Panadol Merah Paracetamol

How do I take Paracetamol/Codeine GH 500/30?

The recommended dose of Paracetamol/Codeine GH 500/30 is: Adults: 1 or 2 tablets for severe pain. This dosage may be repeated in 4-6 hours if necessary.

Follow the instructions provided.

Do not take more than 8 tablets in 24 hours.

Do not take more than the recommended dose.

Taking more than the recommended dose may cause liver damage.

The directions given to you by your doctor or pharmacist may be different from the information in this leaflet. If you are unsure what dose to take ask your pharmacist or doctor.

Talk to your doctor about pain control if the medicine is not helping.

Depending on your body’s individual ability to break down codeine, you may be getting reduced benefit or experience signs of overdose even when you take Paracetamol/Codeine GH 500/30 as recommended by your doctor. If overdose symptoms occur, seek immediate medical advice.

What if I am taking other medicines?

Why am I taking Paracetamol/Codeine GH 500/30?

Paracetamol/Codeine GH 500/30 contains the active ingredients paracetamol and codeine phosphate hemihydrate. Paracetamol/Codeine GH 500/30 is used to relieve severe pain.

For more information, see Section

Pregnancy and breastfeeding

Check with your doctor if you are pregnant or intend to become pregnant.

Do not take Paracetamol/Codeine GH 500/30 during the third trimester of pregnancy.

Do not take Paracetamol/Codeine GH 500/30 during labour, especially if the baby is premature.

This medicine can cause breathing problems and may produce withdrawal effects in the newborn baby.

Do not take Paracetamol/Codeine GH 500/30 if you are breastfeeding or planning to breastfeed.

The medicine passes into breast milk and may affect the baby.

You can become addicted to Paracetamol/Codeine GH 500/30even if you take it exactly as prescribed. Paracetamol/Codeine GH 500/30 may become habit forming causing mental and physical dependence. If abused it may become less able to reduce pain.

As with all other opioid containing products, your body may become used to you taking Paracetamol/Codeine GH 500/30. Taking it may result in physical dependence. Physical dependence means that you may experience withdrawal symptoms if you stop taking Paracetamol/Codeine GH 500/30 suddenly, so it is important to take it exactly as directed by your doctor.

Tolerance to Paracetamol/Codeine GH 500/30 may develop, which means that the effect of the medicine may decrease. If this happens, more may be needed to maintain the same effect.

Do not use Paracetamol/Codeine GH 500/30 if:

you are allergic to paracetamol or codeine phosphate hemihydrate, or any of the ingredients listed at the end of this leaflet.

Always check the ingredients to make sure you can use this medicine.

you have acute breathing difficulties such as bronchitis, unstable asthma or emphysema

you have Glucose-6-phosphatedehydrogenase deficiency (an enzyme deficiency).

you are a CYP 2D6 ultra-rapid metaboliser (a fast metaboliser of codeine by the CYP 2D6 enzyme).

you have diarrhoea caused by antibiotics or poisoning

you have liver failure.

Do not take Paracetamol/Codeine GH 500/30 if you have a history of drug dependence, including alcohol dependence.

Do not take Paracetamol/Codeine GH 500/30 if you have experienced systemic allergy (generalised rash or shortness of breath) to morphine or oxycodone.

Do not take Paracetamol/Codeine GH 500/30 is if you have a history of intolerance to paracetamol and/or codeine.

Do not take Paracetamol/Codeine GH 500/30 if you are under 18 years of age and have had your tonsils or adenoids removed to treat sleep apnoea.

Do not take Paracetamol/Codeine GH 500/30 during the third trimester of pregnancy.

Do not take Paracetamol/Codeine GH 500/30 during labour especially if the baby is premature.

Do not use Paracetamol/Codeine GH 500/30 if you are breastfeeding or planning to breastfeed.

Do not take this medicine after the expiry date (EXP) printed on the pack. If you take it after the expiry date it may have no effect at all, or worse, have an entirely unexpected effect.

Do not take this medicine if the packaging is torn or shows signs of tampering.

Do not use this medicine to treat any other complaint unless your doctor says it is safe.

Paracetamol/Codeine GH 500/30 is not recommended for children under 12 years.

lung, heart, liver or kidney problems

difficulty breathing, wheezing, chronic cough, asthma, or other chronic breathing conditions

a history of drug dependence, including alcohol dependence

you drink large quantities of alcohol

recent cessation of alcohol intake

low glutathione reserves

gall bladder problems or your gall bladder has been removed

recent stomach, intestine or urinary tract surgery

irritable bowel syndrome or other bowel problems

under active thyroid gland or problems with your adrenal glands

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section

Things you should not do

Do not take more than the recommended dose unless your doctor tells you to.

Adults should not take more than 8 tablets a day.

Do not take high doses of the medicine for long periods of time unless your doctor tells you to.

Taking more than the recommended dose can cause liver damage.

Paracetamol/Codeine GH 500/30 may be habit forming if taken in high doses for extended periods of time.

Do not give this medicine to anyone else.

Peringatan sebelum Mengonsumsi Panadol

Ada beberapa hal yang harus Anda perhatikan sebelum menggunakan Panadol, yaitu:

What should I know while using Paracetamol/Codeine GH 500/30?

Remind any doctor, dentist or pharmacist you visit that you are using Paracetamol/Codeine GH 500/30.

Talk to your doctor about pain control if the medicine is not helping.

Tell your doctor if you become pregnant while taking Paracetamol/Codeine GH 500/30.

Things you should not do

Do not take more than the recommended dose unless your doctor tells you to.

Do not take more than 8 tablets a day.

Do not give Paracetamol/Codeine GH 500/30 to children under 12.

Do not take high doses of the medicine for long periods of time unless your doctor tells you to.

Driving or using machines

Be careful before you drive or use any machines or tools until you know how this medicine affects you.

May cause dizziness, drowsiness or light-headedness in some people, especially after the first dose.

Do not drink alcohol while taking Paracetamol/Codeine GH 500/30.

Looking after your medicine

Store in a cool, dry place away from young children.

Less serious side effects

shortness of breath, wheezing or difficulty breathing;

swelling of the face, lips, tongue or other parts of the body;

skin rash, itching or hives on the skin;

flushing of the face.

severe blisters and bleeding in the lips, eyes, mouth, nose and genitals;

painful red areas with blisters and peeling layers of skin which may be accompanied by fever and/or chills;

yellowing of the skin and eyes (jaundice).

mouth ulcers, fever and sore throat.

bleeding, bruising more easily.

Head and neurology related:

dizziness, light-headedness

unusual or extreme mood; swings;

hepatitis (symptoms include loss

of appetite, itching, yellowing of

the skin and eyes, light coloured

bowel motions, dark coloured urine).

problems passing urine;

Symptoms of rapid breathing, rapid heart rate and changes in consciousness caused by pyroglutamic acidosis (an accumulation of pyroglutamic acid due to low levels of a protein called glutathione).

Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.

Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell.

Other side effects not listed here may occur in some people.

THAI KỲ VÀ CHO CON BÚ

Khả năng sinh sản: Chưa có dữ liệu.

Phụ nữ mang thai: Các nghiên cứu trên người và động vật vẫn chưa xác định được bất kỳ nguy cơ nào của paracetamol đối với thai kỳ hoặc sự phát triển phôi thai.

Phụ nữ cho con bú: Các nghiên cứu trên người với paracetamol không xác định được bất cứ nguy cơ nào đối với phụ nữ cho con bú hoặc trẻ bú mẹ. Paracetamol qua được hàng rào nhau thai và được bài tiết vào sữa mẹ.