Boots Max Strength Cold & Flu Relief Lemon Flavour Powder for Oral Suspension

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.

These sachets are used for the relief of the symptoms of colds and flu, including headache, aches and pains, sore throat, nasal congestion (blocked nose) and feverishness (high temperature).

• are allergic to paracetamol, phenylephrine or any of the other ingredients (listed in section 6)
• have a serious heart condition
• have high blood pressure (hypertension)
• are taking antidepressant drugs called monoamine oxidase inhibitors (MAOI’s) or have taken them within the last 14 days – these are medicines such as moclobemide, phenelzine and isocarboxazid
• you are taking other decongestants such as ephedrine or xylometazoline
• have an overactive thyroid gland
• have an enlarged prostate or prostate problems
• have phaeochromocytoma (rare tumor of the adrenal gland tissue).

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
• you have non-cirrhotic liver disease (liver disease that is not associated with changes in the structure of the liver)
• suffer with phenylketonuria, a rare, inherited metabolic disorder
• have diabetes mellitus
• have closed angle glaucoma.

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

• antidepressant drugs called monoamine oxidase inhibitors (MAOI’s) or have taken them within the last 14 days – these are medicines such as moclobemide, phenelzine and isocarboxazid
• medicines to treat high cholesterol levels which reduce the amount of fat in the blood such as cholestyramine
• 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
• tricyclic antidepressants such as imipramine, amitriptyline
• medicines to lower blood pressure, treat heart or circulatory problems such as beta blockers (e.g. atenolol), vasodilators (e.g. hydralazine) or cardiac glycocides (e.g. digoxin)
• other decongestant drugs such as ephedrine or xylometazoline
• 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.

Contains paracetamol.

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

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

If you are pregnant or ‘breast-feeding’, think you may be pregnant or are planning to have baby, you should not use this product.

This product should not be used in women with a history of pre-eclampsia (high blood pressure during pregnancy which can lead to seizures).

Always ask your doctor or pharmacist for advice before taking this medicine.

Contains 1.9 g sucrose (sugar) per sachet. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine contains 25 mg aspartame in each sachet. Aspartame is a source of phenylalanine. It may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly.

This medicine contains 118 mg of sodium (the main component of cooking/table salt) in each sachet. This is equivalent to 6% of the recommended maximum daily dietary intake of sodium for an adult.

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. You may experience symptoms of dizziness, palpitations (irregular or forceful heartbeat), stomach pain, high blood pressure with headache, unhealthy pale appearance (pallor), feeling sick (nausea) or vomiting if you take too much of this medicine.

Do not take a double dose to make up for a forgotten dose. If you forget a dose, take it as soon as you remember it and then take the next dose at least 4 hours later.

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.

The active ingredients are paracetamol and phenylephrine hydrochloride. Each 5 g sachet contains paracetamol 1000 mg and phenylephrine hydrochloride 12.2 mg.

The other ingredients are: sucrose, citric acid, natural lemon flavours, sodium citrate, ascorbic acid (Vitamin C), acesulfame potassium (E950), aspartame (E951) and quinoline yellow (E104).

Each 5 g sachet contains yellow powder.

This pack contains 5, 8 or 10 sachets.

Not all pack sizes may be marketed.

Manufactured for

by the Marketing Authorisation holder

PL12063/0034