Panadol Actifast Soluble

Adults and children aged 16 years and over:
Take 2 tablets dissolved in a tumbler of water every 4 hours as needed. Do not take more than 8 tablets in 24 hours.

Children aged 12-15 years:
Give 1 tablet dissolved in a tumbler of water every 4 hours as needed. Do not give more than 4 tablets in 24 hours.

• Do not take more frequently than every 4 hours.
• Do not take more than the recommended dose.
• Do not give to children under 12 years.
• Avoid too much caffeine in drinks like coffee and tea.

High caffeine intake can cause difficulty sleeping, shaking and an uncomfortable feeling in the chest.
If your symptoms continue or your headache becomes persistent, see your doctor.

If you take too many tablets:
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.

Active ingredient: Each tablet contains Paracetamol 500 mg and Caffeine 65 mg.
Other Ingredients: Sodium bicarbonate, sorbitol powder (E 420), saccharin sodium, sodium lauryl sulphate, citric acid, sodium carbonate, polyvidone and dimeticone.

Do not take Panadol Extra Soluble Tablets:

• if you have ever had an allergic reaction to paracetamol, caffeine or to any of the other ingredients.
• if you are taking any other prescription or non-prescription medicines containing paracetamol to treat pain, fever, symptoms of cold and flu, or to aid sleep.

Ask your doctor before you take this medicine:

• if you have liver or kidney disease, including alcoholic liver disease
• if you have been told by your doctor that you have an intolerance to some sugars
• if you need 1 or more tablets daily for a prolonged period, especially if you have been advised to follow a low salt (sodium) diet.
• if you are underweight or malnourished
• if you regularly drink alcohol
• if you have a severe infection as this may increase the risk of metabolic acidosis.
• Signs of metabolic acidosis include:
  - deep, rapid, difficult breathing
  - feeling sick (nausea), being sick (vomiting)
  - loss of appetite

Contact a doctor immediately if you get a combination of these symptoms.
You may need to avoid using this product altogether or limit the amount of paracetamol that you take.

If you are taking other medicines:
Talk to your doctor or pharmacist before taking these tablets if you are taking any prescribed medicines; particularly metoclopramide or domperidone (for nausea [feeling sick] or vomiting [being sick]) or colestyramine (to lower blood cholesterol). If you take blood thinning drugs (anticoagulants e.g. warfarin) and you need to take a pain reliever on a daily basis, talk to your doctor because of the risk of bleeding. But you can still take occasional doses of Panadol Extra Soluble Tablets at the same time as anticoagulants.
This product is not recommended if you are taking lithium.

Pregnancy and breastfeeding:
Due to the caffeine content of this product, it should not be used if you are pregnant or breastfeeding.