Night Nurse

Night Nurse Liquid may cause drowsiness and should not be taken during the day. If this medication makes you drowsy, do not drive or operate machinery.

Avoid drinking alcohol with Night Nurse Liquid.

You should not take Night Nurse Liquid if you have already taken four doses of a paracetamol-containing medication during the day, as you can easily exceed the maximum recommended daily dose. Since many over-the-counter painkillers and cold and flu remedies contain paracetamol, it is important to check the ingredients of any medications before taking them with Night Nurse Liquid, or ask your pharmacist.

An overdose of paracetamol is dangerous and can cause serious liver and kidney damage. Never exceed the recommended dose of Night Nurse Liquid. In the event of an overdose, seek immediate medical advice, even if you feel well, since delayed liver damage is a risk.

Alcohol increases the risk of liver damage in the event of a paracetamol overdose. Heavy drinkers and people with alcoholic liver disease are at a higher risk for hazards from paracetamol overdose.

children under 12 years of age

people with severe liver or kidney disease

people with chronic bronchitis

people with bronchiectasis

people at risk for severe breathing problems (respiratory failure)

people who have taken the anti-Parkinson's medications selegiline and rasagiline in the last 14 days or the antidepressants phenelzine, tranylcypromine, isocarboxazid or moclobemide

people allergic to any of Night Nurse Liquid’s ingredients

If you have any of the following symptoms, do not take Night Nurse Liquid and consult your doctor: phlegm that is green, rusty brown, yellow, blood-stained or foul smelling; short breath, wheezing or breathing difficulties; chest pain; sudden weight loss; recurrent night-time cough; pain and swelling in the calf; or a long-term, persistent cough.

the elderly

people with liver or kidney problems

people with heart disease

people who have difficulty completely emptying their bladder, for example men with an enlarged prostate gland

people with epilepsy

people with glaucoma

people who suffer from asthma

people with diabetes; Night Nurse Liquid contains 12.8mg glucose in every 20ml dose

people on sodium-controlled diets; Night Nurse Liquid contains 37mg sodium in every 20ml dose

people suffering from alcoholism; Night Nurse Liquid contains alcohol

Night Nurse Liquid is not usually recommended for women who are pregnant. Although paracetamol is generally considered safe during pregnancy, the safety of dextromethorphan and promethazine has not been established. Seek further advice from your doctor, pharmacist or midwife.

Mothers who are breastfeeding should avoid taking Night Nurse Liquid. Although paracetamol is generally considered safe during breastfeeding, it is not known if dextromethorphan passes into breast milk. Promethazine does enter breast milk and it may cause sedation, irritability or excitement in a new-born. Ask your doctor, pharmacist or midwife for further advice.

Medications and their possible side effects affect individual people in different ways. The following are some of the known side effects associated with Night Nurse Liquid. Just because a side effect is listed here, does not mean that you will experience it or any effect:

• drowsiness, see above
• feeling disorientated
• dizziness
• dry mouth
• blurred vision
• gastrointestinal disturbances such as diarrhoea, constipation, nausea, vomiting or abdominal pain
• Skin rash
• Difficulty passing urine

Talk to your doctor, nurse or pharmacist if you’d like additional information about Night Nurse Liquid’s possible side effects. If you think you have experienced a side effect, you can report it using the yellow card website.

If you already take other medications, including herbal and over-the-counter, you should check with your pharmacist before taking Night Nurse Liquid, to ensure that the combination is safe.

Do not take Night Nurse Liquid if you have already taken four doses of a paracetamol-containing medication during the day, as you may easily exceed the maximum recommended daily dosage. Many over-the-counter cold and flu remedies contain paracetamol, so be sure to check their ingredients before taking them with Night Nurse Liquid. Ask your pharmacist for further advice.

Night Nurse Liquid may cause drowsiness that can worsen if you take it with any of the following:

• alcohol
• benzodiazepines, e.g. temazepam, diazepam
• sedating antihistamines, e.g. chlorphenamine, diphenhydramine, triprolidine, often found in other non-prescription cough and cold or hay fever remedies
• sleeping tablets, e.g. zopiclone
• strong opioid painkillers, e.g. codeine, dihydrocodeine, morphine
• tricyclic antidepressants, e.g. amitriptyline

Side effects such as dry mouth, blurred vision, constipation or difficulty passing urine may occur if you take Night Nurse Liquid with any of the following medications:

• anticholinergic medications for urinary incontinence, e.g. oxybutynin, flavoxate, tolterodine, propiverine, trospium
• anticholinergic medications for Parkinson's disease, e.g. trihexyphenidyl, orphenadrine, procyclidine
• antipsychotic medicationss, e.g. chlorpromazine, clozapine
• antispasmodics, e.g. atropine, hyoscine
• certain antisickness medications, e.g. prochlorperazine, meclozine, cyclizine
• muscle relaxants, e.g. baclofen
• tricyclic or related antidepressants, e.g. amitriptyline, maprotiline.

Cholestyramine reduces the absorption of paracetamol in the gut. It should not be taken within an hour of Night Nurse Liquid, otherwise the paracetamol will be less effective.

Night Nurse Liquid 160ml has been formulated to provide complete night-time relief from the major symptoms of cold and flu, helping you get a restful night’s sleep so that your body can regain its strength and heal naturally.