PANADREX SYRUP 100 ML

1. What this product is and what it is used forPanadrex Syrup (“Paracetamol Syrup”) contains paracetamol to relieve pain and reduce high temperatures. Panadrex Syrup can be used in babies and children for the treatment of pain and feverishness associated with teething, toothache, headache, colds and flu. It can also be used in babies who develop fever after vaccination.2. What you need to know before you use this productDO NOT give Panadrex syrup if your child is taking any other paracetamol containing products, other flu, cold, cough or decongestant products. DO NOT give Panadrex syrup to your child if he:§ is allergic (hypersensitive) to paracetamol, or any of the other ingredients of Panadrex syrup (see Section 6 and end of Section 2).§ weighs less than 4 kg§ was born early before 37 weeks§ is less than 2 months old If you are not sure about any of the above, please consult your doctor. Take special care with Panadrex syrup§ if you do not get better, talk to your doctor§ if your child has serious kidney or liver problems§ if your child has an intolerance to some sugars. Taking other medicinesTell your doctor or pharmacist if your child is taking, or has recently taken, any other medicine, even those obtained without a prescription, but especially medicines which:§ are to treat ‘flu’ or a cold, containing paracetamol and/or a decongestant. Do NOT give Panadrex with other paracetamol products.§ thin the blood (e.g. warfarin)§ control nausea and vomiting (e.g. domperidone or metoclopramide)§ reduce levels of cholesterol and other fats in the blood (e.g. colestyramine)§ treat epilepsy (e.g. anti-convulsants) If adults take this medicine the following additional warnings apply, you can use this medicine while you are taking oral contraceptives (”the pill”), but it may not work so well on your pain or fever.The effects of alcohol may be increased whilst taking Panadrex syrup. Avoid alcohol when taking this medicine. Pregnancy and breast-feedingThis medicine is intended for use in children.Ask your doctor or pharmacist for advice before taking any medicines during pregnancy or breast-feeding. Driving and using machinesThis medicine is intended for use in children. However, it should be noted that Panadrex Syrup is not expected to affect ability to drive or operate machinery.3. How to use this product.Check the tables to see how much of the medicine to use § For oral use only§ Never give more medicine than shown in the table§ Do not give anything else containing paracetamol while giving this medicine Consult a pharmacist or other healthcare professional before use in children under 2 months. For the relief of fever after vaccination at 2, 3 and 4 months: 2.5 ml.§ This dose may be given up to 4 times a day at the time of vaccination.§ Do not give more than 4 doses in any 24 hour period.§ Leave at least 4 hours between doses.§ If your baby still needs this medicine two days after receiving the vaccine talk to your doctor or pharmacist.Age 2-3 monthsDosePain and other causes of fever - if your baby weighs over 4 kg and was born after 37 weeks2.5 mlIf necessary, after 4-6 hours, give a second2.5 ml dose§ Do not give to babies less than 2 months of age§ Do not give more than 2 doses. This is to ensure that fever that may be due to a serious infection is quickly diagnosed. If your child is still feverish after two doses, talk to your doctor or pharmacist.§ Leave at least 4 hours between dosesChildren aged 3 months - 6 years: Child’s AgeHow MuchHow Often (in 24 hours)3 – 6 months2.5 ml4 times6 – 24 months5 ml4 times2 – 4 years7.5 ml (5 ml + 2.5 ml)4 times4 – 6 years10 ml (5 ml + 5 ml)4 times§ Do not give more than 4 doses in any 24 hour period.§ Leave at least 4 hours between doses.§ Do not give this medicine to your child for more than 3 days without speaking to your doctor or pharmacist. If your child takes more of this medicine than they shouldTalk to a doctor at once if your child takes too much of this medicine even if they seem well. This is because too much paracetamol can cause delayed, serious liver damage. If you forget to give this medicineGive the next dose when needed provided that the last dose was given at least 4 hours ago. Do not take a double dose to make up for the missed dose.If you have any further questions on the use of this medicine, ask your doctor or pharmacist.4. Possible side effectsLike all medicines, Panadrex Syrup can cause side effects although not everybody gets them. Tell your doctor as soon as possible if you notice any of these:§ allergic reactions including swelling of face, tongue or throat, difficulty swallowing, unexplained wheezing, shortness of breath which may be accompanied by skin rash or hives.§ becoming unusually tired, unexpected bruising or bleeding and getting more infections (such as colds) than usual.These are rare effects in people taking paracetamol. Very rare cases of serious skin reactions have been reported.If your child shows any of these signs, stop giving Panadrex Syrup and talk to a doctor. Long term use: people who use medicines containing paracetamol every day for a long time (several months or more) could get certain side effects, including liver and kidney damage. People taking paracetamol in the usual way for shorter periods have not had these problems.If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.5. How to store this product§ Keep in a safe place, out of the reach and sight of children.§ Store below 30° C, protect from light.§ Use within 3 months after opening§ Do not use Panadrex syrup after the expiry date printed on the packaging. The expiry date refers to the last day of the month.Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer required. These measures will help to protect the environment.