Product Details

Check before you take Night Nurse Capsules

Contains paracetamol. Taking too much paracetamol can cause serious harm to your liver. Do not take anything else containing paracetamol within four hours of taking this product. Do not take with other antihistamine-containing preparations, including topical antihistamines and cough and cold medicines.

Do not take Night Nurse Capsules:

• if you have ever had an allergic reaction to paracetamol, promethazine hydrochloride, dextromethorphan hydrobromide or any of the other ingredients (listed in Section 6). • if you have chest infection, worsening asthma or severe respiratory problems. • if you are taking or have taken monoamine oxidase inhibitors (MAOIs) prescribed for depression in the last two weeks.

Take special care with Night Nurse Capsules:

• This medicine can lead to dependence. Therefore, the treatment should be of short duration. • Do not drink alcohol while using Night Nurse Capsules. • If your symptoms are accompanied by a high temperature, skin rash or persistent headache, see your doctor.
• This medicine may affect pregnancy tests based on urine samples, to give false results.

Driving and operating machinery

This medicine can affect your ability to drive as it may cause drowsiness, dizziness, difficulty concentrating, movement difficulties or blurred vision. If affected do not drive or operate machinery. • Do not drive while taking this medicine until you know how it affects you. • It may be an offence to drive when taking this medicine. • However, you would not be committing an offence if the medicine has been taken to treat a medical or dental problem, and you have taken it according to the information provided with the medicine, and 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. Details regarding a new driving offence concerning driving after drugs have been taken in the UK may be found here: www.gov.uk/drug-driving-law. Ask your doctor before you take this medicine: • if you have been told by your doctor you have an intolerance to some sugars. • if you have liver or kidney problems. • if you have glaucoma, epilepsy, difficulty passing urine, or prostate problems. • if you have chronic or persistent cough accompanied by excessive phlegm or respiratory problems. • if you are elderly and suffer from confusion. • if you have a severe infection, are severely malnourished, severely underweight or are a chronic heavy alcohol user, as this may increase the risk of metabolic acidosis. Signs of metabolic acidosis include: • deep, rapid, difficult breathing • feeling sick (nausea), being sick (vomiting) • loss of appetite • if you are taking medicines such as certain antidepressants or antipsychotics as Night Nurse 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). Contact a doctor immediately if you get a combination of these symptoms. • are or have ever been addicted to opioids, alcohol, prescription medicines, or illegal drugs. • 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 are taking other medicines Please talk to your doctor or pharmacist before taking these capsules if you are taking any prescribed medicines; particularly metoclopramide or domperidone (for nausea or vomiting); colestyramine (to lower blood cholesterol); medicines which give you blurred vision, a dry mouth or make you drowsy; blood thinning drugs (anticoagulants e.g. warfarin); quinidine or amiodarone (to control your heart rhythm); medicines for anxiety or depression (e.g. selective serotonin reuptake inhibitor (SSRI) or tricyclic antidepressant) or to help you sleep. You should also tell your doctor or pharmacist: • if you have abused drugs or other substances in the past. • if you have specific metabolism characteristics (slow metabolizer of CYP2D6).

Pregnancy and breast feeding

Do not take Night Nurse Capsules if you are pregnant or breast-feeding.