Patient leaflet - NUMARK MAX STRENGTH SINUS RELIEF WITH DECONGESTANT CAPSULES, NUMARK MAX STRENGTH COLD & FLU WITH DECONGESTANT CAPSULES, WOCKHARDT MAX STRENGTH COLD & FLU CAPSULES, WELL PHARMACEUTICALS MAX STRENGTH COLD & FLU CAPSULES, HEALTH ESSENTIALS MAX STRENGTH COLD
Package Leaflet: Information for the user Wockhardt Max Strength Cold & Flu Capsules
Paracetamol, Caffeine and Phenylephrine hydrochloride
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. This medicine is available without prescription. However you still need to take Wockhardt Max Strength Cold & Flu Capsules carefully to get the best results from them.
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.
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– Keep this leaflet. You may need to read it again.
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– Ask your pharmacist if you need more information or advice.
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– If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
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– You must talk to a doctor if you do not feel better or if you feel worse after 3 days.
The name of your medicine is Wockhardt Max Strength Cold & Flu Capsules. In the rest of this leaflet it is called Max Strength Cold & Flu Capsules.
What is in this leaflet
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1. What Max Strength Cold & Flu Capsules are and what they are used for
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2. What you need to know before you take Max Strength Cold & Flu Capsules
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3. How to take Max Strength Cold & Flu Capsules
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4. Possible side effects
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5. How to store Max Strength Cold & Flu Capsules
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6. Contents of the pack and other information
Max Strength Cold & Flu Capsules contain a combination of paracetamol (a painkiller), caffeine (a mild stimulant) and phenylephrine hydrochloride (a decongestant).
Max Strength Cold & Flu Capsules are used to relieve the symptoms of the common cold and flu; including fever, aches and pains, headaches, tiredness and drowsiness, nasal congestion (blocked nose and sinus) and reducing temperatures.
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- are allergic to paracetamol, caffeine, phenylephrine hydrochloride or any of the other ingredients of this medicine (listed in section 6)
- are hypersusceptible to phenylephrine
- have had ulcers of the stomach or small intestine (peptic ulcer disease)
- have an overactive thyroid
- have swelling of blood vessels (aneurysms) or narrowing of blood vessels
- suffer from heart disease, including high blood pressure
- suffer from a tumour called a phaeochromocytoma
- suffer from an enlarged prostate
- suffer from diabetes
- suffer from an eye condition called closed angle glaucoma
- are taking sympathomimetic decongestants
- are taking beta blockers e.g. atenolol (used to treat high blood pressure)
- 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.
Warnings and precautions
- suffer from kidney disease or liver disease, particularly if caused by alcohol
- suffer from alcoholism
- suffer from asthma, particularly if your asthma is worsened by aspirin
- have a blood vessel disease such as Raynaud’s Phenomenon
- have heart or circulation disease
This medicine contains paracetamol; do not take with any other paracetamol-containing products at the same time.
Do not take with any other flu, cold or decongestant products.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. The following medicines can affect or be affected by Max Strength Cold & Flu Capsules:
- medicines used to treat bacterial infections (e.g. quinolone antibiotics such as enoxacin, pipemidic acid, ciprofloxacin and isoniazid used to treat tuberculosis)
- medicines used to treat epilepsy (fits) (e.g. carbamazepine, phenobarbital, lamotrigine, phenytoin and primodone)
- medicines used to treat depression (e.g. fluvoxamine, tricyclic antidepressants such as amitriptyline or imipramine, reversible inhibitors of monoamine oxidase (RIMAs) such as moclobemide and monoamine oxidase inhibitors (MAOIs) or if you have taken MAOIs within the past 14 days)
- digoxin (used to treat heart disease) and cardiac glycosides (used to treat heart failure)
- metoclopramide and domperidone (used to treat sickness and nausea)
- oral contraceptives (“The Pill”, mini-pill), hormonal implants and HRT
- warfarin and other coumarin medicines (used to thin the blood)
- probenecid (used to treat gout)
- diflunisal (an anti-inflammatory painkiller)
- colestyramine (used to treat high cholesterol and in diseases of the intestine and liver)
- benzodiazepine medicines (sedatives e.g. diazepam)
- disulfiram (used to treat alcoholism)
- lithium (used to treat manic depression/bipolar disorder)
- mexiletine (used to treat abnormal heart rhythms)
- phenylpropanolamine (a decongestant)
- theophylline (used in the treatment of asthma)
- alpha-blockers (used in high blood pressure and problems associated with enlarged prostate)
- beta-blockers (used to treat high blood pressure)
- medicines used to decrease appetite
- amphetamine-like psychostimulants also known as ‘uppers’ or ‘speed’
- atropine (used in anaesthesia or to increases the heart rate)
- ergot alkaloids (used in the treatment of migraines e.g. ergotamine and methysergide)
- oxytocin (used to induce childbirth)
- sympathomimetics (used to maintain blood pressure in critically ill patients)
- intravenous busulfan (used in chemotherapy to treat cancer).
