Epidemiological studies in human pregnancy have shown no ill effects due to paracetamol used in the recommended dosage.

Do not take any other cold, flu, decongestant products when using Lemsip Cold Flu Sachets. Lemsip Max Cold & Flu Lemon 10 SachetsIf you continue to take the recommended Lemsip Cold and Flu Sachets Dosage but your symptoms stay gradual or continually get worse for more than three days, consult your pharmacist. Lemsip Cold And Flu Sachets Instructions Use during breastfeeding should be avoided, unless recommended by a healthcare professional (see section 4.6). Phenylephrine should be used with care in patients with cardiovascular disease, diabetes mellitus, closed angle glaucoma and hypertension. Symptoms of paracetamol overdose in the first 24 hours are pallor, nausea, vomiting, anorexia and abdominal pain. Liver damage may become apparent 12 to 48 hours after ingestion. Abnormalities of glucose metabolism and metabolic acidosis may occur. In severe poisoning, hepatic failure may progress to encephalopathy, haemorrhage, hypoglycaemia, cerebral oedema and death. Acute renal failure with acute tubular necrosis, strongly suggested by loin pain, haematuria and proteinuria, may develop even in the absence of severe liver damage. Cardiac arrhythmias and pancreatitis have been reported. Directions How to take: Pour one sachet of powder into a mug and fill with hot, but not boiling water. Stir until dissolved. If preferred, sweeten to taste with sugar, honey or your usual sweetener. Suitable for adults and children 12 years and over

There have been reports of blood dyscrasias including thrombocytopenia, leucopenia, pancytopenia, neutropenia and agranulocytosis, but these were not necessarily causally related to paracetamol. Sympathomimetic amines: concomitant use of phenylephrine with other sympathomimetic amines can increase the risk of cardiovascular side effects.This medicinal product contains 119.16 mg sodium per dose, equivalent to 5.96 % of the WHO recommended maximum daily intake for sodium. a) Is on long-term treatment with carbamazepine, phenobarbitone, phenytoin, primidone, rifampicin, St John's Wort or other drugs that induce liver enzymes. Asthma Our Asthma service is ideal in emergencies when you are unable to visit your own doctor and need your inhaler urgently. It is designed for emergencies and not regular use and requires you to have add a recent asthma review.

Tricyclic antidepressants (e.g. amitriptyline): may increase the risk of cardiovascular side effects with phenylephrine (see section 4.3). Just Add Water: Add Cold & Flu Relief powder to hot water for cold and flu hot liquid that provides fast relief of nasal and sinus congestion, sore throat, headache, body aches, fever, and cough. The maximum daily dose of this product is equivalent to 23.8 % of the WHO recommended maximum daily intake for sodium.Viagra may protect against heart disease and other cardiovascular events, new data suggests April 3, 2023 The speed of absorption of paracetamol may be increased by metoclopramide or domperidone and absorption reduced by cholestyramine. Acid Reflux Heartburn is a burning feeling in the chest caused by stomach acid travelling up towards the throat (acid reflux). If it keeps happening, it’s called gastro-oesophageal reflux disease (GORD). Phenylephrine overdose is likely to result in: nervousness, headache, dizziness, insomnia, increased blood pressure, nausea, vomiting, reflex bradycardia, mydriasis, acute angle closure glaucoma (most likely to occur in those with closed angle glaucoma), tachycardia, palpitations, allergic reactions (e.g. rash, urticaria, allergic dermatitis), dysuria, urinary retention (most likely to occur in those with bladder outlet obstruction, such as prostatic hypertrophy).