How to take it

this medicine

condition called metabolic acidosis (a blood and fluid abnormality) has been reported in patients in these situations when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken together with flucloxacillin. Symptoms of metabolic acidosis may include: serious breathing difficulties with deep rapid breathing, drowsiness, feeling sick (nausea) and being sick (vomiting). Pregnancy and breast-feeding If necessary, this medicine can be used during pregnancy. You should use the lowest possible dose that reduces your pain and/or your fever and use it for the shortest time possible. Contact your doctor if the pain and/or fever are not reduced or if you need to take the medicine more often. If you take other medicines This medicine contains paracetamol. Do not take anything else containing paracetamol while taking this medicine. Before you take these capsules, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time, particularly the following:

• Domperidone or metoclopramide, for feeling sick or being sick (may increase the pain relief effect of paracetamol).
• Colestyramine, for lowering blood lipid levels (may reduce the pain relief effect of paracetamol).
• Warfarin or other coumarins (for thinning the blood) – if you take warfarin you can take occasional doses of this medicine, but talk to your doctor first before you take it on a regular basis.
• Flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (see 'Warnings

Check the foil is not broken before use. If it is, do not take that capsule. Follow the instructions in the table below. Age How many How often to take to take Adults One to two Every 4 – 6 and capsules hours when children necessary, to a maximum of 16 years of 4 doses in 24 hours. and over

200

Swallow each capsule with water. Do not give to children under 16 years. Do not take more than the amount recommended above. If symptoms do not go away within 3 days talk to your doctor. If symptoms persist talk to your doctor. If you take too many capsules: 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.

Possible side effects

Most people will not have problems, but some may get some. If you get any of these serious side effects, stop taking the capsules. See a doctor at once:

• Difficulty in breathing, swelling of the face, neck, tongue or throat (severe allergic reactions).
• Very rare cases of serious skin reactions have been reported. Frequency "Not known" (frequency cannot be estimated from the available data):
• A serious condition that can make blood more acidic (called metabolic acidosis), in patients with severe illness using paracetamol (see 'Warnings and precautions'). These other effects are less serious, if

they bother you talk to a pharmacist:

• Other allergic reactions.
• Unusual bruising or infections such as sore throats – this may be a sign of very rare changes in the blood. If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor. 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. By reporting side effects you can help provide more information on the safety of this medicine.

How to store it

this medicine

Do not store above 30°C. Store in the original package. Keep all medicines out of the sight and reach of children, preferably in a locked cupboard. Do not use after the Use By date on the end flap of the carton (marked 'EXP').

What is in this medicine

Each capsule contains Paracetamol 500mg, which is the active ingredient. As well as the active ingredient, the capsules also contain sodium starch glycollate, magnesium stearate, sodium lauryl sulphate. The capsule shell contains gelatin, indigo carmine (E132), titanium dioxide (E171). The pack contains 6, 8, 10, 12 or 16, capsules with a blue cap and white body (not all pack sizes may be marketed).

Who makes this medicine

Marketing Authorisation Holder & Manufacturer: Max Remedies Ltd, William Nadin Way, Swadlincote, Derbyshire, DE11 0BB. Distributed by: The Boots Company PLC, Nottingham, NG2 3AA, UK. PL 31308/0004 Leaflet revised January 2025. If you would like any further information about this product, please contact The Boots Company PLC.

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