Casacol Expectorant Syrup

• Adults and children over 12: one or two 5ml spoonfuls, 3 to 4 times a day.
• Children aged 6 to 12: one 5ml spoonful, 3 to 4 times a day, under the supervision of a doctor or pharmacist. Do not give more than 20ml in 24 hours.
• Do not take more than 4 doses in 24 hours. Use the spoon provided to measure each dose.
• Do not use for more than 5 days. If your symptoms get worse, or have not improved after 5 days, see your doctor.
• If you miss a dose, do not take a double dose to make up for it.
• Not for children under 6.

Safety information

Who should not use it

Do not take if you are allergic to methoxyphenamine, guaiphenesin, sodium citrate or any of the ingredients; if you have kidney problems, porphyria, coronary thrombosis (a blood clot in the heart), high blood pressure, an overactive thyroid, closed-angle glaucoma or difficulty passing urine; if you are taking, or have taken in the last 10 days, a monoamine oxidase inhibitor (MAOI) antidepressant; if you are taking another decongestant (such as pseudoephedrine or phenylephrine) or any other cough and cold medicine; or for children under 6.

Warnings & precautions

If you have heart disease or take medicine for heart failure, only use Casacol under your doctor's direct supervision. Talk to your doctor or pharmacist first if you take digoxin, beta-blockers or other blood pressure medicines, tricyclic antidepressants or appetite suppressants, or use nicotine (including nicotine replacement), as these can raise blood pressure with Casacol. Tell your doctor if you are due to have a general anaesthetic. Men with an enlarged prostate may find it harder to pass urine. Contains sorbitol: do not take if you have hereditary fructose intolerance. Contains Ponceau 4R (E124), which may cause allergic reactions, and parahydroxybenzoates (E214, E216, E218), which may cause allergic reactions (possibly delayed) and, rarely, wheezing.

Pregnancy & breastfeeding

Do not use during pregnancy or while breastfeeding unless your doctor is directly supervising your treatment.

Possible side effects

Side effects can include difficulty passing urine, stomach discomfort, skin redness, difficulty sleeping, restlessness or nervousness, shaking, and fits (convulsions). Stop taking it and get medical help straight away if you have signs of an allergic reaction, such as a rash, swelling or difficulty breathing.

Always read the label

This is a medicine. Always read the label and patient information leaflet before use. If symptoms persist, talk to your doctor or pharmacist.

Each 5ml contains methoxyphenamine hydrochloride 20mg, guaiphenesin 100mg and sodium citrate 200mg. Sugar free: sweetened with sorbitol (E420) and saccharin sodium. Also contains Ponceau 4R (E124), propylene glycol and ethyl, propyl and methyl parahydroxybenzoate (E214, E216, E218).

Casacol Expectorant Syrup Patient Information Leaflet