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GALPHARM FOUR IN ONE FLU RELIEF

Active substance(s): CETYLPYRIDINIUM CHLORIDE / GUAIPHENESIN / PARACETAMOL / PHENYLEPHRINE HYDROCHLORIDE

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Four in One Flu Relief – PL 16028/0077

20/01/2016

GALPHARM FOUR IN ONE FLU RELIEF
Patient Information Leaflet
Read this leaflet carefully because it contains important information for you.
 Keep this leaflet. You may need to read it again.
 Ask your pharmacist if you need more information or advice.
 You must contact a doctor or pharmacist if your symptoms worsen or
do not improve.
1.
2.
3.
4.
5.
6.

In this leaflet:
What this medicine is for
Before you take the medicine
How to take the medicine
Possible side effects
Storing the medicine
Further information

1. What this medicine is for
This medicine provides short term relief of cold and flu symptoms, including aches
and pains, headache, feverishness, blocked nose and sinuses, tickly sore throat and
chesty coughs.
Paracetamol is an analgesic (relieves pain) and antipyretic (reduces fever).
Phenylephrine Hydrochloride is a nasal decongestant, it reduces the blood vessels in the
nose and sinuses which opens the nasal airways helping you to breathe more easily.
Guaifenesin is an expectorant which loosens phlegm so will relieve chesty coughs.
Cetylpyridium Chloride is an antiseptic and anti-infective which will ease tickly sore
throats.
2. Before you take the medicine
Do not take Galpharm Four In One Flu Relief if you:
 are allergic to Paracetamol, Phenylephrine Hydrochloride,
Guaifenesin, Cetylpyridinium Chloride or any of the other ingredients
listed in section 6.
 are pregnant.
Do not give to children under 12 years of age.
Talk to your doctor or pharmacist before taking this medicine if you:
 suffer from liver or kidney problems, heart disease, diabetes,
glaucoma, high blood pressure, prostate trouble or if you have an over
active thyroid gland.
 are breastfeeding.
 are receiving any other medication especially any of the following
drugs: Colestyramine, drugs used to prevent blood clotting (e.g.
warfarin), drugs for high blood pressure (anti-hypertensive drugs e.g.
betablocker, propranolol), drugs for heart trouble (e.g. cardiac

Four in One Flu Relief – PL 16028/0077

20/01/2016

glycosides, digoxin), anti-depressants (including monoamine-oxidase
inhibitors or MAOIs), Metoclopramide, Domperidone (both used to
control nausea and vomiting)
If you are taking other medicines
You must not take this medicine if you are taking:
 any other paracetamol-containing products.
 any other product for the relief of colds, flu or congestion.
Pregnancy and Breast feeding
Do not take this medicine if you are pregnant.
Important information about some of the ingredients
Each dose contains Liquid Maltitol and approximately 3g of sorbitol. If you have
been told by your doctor that you have an intolerance to some sugars, contact your
doctor before taking this medicinal product. This product may have a mild laxative
effect. Calorific value 2.6 kcal/g sorbitol.
WARNING: This product contains 19% (v/v) ethanol. Each dose contains up to 3g of
ethanol (alcohol), equivalent to 32ml of wine or 76ml of beer. Harmful for those
suffering from alcoholism. To be taken into account in pregnant or breastfeeding
women, children and high-risk groups such as patients with liver disease, epilepsy.
The amount of alcohol in this medicinal product may alter the effects of other
medicines.
The amount of alcohol in this medicinal product may impair your ability to drive or
use machines.
3. How to take the medicine
Shake well before each use. To be taken by mouth.
Age
Adults, the elderly and children aged
12 years and over.

Dose and how often to take
Fill the measure cup to the 20ml mark
and take one 20ml dose (four 5ml
spoonfuls). Wipe the neck of the bottle
clean and replace the cap securely,
without over-tightening it.
Leave at least 4 hours between doses,
and do not take more than 4 doses in
any 24 hours.

For short term use only.
If symptoms do not go away talk to your doctor.
Do not exceed the stated dose.
Do not give to children under 12 years of age.
If you forget to take this medicine: Do not take a double dose to make up for
forgotten individual doses.
If you take too much medicine: Talk to a doctor straight away, or go to your
nearest hospital casualty department. Take the carton and this leaflet with you.
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.

Four in One Flu Relief – PL 16028/0077

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4. Possible side effects
Most people take Galpharm Four In One Flu Relief without any problems, but they
can have side effects like all medicines.
If you experience any of the following symptoms, or have any other unusual
symptoms or concerns with your medicine, stop taking and talk to your pharmacist
or doctor:
 skin rashes or other allergic reactions
 rarely blood disorders (these may be seen as unusual bleeding or
unexplained bruises, sore throat, ulcers in your mouth or throat,
fever, unusual tiredness or weakness)
 Rarely dizziness, palpitations and high blood pressure
 upset stomach or diarrhoea
 headache
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.
5. Storing the medicine
Do not use after the expiry date printed on the label and carton.
Do not use if any solids can be seen in the solution.
Do not store above 25°C. In order to protect from light, keep the container in the
outer carton. Keep the container tightly closed.
Store safely out of the sight and reach of children.
6. Further information
What is in this medicine:
The active ingredients are: Paracetamol 1000mg, Phenylephrine Hydrochloride
12.18mg, Guaifenesin 200mg and Cetylpyridinium Chloride 3.0mg in each 20ml
dose.
The other ingredients are: Liquid Maltitol, Sorbitol (E420), Ethanol, Propylene
Glycol, Glycerol (E422), Saccharin Sodium, Sodium Cyclamate, Acesulphame
Potassium, Sodium Citrate, Anhydrous Citric Acid (E330), Xanthan Gum (E415),
Levomenthol, Eucalyptus Oil, colours Quinoline Yellow (E104), Patent Blue V (E131)
and Purified Water.
What this medicine looks like and contents of the pack
Galpharm Four In One Flu Relief is a green solution. This medicine is available in
bottles containing 160ml of liquid (8 doses).
Marketing Authorisation Holder: Galpharm Healthcare Ltd, Wrafton Braunton,
Devon, EX33 2DL, United Kingdom.

Four in One Flu Relief – PL 16028/0077

20/01/2016

Manufacturer: Pinewood Healthcare, Ballymacarbry, Clonmel, County Tipperary,
Ireland.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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