Panadol Extra

Panadol Extra pack shot

Extra strength for tough pain1-3

With a dual formulation that fights tough pains such as headaches,1,4 migraines,5 dental pain6 and menstrual pain.1 The addition of caffeine to paracetamol enhances the pain relief effect of paracetamol.7-9

Graph showing pain-relief differences between Panadol Extra, naproxen sodium and placebo

Similar pain relief with naproxen4

Panadol Extra and naproxen provided significantly better pain relief vs. placebo.4 Though their pain-relief effects were similar to each other (p<0.05), paracetamol was seen to have better gastrointestinal suitability.10*

Graph showing time taken to achieve total pain relieve (TOPTAR) between Panadol Extra and sumatriptan

Effective relief even for migraines5

In a randomised, double-blind, cross-over phase IV, controlled trial, 92 patients with migraine were given either paracetamol 1000 mg + caffeine 130 mg or sumatriptan 50 mg.5

Panadol Extra was as efficient as sumatriptan (generally used to treat migraines) for pain relief.5

Graph showing pain relief achieved with Panadol Extra, paracetamol alone, caffeine alone and placebo.

Significant relief from menstrual pain1

This was a single-dose, placebo-controlled, double blind three-way crossover study in women with moderate-to-severe dysmenorrhoea (n=320). The total pain relief (TOTPAR) was assessed for 1000 mg paracetamol + 130 g caffeine, 1000 mg paracetamol alone and 130 mg caffeine alone or placebo.

Two tablets of Panadol Extra provided significantly more pain relief than standard paracetamol tablets.1

What can Panadol Extra do for Rabia?

Image of a patient pain free from menstrual pain

Rabia needs help for her menstrual pain

Rabia is a young mum of two and works fulltime. Like her mother and grandmother, she’s suffered from primary dysmenorrhoea (menstrual pain) since her teens. Recently, Rabia’s developed gastritis no thanks to her irregular meals and stressful days working and looking after the household.

She needs something to help her manage her menstrual pain effectively without aggravating her gastric problem.

Panadol Extra with paracetamol and caffeine offers fast, effective and gentle relief for tough pains such as menstrual pain.

Recommend Panadol Extra to fight tough pains

Panadol Extra pack shot

Panadol Extra

Dual “active” formulation that fights tough pains.1,3-6

Panadol Extra product details

  • Ingredients11,12

    Each tablet contains paracetamol 500 mg and caffeine 65 mg.

    Also includes excipients: maize starch, starch-pregelatinised maize, povidone, potassium sorbate, purified talk, stearic acid, croscarmellose sodium, hypromellose and glycerol tracetin.

  • Precautions and contraindications11,12

    Special warnings and precautions for use

    Do not use with any other paracetamol containing products. The concomitant use with other products containing paracetamol may lead to an overdose.

    Paracetamol overdose may cause liver failure which may require a liver transplant or lead to death.

    Underlying liver disease increases the risk of paracetamol-related liver damage. Patients who have been diagnosed with liver or kidney impairment must seek medical advice before taking this medication.

    Cases of hepatic dysfunction/failure have been reported in patients with depleted gluthathione levels such as those who are severely malnourished, anorexic, have a low body mass index or are chronic heavy users of alcohol or have sepsis.

    In patients with gluthathione depleted states, the use of paracetamol may increase the risk of metabolic acidosis.

    If symptoms persist, medical advice must be sought. If cold and flu symptoms persist for longer than 7 days, medical advice must be sought.

    Excessive intake of caffeine (e.g. coffee, tea and some canned drinks) should be avoided while taking this product.

    Keep out of the reach and sight of children.

    Paracetamol-caffeine is not recommended:

    • for children under the age of 12 years
    • concomitant use of drugs containing lithium (caffeine can increase the elimination of lithium from the body.)
    • concomitant use of warfarin and other coumarins which may be enhanced by prolonged regular daily use of paracetamol with increased risk of bleeding; occasional doses (of paracetamol) have no significant effect.
    • during pregnancy (caffeine is not recommended for use during pregnancy due to the possible increased risk of spontaneous abortion associated with caffeine consumption)
    • during breast feeding (caffeine in breast milk may potentially have a stimulating effect on breast fed infants but significant toxicity has not been observed)

    Contraindication

    This product is contraindicated in patients with a previous history of hypersensitivity to paracetamol, caffeine or excipients.

  • Side effects11,12

    Body system

    Undesirable effect

    Paracetamol

    Blood and lymphatic system disorders

    Thrombocytopenia

    Immune system disorders

    Anaphylaxis

    Cutaneous hypersensitivity reactions including, among others, skin rashes, angioedema and Steven Johnson syndrome and toxic epidermal necrolysis

    Respiratory, thoracic and mediastinal disorders

    Bronchospasm in patients sensitive to aspirin and other NSAIDs

    Hepatobiliary disorders

    Hepatic dysfunction

    Caffeine

    Central nervous system

    Dizziness, headache

    Cardiac disorders

    Palpitation

    Psychiatric disorders

    Insomnia, restlessness, anxiety and irritability, nervousness

    Gastrointestinal disorders

    Gastrointestinal disturbances

    When the recommended paracetamol-caffeine dosing regimen is combined with dietary caffeine intake, the resulting higher dose of caffeine may increase the potential for caffeine-related adverse effects.

Learn more

Panadol Children’s range

Panadol for children

Panadol for children contains paracetamol, which is recommended as first-line treatment for fever and mild-to-moderate pain in children.17-19

Discover more

Painful joint icon

Painful joints myth buster

Specially tailored for healthcare professionals to handle questions from patients regarding joint pains and its management.

Get it now

Woman with a headache

Managing headaches and migraines

Learn more about how to effectively manage your patients’ headaches/migraines

Learn more