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Paracetamol Tablets Bp 500mg

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SUMMARY OF PRODUCT CHARACTERISTICS

1 NAME OF THE MEDICINAL PRODUCT

Paracetamol Tablets BP 500 mg.

2 QUALITATIVE AND QUANTITATIVE COMPOSITION

Paracetamol Tablets BP 500 mg contain:

Paracetamol BP 500 mg.

3 PHARMACEUTICAL FORM

Tablets.

4    CLINICAL PARTICULARS

4.1    Therapeutic indications

For the relief of pain in headache and menstruation and symptomatic relief of colds, flu and feverishness.

4.2 Posology and method of administration

Take every three to four hours when needed.

Adults:    One to two tablets    Maximum: Eight daily

Children 6-12 years    Half to one tablet    Maximum: Four daily

Children under six:    On medical advice only.

4.3 Contraindications

Impaired kidney or liver function.

4.4 Special warnings and precautions for use

Do not exceed the stated dose. If you are taking any other medication or are under the care of your doctor you should consult him before using paracetamol. If symptoms persist, consult your doctor. Keep out of the reach of children.

Label: Do not take with any other paracetamol-containing products. Immediate medical advice should be sought in the event of an overdose, even if you feel well.

Leaflet: Immediate medical advice should be sought in the event of an overdose, even of you feel well, because of the risk of delayed, serious liver damage.

4.5 Interaction with other medicinal products and other forms of interaction

The speed of absorption of paracetamol may be increased by metoclopramide or domperidone and absorption reduced by cholestyramine.

The anticoagulant effect of warfarin and other coumarins may be enhanced by prolonged regular daily use of paracetamol with increased risk of bleeding; occasional doses have no significant effect.

Alcohol, barbiturates, anticonvulsants and tricyclic anti-depressants may increase the hepatotoxicity of paracetamol, particularly after an overdose. Chloramphenicol -paracetamol may increase the half life.

4.6 Pregnancy and lactation

There is epidemiological evidence of the safety of Paracetamol in human pregnancy. It may, therefore be taken during human pregnancy. It may also be taken during lactation.

4.7 Effects on ability to drive and use machines

None stated.

4.8 Undesirable effects

If given in therapeutic doses, side effects are rare. Haematological reaction has been reported. Skin rashes and other allergic responses may occur occasionally. Most reports of adverse reaction to Paracetamol relate to overdose.

4.9 Overdose

An overdose should be treated as soon as possible (within 12 hours) as liver damage from an overdose does not become apparent for one to six days after ingestion. Initial symptoms include pallor, nausea, vomiting, anorexia and abdominal pain. After gastric lavage, a suitable antidote such as acetylcysteine or methionine should be given. Acetylcysteine is given by intravenous infusion in an initial dose of 150 mg/kg body weight over 15 minutes, followed by 50 mg/kg over four hours, and then by 100 mg/kg over the next 16 hours. Alternatively, Methionine 2.5G may be given by mouth every four hours to a total of four doses. The blood Paracetamol levels should be monitored to determine whether further therapy is necessary.

5 PHARMACOLOGICAL PROPERTIES

5.1 Pharmacodynamic properties

Analgesic and antipyretic.

5.2 Pharmacokinetic properties

Not applicable.

5.3 Preclinical safety data

There are no preclinical data of relevance to the prescriber additional to that covered in other sections of the SPC.

6 PHARMACEUTICAL PARTICULARS

6.1 List of excipients

Starch, Maize BP

Sodium Starch Glycollate BP Magnesium Stearate BP Potassium Sorbate BP Pregelatinized Maize Starch BP

6.2 Incompatibilities

None stated.

6.3 Shelf life

Five years

6.4 Special precautions for storage

None stated.

6.5 Nature and contents of container

Round white polypropylene container that is child resistant and tamper evident containing 50 tablets in 50 ml size and 100 tablets in 100 ml. size.

6.6 Special precautions for disposal

None

7 MARKETING AUTHORISATION HOLDER

Ayrton Saunders Limited Ayrton House,

Commerce Way,

Parliament Business Park,

Liverpool,

L8 7BA

8    MARKETING AUTHORISATION NUMBER(S)

PL 16431/0172

9 DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

Date of First Authorisation:    14-Dec-1981

10 DATE OF REVISION OF THE TEXT