If phenylephrine is taken with any of the following medicines, the combination may cause an increase in blood pressure. If you are already taking any of these medicines you should avoid taking this one as well: 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).

Healthcare (UK) Ltd, Hull, HU8 7DS. Information about this product, including adverse reactions, precautions, contra-indications, Information about this product, including adverse reactions, precautions, contra-indications, and method of use can be found at: Applies to acetaminophen: capsule, capsule liquid filled, elixir, liquid, powder, solution, suppository, suspension, tablet, tablet chewable, tablet disintegrating, tablet extended release. Other dosage forms:Phenylephrine and ibuprofen may reduce the effects of medicines to treat high blood pressure (antihypertensives). If you are taking medicines for high blood pressure you should not take this medicine. Don't take Lemsip cold & flu sachets if you're taking any of the following medicines, because the combination may increase your blood pressure:

If the symptoms of your cold or flu persist for more than three days, or worsen, consult your pharmacist. There may be an increased risk of side effects on the kidneys if ibuprofen is taken in combination with any of the following medicines: Other medicines. Some drugs may affect the way in which paracetamol works, including those used to i treat blood cholesterol (cholestyramine) and nausea and vomiting (metoclopramide and domperidone). If this medicine is used in combination with quinolone antibiotics, such as ciprofloxacin or norfloxacin there may be an increased risk of seizures (fits). This may occur in people with or without a previous history of epilepsy or convulsions. Other medicines containing the same active ingredients

Halevi A, BenAmitai D, Garty BZ. Toxic epidermal necrolysis associated with acetaminophen ingestion. Ann Pharmacother. 2000;34:32-4.

An overdose of paracetamol is dangerous and capable of causing serious damage to the liver and kidneys. Lemsip cough max for mucus cough and cold capsules and hot drinks contain the painkiller paracetamol, a cough expectorant called guaifenesin and a decongestant called phenylephrine hydrochloride. These three active ingredients have different actions to relieve your symptoms.Ibuprofen also reduces fever by reducing the production of prostaglandins. Fever is associated with an increase in prostaglandins in the brain, and these prostaglandins cause the body temperature to increase. By reducing prostaglandins in the brain, ibuprofen lowers body temperature and hence reduces fever. Cetylpyridinium Chloride 3.0 mg /20ml dose Indications: Short term symptomatic relief of the symptoms of colds and flu, including Do not take more than three doses of day capsules and one dose of night capsules in 24 hours (no more than eight capsules in total in 24 hours). The capsules should be swallowed whole with a drink. They can be taken either with or without food.

Seeff LB, Cuccherini BA, Zimmerman HJ, Adler E, Benjamin SB. Acetaminophen hepatotoxicity in alcoholics. Ann Intern Med. 1986;104:399-404. Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with the ingredients of Lemsip cough max for mucus cough and cold. Just because a side effect is stated here doesn't mean that all people using this medicines will experience that or any side effect. Women who are breastfeeding. It's not known if phenylephrine passes into breast milk, or its effect on a nursing infant. When taken by mouth, decongestants such as phenylephrine can also temporarily decrease the production of breast milk with just one or two doses. Ask your doctor or pharmacist for further advice. Filipe PL, Freitas JP, Decastro JC, Silva R. Drug eruption induced by acetaminophen in infectious mononucleosis. Int J Dermatol. 1995;34:220-1. Talk to your pharmacist or doctor if you need this medicine on a daily basis for a prolonged period of time, especially if you have been advised to have a low salt diet.

Pharmacy product

Adults and adolescents aged 12 years and over should take two tablets every eight hours as needed, up to a maximum of six tablets in 24 hours. Lemsip max all day cold & flu tablets contain two active ingredients, ibuprofen (200mg) and phenylephrine hydrochloride (5mg). Don't take Lemsip max day & night cold & flu relief if you're taking any of the following medicines, because the combination may increase your blood pressure: Here's everything you need to know about Lemsip cough max, including how it works, who shouldn't take it and the potential side effects: How does Lemsip cough max work? It's not known if phenylephrine passes into breast milk, or its effect on a nursing infant. When taken by mouth, decongestants such as phenylephrine can also temporarily decrease the production of breast milk with just one or two doses. Lemsip max should not be used by woman who are breastfeeding. Ask your doctor or pharmacist for further advice. Lemsip max cold and flu capsules should be used with caution in: