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PL & Product Name: PL00014/0565 Almus Cold and Flu Day Liquid
Reason for change: PRAC paracetmol warning & yellow card statement
Internally Approved
Version: 1
Date: 18/01/2016

Information for the user

Cold and Flu Day Liquid
(Paracetamol, Pholcodine, Pseudoephedrine Hydrochloride)
Read all of this leaflet carefully because it contains important information for you.
This medicine is available without prescription to treat minor conditions. However, you still
need to take 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

What this medicine is for
This medicine contains Paracetamol, an analgesic, which relieves pain and reduces fever, a
decongestant to relieve a blocked nose and a cough suppressant to relieve coughing.
It can be used to relieve even the worst symptoms of colds and flu including aches and
pains, nasal congestion, dry, tickly coughs and reduce fever. Dry coughs do not produce
phlegm or mucus on the chest.

Before you take this medicine
This medicine can be taken by adults and children of 16 years and over. However, some
people should not take this medicine or should seek the advice of their pharmacist or doctor

X Do not take:

If you are allergic to any of the ingredients in this medicine (see “What is in this medicine”)
If you are allergic to other decongestants
If you have severe kidney problems or liver failure
If you have heart or blood vessel disease, including poor circulation in your hands and
If you have high blood pressure (including that due to a tumour near your kidney)
If you have difficulty breathing
If you have long-term lung problems or an infection which produces lots of phlegm on
the chest
If you have diabetes
If you have an overactive thyroid
If you have raised pressure in the eye (glaucoma)
If you are taking any of these medicines:
- Monoamine oxidase inhibitors or moclobemide (for depression), or have taken them in the
last 14 days
- Medicines called beta-blockers (normally for heart problems)
- Other decongestants
- Other cough and cold medicines

PL & Product Name: PL00014/0565 Almus Cold and Flu Day Liquid
Reason for change: PRAC paracetmol warning & yellow card statement
Internally Approved
Version: 1
Date: 18/01/2016
If you have an intolerance to some sugars, unless your doctor tells you to (this medicine
contains glucose and sucrose)
If you are a man with prostate problems
If you are pregnant or breastfeeding


Talk to your doctor:

If you have a long-term cough or asthma (do not take this medicine if you are wheezing or if
you are having an asthma attack)
If you have a cough which produces lots of phlegm


Talk to your pharmacist or doctor:

If you have other kidney or liver problems (including liver problems caused by drinking
If you are on a low salt (sodium) diet (each 30 ml of this medicine contains 35 mg of sodium,
which may be harmful to you)
If you are dependent on alcohol or have epilepsy, brain injury or disease (this medicine
contains alcohol, which may be harmful to you)

Other important information
If you are going into hospital for an operation, tell the doctor that you are taking this
Driving and using machines: This medicine can affect your ability to drive or use
machines as it may make you feel sleepy or dizzy.
 Do not drive or use machines while taking this medicine until you are sure you are
not affected
 It is an offence to drive if this medicine affects your ability to drive
 However, you would not be committing an offence if:
o The medicine has been prescribed to treat a medical or dental problem and
o You have taken it according to the instructions given by the prescriber or in
the information provided with the medicine and
o It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while
taking this medicine.
Do not drink alcohol (wine, beer, spirits) whilst taking this medicine. Alcohol increases the
risk of side effects occurring and may make you feel more drowsy. The propylene glycol in
this medicine may enhance the effects of alcohol.
Information for people with diabetes: Each 30 ml of this medicine contains 5.4 g of
sucrose and 1.7 g of glucose.
Information about some of the ingredients in this medicine: Each 30 ml contains
1153 mg of alcohol (ethanol) equivalent to 29 ml of beer or 12 ml of wine.
Glycerol may cause headache, upset stomach and diarrhoea.

