CLEAR DISSOLVING PAIN RELIEF PLUS TABLETS
Active substance(s): CAFFEINE ANHYDROUS (ALKD) POWDER / CODEINE PHOSPHATE / PARACETAMOL DC 272 GSR / PARACETAMOL POWDER
Clear Dissolving Pain Relief PLUS Tablets
Paracetamol, Codeine & Caffeine
Read this leaflet carefully because it contains important information for you.
This medicine can only be used for the relief of headache, migraine, period pain, neuralgia,
toothache, rheumatic and muscular pain and backache.
You should only take this product for a maximum of three days at a time. If you need to take
it for longer than three days you should see your doctor or pharmacist for advice.
This medicine contains codeine which can cause addiction if you take it continuously for
more than three days. This can give you withdrawal symptoms from the medicine when you
stop taking it.
If you take this medicine for headaches for more than three days it can make them worse.
What this medicine is for
For the short term treatment of acute, moderate pain which is not relieved by aspirin,
paracetamol or ibuprofen alone.
This medicine contains Codeine and Paracetamol which belong to a group of medicines called
analgesics. It can be used to relieve headache, migraine, period pain, neuralgia, toothache, rheumatic
and muscular pain and backache.
Codeine can be used in children over 12 years of age for the short-term relief of moderate pain that is
not relieved by other painkillers such as paracetamol or ibuprofen alone.
Codeine belongs to a group of medicines called opioid analgesics which act to relieve pain. This
product contains codeine and paracetamol which are both pain killers.
Before you take this medicine
• This medicine contains codeine which can cause addiction if you take it continuously for more
than three days. This can give you withdrawal symptoms from the medicine when you stop taking it.
• If you take a painkiller for headaches for more than three days it can make them worse.
This medicine can be taken by adults and children aged 12 years and over. However, some people
should not take this medicine or should seek the advice of their pharmacist or doctor first.
Do not take
• If you are allergic to any of the ingredients
• If you have severe liver disease
• If you are pregnant or breast feeding. Codeine and morphine passes into breast milk.
• If you have an intolerance to some sugars, unless your doctor tells you to (this medicine contains
• If you know that you metabolise very rapidly codeine into morphine
• If you are breastfeeding
• For pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or
adenoids due to obstructive sleep apnoea syndrome
Talk to your pharmacist or doctor
• If you have kidney problems
• If you have other liver problems (including a disease caused by drinking alcohol)
• If you are on a low sodium diet
Other important information
Information about some of the ingredients in this medicine:
Sodium metabisulphite (E223) may rarely cause severe allergic reactions, tightness of the chest or
difficulty in breathing.
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that
produces pain relief. Some people have a variation of this enzyme and this can affect people in
different ways. In some people, morphine is not produced or produced in very small quantities,
and it will not provide enough pain relief. Other people are more likely to get serious side effects
because a very high amount of morphine is produced. If you notice any of the following side effects,
you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing
confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
If you take other medicines
This medicine contains paracetamol.
Do not take with any other paracetamol-containing products.
Before you take these tablets 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 nausea and vomiting (may increase the pain relief effect of
paracetamol or the codeine in this medicine and may reduce the effects of these medicines on the
• 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
• Mexiletine (for heart rhythm problems) – codeine may reduce the effects of this medicine
• Sleeping tablets, sedatives, tricyclic antidepressants or phenothiazine tranquillisers (you may feel
more sleepy if you take these medicines)
If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes
medicines you have bought yourself, including herbal and homeopathic remedies.
How to take this medicine
Check the foil is not broken before use. If it is, do not take that tablet.
Stir and dissolve the tablets in a little water until dispersed and drink immediately.
Adults, the elderly and
children over 16 years.
Children of 12 – 15
One to two tablets
Every 4-6 hours when necessary to a
maximum of 4 doses in 24 hours.
Every 4-6 hours when necessary to a
maximum of 4 doses in 24 hours.
Do not take for more than 3 days. If you need to use this medicine for more than three days you
must speak to your doctor or pharmacist.
Do not give to children under 12 years of age due to the risk of severe breathing problems.
Do not take more than the amount recommended above. If symptoms persist consult your doctor.
Children and adolescents
Use in children and adolescents after surgery:
Codeine should not be used for pain relief in children and adolescents after removal of their tonsils or
adenoids due to Obstructive Sleep Apnoea Syndrome.
Use in children with breathing problems:
Codeine is not recommended in children with breathing problems, since the symptoms of morphine
toxicity may be worse in these children.
Can cause addiction
This medicine contains codeine and can cause addiction if you take it continuously for more than
three days. When you stop taking it you may get withdrawal symptoms. You should talk to your
doctor or pharmacist if you think you are suffering from withdrawal symptoms.
If you take too many tablets:
Immediate medical advice should be sought in the event of an overdose, even if you feel well,
because of the risk of delayed, serious liver damage. Go to your nearest
hospital casualty department. Take your medicine and this leaflet with you.
Possible side effects
Some people may have side-effects when taking this medicine. If you have any unwanted side-effects
you should seek advice from your doctor, pharmacist or other healthcare professional.
Also you can help to make sure that medicines remain as safe as possible by reporting any
unwanted side- effects via the internet at www.yellowcard.gov.uk; alternatively you can call
Freephone 0808 100 3352 (available between 10am-2pm Monday – Friday) or fill in a paper
form available from your local pharmacy.
If you get any of these serious side effects, stop taking the tablets. 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.
These other effects are less serious; if they bother you talk to a pharmacist:
• Other allergic reactions (e.g. skin rash)
• Feeling sick, being sick
• Constipation, dry mouth, sweating, difficulty in sleeping, anxiety, feeling your heartbeat
• Unusual bruising, or infections such as sore throats – this may be a sign of very rare changes in the
If any side effect becomes severe, or you notice any side effect not listed here, please tell your
pharmacist or doctor.
How do I know if I am addicted?
If you take the medicine according to the instructions on the pack it is unlikely that you will become
addicted to the medicine. However, if the following apply to you it is important that you talk to your
• You need to take the medicine for longer periods of time
• You need to take more than the recommended dose
• When you stop taking the medicine you feel very unwell but you feel better if you start taking the
How to store this medicine
Do not store above 25°C. Store in the original package. Keep all medicines out of the sight and reach
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 effervescent tablet contains Codeine Phosphate Hemihydrate 8mg, Paracetamol 500mg,
Caffeine 30mg, which are the active ingredients.
As well as the active ingredients, the tablets also contain sodium bicarbonate, citric acid, sodium
carbonate, sodium benzoate (E211), sugar, sodium saccharin, gelatin, sodium metabisulphite (E223).
Each tablet contains 357mg sodium.
The pack contains 12, 24 or 32 white, round, effervescent tablets (not all pack sizes may be
Who makes this medicine
This medicine is manufactured for the Marketing Authorisation Holder Max Remedies Ltd by Max
Healthcare Ltd, William Nadin Way, Swadlincote, Derbyshire, DE11 0BB.
Leaflet revised September 2016.
If you would like any further information about this product, please contact Max Healthcare at the