Pregnancy and breast-feeding
If necessary, Max Strength Cold & Flu Capsules can be used during pregnancy. If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. 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 if the pain and/or fever are not reduced or if you need to take the medicine more often.
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Do not drink alcohol while taking this medicine
Driving and using machines
It is possible that Max Strength Cold & Flu Capsules may cause dizziness. Do not drive or operate LZU machinery if affected.
Always take this medicine exactly as described in this leaflet or as your doctor orpharmacist or nurse has told you. Check with your doctor or pharmacist or nurse if you are not sure. Swallow capsules whole with a glass of water. Do not chew.
Adults and children 16 years and over: 1 to 2 capsules every 4–6 hours. Do not take more than 8 capsules in 24 hours.
Children 12 – 15 years: One capsule every 4 – 6 hours when necessary to a maximum of 4 doses in 24 hours Children under 12 years of age: Do not give to children under 12 years.
Do not take for more than 3 days without consulting a doctor.
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 a dose, take another as soon as you remember. If it is almost time for your next dose, then do not take the missed dose at all. Do not take a double dose to make up for a forgotten dose. ___________________
4. possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
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- hallucinations
- restlessness
- 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
- Visual disturbances. This is more likely in those with glaucoma.
- Nausea, sudden weight loss, loss of appetite and yellowing of the eyes and skin.
- Unusually fast pulse rate or a sensation of unusually fast or irregular heartbeat
- Difficulty passing water. This is more likely to occur in men with an enlarged prostate gland.
- headache, dizziness, difficulty sleeping, nervousness, anxiety, diarrhoea or sickness
- excitability
- irritability
- worsening of asthma
- insomnia
- high blood pressure
The use of this medicine over a long time can cause kidney problems. If you experience any side effects or feel that the medicine is affecting you badly tell your doctor or pharmacist immediately.
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: 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.
Keep this medicine out of the sight and reach of children.
- Store in the original container to protect from light; do not transfer to another container
- Do not use this medicine after the expiry date which is stated on the label. The expiry date refers to the last day of that month.
6. contents of the pack and other informationthe active ingredients are: paracetamol 500mg, caffeine 25mg and phenylephrine hydrochloride 6mg.the other ingredients are: pregelatinised starch, sodium lauryl sulphate, croscarmellose sodium, magnesium stearate, talc, purified water. empty hard gelatine capsule shell; quinoline yellow (e104), patent blue v (e131), titanium dioxide (e171) and erytnrosine (e127).
Max Strength Cold & Flu Capsules are hard, red and yellow, gelatine capsules.
Max Strength Cold & Flu Capsules are available on general sale in blister pack sizes of 12 and 16 capsules.
Marketing Authorisation Holder: Wockhardt UK Ltd, Ash Road North, Wrexham, LL13 9UF, UK. Manufacturer: CP Pharmaceuticals Ltd, Ash Road North, Wrexham LL13 9UF, UK.
Other formats:
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Product name Reference number
Wockhardt Max Strength Cold & Flu Capsules 29831/0172
This is a service provided by the Royal National Institute of Blind People.
This leaflet was last revised in July 2019.
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Code: PB/Drugs/1802-OSP 104592/5