Indications: Symptomatic relief of influenza, feverishness, chills and colds, including feverish colds. Relief of mild to moderate pain including headache, migraine, neuralgia, toothache, sore throat, period pains, aches and pains, rheumatic pain and muscular aches and pains. Patients suffering from chronic cough or asthma should consult a physician before taking this product. Don't take Beechams max strength all in one if you have taken a type of medicine called a monoamine oxidase inhibitor (MAOI) in the last 14 days. MAOIs include the antidepressants phenelzine, tranylcypromine, isocarboxazid and moclobemide, and the anti-Parkinson's medicines selegiline, safinamide and rasagiline. This is because the combination of phenylephrine with these medicines could cause a dangerous increase in blood pressure (hypertensive crisis). In addition to reducing mucosal lining swelling, decongestants also suppress the production of mucous, therefore preventing a build up of fluid within the cavities which could otherwise lead to pressure and pain. Each 20ml liquid contains 500mg paracetamol, 200mg guaifenesin and 10mg phenylephrine. Adults and adolescents aged 12 years and over should take one 20ml measured dose (or four 5ml spoonfuls) every four hours as necessary. Do not take more than four doses in 24 hours.

This medicinal product contains 31 mg of sodium per dose. To be taken into consideration by patients on a controlled sodium diet. Dosage: Adults, the elderly and children aged 16 years and over: Two capsules every four hours as required. Maximum 8 capsules (4 doses) in any 24 hour period. Do not take continuously for more than 5 days without medical advice.

Pharmacy product

Patients with rare hereditary problems of galactose intolerance, the Lapp lactose deficiency or glucose-galactose malabsorption should not take this medicine. The anticoagulant effect of warfarin and other coumarins may be enhanced by prolonged regular daily use of paracetamol with increased risk of bleeding; occasional doses have no significant effect. Don't take Beechams all in one if you're taking any of the following medicines, because the combination may increase your blood pressure:

You should use either the tablets OR the liquid. Don't use both together. • Beechams all in one tablets Indications: Relief of sinus pain and the symptoms of colds and influenza, including fatigue and drowsiness. Dosage: Adults and children aged 16 years and over: One powder to be taken every three to four hours as required. Do not exceed six powders in any period of 24 hours. Use with caution in elderly patients. Product should be discontinued if pain gets worse or lasts more than 10 days (or lasts more than 3 days for fever). Expectorants such as guaifenesin are used to treat a productive, chesty or mucus cough, where you cough up phlegm. Guaifenesin helps to thin and loosen the mucus in the airways, making it easier to cough up.

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Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or If you have a stinking cold, you might consider using Beechams all in one to relieve your symptoms. We look at Beechams all in one dosage, possible side-effects and medicine interactions: What is Beechams all in one used for? If you take Beechams max strength all in one in the hour before or the six hours after taking colestyramine, the paracetamol is likely to be less effective. This is because colestyramine reduces the absorption of paracetamol from the gut.

Side effects: See SPC for full details. Hypersensitivity reactions including skin rashes, urticaria, allergic dermatitis, angioedema, and anaphylaxis. Bronchospasm, hepatic dysfunction, thrombocytopenia, agranulocytosis and acute pancreatitis. Nervousness, irritability, restlessness, excitability, headache, dizziness, insomnia, increased blood pressure, nausea, vomiting, abdominal discomfort, diarrhoea, dysuria and urinary retention. Tachycardia, palpitations, dyspnoea. This product should not be used by patients taking other sympathomimetics (such as decongestants, appetite suppressants and amphetamine-like psychostimulants) (see section 4.5). Paracetamol probably produces antipyresis by acting on the hypothalamic heat- regulating centre to produce peripheral vasodilation resulting in increased blood flow through the skin, sweating and heat loss. The central action probably involves inhibition of prostaglandin synthesis in the hypothalamus. The concomitant use with other products containing paracetamol may lead to an overdose. Paracetamol overdose may cause liver failure which may require liver transplant or lead to death. 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.)Women who are pregnant. (Phenylephrine has blood vessel constricting effects that could restrict blood supply to the placenta, or cause problems for women with a history of pre-eclampsia. Ask your doctor or pharmacist for further advice on how to treat cold and flu symptoms during pregnancy.) Warnings and precautions: Aspirin should be used with caution in patients with hypertension, mild to moderate renal or hepatic impairment, or in patients who are dehydrated. Haematological and haemorrhagic effects can occur, which should be reported to a doctor. Caution in patients with G6PDH deficiency. Excessive intake of caffeine should be avoided. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine. Should not be given to children aged under 16 years unless specifically indicated (e.g. for Kawasaki's disease). Patients who suffer from asthma, allergic disease, kidney or liver problems should consult their doctor before taking this product. Contains paracetamol. 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.

Phenylephrine overdosage is likely to result in effects similar to those listed under adverse reactions. Additional symptoms may include hypertension and possibly reflux bradycardia. In severe cases confusion, hallucinations, seizures and arrhythmias may occur. However the amount required to produce serious phenylephrine toxicity would be greater than required to cause paracetamolrelated toxicity. doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Hypertensive interactions occur between sympathomimetic amines such as phenylephrine and monoamine oxidase inhibitors (see contraindications).Beechams All-in-One and Beechams All-In-One Tablets (paracetamol, guaifenesin, phenylephrine hydrochloride). Warnings and Precautions: Patients should be advised not to take other paracetamol-containing products concurrently, especially those with non-cirrhotic alcoholic liver disease. Do not take with other sympathomimetics, decongestants or cold and flu medicines should be avoided. Medical advice should be sought before using this product in patients with an enlargement of the prostate gland, glutathione depletion due to metabolic deficiencies, occlusive vascular disease, and cardiovascular disease. Excessive intake of caffeine should be avoided. Patients who are taking warfarin should seek medical advice before taking this product. Contains sunset yellow/ amaranth (E110) which may cause an allergic reaction. Immediate medical advice should be sought in the event of an overdose. Dosage: Adults, children aged 16 years and over and elderly: 2 caplets every 4 to 6 hours as required. Do not take more than 8 caplets in 24 hours. Do not take continuously for more than 7 days without medical advice. Not recommended for children under 16 years old. Warnings and precautions: Patients should be advised not to take other paracetamol-containing or any other cold, flu or decongestant products concurrently. Care is advised in the administration of paracetamol to patients with severe renal or severe hepatic impairment. Medical advice should be sought before taking this product in patients with: glutathione depletion due to metabolic deficiencies or occlusive vascular disease. Use in caution in patients taking digoxin, cardiac glycosides and ergot alkaloids. Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine. Contains 3.8g sucrose per dose. Caution in patients with diabetes. Contains source of phenylalanine. May be harmful for people with phenylketonuria. Contains 135mg sodium per dose. Medical advice should be sought if symptoms worsen, persist for more than 7 days or are accompanied by high fever, skin rash or persistent headache.