Panamax is used to relieve pain and fever in adults and children (including teething, earache and immunization). Panamax works to stop the pain messages from getting through to the brain. Panamax also acts in the brain to reduce fever.

Your doctor may have prescribed this medicine for another use. If you want more information, ask your doctor or pharmacist.

All medicines have benefits and risks. In deciding to give you Panamax, your doctor or pharmacist has weighed the risks of taking Panamax against the benefits it will have for you.

Before you use Panamax

When you must not use it

You should not take Panamax if you are allergic to paracetamol or any of the ingredients listed under "Product Description".

The symptoms of an allergic reaction may include a rash, asthma attack or hayfever.

Do not take this medicine if you have or have had any of the following medical conditions:

Acute breathing difficulties such as bronchitis, unstable asthma or emphysema.

Panamax may be used during pregnancy and if you are breastfeeding. However, it is recommended that non-drug therapy such as rest and massage be tried first. Do not use Panamax after the expiry date (EXP) printed on the pack or bottle.

If you take it after the expiry date it may have no effect at all, or worse, have an entirely unexpected effect.

Do not use Panamax 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. Do not give this medicine to anyone for which it is not intended.

Before you start to take it

• You must tell your doctor if:
• You have allergies to any ingredients listed under "Product Description" at the end of this leaflet
• You have liver or kidney problems
• You drink large quantities of alcohol
• You should tell your doctor if you are taking any other medicines. Including any of the following:
• Any medicines which thin the blood, for example warfarin

  Medicines to treat epilepsy

• Metoclopramide, a medicine used to control nausea and vomiting
• Propantheline, a drug used to treat stomach ulcers
• Chloramphenicol, an antibiotic used to treat ear and eye infections
• Alcohol

These medicines may be affected by Panamax or may affect how well Panamax works.

Your doctor or pharmacist can tell you what to do if you are taking any of these medicines.

If you have not told your doctor about any of these things, tell him/her before you take Panamax.

Panamax 240 Elixir

Children:

• 5 to 6 years: (18 - 20 kg) 6 mL;
• 6 to 8 years: (20 to 25 kg) 6 to 8 mL;
• 8 to 10 years: (25 - 32 kg) 8 to 10 mL;
• 10 to 12 years: (32 - 41 kg) 10 to 12 mL.

Do not give more than 4 doses in 24 hours. Adults: 10 to 20 mL

This dosage may be repeated every 4 - 6 hours if necessary up to 4 times in 24 hours.

Do not take more than 80 mL per day. Panamax 240 Elixir is not recommended for children under 5 years of age.

It can be given in water if necessary.

Your doctor may ask you to take a different dose. If so, you should follow the doctor`s instructions.

If you are unsure what dose to take ask your pharmacist.