If you take other medicines

This medicine contains paracetamol. Do not take with any other paracetamol-containing
Before you take this medicine, make sure that you tell your pharmacist about ANY other
medicines you might be using at the same time, particularly the following:

PL & Product Name: PL00014/0565 Almus Cold and Flu Day Liquid
Reason for change: PRAC paracetmol warning & yellow card statement
Internally Approved
Version: 1
Date: 18/01/2016
Water tablets (diuretics) and medicines to treat high blood pressure
Medicines for heart problems (e.g. digoxin)
Medicines that may make you feel sleepy or drowsy such as strong painkillers, medicines for
epilepsy or medicines for mental health conditions
Medicines which may cause a dry mouth (e.g. tricyclic antidepressants), medicines to reduce
your appetite or stimulant medicines
Ergot alkaloids (for migraine)
Oxytocin (to induce labour, and stop excessive bleeding after the birth)
Domperidone or metoclopramide (for feeling sick or being sick)
Colestyramine (for lowering blood fat levels)
Warfarin or other coumarins (for thinning the blood) – if you take warfarin you can take
occasional amounts of this medicine, but talk to your doctor first before you take it on a
regular basis
If you are unsure about interactions with any other medicines, talk to your pharmacist. This
includes medicines prescribed by your doctor or medicine you have bought for yourself
including herbal and homeopathic remedies.

 How to take this medicine
Check the seal is not broken before first use. If it is, do not take the medicine.
Take during the day. Use the measuring cup provided.

How much to take

How often to take

Adults and
children of 16
years and over

30 ml

Every 4 hours, if you need to, up to 4 times
in any 24 hours.
Don’t take more than 120 ml in any 24
If you intend to take a night time cold
product at bedtime don’t take more than
90ml in any 24 hours.

This medicine should be swallowed.
Do not give to children under 16 years.
Do not take more medicine than the label tells you to. If you do not get better, talk to your
Do not take this medicine for more than 5 days, unless your doctor tells you to.
If symptoms do not go away talk to your doctor.
! If you take too much: 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 medicine. See a doctor at
Difficulty in breathing, swelling of the face, neck, tongue or throat (severe allergic reactions)

PL & Product Name: PL00014/0565 Almus Cold and Flu Day Liquid
Reason for change: PRAC paracetmol warning & yellow card statement
Internally Approved
Version: 1
Date: 18/01/2016
Very rare cases of serious skin reactions have been reported. This may include peeling,
blistering and lesions of the skin.


If you get any of these side effects, stop taking the medicine:

Sleep disturbances

If you get any of the following side effects see your pharmacist or doctor:
Other allergic reactions such as skin rash
Feeling sick, being sick, diarrhoea, constipation, stomach upset, stomach pain
Headache, blurred vision, ringing in the ears, loss of appetite
Anxiety, feelings of paranoia, irritability, feeling excited or confused, difficulty sleeping,
Tremors, sweating, dizziness, drowsiness
Fast, slow or irregular heart beat, palpitations
High blood pressure
Difficulty in passing urine
Phlegm on the chest
Unusual bruising or infections such as sore throats – this may be a sign of very rare changes
in the blood

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: By reporting side effects you can
help provide more information on the safety of this medicine.

How to store this medicine
Do not store above 25ºC.
Keep this medicine in a safe place out of the sight and reach of children, preferably in a
locked cupboard.
Use by the date on the bottle label or on the end flap of the carton. After this date return any
unused product to your nearest pharmacy for safe disposal.

What is in this medicine
Each 30 ml of oral solution contains Paracetamol 1000 mg, Pholcodine 10 mg,
Pseudoephedrine Hydrochloride 60 mg, which are the active ingredients.
As well as the active ingredients, the solution also contains glycerol (E422), liquid sugar
(sucrose), propylene glycol, purified water, liquid glucose, ethanol (4.8 vol %), citric acid,
sodium citrate, sodium benzoate (E211), acesulfame potassium, riboflavin sodium
phosphate (E101), flavours (peach, pear drop, lime, levomenthol).
This pack contains 240 ml of clear, orange coloured syrup.

Who makes this medicine
MA Holder: The Boots Company PLC, Nottingham NG2 3AA
Manufacturer: BCM Ltd., Nottingham NG2 3AA

PL & Product Name: PL00014/0565 Almus Cold and Flu Day Liquid
Reason for change: PRAC paracetmol warning & yellow card statement
Internally Approved
Version: 1
Date: 18/01/2016
If you need more advice ask your pharmacist.
Leaflet prepared January 2016
Almus® is a registered trademark
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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.