Always read the label. Use only as directed. Incorrect use could be harmful. Consult your healthcare professional if symptoms persist.

Do not use Mersynofen if:

• You are allergic to paracetamol, ibuprofen, aspirin or any other medicine for pain relief, or any of the ingredients listed at the end of this leaflet
Always check the ingredients to make sure you can use this medicine.

• You have a history of hypersensitivity reactions e.g. wheezing, chronic cough, swelling of the face or throat, red or itchy skin, skin rash, or a runny or stuffy nose when using aspirin, or other non-steroidal anti-inflammatory drugs or analgesic products.

• You have liver or kidney disease

• You have pre-existing heart problems

• You have asthma

• You have a stomach ulcer or duodenal ulcer or if you have had either of these conditions or gastric bleeding or other gastrointestinal diseases in the past.

• You have recently vomited blood or material that looks like coffee grounds

• You have recently bled from the back passage (rectum), had black sticky bowel motions or bloody diarrhoea.

• You have had bleeding episodes which cannot be explained

• You are using other paracetamol-containing products

• You are severely dehydrated after having vomited, had diarrhoea or not enough to drink

• If the expiry date (EXP) printed on the pack or if the packaging is torn or shows signs of tampering

Check with your doctor or pharmacist if you:

• Have a severe and extensive skin rash known as DRESS with following reactions such as fever, rash, enlargement of lymph nodes and/or facial swelling, kidney problems, blood disorder, inflammation of the heart, muscle weakness/pain

• Have any other medical conditions, especially asthma, diabetes, liver or kidney disease or heart, gastrointestinal or autoimmune problems (where your own immune system mistakenly attacks substances naturally occurring in your body).

• Take any medicines for any other condition

• Have recently had major surgery

• Suffer from hayfever, nasal polyps or have chronic respiratory disorders. These may increase the risk of an allergic reaction occurring

• Have a metabolic disorder

• Have a blood platelet disorder

• Consume large amounts of alcohol

Pregnancy and breastfeeding

Do not take Mersynofen if you are pregnant or intend to become pregnant.

Like most medicines of this kind, Mersynofen is not recommended to be used during pregnancy.

Use of Mersynofen may cause the baby to have kidney problems leading to a low amount of amniotic fluid inside the uterus and in some cases kidney problems in the newborn.

Check with your doctor or pharmacist about taking Mersynofen if you are breast-feeding or planning to breast-feed.

Small amounts of ibuprofen and paracetamol may pass into the breast milk

If you have not told your doctor or pharmacist about any of the above, tell them before start taking Mersynofen.

Use in the elderly

Do not take if you are aged 65 years or older.

Use in children

Do not give Mersynofen to children aged under 12 years.

Do not give Mersynofen to dehydrated adolescents.