Do not use this medicine if you are:
- Allergic to any of the ingredients listed in section 'Ingredients'.
- Pregnant.
- Taking any other product containing paracetamol.
- Taking medicine for high blood pressure or any 'beta-blocker' drugs such as Atenolol.
- Suffering from prostate problems.
- Taking any other product for colds, flu or congestion as Covonia All-In-One contains a decongestant.
- A child under 16 years.
Talk to your doctor or pharmacist if you have:
- Alcoholism.
- Liver or kidney problems.
- Heart disease.
- Diabetes.
- Glaucoma.
- High blood pressure.
- An overactive thyroid gland.
Talk to your doctor or pharmacist if you are taking:
- Domperidone or metoclopramide for nausea and vomiting.
- Colestyramine mainly used for high cholesterol.
- Medicines used to prevent blood clotting such as warfarin.
- Medicines for heart problems.
- Medicine for depression (including monoamine oxidase inhibitors/MAOIs) within the last two weeks.
- A urine test, as this medicine may interfere with the results.
- Flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment.
Pregnant or breastfeeding: Do not use this medicine if you are pregnant. If you use it when breastfeeding, some drugs in this medicine will be present, in small amounts, in your milk. Ask your doctor or pharmacist for advice if you might be pregnant or are breastfeeding.
Important information about some ingredients:
- This medicine contains 2880mg alcohol (ethanol) in each 20ml dose (equivalent to 18vol%). The amount in 20ml of this medicine is equivalent to 72ml of beer or 29ml of wine. The amount of alcohol in this medicine is not likely to have an effect in adults and adolescents, and its effects in children are not likely to be noticeable. It may have some effect in younger children, for example feeling sleepy.
- The alcohol in this medicine may alter the effects of other medicines. Talk to your doctor or pharmacist if you are taking other medicines.
- If you are pregnant or breastfeeding, talk to your doctor or pharmacist before taking this medicine.
- If you are addicted to alcohol, talk to your doctor or pharmacist before taking this medicine.
- This medicine contains liquid maltitol. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
- This medicine contains 3400mg sorbitol per 20ml dose. Sorbitol is a source of fructose. If your doctor has told you that you have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), talk to your doctor before taking this medicine. Sorbitol may cause gastrointestinal discomfort and mild laxative effect. Calorific value 2.6Kcal/g sorbitol.
- This medicine contains 4300mg propylene glycol per 20ml dose. If you are breastfeeding, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine. If you suffer from liver disease, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.
- This medicine contains less than 1 mmol sodium (23mg) per dose, that is to say essentially 'sodium-free'.
If you take too much: Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage. Take the pack with you to show which medicine you have swallowed.
If you forget a dose: Take the next dose as soon as you remember. Do not take a double dose. You can then carry on with the next dose at the correct time.
Possible side effects: Like all medicines, Covonia All-In-One can have side effects, although these don't affect everyone.
- Occasional effects: Upset stomach, allergic reactions including skin rashes.
- Rare effects: Blood disorders, inflammation of the pancreas which causes severe pain in the abdomen and back, high blood pressure, palpitations, headache, dizziness, vomiting and diarrhoea, sleeplessness.
- Very rare effects: Very rare cases of serious skin reactions have been reported.
- Other effects (frequency not known): Urinary retention (especially in males), a serious condition that can make blood more acidic (called metabolic acidosis), in patients with severe illness using paracetamol (see section 2 of the PIL).
If you notice these or any other side effect not included above, stop use and tell your doctor or pharmacist. They will tell you what to do. You can report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for 'MHRA Yellow Card' in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.