This medicine is available without prescription to treat minor conditions. However, you still need to take 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

• If you are allergic to any of the ingredients
• If you are under 16 years old
• If you are pregnant, breastfeeding, or trying to become pregnant, unless your doctor tells you to

• If you have any of the following symptoms – these may be a sign of a more serious problem that needs different treatment
  • You have an ulcer in your stomach or intestine, or you think you may have one
  • You are middle aged or older and this is the first time you have had these symptoms, or your symptoms have recently changed
  • You have lost weight without trying, difficulty in swallowing, stomach pain
• If you have liver or kidney problems
• If you have regular medical appointments for any reason
• If you have any other illness, or take any medicines on a regular basis (including medicines prescribed by your doctor, and any you have bought for yourself)
• If you are taking any non-steroidal anti-inflammatory drugs, e.g. ibuprofen or aspirin, especially if you are elderly
• If you have a condition called porphyria (a rare blood disease) or you have ever had this condition

Information about some of the ingredients in this medicine: Castor oil may cause a stomach upset or diarrhoea.

Do not drink alcohol (wine, beer, spirits) whilst taking this medicine.

Before you take these tablets, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time, particularly the following:

• Non-steroidal anti-inflammatory drugs
• Antacids (for indigestion)
• Sucralfate (for ulcers)
• Procainamide (for abnormal heartbeats)
• Theophylline (for asthma)
• Ketoconazole (for fungal infections)
• Glipizide (for diabetes)

If you take other antacids for indigestion, or sucralfate to treat ulcers and your doctor tells you that you can take this medicine as well, you must separate the times when you take them. You must take these tablets at least two hours before the antacid or sucralfate.

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 yourself, including herbal and homeopathic remedies.

• Difficulty in breathing, swelling of the face, neck, tongue or throat, chest pain, unexplained fever, fainting (severe allergic reactions)
• Fast, slow or irregular heartbeat
• Severe stomach pain (this may be caused by a swollen pancreas)

These effects are rare and happen to one person in 1000 to 10,000 who take this medicine.

• Muscle or joint pain
• Unusual bruising, or infections such as sore throats – this may be a sign of very rare changes in the blood
• Confusion, agitation, depression, hallucinations (these happen more often if you are elderly or severely ill)
• Feeling sick, diarrhoea, constipation
• Headache (sometimes severe), dizziness, fatigue and rarely blurred vision
• Skin rash, which can sometimes be severe, itchy skin, hair loss
• Yellowing of the skin or eyes
• Swollen or tender breasts in men

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. By reporting side effects you can help provide more information on the safety of this medicine.