Do not take Lemsip Max Cold & Flu Sachets Blackcurrant Pack of 10 if:
- You are allergic to any ingredient (see ingredients section for further information).
- You have a serious heart condition.
- You have 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.
- You have phaeochromocytoma.
- You have diabetes mellitus.
- You have closed-angle glaucoma.
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.
- You have non-cirrhotic liver disease (liver disease that is not associated with changes in the structure of the liver).
- You have phenylketonuria.
During treatment with this medicine, tell your doctor straight away if: You have severe illnesses, including severe renal impairment or sepsis (when bacteria and their toxins circulate in the blood leading to organ damage), or you suffer from malnutrition, chronic alcoholism or if you are also taking flucloxacillin (an antibiotic). A serious condition called metabolic acidosis (a blood and fluid abnormality) has been reported in patients in these situations when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken together with flucloxacillin. Symptoms of metabolic acidosis may include: serious breathing difficulties with deep rapid breathing, drowsiness, feeling sick (nausea) and being sick (vomiting).
Do not take Lemsip Max Cold & Flu Sachecurrant Pack of 10 with other paracetamol-containing products.
Talk to your doctor or pharmacist if you are taking:
- Beta-blockers for high blood pressure, other antihypertensives or vasodilators (drugs used to treat high blood pressure, leg pain due to vascular problems or Raynaud's syndrome).
- Tricyclic anti-depressants (a specific class of drugs used to treat depression), other decongestants, or barbiturates (used to treat sleep problems or epilepsy).
- Other medicines: Some drugs may affect the way in which paracetamol works, including those used to treat blood cholesterol (cholestyramine) and nausea and vomiting (metoclopramide and domperidone). The effect of blood thinning drugs (warfarin and other coumarins) may be increased by paracetamol. Some drugs may affect the way in which phenylephrine works (MAOIs, other sympathomimetic amines, antihypertensives, tricyclic antidepressants, digoxin and cardiac glycosides).
- Flucloxacillin (antibiotic) Due to a serious risk of blood-and-fluid abnormality (called high anion gap metabolic acidosis) that must have urgent treatment (see section 2).
- Medicines used to treat epilepsy (phenytoin and carbamazepine), medicines used to treat sleeping problems (barbiturates such as pentobarbital, phenobarbital), as they may increase side effects on liver.
- Isoniazid (medicine used to treat tuberculosis), it may increase side effects of paracetamol.
- Oxytocin (medicine used to help contractions during childbirth) and ergot alkaloids (medicines used to treat migraine such as ergotamine, methylsergide), they may increase the risk of brain stroke (stroke caused by bleeding inside the brain).
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Pregnancy and breast-feeding: This product should not be used in women with a history of pre-eclampsia. Ask your doctor or pharmacist for advice before taking this product if you are pregnant or breast-feeding.
This medicine contains:
- Aspartame, a source of phenylalanine. This medicine contains 65mg aspartame in each sachet. It may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly.
- Sucrose, 2.62g per sachet. This should be taken into account in patients with diabetes mellitus. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
- Sodium (118.39mg per sachet), main component of cooking/table salt. This is equivalent to 5.92% of the recommended maximum daily dietary intake of sodium for an adult. The maximum recommended daily dose of this medicinal product contains 473.56mg sodium (found in table salt). This is equivalent to 23.7% of the adult recommended maximum daily dietary intake for sodium. Talk to your pharmacist or doctor if you need this medicine on a daily basis for a prolonged period of time, especially if you have been advised to have a low salt diet.