Paracetamol 500mg capsule shaped tablets

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
• You must talk to a doctor if you do not feel better or if you feel worse after 3 days of treatment.

1. What Paracetamol is and what it is used for
2. What you need to know before you take Paracetamol
3. How to take Paracetamol
4. Possible side effects
5. How to store Paracetamol
6. Contents of the pack and other information

• If you are allergic to paracetamol or to any of the other ingredients of this medicine (listed in section 6).
• If you are taking other medicines containing paracetamol.

During treatment with Paracetamol 500 mg tablets, tell your doctor straight away if:

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).

Talk to your doctor or pharmacist before taking Paracetamol:

• If you have liver or kidney disease, including alcoholic liver disease.
• If you suffer from mild arthritis and need to take painkillers every day.

Talk to a doctor at once if you take too much of this medicine even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage

Paracetamol 500 mg tablets is not recommended in children below 10 years of age.

Please inform your doctor or pharmacist if you are taking:

• flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (see section 2).

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

In particular, inform your doctor if you are taking:

• metoclopramide or domperidone (for nausea [feeling sick] or vomiting [being sick]).
• colestyramine (to lower blood cholesterol).
• blood thinning medicines (anticoagulants such as warfarin) and you need to take a pain reliever on a daily basis, because of the risk of bleeding. But you can still take occasional doses of Paracetamol at the same time as anticoagulants.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Talk to your doctor before taking Paracetamol if you are pregnant.

You can take this medicine whilst breast-feeding.

Adults (including the elderly) and adolescents aged 16 years and over:

Swallow 1-2 tablets every 4 to 6 hours as needed.

Do not take more than 8 tablets in 24 hours.

Take 1 tablet every 4 to 6 hours, if you need to.

Do not give more than 4 tablets in 24 hours.

Do not take this medicine for more than 3 days at a time, unless your doctor tells you to.

• Do not take it more frequently than every 4 hours.
• Do not take more than the recommended dose.

Do not give to children under 10 years of age.

In case of overdose immediately contact your doctor, even if you feel well, because of the risk of delayed, serious liver damage.

Do not take a double dose to make up for a forgotten dose. Take the next dose at the usual time.

If you do get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also 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 this side effects you can help provide more information on the safety of this medicine.

• The active ingredient is paracetamol. Each tablet contains 500 mg paracetamol.
• The other ingredients are: Pregelatinised maize starch, Magnesium stearate.

Paracetamol 500 mg tablets are white to off white capsule shaped uncoated tablets with breakline on one side and plain on the other side.

Packs of 10 tablets, 16 tablets, 30 tablets, 32 tablets, 50 tablets, 100 tablets.

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