SUPERDRUG EXTRA POWER PAIN CONTROL TABLETS, WELL PHARMACEUTICALS PAIN CONTROL EXTRA TABLETS, TESCO EXTRA POWER PAIN CONTROL TABLETS, WOCKHARDT DUAL ACTION PAIN CONTROL TABLETS, EXTRA POWER PAIN CONTROL CAPLETS, MORRISONS PAIN CONTROL EXTRA TABLETS - patient leaflet, side effects, dosage

Package leaflet: Information for the user Extra Power Pain Control Caplets

Aspirin, Paracetamol and Caffeine

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 Extra Power Pain Control Caplets carefully to get the best results from them.

Always take this medicine exactly as described in this leaflet or as your doctor or nurse has told you.

• – Keep this leaflet. You may need to read it again.

• – Ask your pharmacist if you need more information or advice.

• – If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

• – You must talk to a doctor if you do not feel better or if you feel worse after 3 days.

What is in this leaflet

• 1. What Extra Power Pain Control Caplets are and what they are used for

• 2. What you need to know before you take Extra Power Pain Control Caplets

• 3. How to take Extra Power Pain Control Caplets

• 4. Possible side effects

• 5. How to store Extra Power Pain Control Caplets

• 6. Contents of the pack and other information

1. What Extra Power Pain Control Caplets are and what they are used for

The name of your medicine is Extra Power Pain Control Caplets. These caplets contain a combination of aspirin (pain relief and anti-inflammatory), paracetamol (a painkiller) and caffeine (a mild stimulant).

Extra Power Pain Control Caplets are used to relieve the symptoms of the common cold and flu; including fever, and sore throats and are also used to relive mild to moderate pain including, headache, period pains, and pains associated with the joints and muscles.

2. what you need to know before you take extra power pain control caplets are allergic to aspirin or any other non-steroidal anti-inflammatory drugs (nsaids), paracetamol, caffeine or any of the other ingredients of this medicine (listed in section 6). symptoms may include rhinitis (runny nose, itchy rash, swollen face, mouth or tongue or asthma attack

• have had ulcers of the stomach or small intestine (peptic ulcer disease)
• suffer from haemophilia, any other blood clotting disorders or are taking any medicines to prevent blood clotting
• suffer from gout.

Warnings and precautions

Talk to your doctor or pharmacist before taking Extra Power Pain Control Caplets if you:

• 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
• suffer from heart disease and/or high blood pressure
• suffer from diabetes
• if you have nasal polyps (inflamed swellings inside the nose)
• if you suffer from indigestion (dyspepsia)
• if you have an infection
• if you are a woman trying to conceive
• suffer from glucose-6-phosphate dehydrogenase (G6PD) deficiency (an enzyme deficiency that can cause anaemia)
• are dehydrated.

Your blood, kidney and liver should be monitored during prolonged use as blood, kidney and liver disorders may develop.

Caution should be exercised as the effects of aspirin on the gastrointestinal tract are worsened by alcohol.

Caution should be exercised when taking paracetamol products prior to (less than 72 hours before) or at the same time as intravenous busulfan.

This medicine contains paracetamol; do not take with any other paracetamolcon­taining products at the same time. Aspirin can increase the time it takes your blood to clot; you should not take this medicine several days before any scheduled surgery appointments.

This medicine should not be given to children under 16 years unless specifically advised by your doctor (e.g to treat Kawasaki’s di­sease), due to the association between aspirin and Reye’s syndrome, a very rare disease that can cause damage to the brain, liver and could be fatal.

This product belongs to a group of medicines which may impair the fertility in women. This effect is reversible on stopping the medicine.

Other medicines and Extra Power Pain Control Caplets

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 Extra Power Pain Control Caplets:

