This medicine is available without prescription to treat minor conditions. However, you still need to give it carefully to get the best results from it.

• Keep this leaflet, you may need to read it again
• Ask your pharmacist if you need more information or advice
• You must contact a pharmacist or doctor if your child’s symptoms worsen or do not improve after 3 days
• The leaflet is written in terms of giving this medicine to your child, but if you are an adult who is intending to take this medicine yourself the information in this leaflet will apply to you as well

• If your child is under 6 years
• If your child is allergic to or has ever had a bad reaction to any of the ingredients in this medicine (see “What is in this medicine”)
• If your child is taking anything else with paracetamol in it

• If your child has severe liver or kidney problems
• If your child takes any other medicines (see “If your child takes other medicines”)

Information about some of the ingredients in this medicine: This medicine contains 1.1 g of sorbitol in each 5 ml dose, which is equivalent to 220 mg/ml. Sorbitol may cause gastrointestinal discomfort and have a mild laxative effect. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take or receive this medicine.

Methyl hydroxybenzoate (E218) may cause allergic reactions (possibly delayed).

This medicine contains less than 1 mmol sodium (23mg) per 5 ml dose, that is to say essentially ‘sodium-free’.

This medicine contains 0.06 mg of benzyl alcohol in each 5 ml dose. Benzyl alcohol may cause allergic reactions. Ask your doctor or pharmacist for advice if you are pregnant or breastfeeding, or have liver or kidney disease. This is because large amounts of benzyl alcohol can build-up in your body and may cause side effects (called "metabolic acidosis").

This medicine contains 17.8 mg of propylene glycol per 5 ml dose.

If you drink large amounts of alcohol, talk to your doctor before you take this medicine. You may be more open to the side-effects of paracetamol. If this applies to you, talk to a doctor before use.

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.

If you are elderly your doctor or pharmacist may advise you to take less of the medicine or take the medicine less regularly. In this case follow their instructions.

Pregnancy and breastfeeding:

If necessary, this medicine can be used during pregnancy. You should use the lowest possible dose that reduces your pain and/or your fever and use it for the shortest time possible. Contact your doctor if the pain and/or fever are not reduced or if you need to take the medicine more often. Ask your doctor or pharmacist for advice before taking this medicine if you are breastfeeding.

This medicine contains paracetamol.

Do not give anything else containing paracetamol while giving this medicine.

Before you give this medicine, make sure that you tell your pharmacist about ANY other medicines you might be giving your child at the same time, particularly the following:

• Domperidone or metoclopramide (for feeling sick or being sick)
• Colestyramine (to reduce blood fat levels)
• Medicines to thin the blood (e.g. warfarin)
• Medicines for epilepsy (e.g. barbiturates)
• Medicines for depression (e.g. tricyclic antidepressants)
• Flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (high anion gap metabolic acidosis) that must have urgent treatment and which may occur particularly in case of severe renal impairment, sepsis (when bacteria and their toxins circulate in the blood leading to organ damage), malnutrition, chronic alcoholism, and if the maximum daily doses of paracetamol are used.

If you are not sure about the medicine your child is taking, show the bottle or pack to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for your child, including herbal and homeopathic remedies.

1. Shake the bottle for at least 10 seconds before use.
2. Push the syringe firmly into the plug (hole) in the neck of the bottle.
3. To fill the syringe, turn the bottle upside down. Whilst holding the syringe in place, gently pull the plunger down drawing the medicine to the correct mark (2.5 ml or 5 ml) on the syringe.
4. Turn the bottle the right way up, and then gently twist the syringe to remove from the bottle plug.
5. Place the end of the syringe into the child’s mouth, normally to the side of the mouth between the gums and cheek. Press the plunger down to slowly and gently release the medicine.
6. If the table above advises you to give more than 5 ml of the medicine, repeat steps 2 to 5 to give your child the correct amount of medicine.

After use replace the cap on the top of the bottle tightly. Store all medicines out of the sight and reach of children.

Wash the syringe in warm water and allow to dry.

If you give too much or if anyone has too much of the medicine: Talk to a doctor at once if your child (or an adult) 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 medicine: Give the next dose when needed, provided that the last dose was given at least 4 hours ago. Do not give a double dose.

• Allergic reactions including difficulty in breathing, swelling of the face, neck, tongue or throat, unexplained wheezing, shortness of breath, rash or hives (severe allergic reactions)
• Very rare cases of serious skin reactions have been reported. This may include skin reddening, rash, peeling, blistering and lesions of the skin. If skin reactions occur or existing skin symptoms worsen, stop use and seek medical help right away
• Becoming unusually tired, unusual bruising or bleeding, and getting more infections such as colds. This may be a sign of very rare changes in the blood

This medicine is NOT intended for 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, but liver function tests may be affected.

If you notice any side-effects not included in this leaflet please tell your doctor or pharmacist.

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, or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.