Active substance(s): PHOLCODINE / PHOLCODINE / PHOLCODINE
Patient Information Leaflet
Read all of this leaflet carefully before you start taking
this medicine because it contains important information
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 5 days.
What is in this leaflet:
What Pavacol-D is and what it is used for
What you need to know before you take Pavacol-D
How you take Pavacol-D
Possible side effects
How to store Pavacol-D
Contents of the pack and other information
1. What Pavacol-D is and what it is used for
Pavacol-D is a dark brown liquid that contains the active
ingredient pholcodine. Pholcodine belongs to a group of
medicines called anti-tussives (help to prevent coughing).
Pavacol-D is a cough suppressant used to relieve dry and irritating
coughs that do not produce phlegm or mucus on the chest.
For children aged 6 to 12 years: simple treatments should be
tried first before you give this medicine. Further information on
'Treating coughs and colds in children' can be found at the
end of this leaflet.
2. What you need to know before you take
Do not give to children under 6 years of age.
Do not take Pavacol-D if you:
• are allergic to pholcodine or any other ingredients in
Pavacol-D (these are listed in Section 6 of this leaflet).
• have liver disease
• have a very serious breathing problem (ventilatory or
• have chronic bronchitis (inflammation of the airways)
• have bronchiectasis (abnormal widening of one or
• have or may have any problems with your airways such
as chronic obstructive pulmonary disease (COPD), or
other breathing problems
• are taking or have taken MAOIs in the last 2 weeks
(MAOIs [monoamine oxidase inhibitors] are a type
of antidepressant such as phenelzine, isocarboxazid,
tranylcypromine or moclebemide).
Take special care with Pavacol-D and tell your doctor if
you have any of the following conditions:
• kidney disease
• a history of drug abuse
• if you suffer from a chronic or persistent cough
Tell your doctor if you or your child still have a cough after 5 days.
Ask a doctor before use if you suffer from a chronic or persistent
cough, if you have asthma, are suffering from an acute asthma
attack or where the cough is accompanied by excessive secretions.
Taking other medicines/alcohol
Do not take Pavacol-D if you are taking any other cough or cold medicines.
You should not consume alcohol while you are taking Pavacol-D.
Tell your doctor or pharmacist about any other medicines,
including medicines you are taking at the same time, particularly
Antidepressants, antihistamines, sleeping tablets or sedatives,
strong painkillers, medicines to treat epilepsy, as Pavacol-D may
make you feel more sleepy.
Also tell your doctor or pharmacist if you are taking any of the
Diuretics (water tablets) or antihypertensives (blood pressure tablets)
as Pavacol-D can increase the effects of these medicines.
Tell your doctor or pharmacist if you are due to have or have recently
had a general anaesthetic.
Tell your doctor or nurse if you are going to have any hospital tests as
Pavacol-D can interfere with the results.
Pregnancy and breast-feeding
Do not take Pavacol-D during pregnancy or breast-feeding unless your
doctor tells you to. If you are pregnant, or breast-feeding, think you
may be pregnant or planning to have a baby, ask your doctor or
pharmacist for advice before taking this medicine.
Driving and using machines
Pavacol-D may cause sleepiness. Make sure you are not affected
before you drive or operate machinery.
The medicine can affect your ability to drive as it may make you
sleepy or dizzy.
• Do not drive while taking this medicine until you know how
it affects you.
• It is an offence to drive if this medicine affects your ability to drive.
• However, you would not be committing an offence if:
– The medicine has been prescribed to treat a medical or
dental problem and
– You have taken it according to the instructions given by
the prescriber or in the information provided with the
– 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.
Important information about some of the ingredients
• If you have been told by your doctor that you have an
intolerance to some sugars, contact your doctor before
• May have a mild laxative effect. Calorific value 2.6 kcal/g sorbitol.
• Pavacol-D also contains small amounts of ethanol (alcohol),
less than 100 mg per 5 ml.
• The propyl and methyl hydroxybenzoates in Pavacol-D may
cause allergic reactions (possibly delayed).
3. How you take Pavacol-D
Always take this medicine exactly as described in this leaflet or as
your doctor or pharmacist has told you. Check with your doctor
or pharmacist if you are not sure.
