Contains paracetamol. Do not use with any other products containing paracetamol, decongestants or cold and flu medicines. The concomitant use with other products containing paracetamol may lead to an overdose. Paracetamol overdose may cause liver failure, which may require liver transplant or lead to death.
Cases of hepatic dysfunction/failure have been reported in patients with depleted glutathione levels, such as those who are severely malnourished, anorexic, have a low body mass index, are chronic heavy users of alcohol, or have sepsis.
Medical advice should be sought before taking this product in patients with:
- Hypertension
- Cardiovascular Disease
- Diabetes
- Hyperthyroidism
- Angle closure glaucoma
- Phaeochromocytoma
- An enlargement of the prostate gland
- Occlusive vascular disease (e.g. Raynaud’s Phenomenon)
- Liver and kidney impairment. Underlying liver disease increases the risk of paracetamol-related liver damage
- Glutathione-depleted states, as the use of paracetamol may increase the risk of metabolic acidosis
Use with caution in patients taking the following medications.
- beta-blockers and other antihypertensive drugs
- tricyclic antidepressants
- other sympathomimetics (such as decongestants, appetite suppressants and amphetamine-like psychostimulants)
- digoxin and cardiac glycosides
- ergot alkaloids (e.g. ergotamine and methysergide)
Medical advice should be sought if symptoms worsen, persist for more than 7 days, or are accompanied by a high fever, skin rash or persistent headache.
Keep out of sight and reach of children.8
