Panadol Extra Film Coated Tablets

Panadol Extra tablets are used for the relief of headache, backache, rheumatic pain, muscle pain, neuralgia, toothache and period pain. They also relieve discomfort in colds, flu, and sore throat and help reduce temperature.

The tablets contain two active ingredients.

• Paracetamol is a painkiller and reduces your temperature when you have a fever.
• Caffeine acts to further help the effectiveness of paracetamol.

Directions for use:

Adults, elderly and children aged 16 years and over:

Take 2 tablets with water every 4 hours as required, but no more than 8 tablets in 24 hours.

Do not take more than 4 tablets a day in the following situations, unless directed by your doctor: 

• Weight less than 50kg
• Chronic alcoholism
• Dehydration
• Chronic malnutrition

Children aged 12-15 years:

Take 1 tablet with water every 4 hours as required, but no more than 4 tablets in 24 hours.

This medicine is not suitable for children under 12 years of age.

Contains paracetamol.

• Do not take any other paracetamol-containing products. 
• Do not take more frequently than every 4 hours. 
• Do not exceed the maximum recommended dose, see above. 
• If you have a high fever, or if symptoms get worse or persist for longer than 3 days, consult your doctor.
• Prolonged use except under medical supervision may be harmful.

Avoid too much caffeine in drinks like coffee and tea. High caffeine intake can cause difficulty sleeping, shaking and an uncomfortable feeling in the chest. • Always use the lowest effective dose to relieve your symptoms. If your symptoms continue or your headache becomes persistent, see your doctor.

Warnings:

Do not take Panadol Extra tablets:

• if you have ever had an allergic reaction to paracetamol, caffeine or to any of the other ingredients (listed below). 
• if you are taking any other medicines containing paracetamol.
• if you are under 12 years.

Check with your doctor before use if you:

• have liver or kidney problems, including alcoholic liver disease 
• are underweight (<50kg) or malnourished
• regularly drink alcohol
• suffer from severe dehydration
• are taking medicines that affect your liver
• have a severe infection as this may increase the risk of metabolic acidosis. Signs of metabolic acidosis include: - deep, rapid, difficult breathing - feeling sick (nausea), being sick (vomiting) - loss of appetite Contact a doctor immediately if you get a combination of these symptoms.

If you are taking other medicines
Talk to your doctor or pharmacist beforetaking these tablets if you are takingany prescribed medicines; particularlymetoclopramide or domperidone (fornausea [feeling sick] or vomiting [beingsick]) or colestyramine (for highcholesterol).

 If you take blood thinning drugs (anticoagulants e.g. warfarin) and you need to take a pain reliever on a daily basis, talk to your doctor because of the risk of bleeding. But you can still take occasional doses of Panadol Extra tablets at the same time as anticoagulants.
This product is not recommended if you are taking lithium.

Please inform your doctor or pharmacist
if you are taking 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.

Pregnancy and breastfeeding
Not recommended during pregnancy or
breastfeeding, unless recommended by your
doctor.

Contains:

Active ingredient Each tablet contains Paracetamol 500mg and Caffeine 65mg.

Other ingredients Starch pregelatinised, Povidone K-25, Calcium carbonate, Crospovidone, Sodium methyl parahydroxybenzoate (E219), Sodium ethyl parahydroxybenzoate (E215), Sodium propyl parahydroxybenzoate (E217), Alginic Acid and Magnesium stearate. Film coat Titanium dioxide, Hypromellose, Macrogol and Polysorbate 80. Polishing agent Carnauba wax.

Keep all medicines out the sight and reach of children.

Always consult the Patient Information Leaflet before using this medicine.