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FevadolPlus tablets can be used in patients over 12 years of agefor the short term treatment of acute moderate pain which is not relieved by other painkillers such as paracetamol, ibuprofen or aspirin alone. They can be used for migraine, headache, dental pain, period pain, strains & sprains, backache, rheumatic pain and sciatica. The tablets contain three active ingredients. Paracetamol and codeine are painkillers. Codeine belongs to a group of medicines called opioid analgesics which act to relieve pain. It can be used on its own or in combination with other painkillers. Caffeine acts to further help the effectiveness of paracetamol. How to use Adults aged 18 years and over: Swallow 2 tablets every 4-6 hours as needed. Do not take more frequently than every 4 hours. Do not take more than 8 tablets in 24 hours. Children aged 16 – 18 years: Swallow 1-2 tablets every 6 hours as needed. Do not take more frequently than every 6 hours. Do not take more than 8 tablets in 24 hours. Children aged 12 – 15 years: Swallow 1 tablet every 6 hours as needed. Do not take more frequently than every 6 hours. Do not take more than 4 tablets in 24 hours. Do not take more than the recommended dose. Avoid too much caffeine in drinks like coffee and tea. High caffeine intake can cause difficulty sleeping, shaking and an uncomfortable feeling in the chest. Fevadol Plus Tablets should not be taken by children below the age of 12 years, due to the risk of severe breathing problems Do not take for more than 3 days. If you need to use this medicine for more than 3 days you must speak to your doctor or pharmacist. Warnings and precautions This medicine contains codeine which can cause addiction if you take it continuously for more than 3 days. This can give you withdrawal symptoms from the medicine when you stop taking it. If you take a painkiller for headaches for more than 3 days it can make them worse. Do not take FevadolPlus tablets: If you have ever had an allergic reaction to paracetamol, caffeine, codeine, other opioid painkillers or to any of the other ingredients. If you are taking other medicines containing paracetamol orcodeine. If you are under 12 years. For pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome If you know that you metabolise very rapidly codeine into morphine If you are breastfeeding Ask your doctor before you take this medicine: If you have liver or kidney disease, including alcoholic liver disease. If you have bowel problems including blockage of your bowel. If you have had an operation to remove your gall bladder. Warnings and precautions: Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other people are more likely to get serious side effects because a very high amount of morphine is produced. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: Slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite. Side Effects When using this product you may experience: Constipation. Stop taking this medicine and tell your doctor immediately if you experience: Severe abdominal pain, dry mouth, nausea and vomiting if you have recently had your gall bladder removed. Nervousness, dizziness, irritability, drowsiness or restlessness. Allergic reactions which may be severe such as skin rash and itchingsometimes with swelling of the mouth or face or shortness of breath. Skin rash or peeling or mouth ulcers; itching or sweating. Breathing problems. These are more likely if you have experienced them before when taking other painkillers such as ibuprofen and aspirin. Unexplained bruising or bleeding. Difficulty in urinating. Storage Information store below 30°C Drug Interactions Talk to your doctor or pharmacist before taking these tablets if you are taking any prescribed medicines; particularly metoclopramide or domperidone (for nausea [feeling sick] or vomiting); colestyramine (to lower blood cholesterol); monoamine oxidase inhibitors (MAOIs) prescribed for depression in the last 2 weeks or substances that make you drowsy (e.g. sedatives, antidepressants or alcohol). If you take blood thinning drugs (anticoagulants e.g. warfarin) and you need to take a pain reliever on a daily basis, talk to your doctor because of the risk of bleeding. But you can still take occasional doses of Fevadol Plus tablets at the same time as anticoagulants. Ingredients Active ingredients: Each tablet contains Paracetamol 500 mg,Codeine Phosphate 8 mg and Caffeine anhydrous30 mg. Specifications A white to almost white, oblong, biconvex tablet, engraved with the letters "SP" and number "139" on one side and a breakline on the other side.
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