• Keep this leaflet you may need to read it again.
• If you have any questions, or if there is anything you do not understand, ask your pharmacist.

1.What Beechams All in One does
2.Check before you take Beechams All in One
3.How to take Beechams All in One
4.Possible side effects
5.How to store Beechams All in One
6.Further information

• if you have ever had an allergic reaction to paracetamol, guaifenesin, phenylephrine hydrochloride or to any of the other ingredients (listed in Section 6)
• if you have kidney or liver problems (including alcoholic liver disease), overactive thyroid, diabetes, high blood pressure or heart disease
• if you have phaeochromocytoma or glaucoma
• if you are taking beta blockers (e.g. atenolol), tricyclic antidepressants (e.g. imipramine or amitriptyline) or if you are taking or have taken in the last two weeks monoamine oxidase inhibitors (MAOIs) (e.g. moclobemide) prescribed for depression
• if you have an enlarged prostate

Contains paracetamol.

Taking too much paracetamol can cause serious harm to your liver.

Do not take anything else containing paracetamol while taking this medicine.

Do not take with any other flu, cold, decongestant products or cough suppressants.

• Do not drink alcohol while using Beechams All in One.
• Beechams All in One contains 19% v/v ethanol (alcohol) i.e. up to 3 g per dose, equivalent to 76 ml beer, 32 ml wine per dose. This could be harmful if you suffer from alcoholism. This should also be considered in pregnant or breast feeding women, children and patients with liver disease or epilepsy.
• This product may cause dizziness. If affected do not drive or operate machinery.
• Contains sunset yellow (E110) which may cause allergic-type reactions.
• The amount of alcohol in Beechams All in One may alter the effects of other medicines.
• The amount of alcohol in Beechams All in One may impair your ability to drive or use machines.
• This medicine contains 2 g propylene glycol in each 20ml dose.
• Beechams All in One contains 4.7 g sorbitol. 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), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you take this medicine.

• if you have been told by your doctor you have an intolerance to some sugars
• if you have a blood vessel disease such as Raynaud’s Phenomenon
• if you have asthma or chronic cough
• if you have heart or circulation disease
• if you are on a controlled-sodium diet. Each 20 ml dose contains 42 mg of sodium.
• if you have liver or kidney problems

Contact a doctor immediately if you get a combination of these symptoms.

During treatment with this medicine, tell your doctor straight away if:

You have severe infection or 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), being sick (vomiting) and loss of appetite.

Talk to your doctor or pharmacist before taking this medicine if you are taking any prescribed medicines; particularly metoclopramide or domperidone (for nausea [feeling sick] or vomiting [being sick]) or ergotamine or methylsergide (for migraine) or colestyramine (to lower blood cholesterol) or drugs to lower blood pressure; appetite suppressants or stimulants; drugs to treat depression such as tricyclic antidepressants (e.g. amitriptyline) or heart disease (e.g. digoxin) or if you take blood thinning drugs (anticoagulants e.g. warfarin).

Please inform your doctor or pharmacist if you are taking: flucloxacillin (an antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (see section 2).

Talk to your doctor before taking this product if you are pregnant or breast feeding.

Beechams All in One contains colour sunset yellow FCF (E 110) which may cause allergic reactions.

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.

If your symptoms persist, see your doctor.

• Allergic reactions which may be severe such as skin rash and itching sometimes with swelling of the mouth or face or shortness of breath.
• Skin rash or peeling, or mouth ulcers.
• Breathing problems. These are more likely if you have experienced them before when taking other painkillers such as ibuprofen or aspirin.
• Unexplained bruising or bleeding.
• Reoccurring fevers or infections.
• Nausea, sudden weight loss, loss of appetite and yellowing of the eyes and skin.
• Visual disturbances. This is rare but is more likely in those with glaucoma.
• Unusually fast pulse rate or a sensation of an unusually fast or irregular heartbeat.
• Difficulty passing water. This is more likely to occur in men with an enlarged prostate gland.

The following side effects may also occur. Tell your doctor if you get them.

• Raised blood pressure, headache, dizziness, difficulty sleeping, nervousness, anxiety, diarrhoea, sickness or a serious condition that can make blood more acidic (called metabolic acidosis) in patients with severe illness using paracetamol (see section 2).

If you get any side effects, talk to your doctor, pharmacist or nurse. 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 side effects you can help provide more information on the safety of this medicine.