VITABIOTICS COLD AND FLU CAPSULES HARD
Active substance(s): CAFFEINE ANHYDROUS / PHENYLEPHRINE HYDROCHLORIDE / CAFFEINE ANHYDROUS / PHENYLEPHRINE HYDROCHLORIDE / CAFFEINE ANHYDROUS / PHENYLEPHRINE HYDROCHLORIDE
VITABIOTICS COLD AND FLU CAPSULES
Paracetamol, Caffeine, Phenylephrine
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.
What is in this leaflet
1. What Vitabiotics Cold and Flu Capsules are and what they are used for
2. What you need to know before you take Vitabiotics Cold and Flu Capsules
3. How to take Vitabiotics Cold and Flu Capsules
4. Possible side effects
5. How to store Vitabiotics Cold and Flu Capsules
6. Contents of the pack and other information
What Vitabiotics Cold and Flu Capsules are and what they are used for
Vitabiotics Cold and Flu Capsules consist of a combination of ingredients which are effective in relieving
aches, pains, headache, sore throat, fever and nasal congestion associated with colds and influenza.
Paracetamol is a well-known 'analgesic' (pain killer). It is effective against aches and pains including
headaches. It can also reduce fever (antipyretic). Phenylephrine hydrochloride reduces swelling in the
passages of the nose (nasal decongestant) and so relieves a blocked or runny nose. Vitabiotics Cold and
Flu Capsules also contain caffeine which acts as a mild stimulant.
What you need to know before you take Vitabiotics Cold and Flu Capsules
Do not take Vitabiotics Cold and Flu Capsules:
if you have ever had an allergic reaction to paracetamol, phenylephrine hydrochloride, caffeine or
any of the other ingredients listed in Section 6
if you have kidney or liver problems, overactive thyroid, diabetes, high blood pressure or heart
if you have ever had peptic ulcer
if you have phaeochromocytoma or glaucoma
if you are taking tricyclic antidepressants (eg., imipramine or amitriptyline) or if you are taking or
have taken within the last two weeks monoamine oxidase inhibitors (MAOIs) (eg., moclobemide)
prescribed for depression
if you are taking beta blockers (eg., atenolol)
if you are pregnant or breast-feeding
Warnings and precautions
Ask your doctor or pharmacist before you take this medicine:
if you have a blood vessel disease such as Raynaud’s phenomenon
if you have an enlarged prostate
if you have heart or circulation disease
if you have been an alcoholic, alcohol reduces liver capacity to deal with paracetamol
if you have been told by your doctor you have an intolerance to some sugars
Do not take this medicine with any other paracetamol-containing products.
Do not take this medicine with other flu, cold or decongestant products.
Children under 12 years of age
Do not give this medicine to children under 12 years.
Other medicines and Vitabiotics Cold and Flu Capsules
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines,
including medicines obtained without a prescription, particularly:
metoclopramide or domperidone (for nausea [feeling sick] or vomiting [being sick])
ergotamine or methylsergide (for migraine)
cholestyramine (to lower blood cholesterol)
drugs to lower blood pressure
appetite suppressants or stimulants
drugs to treat depression such as tricyclic antidepressants (eg., amitriptyline)
drugs to treat heart disease (eg., digoxin)
anticoagulants - blood thinning drugs (eg., warfarin)
Vitabiotics Cold and Flu Capsules with alcohol
Do not consume alcohol or alcoholic drinks during treatment with this medicine.
Pregnancy and breast-feeding
Due to the phenylephrine and caffeine content of this medicine, it should not be used if you are
pregnant or breast-feeding.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your
doctor or pharmacist for advice before taking this medicine.
Driving and using machines
This medicine may cause drowsiness. Do not drive or operate machinery if you feel dizzy. Avoid
How to take Vitabiotics Cold and Flu Capsules
Always use 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.
Adults and children over 12 years: 1 to 2 capsules to be taken up to 4 times a day, every 4 hours.
Elderly: 1 capsule every 4 hours.
It is important that you do not take more than 8 capsules in 24 hours and do not take more than 2 capsules
at any one time. The capsules should be swallowed whole with a drink of water.
Do not continue taking these capsules for more than 3 days without consulting a doctor.
Avoid drinking too much tea or coffee before taking these capsules. High caffeine intake can cause
difficulty sleeping, shaking and an uncomfortable feeling in the chest.
Use in children under 12 years of age
Do not give to children under 12 years of age.
If you take too many Vitabiotics Cold and Flu Capsules than you should
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.
If you forget to take the Vitabiotics Cold and Flu Capsules
If you miss a dose of Vitabiotics Cold and Flu Capsules do not worry - take your next dose at the normal
time. Do not take extra capsules when it is time for your next dose to make up for the capsules you have
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking this medicine and tell your doctor immediately if you experience:
Serious allergic reactions which may be severe such as skin rash and itching sometimes with
swelling of the mouth or face or throat or shortness of breath
Serious illness with blistering of the skin, mouth, eyes and genitals
Skin rash or peeling, or mouth ulcers
Reduction in red blood cells, which can make the skin pale and cause weakness
Reduction in blood platelets, which increases risk of bleeding or bruising
Bluish colouring of the skin
Reduction in white blood cells, which causes increased risk of infections
Breathing problems, these are more likely if you have experienced them before when taking other
Nausea, sudden weight loss and yellowing of the eyes and skin
Inflammation of pancreas which causes severe abdominal and back pain
Visual disturbances, this is rare but is more likely in those with glaucoma
Prolonged abnormal dilation of the pupil of the eye
Unusually fast pulse rate or a sensation of an unusually fast or irregular heartbeat
Perforation of the nasal septum, which causes whistling noise when breathing or combination of
crusting, blood discharge, difficulty breathing, nasal pressure and discomfort
Difficulty and pain during passing water, this is more likely to occur in men with an enlarged
Elevated white blood cells in the urine which may be a sign of bacterial tract infection
High levels of nitrogenous waste products (urea) in the blood that are usually excreted in the urine,
which causes loss of appetite and lack of energy
The following side effects may occur. Tell your doctor if you get them
Most common effects
Raised blood pressure
Headache, dizziness, difficulty sleeping, nervousness, anxiety
Diarrhoea or sickness
Frequency not known
Feelings of distress, anxiety, irritability, excitement or anger
Ringing in the ears
Stomach ulcers, indigestion
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 Yellow Card Scheme, Website:
www.mhra.gov.uk/yellowcard. By reporting side effects, you can help provide more information on the
safety of this medicine.
How to store Vitabiotics Cold and Flu Capsules
Do not take this medicine after the expiry date printed on the pack. The expiry date refers to the last day
of that month.
Keep this medicine out of the sight and reach of children.
Do not store above 25ºC. Keep the blisters in the carton in order to protect from light.
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 environment.
Contents of the pack and other information
What Vitabiotics Cold and Flu Capsules contain
Each capsule contains 300 mg paracetamol, 25 mg caffeine and 5 mg phenylephrine hydrochloride.
The other inactive ingredients are maize starch, colloidal anhydrous silica, magnesium stearate,
gelatin, patent blue V (E131), iron oxide (E172), quinoline yellow (E104) and titanium dioxide
What Vitabiotics Cold and Flu Capsules look like and contents of the pack
Vitabiotics Cold and Flu Capsules are in the form of green and yellow hard gelatin capsules.
They are available in packs of 10, 12, 16 and 24 capsules.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
1 Apsley Way, London NW2 7HF
This leaflet was last revised in November 2013.
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.