Paracetamol 250mg/5ml Oral Suspension

• Keep this leaflet. You may need to read it again
• Ask your pharmacist if you need more information or advice
• You must contact a doctor if your symptoms worsen or do not improve
• If any of these side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist

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

• If s/he is allergic to paracetamol or any of the ingredients listed in section 6. An allergic reaction can include a rash, itching or shortness of breath.
• If s/he has taken any other medicine that contains paracetamol.

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

Talk to your doctor or pharmacist before giving Paracetamol to a child:

• If s/he has kidney problems
• If s/he has liver problems
• If s/he has an inherited intolerance to fructose or been diagnosed with an intolerance to some other sugars.

Your child may be more at risk of the side effects of paracetamol.

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

Tell your doctor if your child is 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)
• flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (high anion gap metabolic acidosis) that must have urgent treatment and which may occur particularly in case of severe renal impairment, sepsis (when bacteria and their toxins circulate in the blood leading to organ damage), malnutrition, chronic alcoholism, and if the maximum daily doses of paracetamol are used.

The following additional warnings are included in case an adult takes this product:

• you can use this medicine while you are taking oral contraceptives “the pill”, but it may not work so well on your pain or fever.
• if you drink large amounts of alcohol, talk to your doctor before you take this medicine. You may be more susceptible to the side-effects of paracetamol. If this applies to you talk to a doctor before use.
• 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.
• this medicine should not affect your ability to drive or use machines.

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

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 163.9mg 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.
• Sorbitol. This medicine contains 682.0mg 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.
• This medicine contains less than 1mmol sodium per ml, that is to say essentially 'sodium-free'.

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 use the 1.25ml graduation marking on the spoon for dosing this product.
• Do not give this medicine with any other paracetamol-containing product.

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.

• Immediate medical advice should be sought in the event of an overdose, even if you or your child seem well. This is because too much paracetamol can cause 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), sweating, vomiting (being sick), loss of appetite and abdominal pain may occur.

Take the next dose when needed, provided that the last dose was taken at least 4 hours ago. Do not take a double dose to make up for a forgotten dose.

• 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. Symptoms may include:
  skin reddening, blisters, rash. If skin reactions occur or existing skin symptoms worsen, stop use and seek medical help right away.

If paracetamol is taken every day or for a long time (several months or more), 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, but liver function tests may be affected.

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.

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.

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. The pack contains a 2.5ml/5ml double-ended measuring spoon to measure the dose correctly (do NOT use the 1.25ml graduation marking on the 2.5ml end of the spoon for dosing).