Do not use for more than 5 days without the advice of a
doctor. Seek medical advice if you or your child's condition
does not improve or gets worse during the treatment.
The recommended dose is
Adults and the elderly
One or two 5 ml spoonfuls as required. The dose may be
increased to three 5 ml spoonfuls if necessary. No more than
60 ml (12 x 5 ml spoonfuls) should be taken in 24 hours.
From 6 to 12 years: one 5 ml spoon four to five times daily.
No more than 25 ml (5 x 5 ml spoonfuls) should be taken in
Do not give to children under 6 years of age.
Do not exceed the stated dose.
If you take more Pavacol-D than you should
Contact your doctor or go to your nearest hospital immediately.
Symptoms of overdose include feeling sick, fever, sleepiness,
restlessness, excitement, co-ordination problems, shallow or
difficulty in breathing and fits.
If you have any further questions on the use of this product, ask
your doctor or pharmacist.
4. Possible side effects
Like all medicines, Pavacol-D can cause side-effects, although
these do not affect everyone.
If you or your child experience any of the following serious side
effects, stop taking Pavacol-D immediately and seek urgent
• sudden wheeziness
• difficulty in breathing
• severe allergic reactions including swelling of the
eyelids, face or lips, rash or itching, especially affecting
your whole body
The following side effects have also been reported:
• feeling sick (nausea)
• congestion (sputum retention)
• mild laxative effect
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
Medicines should not be disposed of via waste-water or with
household waste. Ask your pharmacist what you should do with
medications you no longer need. These measures will help
protect the environment.
6. Contents of the pack and other information
What Pavacol-D contains
The active substance is pholcodine 5 mg in 5 ml.
The other ingredients are:
Tolu balsam, ethanol 96%, star anise oil, clove oil, peppermint oil,
capsicum tincture, strong ginger tincture, sorbitol solution (E420),
saccharin sodium, hydroxyethylcellulose, treacle flavour, caramel,
levomenthol, methyl hydroxybenzoate (E218), propyl hydroxybenzoate
(E216) and purified water.
What Pavacol-D looks like and contents of the pack
Pavacol-D is available as 50 ml, 100 ml, 150 ml, 250 ml, 300 ml,
and 1000 ml round amber glass bottles with a child resistant cap.
Not all pack sizes may be marketed.
Treating coughs and colds in children
It's normal for children to get 8 or more colds in a year.
Gradually they build up immunity and get fewer colds. Most
colds will get better within a few days and you may not need to
do more than keep your child comfortable until they get over it.
Because colds are caused by viruses, not bacteria, antibiotics
don't help. Here are some simple steps to help your child who
has a cough or cold:
1. If they are hot/feverish:
Increase the amount of fluid your child normally drinks. Lower
their temperature with a paracetamol or ibuprofen medicine
which has doses for children. (Paracetamol is not for children
under 2 months. Ibuprofen is not for children under 3 months).
2. For coughs:
Although it is distressing to hear your child cough, in fact
coughing serves a purpose. It helps clear phlegm on the chest or
mucus from the nose. Give your child plenty of warm clear fluids
3.To help with breathing:
Plain saline nose drops, available from your pharmacy, can help
babies with blocked noses who are having trouble feeding.
Marketing Authorisation Holder and Manufacturer
The product licence holder is:
Alliance Pharmaceuticals Limited, Avonbridge House, Bath Road,
Chippenham, Wiltshire, SN15 2BB, United Kingdom.
Pavacol-D is manufactured by:
Pharmaserve (North West) Limited, 9 Arkwright Road, Astmoor
Industrial Estate, Runcorn, Cheshire, WA7 1NU.
This leaflet was last revised in January 2015
Pavacol-D is a registered trademark of Alliance Pharmaceuticals
Limited. Alliance and associated devices are registered
trademarks of Alliance Pharmaceuticals Limited.
© Alliance Pharmaceuticals Limited 2015.
By reporting side effects you can help provide more information
on the safety of this medicine.
5. How to store Pavacol-D
Pavacol-D should be kept out of the sight and reach of children.
Do not store above 25ºC and protect from light.
Do not use Pavacol-D after the expiry date as indicated on the
box after “EXP”. The expiry date refers to the last day of the month.
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.