Acta Tablet

Pain reliever with caffeine (which enhances the pain-relieving effect) for:

• Headache, tension headache and migraine
• Toothache, period pain, back and muscle pain
• Fever and pain with colds and flu

Adults and children over 12 years: 1–2 tablets (each usually 500 mg paracetamol + 65 mg caffeine) every 4–6 hours as needed; maximum 8 tablets (4 g paracetamol) in 24 hours.

• Leave at least 4 hours between doses.
• Do not take with other paracetamol-containing products.
• Limit tea, coffee and cola while taking it.
• Not recommended for children under 12 years.

• Allergy to paracetamol or caffeine
• Severe liver disease
• Children under 12 years

Common (due to caffeine): restlessness, nervousness, sleeplessness, palpitations, stomach upset.

Rare: allergic rash, blood disorders, severe skin reactions.

Overuse can cause rebound (medication-overuse) headache. Liver damage with overdose.

• Do not exceed the maximum dose; check other medicines for paracetamol.
• Use with caution in liver or kidney disease, alcohol dependence, heart rhythm problems, overactive thyroid, anxiety, peptic ulcer.
• Avoid regular use for headaches on more than 10 days a month.

Paracetamol alone is preferred in pregnancy; limit caffeine. Avoid regular use while breastfeeding (caffeine may make the baby irritable).

• Other paracetamol products (overdose risk)
• Warfarin (regular use may raise INR)
• Enzyme-inducing drugs and alcohol (liver risk)
• Ciprofloxacin, fluvoxamine, oral contraceptives (raise caffeine levels)
• Lithium (caffeine may lower levels)

Medical emergency (paracetamol liver damage) — go to hospital immediately even if you feel well; also caffeine symptoms (tremor, fast heartbeat).

Store below 30°C, out of reach of children.