Patient leaflet - Lemocalm Plus Cold and Flu capsules
what they are used for
LemoCalm® Plus Cold and Flu Capsules contains the following active ingredients: • Paracetamol - relieves pain and reduces body temperature when you have a fever; • Caffeine - acts as a mild stimulant;
- Phenylephrine Hydrochloride - a decongestant which unblocks your nose and sinuses helping you to breathe more easily.
This medicine is used for the short term relief of the symptoms of flu, colds and chills. These symptoms include headache, shivers, aches and pains, blocked nose and painful sinuses, catarrh and sore throat.
You must talk to a doctor if you do not feel better or if you feel worse after 7 days.
2. What you need to know before you take LemoCalm® Plus Cold and Flu Capsules
DO NOT take this medicine:
- If you are allergic to the active substances or any of the other ingredients of this medicine (listed in section 6);
- If you have kidney or liver problems, overactive thyroid, diabetes, high blood pressure or heart disease;
- If you have pheochromocytoma or glaucoma;
- If you are taking tricyclic antidepressants (e.g. Imipramine or amitriptyline) or if you are taking or have taken within the last two weeks monoamine oxidase inhibitors (MAOis) (e.g. Moclobemide) prescribed for depression;
- If you are taking beta blockers (e.g. atenolol).
Do not take anything else containing paracetamol while taking this medicine. Do not take with any other flu, cold or decongestant products.
Warnings and precautions
Talk to your doctor or pharmacist before taking this medicine if you: • Have a blood vessel disease such as Raynaud’s Phenomenon;
- Have an enlarged prostate;
- Have heart or circulation disease;
- Are suffering from liver problems including liver problems due to excessive alcohol consumption;
Signs of metabolic acidosis include:
- deep, rapid, difficult breathing
- feeling sick (nausea), being sick (vomiting)
- loss of appetite
Contact a doctor immediately if you get a combination of these symptoms.
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).
Other medicines and LemoCalm® Plus Cold and Flu Capsules
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Especially, the following:
- Drugs for heart problems (e.g. digoxin);
- Drugs to lower blood pressure;
- Appetite suppressants or stimulants;
- Drugs to thin the blood (anti-coagulant drugs e.g. Warfarin, other coumarins); • Colestyramine (reduces blood cholesterol levels);
- Metoclopramide and domperidone (used to treat nausea, vomiting or other stomach problems);
- Drugs to treat depression; such as tricyclic antidepressants (e.g. amitriptyline) • Ergotamine or methylsergide (for migraines);
- flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic acidosis) that must have urgent treatment (see section 2).
LemoCalm® Plus Cold and Flu Capsules with food, drink and alcohol
Avoid too much caffeine in drinks like coffee and tea. High caffeine intake can cause difficulty in sleeping, shaking and an uncomfortable feeling in the chest.
You should not drink alcohol whilst you are on this medicine.
Effects of paracetamol on laboratory tests
Uric acid and blood sugar tests may be affected.
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.
If necessary, LemoCalm® Plus Cold and Flu Capsules 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.
Due to the caffeine content of this product it should not be used if you are pregnant or breast-feeding.
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Driving and using machines
This product may cause dizziness. If affected, do not drive or operate machinery
3. How to take LemoCalm® Plus Cold and Flu capsules
Always take this medicine exactly as described in this leaflet or your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose is:
Adults and children aged 16 years and over:
Swallow two capsules every 4 - 6 hours as needed. Do not take more than 12 capsules in 24 hours. Swallow each capsule with a drink of water.
Do not take more than the recommended dose.
- Always use the lowest effective dose to relieve your symptoms. • Avoid too much caffeine in drinks like coffee and tea. High caffeine intake can cause difficulty sleeping, shaking and an uncomfortable feeling in the chest.
Children aged 12 years to 15 years:
Two capsules every 4-6 hours as needed. Do not take more than 8 capsules in 24 hours.
- Do not take more frequently than every 4 hours;
- Do not take for more than 7 days without asking your doctor; • Do not exceed the recommended dose;
- Do not give to children under 12 years of age.
If you do not get better, talk to your doctor.
If you take more LemoCalm® Plus Cold and Flu Capsules than you should
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.
If you forget to take LemoCalm® Plus Cold and Flu Capsules
If you miss a dose, take it as soon as you remember. Do not take a double dose to make up for a forgotten dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
A small number of people have had side effects.
Stop taking this medicine and tell your doctor immediately if you experience: • Allergic reactions which may be severe such as skin rash and itching sometimes with swelling of the mouth or face or shortness of breath. Very rare cases of serious skin reactions have been reported.
- Skin rash or peeling, or mouth ulcers.
- Breathing problems. These are more likely if you have experienced them before when taking other painkillers such as ibuprofen or aspirin.
- Unexplained bruising or bleeding.
- Reoccuring fevers or infections.
- Nausea, sudden weight loss, loss of appetite and yellowing of the eyes and skin. • Visual disturbances. This is rare but is more likely in those with glaucoma. • Unusually fast pulse rate or a sensation of an unusually fast or irregular heartbeat. • Difficulty passing water. This is more likely to occur in men with an enlarged prostate gland.
- Excitability, restlessness and irritability
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)
The following side effects may occur. Tell your doctor if you get them. • Raised blood pressure, headache, dizziness, difficulty sleeping, nervousness, anxiety, diarrhoea or sickness.
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 LemoCalm® Plus Cold and Flu Capsules
- Keep this medicine out of the sight and reach of children.
- Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
- Do not store above 25°C.
- 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 protect the environment.
6. Contents of the pack and other information
What LemoCalm® Plus Cold and Flu Capsules contain
- The active substances are paracetamol 300 mg, caffeine 25 mg and phenylephrine hydrochloride 5 mg.
- The other ingredients are: modified maize starch, colloidal anhydrous silica, magnesium stearate, patent blue V (E131), titanium dioxide (E171), quinolone yellow (E104) and ferric oxide (E172).
What LemoCalm® Plus Cold and Flu Capsules look like and contents of the pack
- These capsules are hard, green/yellow filled with a white powder. • They are available in packs of 8, 12, 16, 24 or 32.
- Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Name and address:
Bristol Laboratories Ltd,
Unit 3, Canalside, Northbridge Road, Berkhamsted,
Hertfordshire, HP4 1 EG, United Kingdom
Telephone: 0044 (0) 1442 200922
Email: info@bristol-labs.co.uk
LemoCalm® Plus Cold and Flu Capsules; PL 17907/0345
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 (or telephone, fax, email) above. 10 mm
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