Patient leaflet - Flu strength Hot Lemon powder
1. What Flu Strength Hot Lemon Powder is and what it is used for
Flu Strength Hot Lemon Powder is used for the relief of cold and flu symptoms such as headache, fever, aches and pain. It contains the active ingredient paracetamol which relieves pain and reduces body temperature when you have a fever.
You must talk to a doctor if you do not feel better or if you feel worse after 3 days
2. What you need to know before you take Flu Strength Hot Lemon Powder
Do not take Flu Strength Hot Lemon Powder:
- if you are allergic to paracetamol, other pain relievers or any of the other ingredients of this medicine (listed in section 6).
- taking any other paracetamol-containing medicines
Warnings and precautions
Talk to your doctor, pharmacist or nurse before taking Flu Strength Hot Lemon Powder
- Are suffering from liver problems including liver problems due to excessive alcohol consumption
- Gilbert’s syndrome (mild jaundice)
- Are suffering from kidney problems
- Are suffering from dehydration and chronic malnutrition
- Suffer from asthma and are sensitive to aspirin
- Are taking any other paracetamol containing medicines
- Have a fever that does not improve after taking this medicine
- Have glucose-6-phosphatedehydrogenase deficiency (enzyme deficiency)
- Have hemolytic anemia (abnormal breakdown of red blood cells).
- Are suffering from kidney or liver problems
During treatment with Flu Strength Hot Lemon Powder, tell your doctor straight away if:
- you have severe illnesses, including severe renal impairment or sepsis (when bacteria and their toxins circulate in the blood leading to organ damage), or you suffer from malnutrition, chronic alcoholism or if you are also taking flucloxacillin (an antibiotic). A serious condition called metabolic acidosis (a blood and fluid abnormality) has been reported in patients in these situations when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken together with flucloxacillin. Symptoms of metabolic acidosis may include: serious breathing difficulties with deep rapid breathing, drowsiness, feeling sick (nausea) and being sick (vomiting).
Children and adolescents
This medicine is not recommended for children under 16 years of age
Other medicines and Flu Strength Hot Lemon Powder
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines,
Tell your doctor before you take Flu Strength Hot Lemon Powder if you are taking:
- Drugs to thin the blood (anti-coagulant drugs e.g. Warfarin, other coumarins)
- Medicines used to relieve sickness (e.g. Metoclopramide, Domperidone)
- Medicines used to treat high cholesterol (Cholestyramine)
- Probenecid (Medicine used to treat high levels of uric acid in the blood stream (gout))
- Medicine to treat fever or mild pain (Aspirin, Salicylamide)
- Barbiturates and tricyclic antidepressants (to treat depression)
- Medicines used to treat epilepsy (Lamotrigine)
- Medicines to treat tuberculosis (Isoniazid)
- Other medicines containing paracetamol (see ‘Do not take Flu Strength Hot Lemon Powder’)
- Medication for your liver
- Flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called high anion gap metabolic acidosis) that must have urgent treatment (see section 2).
Effects of paracetamol on laboratory tests
Uric acid and blood sugar tests may be affected.
Flu Strength Hot Lemon Powder with food, drink and alcohol
Avoid alcoholic drinks whilst taking this medicine.
This medicine may be taken with or without food.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine
Ask your doctor or pharmacist for advice before taking any medicine.
If you are pregnant see your doctor before you take Flu Strength Hot Lemon Powder. Small amounts of paracetamol pass into breast milk. This medicine may be taken, as instructed (see section 3), by mothers who are breastfeeding.
If necessary, Flu Strength Hot Lemon Powder 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 midwife if the pain and/or fever are not reduced or if you need to take the medicine more often.
Driving and using machines
Flu Strength Hot Lemon Powder is not expected to affect your ability to drive or operate machinery.
Flu strength hot lemon powder contains sucrose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Information on sodium content
This medicine contains 240.87 mg sodium (main component of cooking /table salt) in each sachet. This is equivalent to 12.04% of the recommended maximum daily dietary intake of sodium for an adult.
3. How to take Flu Strength Hot Lemon Powder
Always take this medicine exactly as described in the leaflet or as your doctor, pharmacist or nurse has told you. Check with your doctor, pharmacist or nurse if you are not sure.
Adults and children 16 years and over
The recommended dose is:
- Dissolve the contents of one sachet in hot water and drink. Repeat every 4 hours.
- The dose should not be repeated more frequently than 4 hourly intervals. You should not take Flu Strength Hot Lemon Powder for longer than 3 days.
