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Package leaflet: Information for the patient

Lemocalm® Max Strength Cold and Flu Relief Powder for Oral Solution
Paracetamol and Phenylephrine Hydrochloride
Read all of this leaflet carefully before you start taking this medicine because it
contains important information for you. Always take this medicine exactly as
described in this leaflet or as your doctor or pharmacist has told you.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. See section 4.
• You must talk to a doctor if you do not feel better or if you feel worse after three days.
What is in this leaflet
1. What this medicine is and what it is used for
2. What you need to know before you take this medicine
3. How to take this medicine
4. Possible side effects
5. How to store this medicine
6. Contents of the pack and other information

1. What this medicine is and what it is used for
Lemocalm ® Max Strength Cold and Flu Relief Powder for Oral Solution contains a
combination of ingredients which are effective in relieving the symptoms associated with
colds and flu, including relief of aches and pains, sore throats, headache, nasal congestion
and lowering of temperature.
Paracetamol is a well-known painkiller (analgesic). It is effective against aches and pains,
including a headache, and can also reduce a fever (antipyretic). Phenylephrine hydrochloride
(nasal decongestant) reduces swelling in the passages of the nose, relieving nasal congestion
and reducing the pressure which may cause a headache.

Do not take this medicine if:
• You are allergic to the active substance or any of the other ingredients of this medicine
(listed in section 6)
• You have a serious heart condition
• You have pheochromocytoma, a rare tumour of the adrenal gland
• You have an overactive thyroid
• You have diabetes, closed angle glaucoma
• You are taking beta-blockers (used to treat heart conditions)
• You are taking or have taken within the last 14 days a medicine called a monoamine
oxidase inhibitor (MAOI), usually used to treat depression
• You are pregnant or breast feeding, unless your doctor tells you to.
Do not take anything else containing paracetamol while taking this medicine.
Do not take with any other flu, cold or decongestant product.
Warnings and precautions
Talk to your pharmacist before taking this medicine if you:
• Are suffering from liver problems including liver problems due to excessive
alcohol consumption
• Have Gilbert’s syndrome (mild jaundice)
• Are suffering from kidney problems
• Are suffering from dehydration and chronic malnutrition
• Suffer from asthma and are sensitive to aspirin
• Are taking any other paracetamol containing medicines
• Have a fever that does not improve after taking this medicine
• Have glucose-6-phosphate dehydrogenase deficiency (enzyme deficiency)
• Have hemolytic anemia (abnormal breakdown of red blood cells)
• Have Raynaud’s syndrome (poor blood circulation which makes the fingers or toes pale
and numb) or diabetes mellitus
• Are taking beta-blockers for high blood pressure, or vasodilators (drugs used to treat
high blood pressure, leg pain due to vascular problems or Raynaud’s syndrome)
• Have closed angle glaucoma or prostatic enlargement.
Taking other medicines
Tell your pharmacist if you are taking or have recently taken or might take any other
medicines. Especially the following:
• Drugs to thin the blood (anti-coagulant drugs e.g. Warfarin, other coumarins)
• Medicines used to relieve sickness (e.g. Metoclopramide, Domperidone)
• Medicines used to treat high cholesterol (Cholestyramine)
• Probenecid (Medicine used to treat high levels of uric acid in the blood stream (gout))
• Medicine to treat fever or mild pain (Aspirin, Salicylamide)
• Barbiturates and tricyclic antidepressants (to treat depression)
• Medicines used to treat epilepsy (Lamotrigine)
• Medicines to treat tuberculosis (Isoniazid)
• Tricyclic antidepressants (a specific class of drugs used to treat depression)
• Barbiturates (used to treat sleep problems or epilepsy)
• Beta-blockers for high blood pressure, or vasodilators (drugs used to treat high blood
• Other decongestants (used to treat cold and flu)
• Monoamine oxidase inhibitors (MAOIs) (e.g. moclobemide) prescribed for depression
• Medicines used to treat heart disease (e.g. digoxin or cardiac glycosides)
Pregnancy and breast-feeding
Do not take this medicine if you are pregnant or breast feeding unless advised by a doctor.
Driving and using machines
This product does not have any effect on the ability to drive or use machines.
Effects of paracetamol on laboratory tests
Uric acid and blood sugar tests may be affected.
Important information about the ingredients of this medicine
If you have phenylketonuria (an inherited genetic disorder) please note that this product
contains aspartame, a source of phenylalanine. This medicine also contains sucrose. If you
have been told by your doctor that you have an intolerance to some sugars, contact your
doctor before taking this medicine.

