Product Details

Product Information of Night Nurse

. Check before you take Night Nurse
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:
• 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 a 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:
• This medicine can lead to dependence. Therefore, the
treatment should be of short duration.
• Do not drink alcohol while using Night Nurse.
• Night Nurse contains 18% v/v ethanol (alcohol), i.e. up to
2.9 g per dose, equivalent to 72 ml beer, 30 ml wine per
dose. This could be harmful if you suffer from alcoholism.
This should also be considered if you are pregnant or
breast-feeding, in children and high-risk groups such as
patients with liver disease or epilepsy.
• 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 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 have diabetes mellitus. Each 20 ml dose contains
12.8 g of glucose.
• if you are on a sodium-controlled diet. Each 20 ml dose
contains 37 mg of sodium.
• 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 this
medicine if you are taking any other 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 if you are pregnant or
breast-feeding.