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Before giving Emzor Paracetamol Syrup to your child

Emzor Paracetamol Syrup is suitable for most people but a few people should not use it. If you are in any doubt, talk to your doctor or pharmacist. Do not give your child Emzor Paracetamol Syrup… ■ If s/he has ever had a bad reaction to any of the ingredients. ■ If s/he is taking anything else with paracetamol in it. ■ If s/he is between 2-3 months old and is taking Emzor Paracetamol Syrup for other causes of pain and fever and: ■ Weighs less than 4 kg or ■ Was born before 37 weeks If any of these apply, get advice from a pharmacist or doctor without using CALPOL ®. Talk to your doctor or pharmacist… ■ If your child has serious kidney or liver problems. ■ If your child has an inherited intolerance to fructose or been diagnosed with an intolerance to some other sugars. ■ If your child is taking any other medicines including: ■ metoclopramide or domperidone (used to treat nausea and vomiting ) ■ cholestyramine (used to treat high cholesterol ) ■ anticoagulants (drugs that thin the blood, such as warfarin) ■ anticonvulsants (drugs to treat epilepsy ) ■ flucloxacilin (antibiotic), due to a serious risk of blood and fluid abnormality (high anion gap metabolic acidosis) that must have urgent treatment and which may occur particularly in case of severe renal impairment, sepsis (when bacteria and their toxins circulate in the blood leading to organ damage), malnutrition, chronic alcoholism, and if the maximum daily doses of paracetamol are used. If you are not sure about the medicine your child is taking, show the bottle or pack to your pharmacist. If any of these bullet points apply, talk to a doctor or pharmacist. If adults take Emzor Paracetamol Syrup: The following additional warnings are included in case an adult takes this product. ■ You can use Emzor Paracetamol Syrup while you are taking oral contraceptives (‘the pill’), but it may not work so well on your pain or fever. ■ If you drink large amounts of alcohol, you may be more open to the side-effects of paracetamol. If this applies to you, talk to a doctor before use. ■ If necessary, the medicine can be used during pregnancy. 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 or pharmacist if the pain and/or fever are not reduced or if you need to take the medicine more often. ■ Ask your doctor or pharmacist for advice before taking Emzor Paracetamol Syrup if you are breastfeeding. Some of the ingredients can cause problems ■ Methyl (E218), propyl (E216) and ethyl (E214) parahydroxybenzoate may cause allergic reactions which could possibly be delayed. ■ The sucrose and sorbitol (E420) content of this product means that this product is unsuitable for people with inherited intolerance to fructose. ■ Emzor Paracetamol Syrup contains 2.2 g of sucrose per 5 ml dose and 451 mg of sorbitol (E420) per 5 ml dose which is equivalent to 90 mg/ml. This should be taken into account in patients with diabetes mellitus. Sorbitol is a source of fructose. If your doctor has told you that your child has an intolerance to some sugars or if your child has been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before your child receives Emzor Paracetamol Syrup. ■ Sorbitol may cause gastrointestinal discomfort and mild laxative effect. ■ Carmoisine (E122) may cause allergic reactions. ■ Emzor Paracetamol Syrup contains less than 1 mmol sodium (23 mg) per 5ml, that is to say essentially ‘sodium-free’. ■ Emzor Paracetamol Syrup contains 13.63mg propylene glycol (E1520) in each 5ml dose, which is equivalent to 2.73mg/ml.