3. How to take this medicine
Always take this medicine exactly as described in this leaflet or as your pharmacist has told
you. Check with your pharmacist if you are not sure.

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The dose may be repeated in 4-6 hours. Do not take more than four sachets
in a total of 24 hours.

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The recommended dose is:
Adults, the elderly and children aged 16 years and above:
Dissolve one sachet in a mug of hot, but not boiling water. Stir until dissolved. If preferred
sweeten to taste with sugar, honey or your usual sweetener. It is important to drink plenty
of fluids when suffering from colds and flu.


2. What you need to know before you take this medicine

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Do not give to children under 16 years.
If you take more of this medicine than you should
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.
If you forget to take this medicine
Do not take a double dose to make up for a forgotten dose.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
You should stop taking this medicine and see your doctor immediately if you
experience symptoms like:
• Serious skin disease causing rash, skin peeling and sores.
• Severe blistering and peeling of the skin.
• Accumulation of fluid in the larynx including an itchy rash, throat swelling (severe
allergic reaction),
• Swelling on the face, mouth, hands (angioedema)
• Breathing problems. These are more likely if you have experienced them before when
taking other painkillers such as ibuprofen or aspirin.
Rare (may affect up to 1 in 1,000 people):
Oedema (abnormal accumulation of fluid under the skin), abnormal vision, simple
skin rash or urticaria (dark red rash on the skin), haemorrhage (bleeding), abdominal pain,
diarrhoea, nausea, vomiting, dizziness, fever, reduction of irritability or agitation (sedation),
platelet disorders (clotting disorders), stem cell disorders (disorders of the blood forming
cell in the bone marrow), abnormal liver function, liver failure, hepatic necrosis (death of
liver cells), jaundice, overdose and poisoning, tremor, headache, depression, confusion,
hallucinations, sweating, pruritus (itching), feeling lousy (malaise).
Very rare (may affect up to 1 in 10,000 people):
Hepatotoxicity (damage caused to the liver), thrombocytopenia (reduction in blood
platelets, which increases the risk of bleeding or bruising), leucopenia (frequent infections
due to poorly functioning white blood cells or decrease in white blood cells), neutropenia
(reduced neutrophil count in blood), agranulocytosis (severe decrease in white blood cells
which may lead to severe infections), hemolytic anemia (abnormal breakdown of red blood
cells, which may cause weakness or pale skin), hypoglycemia (low levels of glucose in the
blood), cloudy urine and kidney disorders.

• Raised blood pressure, headache, dizziness, difficulty sleeping, nervousness, anxiety,
diarrhoea or sickness.
• Visual disturbances. This is rare but is more likely in those with glaucoma. Unusually fast
pulse rate or a sensation of an unusually fast or irregular heartbeat.
• Difficulty passing water. This is more likely to occur in men with an enlarged prostate
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. 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.

5. How to store this medicine
• Keep this medicine out of the sight and reach of children.
• Do not store above 25°C. Store in the original package.
• Do not use this medicine after the expiry date which is stated on the label after EXP.
The expiry date refers to the last day of that month.
• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist
how to throw away medicines you no longer use. These measures will help protect the

6. Contents of the pack and other information
What this medicine contains
• The active substances are 1000 mg paracetamol and 10 mg phenylephrine hydrochloride.
• The other ingredients are Sucrose, Sodium citrate, Citric acid, Tartaric acid ,
Pregelatinised maize starch, Lemon juice, Ascorbic acid, Aspartame (E951), Natural
colour (E100), Lemon flavour.
What are the contents of the pack
• The medicine is available in packs containing 5 or 10 sachets. Not all pack sizes may be
Marketing Authorisation Holder and Manufacturer
Name and address: Bristol Laboratories Limited,
Unit 3, Canalside, Northbridge Road,
Berkhamsted, Hertfordshire,
HP4 1EG, United Kingdom
0044 (0)1442 200922
0044 (0)1442 873717
Lemocalm ® Max Strength Cold and Flu Relief Powder for Oral Solution;
PL 17907/0164
This leaflet was last revised in October 2016.


To request a copy of this leaflet in Braille, large print or audio format, please contact the
licence holder at the address (or telephone, fax, email) above.


V7 03-10-16 D0

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Not known (frequency cannot be estimated from available data):
Anaemia (decrease in red blood cells), problems with the way your kidneys work (kidney
alteration), problems with the way your liver works (liver alteration), haematuria (blood
in urine), anuresis (inability to urinate), gastro intestinal effects, vertigo. There have been
cases of difficulty breathing, wheezing, coughing, and shortness of breath with paracetamol,
but these are more likely in asthmatics sensitive to aspirin or other NSAIDs such as

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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.