• medicines used to treat bacterial infections (e.g. quinolones such as enoxacin, pipemidic acid and ciprofloxacin, sulfonamide antibiotics and isoniazid used to treat tuberculosis)
• medicines used to treat epilepsy (fits) (e.g. carbamazepine, phenobarbital, primidone, sodium valproate). If you take sodium valproate with this medicine you may increase the likelihood of bleeding.
• medicines used to treat depression (e.g. fluvoxamine), Selective Serotonin Re-uptake Inhibitors (SSRIs) such as venlafaxine): if taken with aspirin products you may increase the likelihood of bleeding.
• medicines used to treat asthma ( e.g. theophylline or zafirlukast)
• medicine used to thin the blood and stop the blood clotting (anticoagulants- e.g. warfarin, heparin, streptokinase, clopidogrel and ticlopidine): if you take one of these medicines with aspirin products you may increase the likelihood of bleeding
• medicines used to treat water retention (diuretics – e.g. spironolactone and acetazolamide)
• medicines used to treat high blood pressure (ACE Inhibitors, Angiotensin-II Receptor Antagonists and calcium channel blockers e.g. verapamil): taken with aspirin products these medicines may not be as effective and you may suffer from kidney problems
• medicines used to treat gout (e.g. probenecid or sulfinpyrazone). Phenylbutazone may reduce the effect of aspirin products.
• metoclopramide and domperidone (used to treat sickness and nausea)
• oral contraceptives (“The Pill”, mini-pill), hormonal implants and HRT
• diflunisal (an anti-inflammatory painkiller)
• colestyramine (used to treat high cholesterol and in diseases of the intestine and liver)
• disulfiram (used to treat alcoholism)
• lithium (used to treat manic depression/bipolar disorder)
• mexiletine (used to treat abnormal heart rhythms)
• thiopental (used as an anaesthetic)
• kaolin (used to treat Diarrhoea)
• methotrexate (used to treat arthritis and cancers)
• fluconazole or terbinafine (used to treat fungal infections)
• clozapine (an antipsychotic used to treat schizophrenia)
• diuretics such as hydrochlorothiazide
• ephedrine, a stimulant used in dietary supplements such as Ma Huang
• benzodiazepine medicines (sedatives e.g. diazepam)
• phenylpropanolamine (a decongestant)
• non-steroidal anti-inflammatory drugs (NSAIDs) (e.g. indometacin or fenoprofen)
• insulin and oral anti-diabetic medicines
• corticosteroids. If you suddenly stop taking corticosteroids you may develop aspirin poisoning
• vitamin C
• gold compounds
• mifepristone used as an emergency contraceptive. Wait 8–12 days after taking mifepristone before taking any aspirin products.
• Cilostazol (for leg pain that occurs when walking due to poor circulation): the dose of aspirin should not be greater than 80mg a day.
• Intravenous busulfan (used in chemotherapy to treat cancer).
• Metamizole (substance to decrease pain and fever) may reduce the effect of acetylsalicylic acid on platelet aggregation (blood cells sticking together and forming a blood clot), when taken concomitantly. Therefore, this combination should be used with caution in patients taking low dose aspirin for cardioprotection.

Pregnancy and breast-feeding

This medicine should not be taken during pregnancy or whilst breast-feeding. Ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Extra Power Pain Control Caplets do not affect your ability to drive and use machinery.

3. how to take extra power pain control caplets

Always take this medicine exactly as described in this leaflet or as your doctor or nurse has told you. Check with your doctor or nurse if you are not sure. Swallow caplets whole with a glass of water.

Adults, elderly and children over 16 years

• 1 to 2 caplets every 4–6 hours as required
• do not take more than 8 caplets in 24 hours
• do not exceed the recommended dose
• if symptoms persist see your doctor
• do not take for more than 3 days unless you have been told to do so by your doctor.

Take the caplets with or immediately after food to reduce the risk of getting stomach and bowel irritation.

Do not give to children aged under 16 years, unless specifically advised by your 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.

Symptoms of an overdose include vomiting, dehydration, tinnitus, vertigo, headache, nausea, dizziness, restlessness, heart failure, breathing failure, deafness, sweating, warm extremities with racing pulse, increased breathing rate and hyperventilation.

If you forget to take Extra Power Pain Control Caplets

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, Extra Power Pain Control Caplets can cause side effects, although not everybody gets them.

It is very unlikely that you will experience the following side effects. However, you should stop taking this medicine immediately and see your doctor or pharmacist if you notice any of the following symptoms:

• allergic reactions which may be severe such as skin rash, peeling of the skin, itching, swollen red areas of the skin, sometimes with shortness of breath or swelling of the mouth, lips, tongue, throat or face.
• asthma attacks
• worsening of asthma
• changes in blood cells
• irregular heart beat
• palpitations
• blood in the urine
• severe skin problem with shedding of the upper layer
• Stevens-Johnson syndrome (fever, rash, sore mouth and eyes, joint and muscle aches)
• blood loss from the gut
• slight blood loss which may result in iron-deficiency anaemia during long term use
• stomach and gut ulcers
• liver problems
• acid reflux
• irritability
• insomnia
• increased frequency to urinate
• lumps (cysts) in the breasts
• tinnitus
• deafness
• very rare cases of serious skin reactions have been reported.
• Vomiting of blood and/or blood in the faeces, which may result in stomach and gut ulcers or haemorrhage.

Other more common side effects that some people notice when taking Extra Power Pain

Control Caplets are listed below:

• tremor
• anxiety
• restlessness
• excitement
• sleep disturbance
• stomach irritation
• anaemia
• diarrhoea
• feeling or being sick
• irritation in the nose
• swelling of tissues

Stomach and bowel irritation may be reduced by taking the caplets with or immediately after food.

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 you 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.

5. how to store extra power pain control caplets

Keep this medicine out of the sight and reach of children.

• Extra Power Pain Control Caplets should be stored in a dry place below 25°C
• 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: aspirin 300mg, paracetamol 200mg and caffeine 45mg.

The other ingredients are: povidone, hydroxypropyl­cellulose, stearic acid, microcrystalline cellulose, maize starch, pregelatinised starch, hydroxypropyl methylcellulose 5cPs, hydroxypropyl methylcellulose 15cPs, macrogol 4000.

What Extra Power Pain Control Caplets look like and contents of the pack

Extra Power Pain Control Caplets are white, coated, capsule shaped tablets.

Extra Power Pain Control Caplets are available from the pharmacy in blister pack sizes of 28 and 32 caplets.

Marketing Authorisation Holder: Wockhardt UK Limited, Ash Road North, Wrexham LL13 9UF, UK.

Manufacturer: CP Pharmaceuticals Limited, Ash Road North, Wrexham LL13 9UF, UK.

Other formats:

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This leaflet was last revised in January 2020.