Patient leaflet - Galpharm 4-in-one Flu Relief powder for oral solution
1) What is this medicine and what is it used for?
This medicine contains:
- paracetamol which is a pain reliever (analgesic) and helps reduce your temperature when you have a fever
- guaifenesin which is an expectorant to help loosen phlegm
- phenylephrine which is a decongestant to reduce swelling in the passages of the nose to help you breathe more easily
- cetylpyridinium chloride which is an antibacterial, and relieves sore throats.
These sachets are used for the short term relief of the symptoms of colds and flu, including aches and pains, headache, blocked nose, tickly sore throat and chesty coughs.
2) Is this medicine suitable for you?
Do not take this medicine if you:
- are allergic to paracetamol, guaifenesin, phenylephrine, cetylpyridinium chloride or any of the other ingredients
- have a serious heart condition or cardiovascular disorder(s)
- have high blood pressure (hypertension)
- have an overactive thyroid
- have glaucoma
- have difficulty passing urine
- are taking antidepressant drugs called monoamine oxidase inhibitors (MAOI’s), or have taken them within the last 14 days - these are medicines such as phenelzine, isocarboxazid and tranylcypromine.• are currently taking other decongestant drugs (e.g. ephedrine and xylometazoline) or stimulants (e.g. dexamfetamine).
Please see your doctor or pharmacist before taking this medicine if you:
are pregnant or breastfeeding
suffer from kidney or liver problems, including alcoholic liver disease
- have diabetes
- have circulatory disorders such as a condition called Raynaud’s Phenomenon, which results from poor circulation in the fingers and toes • have angina
- have an enlarged prostate gland, as this may cause more difficulty in passing urine
- suffer from phenylketonuria, a rare, inherited metabolic disorder.
During treatment with this medicine, 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).
If you are taking any of the following medicines please see your doctor:
- medicines to treat high cholesterol levels which reduce the amount of fat in the blood such as colestyramine
- medicines to control feeling sick or being sick such as metoclopramide or domperidone
- medicines called anti-coagulants, which are used to thin the blood such as warfarin or other coumarins – you may take occasional doses of paracetamol but should consult your doctor if you need to take it on a regular basis
- barbiturates (for epilepsy or to help you sleep), such as phenobarbitones
- tricyclic antidepressants such as imipramine, amitriptyline
- medicines to treat heart or circulatory problems, or to lower blood pressure, (e.g. digoxin, guanethidine, reserpine, methyldopa)
- beta blockers (e.g. atenolol) or vasodilators (e.g. hydralazine)
- phenothiazines used as sedatives (e.g. chlorpromazine, pericyazine and fluphenazine)
- if you are going to have a general anaesthetic as this may cause changes in heart rhythm.
- flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (See section 2) Contains paracetamol.
- Do not take with any other paracetamol-containing products.
Other important information:
If you are taking medication or are under medical care, consult your doctor before using this medicine.
Long term use of this product is not recommended.
Information about some of the ingredients in this medicine:
Contains aspartame (E951), a source of phenylalanine equivalent to 20 mg per sachet. May be harmful for people with phenylketonuria.
Each sachet contains 117 mg sodium. To be taken into consideration by people on a controlled sodium diet.
3) How to take this medicine
Pour the contents of 1 sachet into a standard mug. Fill the mug to below the brim with approximately 250 ml (8 fluid oz) of hot, but not boiling, water. Stir until dissolved, and allow to cool to a drinkable temperature.
Adults, the elderly and children 12 years and over:
1 sachet every 4 hours, as required. Do not take more than 4 sachets (4 doses) in any 24 hour period.
Do not give to children under 12 years.
Do not exceed the stated dose. If your symptoms persist or worsen, you must see a doctor or pharmacist.
Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage.
Go to your nearest hospital casualty department. Take your medicine and this leaflet with you.
4) Possible side effects
Most people do not have any side effects while taking this medicine. However, if you experience any of the following side effects, or anything else unusual happens, stop taking the medicine immediately, and see your doctor or pharmacist.
Rare side effects are:
- allergic reactions such as skin rash
- stomach upsets, diarrhoea
- dizziness
- tingling and coolness of the skin
- difficulty sleeping (insomnia)
- nervousness, tremors or convulsions
- a rise in body temperature
- a rise in blood pressure with headache, vomiting (being sick) and fast, slow or irregular heart beat (palpitations).
More rarely, the following side effects can happen:
- you may become more prone to bleeding, bruising, fever and infections, such as sore throat and ulcers, due to changes in your blood.
Very rare cases of serious skin reactions have been reported.
Not known (frequency cannot be estimated from the available data):
A serious condition that can make blood more acidic (called metabolic acidosis), in patients with severe illness using paracetamol (see section 2).
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 at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this medicine.
5) How to store your medicine
Keep all medicines out of the reach and sight of children.
Do not use this medicine after the expiry date which is stated on the carton and sachet. The expiry date refers to the last day of that month.
Do not store above 25ºC.
6) What is in this medicine?
Each 3.54 g sachet of off-white powder, taken as a hot drink, contains the active ingredients: paracetamol 500 mg, guaifenesin 200 mg, phenylephrine hydrochloride 10 mg and cetylpyridinium chloride 3 mg.
The other ingredients are: maltodextrin, citric acid (anhydrous), tartaric acid, sodium citrate, acesulfame potassium (E950), aspartame (E951), powdered menthol flavour, lemon flavour and the colour curcumin (E100).
This product is available in pack sizes of 5 or 10 sachets.
- 7) Who makes this medicine?
The Marketing Authorisation holder and manufacturer is Perrigo, Braunton, Devon, EX33 2DL, UK.
Text Revised: January 2025
PL 12063/0107
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