Panadol Cold & Flu Caplets: Comprehensive Guide and Usage Information
Panadol Cold & Flu Caplets is a widely used medication designed to alleviate symptoms associated with the common cold and influenza. This blog post provides a detailed overview of the product, including its composition, indications, dosage, precautions, side effects, and more. All information is sourced directly from the patient information leaflet, ensuring accuracy and reliability.
Composition
Each tablet of Panadol Cold & Flu Caplets contains the following active ingredients:
- Paracetamol (500 mg): A clinically proven analgesic [a medication that relieves pain] and antipyretic [a medication that reduces fever].
- Pseudoephedrine Hydrochloride (30 mg): A sympathomimetic agent [a drug that mimics the effects of the sympathetic nervous system] used for symptomatic relief from nasal congestion [blockage of the nasal passages].
- Chlorpheniramine Maleate (2 mg): An antihistamine [a drug that blocks the effects of histamine, reducing allergy symptoms].
Indications
Panadol Cold & Flu Caplets are indicated for the relief of symptoms associated with the common cold and influenza, such as:
- Fever
- Nasal congestion
- Sinus congestion
- Headache and sinus pain
- Sneezing
- Itchy and watery eyes
Dosage and Administration
Panadol Cold & Flu Caplets are suitable for adults and children aged 12 years and over. The recommended dosage is as follows:
- Adults and children aged 12 and over: Two caplets up to four times a day.
- Frequency: If necessary, the dose may be repeated every four to six hours, but do not take more than four doses (8 caplets) in 24 hours.
Contraindications
Panadol Cold & Flu Caplets are contraindicated [not recommended] in patients with known hypersensitivity [allergic reactions] to paracetamol, pseudoephedrine hydrochloride, or chlorpheniramine maleate, or related compounds. They should not be used by patients taking monoamine oxidase inhibitor antidepressants [a type of medication used to treat depression] or within 2 weeks of stopping such treatment.
Precautions
- Storage: Keep out of reach of children.
- Dosage: Do not exceed the stated dose. Avoid taking other paracetamol-containing medications, nasal decongestants, or antihistamines simultaneously.
- Health Conditions: Administer with caution to patients with hepatic [liver] or renal [kidney] dysfunction, severe hypertension [high blood pressure], cardiac [heart] or peripheral vascular disease, hyperthyroidism [overactive thyroid], or those on antihypertensive or antidepressant therapy.
- Special Conditions: Pseudoephedrine should be given with care to patients with diabetes mellitus [a chronic condition affecting blood sugar levels], closed-angle glaucoma [a type of eye condition], or prostate enlargement. Anginal pain [chest pain] may be precipitated in angina pectoris [a heart condition].
- Antihistamines: Use with caution in conditions such as epilepsy, prostatic enlargement, urinary retention, glaucoma, severe cardiovascular disorders, or pyloroduodenal obstruction [a blockage in the digestive system].
- Duration: Do not take this product for pain for more than 10 days or for fever for more than 3 days unless directed by a doctor. Consult a doctor if pain persists or worsens, if new symptoms occur, or if redness or swelling is present.
Use in Pregnancy and Lactation
Although there are no known risks associated with the use of these active ingredients during pregnancy, medical advice should be sought before using this product. Panadol Cold & Flu Caplets should not be used during breastfeeding as there may be risks associated with the use of antihistamines in infants.
Use in Children
Do not give to children below 12 years of age.
Driving and Operating Machinery
Since Panadol Cold & Flu Caplets contain an antihistamine, sedation [drowsiness] may occur, impairing the ability to drive or operate machinery.
Side Effects
- Paracetamol: Usually free from side effects when taken in recommended doses. Rarely, skin reactions such as urticaria [hives] have been reported.
- Pseudoephedrine: May occasionally cause anxiety, tremor, dizziness, cardiovascular effects including tachycardia [rapid heart rate] and hypertension, insomnia [difficulty sleeping], and urinary retention. A fixed erythematous drug eruption [a skin reaction] has been reported rarely.
- Chlorpheniramine: The antihistamine may cause sedation, gastrointestinal disturbances, and antimuscarinic effects [effects blocking the neurotransmitter acetylcholine].
Drug Interactions
- Paracetamol: May interact with anticoagulant agents [blood-thinning medications] on prothrombin time [a measure of blood clotting]. The liver effects may be increased by the use of alcohol and certain drugs that enhance the metabolism of paracetamol in the liver (e.g., barbiturates, tricyclic antidepressants).
- Pseudoephedrine: Coadministration with MAOIs [monoamine oxidase inhibitors] may lead to hypertensive crisis [a severe increase in blood pressure]. This effect may persist for up to 2 weeks after discontinuation of MAOIs.
- Chlorpheniramine: Enhanced sedative effects can occur with simultaneous administration of alcohol, anxiolytics [anti-anxiety medications], and hypnotics [sleep-inducing medications]. Tricyclic antidepressants and antimuscarinics can increase antimuscarinic side effects.
Overdose
- Paracetamol: In massive overdosage, Panadol Cold & Flu Caplets may cause liver damage. Early symptoms may include pallor [pale skin], nausea, vomiting, diaphoresis [sweating], and general malaise [feeling unwell]. Treatment should be started as soon as possible and may include gastric lavage [stomach pumping] followed by intravenous N-acetylcysteine or methionine.
- Pseudoephedrine: Overdose may result in effects similar to those listed as adverse effects and may also produce excess sympathetic stimulation. Treatment is mainly symptomatic, with measures to support respiration and control hypertension. Convulsions should be treated with an anticonvulsant if required. Elimination of pseudoephedrine can be accelerated by acidification of the urine.
- Antihistamine: Overdosage may cause sedation and central nervous system depression.
Important Notice
Panadol Cold & Flu Caplets are medicines that affect your health, and failure to follow the instructions may be dangerous. Always follow your doctor's advice and the instructions provided by the pharmacist. Do not stop your course of treatment early unless advised to do so by your doctor or pharmacist. Do not repeat your prescription without consulting your doctor.
Keep Medicines Out of Reach of Children
Store below 25°C in a well-sealed container.
Manufacturer Information
Manufactured by GlaxoSmithKline Australia Pty Limited, 82 Hughes Avenue, Ermington NSW 2115, Australia.
Conclusion
Panadol Cold & Flu Caplets are an effective solution for relieving symptoms of the common cold and influenza. Always follow the dosage instructions and consult a healthcare professional if you have any concerns or experience adverse effects.
Panadol Cold & Flu Leaflet

About the Author
Dr. Ahmad Baker, PharmD
He is a senior pharmacist and health educator with extensive experience in the Middle East and North Africa region. Through his writing, Dr. Ahmad aims to empower communities by providing reliable, evidence-based health information. With expertise in clinical pharmacy and regulatory affairs, he strives to offer unique insights into healthcare and simplify complex medical concepts, making them accessible to everyone.
Legal Disclaimer
The information provided in this blog is for educational purposes only and is not a substitute for professional medical advice. We do not guarantee the accuracy or completeness of information regarding medications or medical products, and official sources should be verified before making any decisions. By using this blog, you agree to assume personal responsibility for relying on the information provided.
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