Boots 6 Years Plus Paracetamol 250 mg/5ml Oral Suspension (P)

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

• If your child has liver or kidney problems
• If your child takes any other medicines (see “If your child takes other medicines”)
• If your child has an inherited intolerance to fructose or been diagnosed with an intolerance to some other sugars

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 (E1520) per 5 ml dose.

This medicine may be harmful if you are dependant on alcohol or have alcoholic liver disease. If you drink large amounts of alcohol, talk to your doctor before you take this medicine. You may be more susceptible to the side-effects of paracetamol. If this applies to you, talk to a doctor before use

Oral contraceptives may reduce the pain or fever relief obtained with this medicine.

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: Do not take this medicine unless your pharmacist or doctor tells you to. 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.

This medicine contains paracetamol.

Do not give with any other paracetamol-containing products.

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 unsure about interactions with any other medicines, talk 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 dosing information 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 accidentally swallows some of the medicine: Talk 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.

The symptoms of overdose may include pale skin, nausea, sweating, feeling of discomfort or uneasiness, vomiting, loss of appetite and abdominal pain.

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, difficulty swallowing, unexplained wheezing, rash or hives (severe allergic reactions).
• Becoming unusually tired, unexpected bruising or bleeding and getting more infections (such as colds) than usual. These are very rare effects in people taking paracetamol.
• Very rare cases of serious skin reactions have been reported. This may include skin reddening, blisters, rash. If skin reactions occur or existing skin symptoms worsen, stop use and seek medical help right away.
• If your child shows any of these signs, stop giving paracetamol and talk to a doctor right away.

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.