Product Details

What you need to know before you take Care Night Cold & Flu Oral Solution

Do not take Care Night Cold & Flu Oral Solution if you: • are allergic (hypersensitive) to paracetamol, promethazine hydrochloride, dextromethorphan hydrobromide or any of the other ingredients of Care Night Cold & Flu Oral Solution (Section 6 below). • suffer from lung disease. • are taking, or have taken in the last two weeks, drugs for depression known as Monoamine Oxidase Inhibitors (MAOIs). • are taking selective serotonin re-uptake inhibitors (used to treat depression and anxiety such as fluoxetine, paroxetine and sertraline). • if your child is under 12 years old. Do not take with any other paracetamol containing products. Do not take with any other flu, cold or decongestant product. This medicine can lead to dependence. Therefore the treatment should be of short duration. Warnings and Precautions Tell your doctor if you: • have kidney or liver problems. • have a chronic or persistent cough such as occurs with asthma or produces a lot of mucus (phlegm). • are taking any other cough and cold medicines. • have difficulty in passing urine (urinary retention). • have glaucoma. • have prostate problems. • have heart problems. • have epilepsy. • are elderly and suffer from confusion. • have an intolerance to some sugars. • if your child is susceptible to developing certain allergic reactions. • if you have been told by your doctor that you are a slow metabolizer of CYP2D6. • If you are or have ever been addicted to opioids, alcohol, prescription medicines, or illegal drugs. • If you have previously suffered from withdrawal symptoms such as agitation, anxiety, shaking or sweating, when you have stopped taking alcohol or drugs. Taking this medicine regularly, particularly for a long time, can lead to addiction. Only use this medicine as described in the leaflet. Addiction can cause withdrawal symptoms when you stop taking this medicine. Withdrawal symptoms can include restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhoea, loss of appetite, shaking, shivering or sweating. Speak to your doctor if you experience withdrawal symptoms. If you do not get better, talk to your doctor. Other medicines and Care Night Cold & Flu Oral Solution Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even medicines obtained without a prescription. In particular, tell your doctor if you are taking medicines which: • thin the blood (e.g. warfarin). • control nausea or vomiting (e.g. domperidone or metoclopramide). • reduce levels of cholesterol and other fats in the blood (e.g. cholestyramine). • have been prescribed by your doctor to improve sleep, for anxiety or depression (including monoamine oxidase inhibitors (MAOIs) and antimuscarinic drugs). • medicines to control your heart rhythm e.g. quinide, amiodarone, flecainide or propafenone. • antifungal medicines e.g. terbinafine. • medicines to help with quitting smoking e.g. bupropion. • medicines to help with certain addictions or treat pain e.g. methadone. • medicines to help with overactive parathyroid e.g. cinacalcet. • antipsychotic medicines e.g. haloperidol, perphenazine and thioridazine. Talk to your doctor or pharmacist before taking Care Night Cold & Flu Oral Solution: • If you are taking medicines such as certain antidepressants or antipsychotics. Care Night Cold & Flu Oral Solution may interact with these medicines and you may experience mental status changes (e.g. agitation, hallucinations, coma), and other effects such as body temperature above 38°C, increase in heart rate, unstable blood pressure, and exaggeration of reflexes, muscular rigidity, lack of coordination and/or gastrointestinal symptoms (e.g. nausea, vomiting, diarrhoea). Do not consume alcoholic drinks while you are taking Care Night Cold & Flu Oral Solution. Promethazine may interfere with pregnancy tests to produce false results. Pregnancy and breast-feeding Ask your doctor or pharmacist for advice before taking any medicines during pregnancy. If necessary, Care Night Cold & Flu Oral Solution can be used during pregnancy. If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You should use the lowest possible dose that reduces your pain and/or your fever and use it for the shortest time possible. Contact your doctor if the pain and/or fever are not reduced or if you need to take the medicine more often. Driving and using machines The medicine can affect your ability to drive as it may make you sleepy or dizzy. • Do not drive while taking this medicine until you know how it affects you. • It is an offence to drive if this medicine affects your ability to drive. • However, you would not be committing an offence if: o The medicine has been prescribed to treat a medical or dental problem and o You have taken it according to the instructions given by the prescriber or in the information provided with the medicine and o It was not affecting your ability to drive safely Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine. There is further information for patients who are intending to drive in the UK – go to https://www.gov.uk/drug-driving-law. Important information about some of the ingredients of Care Night Cold & Flu Oral Solution This medicinal product contains: • Ethanol: 2916 mg of alcohol (ethanol) in each 20 ml of this medicine, which is equivalent to 18.08 v/v %. The amount in 20 ml of this medicine is equivalent to 73 ml of beer, or 29 ml of wine. The alcohol in this preparation is likely to affect children. These effects may include feeling sleepy and changes in behaviour. It may also affect their ability to concentrate and take part in physical activities. The amount of alcohol in this medicine can affect your ability to drive or use machines. This is because it may affect your judgement and how fast you react. If you have epilepsy or liver problems, talk to your doctor or pharmacist before taking this medicine.