Boots Max Strength Cold & Flu Relief Day & Night Capsules

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have 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.

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

• paracetamol which is a pain reliever (analgesic) and helps reduce your temperature when you have a fever
• phenylephrine which is a decongestant to reduce swelling in the passages of the nose to help you breathe more easily.

The Day capsules also contain:

• caffeine

These capsules are used for the relief of the symptoms of colds and flu, including aches and pains, sore throat, headache, nasal congestion (blocked nose) and feverishness (high temperature). The Day capsules can also relieve tiredness and drowsiness.

• are allergic to paracetamol, caffeine, phenylephrine or any of the other ingredients
• have a serious heart condition or cardiovascular disorder(s)
• have high blood pressure (hypertension)
• are taking medicines to lower blood pressure, treat heart or circulatory problems such as beta blockers (e.g. atenolol)
• have severe hepatic impairment
• have severe renal impairment
• have an overactive thyroid
• have an enlarged prostate
• have diabetes
• have pheochromocytoma
• have glaucoma, including closed angle glaucoma
• are taking antidepressant drugs called monoamine oxidase inhibitors (MAOI’s), or have taken them within the last 14 days - these are medicines such as phenelzine and isocarboxazid
• are taking tricyclic antidepressants such as imipramine, amitriptyline
• are taking medicines belonging to a group called sympathomimetic amines such as dopamine, epinephrine.

Talk to your doctor or pharmacist before taking this medicine if you:

• are pregnant or breast-feeding
• suffer from kidney or liver problems, including alcoholic liver disease
• have circulatory disorders such as a condition called Raynaud’s Phenomenon, which results from poor circulation in the fingers and toes
• are dehydrated
• have difficulty passing urine
• have a blood condition called Haemolytic anaemia
• have genetic conditions such as Gilbert’s syndrome or Glucose-6-phosphate dehydrogenase deficiency
• have Glutathione deficiency.

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).

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

• medicines to treat high cholesterol levels which reduce the amount of fat in the blood such as colestyramine
• medicines to control feeling sick or being sick such as metoclopramide or domperidone
• medicines called anti-coagulants, which are used to thin the blood such as warfarin or other coumarins – you may take occasional doses of paracetamol but should consult your doctor if you need to take it on a regular basis
• barbiturates (for epilepsy or to help you sleep), such as phenobarbitones
• medicines used to treat gout such as probenacid
• medicines to treat irregular heartbeats (arrhythmias) e.g. digoxin
• medicines called ergot alkaloids, which are used to treat severe headaches
• other decongestant drugs such as ephedrine or xylometazoline
• flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (see section 2).

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

This medicine with food and alcohol

Do not drink alcohol (beer, wine, spirits etc) while taking this product.

This medicine contains less than 1 mmol sodium (23 mg) per capsule, that is to say essentially 'sodium-free'.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, you should not take this medicine.

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. Go to your nearest hospital casualty department.

Take your medicine and this leaflet with you.

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.

Day Capsules:

The active ingredients are paracetamol, phenylephrine hydrochloride and caffeine. Each Day capsule contains paracetamol 500 mg, caffeine 25 mg and phenylephrine hydrochloride 6.1 mg.

The other ingredients in the Day capsules are: maize starch, croscarmellose sodium, sodium laurilsulfate, magnesium stearate and talc.

The capsule shell is made of gelatin and contains the colours: quinoline yellow (E104), titanium dioxide (E171), patent blue V (E131) and erythrosine (E127).

Night Capsules:

The active ingredients are paracetamol and phenylephrine hydrochloride.

Each Night capsule contains paracetamol 500 mg and phenylephrine hydrochloride 6.1 mg.

The other ingredients in the Night capsules are: maize starch, croscarmellose sodium, sodium laurilsulfate, magnesium stearate and talc.

The capsule shell is made of gelatin and contains the colours titanium dioxide (E171), erythrosine (E127) and indigo carmine (E132).

The pack contains 12 red and yellow coloured Day capsules as well as 4 dark blue and light blue coloured Night capsules.

Manufactured for

by the Marketing Authorisation holder