Boots Max Strength Sinus Pressure & Pain Relief Day & Night Capsules

Patient Leaflet Updated 08-Dec-2023 | THE BOOTS COMPANY PLC

Boots Max Strength Sinus Pressure & Pain Relief Day & Night Capsules

Package leaflet: Information for the user

Boots Pharmaceuticals Max Strength Sinus Pressures & Pain Relief Day & Night Capsules

(Caffeine, Paracetamol, Phenylephrine)

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

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

What is in this leaflet

1. What this medicine is and what it is used for
2. What do 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

1. What this medicine is and what it is used for
This medicine contains:
  • 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 which helps to increase the pain relief from paracetamol and makes you more alert.

The Day capsules are used for the relief of the symptoms of sinus pain and congestion, including relief of aches and pains, headache, fatigue (tiredness) and drowsiness, nasal congestion (blocked nose) and feverishness (high temperature).

The Night 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).

2. What you need to know before you take this medicine
Do not take this medicine if you:
  • 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)
  • have a history of stomach ulcers
  • have an overactive thyroid
  • have an enlarged prostate
  • 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.

Warnings and precautions

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 diabetes
  • have circulatory disorders such as a condition called Raynaud’s Phenomenon, which results from poor circulation in the fingers and toes.

Other medicines and this medicine

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 phenobarbitone
  • tricyclic antidepressants such as imipramine, amitriptyline
  • medicines to lower blood pressure, treat heart or circulatory problems such as beta blockers (e.g. atenolol) or vasodilators (e.g. hydralazine)
  • 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.

This medicine with food, drink and alcohol

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

Pregnancy, breast-feeding and fertility

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Information about some of the ingredients in this medicine

This medicine contains less than 1 mmol sodium (23 mg) per 2 capsules, that is to say essentially 'sodium-free'.

3. How to take this medicine

Swallow the capsules whole with water. Do not chew.

Adults, the elderly and children aged 16 years and over: 2 Day capsules every 4 to 6 hours during the daytime, as required

followed by

2 Night capsules at bedtime.

Do not take more than 8 capsules (4 doses) in any 24 hour period.

Leave at least 4 to 6 hours between doses.

Do not give to children under 16 years.

If the symptoms of your cold or flu persist for more than three days, or worsen, consult your pharmacist or doctor.

Do not take more medicine than the label tells you to. If you do not get better, talk to your doctor.

This medicine does not contain a sleep aid.

If you take more of this medicine than you should

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.

4. Possible side effects

Most people do not have any side effects while taking this medicine. However, if you experience any of the following side effects, or anything else unusual happens, stop taking the medicine immediately, and see your doctor or pharmacist.

Rare side effects are:

  • allergic reactions such as skin rash
  • tingling and coolness of the skin
  • a faster or slower heart beat
  • a rise in blood pressure with headache, vomiting (being sick) and irregular heart beat (palpitations)
  • nausea (feeling sick) (Day Capsule only)
  • difficulty sleeping (insomnia) (Day Capsule only)
  • problems or pain passing urine.

More rarely, the following side effects can happen:

  • you may become more prone to bleeding, bruising, fever and infections, such as sore throat and ulcers, due to changes in your blood.

Very rare cases of serious skin reactions have been reported.

Reporting of side effects

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.

5. How to store this medicine

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date printed on the pack.

Do not store above 25°C.

6. Contents of the pack and other information
What this medicine contains

Day Capsules:

Each Day capsule contains the active ingredients: 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), erythrosine (E127) and indigo carmine (E132).

Night Capsules:

Each Night capsule contains the active ingredients: 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).

What this medicine looks like and contents of the pack

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

Marketing Authorization Holder and Manufacturer:

Manufactured for

The Boots Company PLC
Nottingham
NG2 3AA

by Marketing Authorisation holder

Wrafton Laboratories Limited
Braunton
Devon
EX33 2DL

PL 12063/0074

Leaflet revised June 2023

If you would like any further information about this medicine, please contact

The Boots Company PLC
Nottingham
NG2 3AA

Artwork Reference: H1J73QAJ6

Company Contact Details
THE BOOTS COMPANY PLC
Address

1 Thane Road West, Beeston, Nottingham, NG2 3AA

Fax

+44 (0)1159 592 565

Telephone

+44 (0)1159 595 165