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Paramed Max Strength Cold & Flu Day & Night Capsules
Paracetamol, Phenylephrine, Caffeine
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
• phenylephrine which is a decongestant to reduce swelling in the passages of the
nose to help you breathe more easily.
The Day capsules also contain:
• caffeine which helps to increase the pain relief from paracetamol and makes you
more alert.
These capsules are used for the relief of the symptoms of colds and flu, including
aches and pains, sore throat, headache, nasal congestion (blocked nose) and
feverishness (high temperature). The Day capsules can also relieve tiredness and

2. Is this medicine suitable for you?
Do not take this medicine if you:
• are allergic to paracetamol, caffeine, phenylephrine or any of the other ingredients
• have a serious heart condition or cardiovascular disorder(s)
• have high blood pressure (hypertension)
• have a history of stomach ulcers
• have an overactive thyroid
• are taking antidepressant drugs called monoamine oxidase inhibitors (MAOI’s), or
have taken them within the last 14 days - these are medicines such as phenelzine and
Please see your doctor or pharmacist before taking this medicine if you:
• are pregnant or breastfeeding
• suffer from kidney or liver problems, including alcoholic liver disease
• have diabetes
• have circulatory disorders such as a condition called Raynaud’s Phenomenon,
which results from poor circulation in the fingers and toes.

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 colestyramine
• medicines to control feeling sick or being sick such as metoclopramide or
• medicines called anti-coagulants, which are used to thin the blood such as warfarin
or other coumarins – you may take occasional doses of paracetamol but should
consult your doctor if you need to take it on a regular basis
• barbiturates (for epilepsy or to help you sleep), such as phenobarbitones
• tricyclic antidepressants such as imipramine, amitriptyline
• medicines to lower blood pressure, treat heart or circulatory problems such as beta
blockers (for example atenolol) or vasodilators (for example hydralazine)
• other decongestant drugs such as ephedrine or xylometazoline.

Contains paracetamol.
Do not take anything else containing paracetamol while taking this medicine.
Other important information:
Do not drink alcohol (beer, wine, spirits etc) while taking this product.

3) How to take this medicine
Swallow the capsules whole with water. Do not chew.
Adults, the elderly and children aged 12 years and over:
2 Day capsules every 4 - 6 hours during the daytime, as required, followed by 2 Night
capsules at bedtime. Leave at least 4 hours between doses. Do not take more than 8
capsules in any 24 hour period.
Do not give to children under 12 years.
Do not take more medicine than the label tells you to. If you do not get better, talk to
your doctor.
The Day time capsules contain caffeine which may disrupt sleep if taken at night.
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. 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 reactions such as skin rash
tingling and coolness of the skin
a faster or slower heart beat
a rise in blood pressure with headache, vomiting (being sick) and irregular heart
beat (palpitations)
• nausea (feeling sick) (Day Capsule only)
• difficulty sleeping (insomnia) (Day Capsule only).
Very rare cases of serious skin reactions have been reported.
More rarely, the following side effects can happen:
You may become more prone to bleeding, bruising, fever and infections, such as sore
throat and ulcers, due to changes in your blood.
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:
By reporting side effects you can help provide more information on the safety of this

5) How to store your medicine
Keep out of the sight and reach of children.
Do not use this medicine after the expiry date printed on the pack.
Do not store above 25°C.

6) What is in this medicine?
Day Capsules: These are red / yellow capsules.
Each Day capsule contains the active ingredients: paracetamol 500 mg, caffeine 25
mg and phenylephrine hydrochloride 6.1 mg.
The other ingredients in the Day capsules are: maize starch, croscarmellose sodium,
sodium laurilsulfate, magnesium stearate and talc. The capsule shell is made of gelatin
and contains the colours: quinoline yellow (E104), titanium dioxide (E171), patent
blue V (E131) and erythrosine (E127).
Night Capsules: These are dark blue / light blue capsules.
Each Night capsule contains the active ingredients: paracetamol 500 mg and
phenylephrine hydrochloride 6.1 mg.
The other ingredients in the Night capsules are: maize starch, croscarmellose sodium,
sodium laurilsulfate, magnesium stearate and talc. The capsule shell is made of gelatin
and contains the colours titanium dioxide (E171), erythrosine (E127) and indigo
carmine (E132).
This product is available in a pack containing 12 Day Capsules and 4 Night capsules.

7) Who makes this medicine?

The Marketing Authorisation holder and manufacturer is Wrafton Laboratories
Limited, Braunton, Devon EX33 2DL, UK.
Text revised: September 2015
PL 12063/0073
the leaflet>

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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.