- The maximum daily dose of Paracetamol must not exceed 4g (four sachets)
- Maximum single dose is 1g (one sachet)
Use in children and adolescents
This medicine is not recommended for children under 16 years of age
WARNING: DO NOT EXCEED THE STATED DOSE
Contains paracetamol. Do not take with other paracetamol containing products.
If symptoms persist consult your doctor. Do not use for more than 3 days without consulting your doctor.
If you take more Flu Strength Hot Lemon Powder than you should
It is extremely important to follow the dosage instructions that have been given to you. Symptoms of overdose include pallor (paleness of skin), nausea, vomiting, anorexia and stomach pain.
Talk to a doctor at once if you take too much of this medicine even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage.
Take any remaining medicine and this leaflet with you if possible.
If you forget to take Flu Strength Hot Lemon Powder
If you miss a dose, take it as soon as you remember.
Do not take a double dose to make up for the dose you have forgotten.
If you have any further questions on the use of this product, ask your doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very rare cases of serious skin reactions have been reported.
- accumulation of fluid in the larynx including an itchy rash, throat swelling (severe allergic reaction),
- swelling on the face, mouth, hands (angioedema)
You should stop taking Flu Strength Hot Lemon Powder and see your doctor immediately if you experience symptoms like:
- Serious skin disease causing rash, skin peeling and sores.
- Severe blistering and peeling of the skin.
The frequency using the following convention:
Rare (may affect up to 1 in 1,000 people):
Oedema (abnormal accumulation of fluid under the skin), abnormal vision, simple skin rash or urticaria (dark red rash on the skin), haemorrhage (bleeding), abdominal pain, diarrhoea, nausea, vomiting, dizziness, fever, reduction of irritability or agitation (sedation), platelet disorders (clotting disorders), stem cell disorders (disorders of the blood forming cell in the bone marrow), abnormal liver function, liver failure, hepatic necrosis (death of liver cells), jaundice, overdose and poisoning, tremor, headache, depression, confusion, hallucinations, sweating, pruritus (itching), feeling lousy (malaise).
Very rare (may affect up to 1 in 10,000 people):
Hepatotoxicity (damage caused to the liver), thrombocytopenia (reduction in blood platelets, which increases the risk of bleeding or bruising), leucopenia (frequent infections due to poorly functioning white blood cells or decrease in white blood cells), neutropenia (reduced neutrophil count in blood), agranulocytosis (severe decrease in white blood cells which may lead to severe infections), hemolytic anemia (abnormal breakdown of red blood cells, which may cause weakness or pale skin), hypoglycemia (low levels of glucose in the blood), cloudy urine and kidney disorders.
Other adverse reactions of paracetamol whose frequency cannot be estimated from available data are: anaemia (decrease in red blood cells), problems with the way your kidneys work (kidney alteration), problems with the way your liver works (liver alteration), haematuria (blood in urine), anuresis (inability to urinate), gastrointestinal effects, vertigo. There have been cases of difficulty breathing, wheezing, coughing, and shortness of breath with paracetamol, but these are more likely in asthmatics sensitive to aspirin or other NSAIDs such as ibuprofen.
The following have also been reported:
- blood abnormalities
- drowsiness
- Impaired mental function.
Not known
- A serious condition that can make blood more acidic (called metabolic acidosis), in patients with severe illness using paracetamol (see section 2).
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.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Flu Strength Hot Lemon Powder
Keep this medicine out of the sight and reach of children.
Do not store above 25°C.
Do not use Flu Strength Hot Lemon Powder after the expiry date shown on the pack. The expiry date refers to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
What Flu Strength Hot Lemon Powder contains
The active substance is Paracetamol 1000mg.
The other ingredients are ascorbic acid, sucrose, sodium citrate, tartaric acid, citric acid, tapioca starch, sodium cyclamate, flav-o-lock lemon juice 610399, lemon flavour 8476, turmeric powder extract (curcumin E100). See also end of Section 2 on ‘Important information about some of the ingredients of Flu Strength Hot Lemon Powder’.
What Flu Strength Hot Lemon Powder looks like and contents of the pack
This medicine is a powder for oral solution. Each pack contains 5 or 10 sachets; each sachet contains 7.7g of powder.
Marketing Authorisation Holder
Bristol Laboratories Ltd,
Unit 3, Canalside,
Northbridge Road, Berkhamsted,
Herts, HP4 1EG, UK
Tel: 0044 (0)1442 200922
E-mail: info@bristol-labs.co.uk
Flu Strength Hot Lemon Powder; PL 17907/0348
This leaflet was last revised in January 2025
To request a copy of this leaflet in braille, large print or audio format, please contact the licence holder at the address above (or telephone, email).