This medicine is available without prescription to treat minor conditions. However, you still need to give it carefully to get the best results from it.

• Keep this leaflet, you may need to read it again
• Ask your pharmacist if you need more information or advice
• You must contact a pharmacist or doctor if your child’s symptoms worsen or do not improve after 3 days
• The leaflet is written in terms of giving this medicine to your child, but if you are an adult who is intending to take this medicine yourself the information in this leaflet will apply to you as well

• If your child is under 2 months
• If your child is allergic to any of the ingredients (see “What is in this medicine”)
• If your child has an intolerance to some sugars, unless your doctor tells you to (this medicine contains maltitol and sorbitol)

• If your child has liver or kidney problems
• If your child takes any other medicines (see “If your child takes other medicines”)

Information about some of the ingredients in this medicine: Maltitol and sorbitol may have a mild laxative effect. This medicine contains 3.3 g of a hydrogenated glucose syrup (containing maltitol and sorbitol) per 5 ml spoonful. This provides 8 kcal per 5 ml spoonful.

Sodium propylparaben (E217) and sodium methylparaben (E219) may cause allergic reactions (possibly delayed).

This medicine may be harmful if you are dependant on alcohol or have alcoholic liver disease. Do not drink alcohol (wine, beer, spirits) whilst taking this medicine.

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

Breast-feeding: Do not take this medicine, unless your pharmacist or doctor tells you to.

Do not give anything else containing paracetamol while giving this medicine.

Before you give this medicine, make sure that you tell your pharmacist about ANY other medicines you might be giving your child at the same time, particularly the following:

• Domperidone or metoclopramide (for feeling sick or being sick)
• Colestyramine (to reduce blood fat levels)
• Medicines to thin the blood (e.g. warfarin)

If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for your child, including herbal and homeopathic remedies.

Age 3 months up to 6 months take 2.5 ml up to 4 times in any 24 hours. Leave at least 4 hours between doses

Age 6 months up to 2 years take 5 ml up to 4 times in any 24 hours. Leave at least 4 hours between doses

Age 2 years up to 4 years take 7.5 ml (5 ml + 2.5 ml) up to 4 times in any 24 hours. Leave at least 4 hours between doses

Age 4 up to 8 years take 10 ml (5 ml + 5 ml) up to 4 times in any 24 hours. Leave at least 4 hours between doses

Age 8 years up to 10 years take 15 ml (5 ml + 5 ml + 5 ml) up to 4 times in any 24 hours. Leave at least 4 hours between doses

Age 10 years up to 12 years take 20 ml (5 ml + 5 ml + 5 ml + 5 ml) up to 4 times in any 24 hours. Leave at least 4 hours between doses

Don’t give more than 4 times in any 24 hours

Do not give more medicine than the label tells you to. If your child does not get better, talk to your doctor.

Do not give this medicine to your child for more than 3 days, unless your doctor or pharmacist tells you to.

If symptoms do not go away talk to your doctor.

For the relief of fever after vaccination at 2, 3 and 4 months

2.5 ml. This dose may be given up to 4 times a day at the time of vaccination. Do not give more than 4 doses in any 24 hour period. Leave at least 4 hours between doses. If your baby still needs this medicine two days after receiving the vaccine talk to your doctor or pharmacist.

Talk to a doctor at once if your child takes too much of this medicine even if they seem well. This is because too much paracetamol can cause delayed, serious liver damage.

• Difficulty in breathing, swelling of the face, neck, tongue or throat (severe allergic reactions)
• Very rare cases of serious skin reactions have been reported. This may include peeling, blistering and lesions of the skin.

• Other allergic reactions (e.g. skin rash)
• Unusual bruising, or infections such as sore throats. This may be a sign of very rare changes in the blood

If you or your child 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. By reporting side effects you can help provide more information on the safety of this medicine.