Paracetamol 250mg/5ml Oral Suspension

What is in this leaflet

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

Do not take this medicine if you have:

• had an allergic reaction to paracetamol or any of the ingredients listed in section 6. An allergic reaction can include a rash, itching or shortness of breath.
• a liver disorder

Speak to your doctor or pharmacist if any of these apply to you.

Warnings and precautions

Talk to your doctor or pharmacist before taking Paracetamol if you have:

• kidney problems
• liver problems, including those due to drinking too much alcohol.

You may be more at risk of the side effects of paracetamol.

Speak to your doctor or pharmacist if any of these apply to you.

Other medicines and Paracetamol:

You must not take any other medicines that contain paracetamol while you are taking this medicine.

Tell your doctor if you are taking any of these medicines:

• barbiturates (sleeping tablets)
• tricyclic antidepressants (such as amitriptyline)
• colestyramine (used to treat high cholesterol)
• warfarin (used to thin the blood and prevent clotting)
• zidovudine (used in HIV infections and AIDS)
• domperidone and metoclopramide (used to treat nausea and vomiting)
• anticonvulsants (medicines used to treat epilepsy or fits)
• oral contraceptives “the pill”.

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Pregnancy and Breast-feeding:

If you are pregnant, planning to become pregnant or are breast-feeding, talk to your doctor or pharmacist before taking this medicine.

If necessary Paracetamol can be used during pregnancy. You should use the lowest possible dose that reduces your pain and/or your fever and use it for the shortest time possible. Contact your doctor if the pain and/or fever are not reduced or if you need to take the medicine more often.

Driving and using machines:

This medicine should not affect your ability to drive or use machines.

Paracetamol Suspension contains tartrazine and carmoisine, methyl and propyl parahydroxybenzoate, sucrose, propylene glycol and sorbitol.

This medicine contains:

• Tartrazine and carmoisine (in the flavouring) – these may cause allergic reactions.
• Methyl and propyl parahydroxybenzoates – may cause allergic reactions (possibly delayed).
• Sucrose. Contains 2.5g of sucrose per 5ml spoonful. This should be taken into account if you have 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.
• Propylene glycol. This medicine contains 144.8mg propylene glycol per 5ml spoonful. If you are pregnant, breast-feeding or if you suffer from a liver or kidney disease, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.
• Sodium. This medicine contains less than 1mmol sodium per ml, that is to say essentially 'sodium-free'.
• Sorbitol. This medicine contains 680.5mg sorbitol per 5ml spoonful. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) 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 (or your child) take or receive this medicine. Sorbitol may cause gastrointestinal discomfort and mild laxative effect.

Taking this medicine

Check the table below to see how much medicine to use

• This medicine contains 250mg of paracetamol in one 5ml spoonful.
• Take this medicine by mouth only.
• Never give more medicine than shown in the table.
• It is important to shake the bottle for at least 10 seconds before use.
• Always use the spoon supplied with the pack. Do not overfill the spoon.
• Do not give this medicine with any other paracetamol-containing product.

How much to take

Age: 6 – 8 years, How Much: One 5 mL spoonful (large end), How often (in 24 hours): 4 times

Age: 8 – 10 years, How Much: One 5 mL spoonful (large end) and one 2.5 ml spoonful (small end), How often (in 24 hours): 4 times

Age: 10 – 12 years, How Much: Two 5 mL spoonful (large end), How often (in 24 hours): 4 times

Age: 12 – 16 years, How Much: Two to three 5 mL spoonfuls (large end), How often (in 24 hours): 4 times

Age: Adults and children over 16 years, How Much: Two to four 5 mL spoonfuls (large end), How often (in 24 hours): 4 times

• Do not give more than 4 doses in any 24 hour period
• Leave at least 4 hours between doses
• Do not give this medicine to your child for more than 3 days without speaking to your doctor or pharmacist
• Do not give to children under the age of 6 years.

Do not exceed the stated dose. You must see a doctor if your symptoms worsen or do not improve after 3 days.

If you take more paracetamol than you should (overdose):

• Immediate medical advice should be sought in the event of an overdose, even if you or your child seem well, because of the risk of delayed, serious liver damage. Phone your doctor or go to your nearest accident and emergency department straight away.
• There may be no symptoms during the first 24 hours although paleness, nausea (feeling sick), vomiting (being sick) and abdominal pain may occur.

If you forget to take this medicine:

Take the next dose when needed. Do not take a double dose to make up for a forgotten dose.

If you have an allergic reaction to this medicine see a doctor straight away.

An allergic reaction may include:

• skin rash, flaking skin, boils, sore lips and mouth, swelling of the face, fever.
• sudden wheezing, fluttering or tightness of the chest or collapse.

If you get any of the following side effects, stop taking this medicine and see your doctor as soon as possible:

• bruising more easily, sore throat or other signs of infection (these may be signs of a blood disorder)
• severe pain in the abdomen and back, with fever (high temperature), loss of appetite, nausea and vomiting (these may be signs of pancreas inflammation)
• very rare cases of serious skin reactions have been reported.

Tell your doctor if you get any of these side effects:

• Skin rash

If paracetamol is taken for a long time, it may lead to liver and kidney problems but if the right amount is taken over a short period of time there should be no problems.

Reporting of side effects

If you 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 side effects you can help provide more information on the safety of this medicine.

What Paracetamol Suspension contains

The active substance is paracetamol.

The other ingredients are methyl and propyl parahydroxybenzoate (E218 and E216), propylene glycol (E1520), xanthan gum (E415), liquid sorbitol (E420), sucrose, mango flavour, pineapple flavour (containing tartrazine (E102) and carmoisine (E122)), sweetness enhancer, sodium citrate and purified water.

What Paracetamol Suspension looks like and contents of the pack

Paracetamol Suspension is a white to off-white liquid which smells of mango and pineapple.

It comes in a brown glass bottle holding 100ml or 500ml of suspension. A 2.5ml/5ml double ended spoon is provided to measure the dose.

The Marketing Authorisation Holder and Manufacturer is: