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PARAMED EXTRA POWER PAIN RELIEVER TABLETS
Active substance(s): ASPIRIN / CAFFEINE / PARACETAMOL
Paracetamol, Aspirin, Caffeine
Patient Information Leaflet
Read all of this leaflet carefully before you
take this medicine because it contains
important information you need to know.
This medicine is available without prescription,
however, you still need to use this product
carefully to get the best results from it. Keep this
leaflet as you may need to read it again. Ask your
pharmacist if you need more information or advice.
1. What is this medicine and what is
it used for?
This medicine contains:
• paracetamol which is a pain reliever
(analgesic) and helps reduce your temperature
when you have a fever
• aspirin which is a pain reliever (analgesic) and
helps to reduce swelling
• caffeine which helps to increase the pain relief
from paracetamol and makes you more alert.
These tablets are for the relief of mild to moderate
pain including headache, migraine, toothache,
nerve pain, sore throat and period pains. They are
also for symptomatic relief of sprains, strains,
rheumatic pain, sciatica, lumbago, fibrositis,
muscular aches and pains, joint swelling and
stiffness, flu, feverishness and feverish colds.
2. Is this medicine suitable for you?
Do not take this medicine if you:
• are allergic to paracetamol, aspirin, caffeine or
any of the other ingredients
• have, or have ever had, a stomach ulcer
• have haemophilia or any other blood clotting
• are pregnant or breast feeding
• are under 16 years old
• are taking medicines called anti-coagulants, to
stop your blood from clotting.
Please see your doctor or pharmacist before
taking this medicine if you:
• suffer from kidney or liver problems, including
alcoholic liver disease
• have asthma
• have an intolerance to some sugars.
If you are taking any of the following
medicines please see your doctor:
• medicines to treat high cholesterol levels which
reduce the amount of fat in the blood such as
• medicines to control feeling sick or being sick
such as metoclopramide or domperidone
• medicines called anti-coagulants, which are
used to thin the blood such as warfarin and
other coumarins - you may take occasional
doses of paracetamol but should consult your
doctor if you need to take it on a regular basis
• other anti-coagulant medicines such as heparin
• adsorbents, used as a stomach treatment, such
as kaolin, or antacids, such as calcium carbonate
• medicines used to control seizures in epilepsy
such as phenytoin or sodium valproate
• methotrexate, used for cancer therapy or to
• spironolactone, used to treat heart disease and
• medicines to treat gout such as colchicine,
allopurinol, probenecid and sulphinpyrazone.
• Contains paracetamol and aspirin.
• Do not take with any other paracetamolcontaining products.
Please turn over ➥
2. Is this medicine suitable for you?
Information about some of the ingredients in
Contains sorbitol (E420). If you have been told
by your doctor that you have an intolerance to
some sugars, contact your doctor before taking
this medicinal product.
3. How to take this medicine
Swallow the tablets whole with water. Do not chew.
Adults, the elderly and young persons over
16 years: 1 or 2 tablets every 4 hours as required.
Do not take more than 6 tablets in any 24 hour
period. Do not take more often than every 4 hours.
Do not give to children under 16 years.
There is a possible association between aspirin
and Reye's Syndrome when given to children.
Reye's Syndrome is a very rare disease, which
can be fatal. For this reason aspirin should not be
given to children aged under 16 years, unless on
the advice of a doctor.
Do not exceed the stated dose.
If your symptoms persist or worsen, you must
see a doctor or pharmacist.
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.
4. Possible side effects
Most people do not have any side effects while
taking this medicine. However, if you experience
any of the following side effects, or anything else
unusual happens, stop taking the medicine
immediately, and see your doctor or pharmacist.
Rare side effects are:
• allergic type reactions such as skin rash,
cough, wheezing and tightness of the chest
• asthma or gout, brought on by aspirin
• bleeding in the stomach or bowel lining, which
can be seen as black, tarry stools when you go
to the toilet or blood in vomit which may look
like coffee grounds when you are being sick.
More rarely, the following side effects can
• you may take longer to stop bleeding after a
cut or injury
• you may become more prone to bleeding,
bruising, fever and infections, such as sore
throat and ulcers, due to changes in your blood.
5. How to store your medicine
Keep all medicines out of the reach and
sight of children.
Do not use this medicine after the expiry date
printed on the pack.
6. What is in this medicine?
Each tablet contains the active ingredients:
paracetamol 200 mg, aspirin 300 mg and
caffeine 45 mg. The other ingredients are: maize
starch, methyl cellulose, microcrystalline cellulose,
sorbitol (E420), sodium lauryl sulphate,
hydrogenated cotton seed oil, methylhydroxypropylcellulose and polyethylene glycol.
This product is available in a pack size of 16
7. Who makes this medicine?
The Marketing Authorisation holder is Galpharm
Healthcare Ltd., Dodworth, South Yorkshire
S75 3SP. The manufacturer is Wrafton Laboratories
Ltd., Braunton, Devon, EX33 2DL, UK.
Text Revised: January 2009.