STREPSILS PAIN RELIEF PLUS

Posology Use the lowest dose for the shortest duration necessary to relieve symptoms. Adults One lozenge every two hours as required. No more than 8 to be sucked in any 24 hours. Paediatric population Children over 12 years As above for adults.

3). Elderly There is no need for dosage reduction in the elderly. Method of administration For oral administration. To be sucked slowly.

Adverse events which have been associated with amylmetacresol, 2,4-dichlorobenzyl alcohol and lidocaine are given below, tabulated by system organ class and frequency.

Frequencies are defined as:

Very common (≥1/10); Common (≥1/100 and <1/10); Uncommon (≥1/1000 and <1/100); Rare (≥1/10,000 and <1/1000); Very rare (< 1/10,000); Not known (cannot be estimated from the available data). Within each frequency grouping, adverse events are presented in order of decreasing seriousness.

System Organ Class Frequency Adverse Events Blood and Lymphatic System Disorders Not Known Methaemoglobinaemia Immune System Disorders Not known Hypersensitivity1 Gastrointestinal Disorders Not known Abdominal pain, nausea, oral discomfort Skin and Subcutaneous Tissue Disorders Not known Rash Description of Selected Adverse Reactions 1 Hypersensitivity reactions to lidocaine may present in the form of angioedema, urticarial, bronchospasms and hypotension with syncope.

Reporting of Suspected Adverse Reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

Consult your doctor if symptoms persist after 3 days, or are accompanied by a high fever or headache. Consult your doctor before taking this product if you are pregnant or breast- feeding.

Important information about some of the ingredients of this medicine:

This medicine contains glucose and sucrose. Patients with rare hereditary problems of fructose intolerance, glucose-galalctose malabsorption or sucrose- isomaltase insufficiency should not take this medicine. This medicine contains only very low levels of gluten (from wheat starch).

It is regarded as ‘gluten-free’ and is very unlikely to cause problems if you have coeliac disease. 60 micrograms of gluten. If you have wheat allergy (different from coeliac disease) you should not take this medicine. This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially ‘sodium-free’.

This medicine contains sulphites – Sulphur dioxide (E220) which may rarely cause severe hypersensitivity reactions and bronchospasm. This medicine contains fragrance with Anisyl Alcohol, d-Limonene and Linalool, which may cause allergic reactions

1. A history of allergy to local anaesthetics of the amide-type. In patients who have a history of or are suspected to have methaemoglobinaemia. Patients suffering from asthma or bronchospasm. Children under 12 years of age.