Anadin extra

- If symptoms persist despite treatment, seek medical advice from your doctor or pharmacist.
- Children under 16 years of age should not take aspirin, unless on the advice of a doctor. This is because aspirin use in children has been associated with a rare condition called Reye's syndrome. This condition affects the brain and liver and though extremely rare, can be fatal. The causes of Reye's syndrome are not fully understood, but use of aspirin to treat fever in children with a virus has been implicated. There are many paracetamol and ibuprofen products not associated with Reye's syndrome available to treat pain and fever in this age group. For more advice talk to your pharmacist.
- Alcohol increases the risk of liver damage that can occur if an overdose of paracetamol is taken. The hazards of paracetamol overdose are greater in persistant heavy drinkers and in people with alcoholic liver disease.
- Do not exceed the recommended dose of this medicine, which will be stated in the product packaging or information leaflet supplied with the medicine.
- Larger pack sizes of this medicine are only available from pharmacies.
- An overdose of paracetamol is dangerous and capable of causing serious damage to the liver and kidneys. You should never exceed the dose stated in the information leaflet supplied with the medicine. Immediate medical advice should be sought in the event of an overdose with this medicine, even if you feel well, because of the risk of delayed, serious liver damage.

Use with caution in

- Asthma
- Decreased kidney function
- Decreased liver function
- Elderly people
- History of peptic ulcers

Not to be used in

- Blood clotting disorder (haemophilia)
- Breastfeeding
- Children and adolescents under 16 years of age, unless on the advice of a doctor
- Gout
- People in whom aspirin or other NSAIDs, eg ibuprofen, cause allergic reactions such as asthma attacks, itchy rash (urticaria), nasal inflammation (rhinitis) or swelling of the lips, tongue and throat (angioedema)
- Peptic ulcer
- Severely decreased kidney function
- Severely decreased liver function

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and Breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.

- This medicine should be avoided in the third trimester of pregnancy, as it may affect the growth and development of the foetus or have harmful effects on foetal tissues. Seek medical advice from your doctor before using this medicine during any stage of pregnancy.
- Significant amounts of this medicine may pass into breast milk. It should not be used by breastfeeding mothers as it may be harmful to the nursing infant. Seek medical advice from your doctor.

Label warnings

- Refer to the printed instructions for maximum daily intake.
- Take this medication with or after food.
- This medication contains aspirin and paracetamol. Do not take with any other paracetamol products.

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