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Patient Information Leaflet

In this leaflet

1.    What this medicine is for

2.    Before using this medicine

3.    How to take this medicine

4.    Possible side effects

5.    Storing your medicine

6.    Further information

1. What this medicine is for

Paracetamol belongs to a group of medicines called analgesics that help to ease pain.

It is used to treat mild to moderate pain including teething pain. It is also used to bring down fever (high temperature) including fever caused by immunisation.

2. Before using this medicine

This medicine is suitable for most people but a few people should not use it. If you are in any doubt, talk to your doctor or pharmacist.

□ Do not take or give your child this medicine...

•    if you/your child has ever had a bad reaction to any of the ingredients (see section 6).

•    if you/your child is taking anything else with paracetamol in it. Paracetamol is often included in cold and flu remedies, and in other medicines you can buy, (such medicines have "contains paracetamol" printed on the pack).

If any of these apply, get advice from a pharmacist or doctor without using Paracetamol Oral Suspension.

A Talk to your doctor or pharmacist...

•    If you/your child has serious kidney or liver problems.

•    If you/your child are dependent on alcohol

A Taking other medicines:

Tell your doctor or pharmacist if you are taking any other medicines including herbal medicines and those that you may have bought yourself.

Paracetamol can interfere with the action of some other drugs and some drugs can have an effect on paracetamol. The drugs which can cause some problems when taken together with paracetamol are:

-    barbiturates (sleeping tablets)

-tricyclic antidepressants (e.g. amitriptyline)

-    cholestyramine (used in the treatment of high cholesterol levels)

-    warfarin (used to thin the blood and prevent clotting)

-    domperidone and metoclopramide (used in the treatment of nausea and vomiting).

A Pregnancy and Breast-feeding

•    Ask your doctor or pharmacist for advice before taking this medicine if you are pregnant or think you might be pregnant.

•    Ask your doctor or pharmacist for advice before taking this medicine if you are breast-feeding.

Driving and using machines Your medicine is unlikely to affect your ability to drive or to operate machinery.

Date: 06/12/2013

Size: 297 x 210mm (W x H) Code: 3262/1/MA

A Important information about some of the ingredients of Paracetamol Oral Suspension

•    Maltitol liquid: If you have been told by your doctor that you or your child have intolerance to some sugars, contact your doctor before taking this medicine.

•    Sodium methyl parahydroxybenzoate (E219) and Sodium propyl parahydroxybenzoate (E217): May cause allergic reactions (possibly delayed).

3. How to take this medicine

Check the table below to see how much of the

medicine to use.

•    For oral use only

•    It is important to shake the bottle for at least 10 seconds before use

•    Never give more medicine than shown in the table

•    Do not give this medicine with any other paracetamol-containing product

•    Do not overfill the spoon.

•    Always use the spoon supplied with the pack. The big spoon measures 5ml and the small spoon measures 2.5ml.

■ 2.5ml

For post-vaccination fever for babies aged between 2-3 months:

One 2.5 ml spoonful (small end). If necessary, after 4-6 hours, give a second 2.5 ml dose

•    Do not give to babies less than 2 months of age

•    Do not give more than 2 doses

•    Leave at least 4 hours between doses

•    If further doses are needed, talk to your doctor or pharmacist.

For Pain and Fever Relief:

Child’s age	How much to give
3 - 6 months:	One 2.5ml spoonful (small end) four times a day.
6 - 24 months:	One 5ml spoonful (large end) four times a day.
2 - 4 years:	One 5ml spoonful (large end) and one 2.5ml spoonful (small end) four times a day.
4 - 6 years:	Two 5ml spoonfuls (large end) four times a day.

•    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.

A ^ you give more Paracetamol Oral Suspension than you should

If you accidentally take or give an overdose of this medicine, either call your doctor straight away, or go to your nearest hospital casualty department. Always take any remaining medicine, the container and the label with you, so that the medicine can be identified.

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. There may be no symptoms during the first 24 hours although loss of colour, feeling sick, vomiting and abdominal pain may occur.

^ If you forget to give Paracetamol Oral Suspension

Give the next dose when needed provided that the last dose was given at least 4 hours ago. Do not give a double dose.

If you are worried, or not sure of when or how to use this medicine, ask your doctor or pharmacist for advice.

4. Possible side effects

Paracetamol Oral Suspension can have side effects, like all medicines, although these don’t affect everyone and are usually mild.

If any of the following happen, stop giving Paracetamol Oral Suspension and tell your doctor immediately or go to the casualty department at your nearest hospital.

• Swelling of the hands, feet, ankles, face, lips, mouth, or throat which may cause difficulty in swallowing or breathing.

These are all very serious side effects. If you or your child have them, you may have a serious allergic reaction to Paracetamol Oral Suspension. You may need urgent medical attention or hospitalisation.

All of these very serious side effects are very rare.