- Adults and children aged 12 and over: swallow 1 tablet with a glass of water every 4 to 6 hours, up to 4 times a day.
- Leave at least 4 hours between doses. Do not take more than 4 tablets in 24 hours.
- If you forget a dose, take the next dose when needed, as long as the last dose was at least 4 hours ago. Do not take a double dose.
- Do not give to children under 12.
- You must talk to a doctor if you do not feel better, or feel worse, after 5 days. If symptoms persist or worsen, talk to your doctor or pharmacist.
- For oral use only. Do not take more than the stated dose. If anyone has taken too much, contact a doctor or your nearest Accident & Emergency department straight away, taking this pack with you.
Safety information
Who should not use it
Do not take these tablets if you have ever had an allergic reaction to pseudoephedrine or any of the ingredients; if you have severe sudden or long-term kidney problems, diabetes, a phaeochromocytoma (a rare tumour that affects heart rate and blood pressure), an overactive thyroid, glaucoma, high blood pressure or heart disease, or lung disease or breathing problems; if you take beta blockers; if you take, or have taken in the last two weeks, an MAOI or RIMA antidepressant; or if you are taking any other cough and cold medicine. Do not give to children under 12.
Warnings & precautions
Talk to your doctor or pharmacist first if you have prostate problems (difficulty passing water or needing to pass water often), epilepsy, blocked arteries or veins (occlusive vascular disease), kidney or severe liver problems, or are being treated for a thyroid disorder. Tell them about any other medicines, including blood-pressure medicines (such as guanethidine, methyldopa, adrenergic neurone blockers, debrisoquine, bretylium, reserpine and betanidine), oxytocin, moclobemide, heart medicines such as digoxin, ergot medicines for migraine (such as ergotamine and methysergide), tricyclic antidepressants, cholestyramine, metoclopramide, domperidone, stimulants, appetite suppressants, medicines for congestion or asthma, blood thinners (such as warfarin), the contraceptive pill, epilepsy medicines, anticholinergics (such as atropine) and the antibiotic flucloxacillin, which carries a risk of a serious blood and fluid abnormality (metabolic acidosis) that needs urgent treatment. If you are not sure about any medicine you take, show the pack to your pharmacist. Stop taking it and get medical help straight away if you get a sudden severe headache, feeling sick, vomiting, confusion, fits or changes in vision (possible signs of rare conditions called PRES and RCVS); sudden stomach pain, passing blood in your stools or bleeding from the back passage, and diarrhoea; sudden loss of vision (from reduced blood flow to the optic nerve); or a sudden fever with reddening of the skin or many small pustules, which can happen in the first 2 days. This medicine may cause drowsiness and reduce alertness: if affected, do not drive or operate machinery. It may give a positive result in anti-doping tests.
Pregnancy & breastfeeding
If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.
Possible side effects
Very common: headache. Common: dry mouth or nausea; difficulty sleeping, nervousness or dizziness. Stop using it and talk to your doctor if you get a fast or irregular heartbeat or palpitations, trouble passing water (especially men with prostate problems), restlessness or sleep disturbances, or reduced blood flow to the optic nerve (ischaemic optic neuropathy). Other effects, frequency not known: agitation, anxiety, irritability, feeling jittery or feelings of extreme happiness; high blood pressure; vomiting; pain when passing urine; tremors; a heart attack or reduced blood flow to the heart (angina), which can cause discomfort or pain in the chest, neck, back, jaw, shoulders or arms; pins and needles in the hands or feet; a very high fever; PRES and RCVS; and inflammation of the bowel from reduced blood supply (ischaemic colitis). You can report side effects to HPRA Pharmacovigilance at www.hpra.ie. Stop and get medical help straight away for swelling of the face, lips, mouth, tongue or throat, a rash such as hives (which may blister or peel) and itching, or hallucinations, paranoid delusions or fits.
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.
