Extra dose?
The standard dose for adults and children over 12 is 1–2 tablets every 4–6 hours, with a maximum of 8 tablets per day.
Q: Is Napa Extra good for a cough?
It can help with the body aches and fever associated with a cough or cold, but it is not a cough suppressant.
Q: What does Napa Extra do?
It reduces pain and fever while the caffeine component narrows brain blood vessels to relieve headaches and boosts the overall pain-relieving effect.
Q: Does Napa Extra make you sleepy?
No, because it contains caffeine, it is more likely to keep you awake than to make you sleepy.
Q: Is Napa Extra high risk?
It is high risk for individuals with severe liver or kidney disease. Overdosing is extremely dangerous and can lead to permanent liver damage.
Q: Is Napa Extra safe during pregnancy?
While paracetamol is safe, high caffeine intake during pregnancy is often restricted. You should consult your doctor before using this combination if pregnant.
Disclaimer: This is educational information only (updated January 2026). Not a substitute for professional medical advice. Always consult a qualified physician before starting/stopping any medication.
