Paracetamol 500 mg Tablet

Pain reliever and fever reducer for:

• Fever (including fever after vaccination)
• Headache and migraine
• Toothache, period pain, back pain, muscle and joint pain
• Cold and flu symptoms
• Mild to moderate pain after surgery (IV form: in hospital)

Adults and children over 12 years: 500 mg–1 g every 4–6 hours as needed. Maximum 4 g (8 × 500 mg) in 24 hours.

Children: 10–15 mg/kg every 4–6 hours, maximum 4 doses (60 mg/kg) in 24 hours. Use the dosing chart on the pack for syrup/drops; measure with the provided spoon or dropper.

Suppository: dose by age/weight as above.

• Leave at least 4 hours between doses.
• Do not take with other paracetamol-containing products.
• Lower maximum (e.g. 2–3 g/day) in liver disease, heavy alcohol use, low body weight or poor nutrition.

• Allergy to paracetamol
• Severe active liver disease

Side effects are rare at normal doses.

Rare: skin rash, allergic reactions, blood disorders (low platelets or white cells).

Very rare but serious: severe skin reactions (SJS/TEN) — stop and seek help if a blistering rash appears.

Liver damage can occur with overdose or regular use above the maximum dose.

• Do not exceed the maximum daily dose — many cold/flu medicines also contain paracetamol.
• Use with caution in liver or kidney disease, alcohol dependence, malnutrition and dehydration.
• See a doctor if fever lasts more than 3 days or pain more than 5 days (children: more than 3 days).

The preferred painkiller in pregnancy and while breastfeeding when used at the lowest effective dose for the shortest time.

• Warfarin (regular high-dose paracetamol may raise INR)
• Enzyme-inducing drugs (carbamazepine, phenytoin, rifampicin) and alcohol — higher liver risk
• Metoclopramide/domperidone (faster absorption); cholestyramine (reduced absorption)

Medical emergency even if the person feels well. Early symptoms (nausea, vomiting, pale skin) may be mild; liver damage appears after 1–3 days. Go to hospital immediately — the antidote (acetylcysteine) works best within 8 hours.

Store below 30°C in a dry place, out of reach of children.