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139.7 mm

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12mm    12mm

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PATIENT INFORMATION LEAFLET

Veganin Tablets

Paracetamol 500 mg; Caffeine 30 mg; Codeine Phosphate 8 mg

Read all of this leaflet carefully because it contains important information for you,

This medicine is available without prescription. However, you still need to use Veganin carefully to get the best results from it,

This medicine can only be used for the short term treatment of acute moderate pain which is not relieved by paracetamol, ibuprofen or aspirin alone. You should only take this product for a maximum of three days at a time. If you need to take it for longer than three days you should see your doctor or pharmacist for advice.

This medicine contains codeine which can cause addiction if you take it continuously for more than three days. This can give you withdrawal symptoms from the medicine when you stop taking it.

If you take this medicine for headaches for more than three days it can make them worse.

•    Keep this leaflet, You may need to read it again,

•    Ask your pharmacist if you need more information or advice,

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist straightaway.

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In this leaflet

1,    What Veganin is and what it is used for

2,    Before you take Veganin

3,    How to take Veganin

4,    Possible side effects

5,    Storing Veganin

6,    Further information

1. What Veganin is and what it is used for

Veganin can be used in patients over 12 years of age for the short term relief of moderate pain that is not relieved by other painkillers such as paracetamol, or ibuprofen alone. It is suitable for the treatment of migraine, headache, rheumatic pain, period pain, toothache and neuralgia,

Veganin is a tablet containing paracetamol, caffeine and codeine phosphate. Paracetamol and codeine are painkillers. Codeine belongs to a group of medicines called opioid analgesics which act to relieve pain; it can be used on its own or in combination with other pain killers. Paracetamol also helps lower a high temperature and acts as a mild anti-inflammatory, to reduce swelling,

Caffeine is a mild stimulant that causes wakefulness and increased mental activity, It can also help the effectiveness of paracetamol,

2. Before you take Veganin

This medicine contains codeine which can cause addiction if you take it continuously for more than three days. This can give you withdrawal symptoms from the medicine when you stop taking it.

If you take a pain killer for headaches for more than three days it can make them worse.

Do not use this medicine:

•    if you are allergic (hypersensitive) to any of the ingredients of Veganin (see section 6)

•    if you have asthma or very shallow breathing

•    if you suffer from alcoholism

•    if you have a head injuty or increased pressure in your skull

•    if you have had surgery on your bile duct

•    if you are already taking a medicine containing paracetamol

11 mm

•    for a child younger than 12 years old

•    for pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome

•    if you know that you metabolise very rapidly codeine into morphine

•    if you are breastfeeding.

Take special care with Veganin Tell your doctor or pharmacist if:

•    you have severe liver or kidney problems. The risk of overdose is higher if you have alcoholic liver disease

•    you are elderly because you may be more likely to get some side effects (see section 4)

•    you have prostate problems

•    you have bowel problems, particularly those causing inflammation or blockage, or you have had recent bowel surgeiy. If you have any of these conditions, your doctor or pharmacist will advise you about how best to use Veganin,

Taking other medicines

Before using Veganin, tell your doctor or pharmacist if you are taking any of the following:

•    rnetocloprarnide or dornperidone - used to treat nausea and vomiting

•    colestyrarnine - used to treat high cholesterol

•    anti-coagulants (such as warfarin) - used to thin the blood, It is alright to take occasional doses of Veganin, but not if Veganin is required daily over a long period

•    sedatives (also known as sleeping tablets) containing barbiturates

•    certain medicines prescribed for depression (called MAOIs) or have been taking them in the last 2 weeks

•    medicines for diarrhoea and tummy cramps as taking these at the same time as Veganin may make you constipated

•    medicines such as atropine, procyclidene or hyoscine which are used to treat problems with gut movements, Taking these at the same time as Veganin may make you severely constipated and may make it difficult for you to pass urine

•    some antihistamines which may be used in cough/cold remedies and anti-allergy

products, Taking these at the same time as Veganin may make you severely constipated and may make it difficult for you to pass urine

•    quinidineor rnexiletine - used to regulate heart rhythm

•    cirnetidine - used to treat stomach ulcers

•    naltrexone - used in the treatment of drug dependence,

If you are taking any of the following medicines, you may find the effectiveness of Veganin is reduced:

•    oral contraceptives ('the pill')

•    medicines used to treat epilepsy (anticonvulsants).

If you are unsure if any medicine you are taking is one of those mentioned above, check with your pharmacist, Alcohol

Do not drink alcohol while taking Veganin as it can make liver damage and breathing difficulties more likely and more serious,

Warnings and precautions

Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other people are more likely to get serious side effects because a veiy high amount of morphine is produced,

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