PRODUCT DETAILS

Composition

There are different Lemsip Max sachets, but the standard Max Cold & Flu sachet contains:

• Paracetamol 1000 mg → relieves pain and fever
• Phenylephrine hydrochloride 10 mg → decongestant for blocked nose and sinus pressure

(Some variants also contain flavours, sweeteners like aspartame, sucrose, and sodium compounds depending on flavour type.)

Uses / Indications

• Cold and flu symptoms
• Blocked or runny nose
• Sinus congestion and pressure
• Headache
• Fever and body aches
• Sore throat discomfort

Direction of Use

• Adults and children 16 years and over
• Dissolve 1 sachet in hot water
• Repeat every 4–6 hours if needed
• Maximum 4 sachets in 24 hours
• Short-term use only (usually up to 5 days)

Side Effects

Common:

• Nausea or stomach upset
• Nervousness or restlessness
• Difficulty sleeping
• Dizziness
• Dry mouth

Less common but important:

• Increased blood pressure
• Fast heartbeat (palpitations)
• Anxiety or agitation
• Skin rash or allergic reactions
• Rare liver damage (if overdosed with paracetamol)

Warnings / Precautions

• Contains paracetamol → do NOT combine with other paracetamol medicines
• Contains phenylephrine → may increase blood pressure
• Avoid alcohol (liver risk + worsened side effects)
• Use carefully in:
• High blood pressure
• Heart disease
• Diabetes
• Thyroid problems
• Glaucoma
• Prostate enlargement
• Not suitable with MAO inhibitors (dangerous interaction)
• Do not exceed dose (paracetamol overdose risk)

Drug Interactions

• MAO inhibitors (very dangerous BP spike)
• Other decongestants (overdose effects)
• Antidepressants (SSRIs / tricyclics)
• Blood pressure medicines
• Alcohol
• Other paracetamol-containing products

Contraindications / Caution

Avoid if:

• Allergy to paracetamol or phenylephrine
• Severe hypertension or heart disease
• Severe liver or kidney disease
• Hyperthyroidism
• Glaucoma
• Recent MAOI use (within 14 days)