Do not exceed the stated dose. Contains paracetamol.
Do Not Take If:
- You are allergic to any of the ingredients (refer to the ingredients section).
- You have a serious heart condition, high blood pressure (hypertension), or an overactive thyroid.
- You are taking or have taken within the last 14 days a medicine called a monoamine oxidase inhibitor (MAOI), usually used to treat depression.
- You are taking other sympathomimetic decongestants.
- You have an enlarged prostate, phaeochromocytoma, diabetes mellitus, or closed-angle glaucoma.
- Do not take with any other paracetamol-containing products. Immediate medical advice should be sought in the event of an overdose, even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage.
Talk to your doctor or pharmacist before taking this medicine if:
- You have Raynaud's syndrome (poor blood circulation which makes the fingers or toes pale and numb).
- You have a problem with your liver or kidneys, or non-cirrhotic liver disease.
- You have phenylketonuria (this medicine contains aspartame, a source of phenylalanine).
- You have been advised to have a low salt diet (this medicine contains sodium).
- You have been told by your doctor that you have an intolerance to some sugars (this medicine contains lactose and sucrose).
- You are pregnant or breast-feeding, or have a history of pre-eclampsia.
During treatment, tell your doctor straight away if:
- You have severe illnesses, including severe renal impairment or sepsis, malnutrition, chronic alcoholism, or are also taking flucloxacillin (an antibiotic), as these situations can lead to a serious condition called metabolic acidosis. Symptoms of metabolic acidosis include serious breathing difficulties, deep rapid breathing, drowsiness, nausea, and vomiting.
Avoid taking with other medicines such as:
- Beta-blockers, other antihypertensives, vasodilators.
- Tricyclic anti-depressants, other decongestants, or barbiturates.
- Cholestyramine, metoclopramide, domperidone, warfarin and other coumarins.
- MAOIs, other sympathomimetic amines, digoxin and cardiac glycosides.
- Medicines for epilepsy (phenytoin, carbamazepine), sleeping problems (pentobarbital, phenobarbital), isoniazid, oxytocin, ergot alkaloids.
Possible Side Effects:
Like all medicines, this medicine can cause side effects, though not everybody gets them. Very rare cases of serious skin reactions have been reported.
Frequency not known side effects include: allergic reactions (skin rashes), blood disorders (thrombocytopenia, pancytopenia, agranulocytosis, leucopenia, neutropenia), metabolic acidosis (in patients with severe illness using paracetamol), headaches, high blood pressure or palpitations, stomach and gut disorder (vomiting, nausea, abdominal discomfort), difficulty in passing urine (especially in males).
If you experience any side effects, consult your doctor, pharmacist, or nurse. You can also report side effects via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.