500 mg powder for oral solution, sachet
paracetamol
What Therimin Forest Berry is and what it is used for
Therimin Forest Berry is a powder that is taken as a hot drink and is supplied in sachets. It contains paracetamol, which relieves pain and reduces fever.
Therimin Forest Berry is used for the treatment of temporary fever and pain conditions of a mild nature, e.g. fever during a cold, headache, toothache, menstrual pain, muscle, and joint pain.
This medicine is used in adults and adolescents over 12 years of age. It can be used by people with sensitive stomachs.
You must talk to a doctor if you do not feel better or if you feel worse after 3 days in the case of fever or 5 days in the case of pain.
What you need to know before using Therimin Forest Berries
Do not use Therimin Forest berries
Do not use Therimin Skogsbär if you are allergic to paracetamol or any other ingredient in this medicine (listed in section 6).
Warnings and precautions
Be especially careful with Therimin Forest berries if you
– have problems with the kidneys
– have problems with liver function, including damage caused by alcohol problems
– have Gilbert’s syndrome (inherited mild jaundice)
– have a deficiency of glucose -6-phosphate dehydrogenase (an enzyme )
– have hemolytic anemia (abnormal breakdown of red blood cells )
– suffer from dehydration or chronic malnutrition
If you use other painkillers that contain paracetamol, you should not use Therimin Skogsbär without first talking to your doctor or pharmacist.
Warnings and precautions
Do not exceed the recommended daily dose stated in section 3. A higher dose than recommended does not provide better pain relief but instead carries the risk of very serious liver damage. The symptoms of liver damage normally only appear after a couple of days. Therefore, you must contact a doctor as soon as possible if you have taken too large a dose.
Do not use other paracetamol-containing medicines at the same time as there is a risk that the maximum daily dose of paracetamol will be exceeded. Check the content of other medicines before using them at the same time as Therimin Forest Berry.
Do not drink alcohol while using this medicine.
Do not use this medicine without a doctor’s prescription if you have alcohol problems or liver damage, and also do not use Therimin Forest Berries together with alcohol. The intoxicating effect of alcohol is not increased by adding Therimin Forest Berries, but alcohol can instead increase the toxic effect that paracetamol has on your liver.
Children and young people
Do not use this medicine in children under 12 years of age or who weigh less than 41 kg.
Other medicines and Therimin Forest berries
Tell your doctor or pharmacist if you are taking, have recently taken, or might be taking any other medicines.
– blood-thinning medicines ( anticoagulants ), such as warfarin or other coumarins
– medicines containing paracetamol (see section 2 – warnings and precautions)
– medicines to treat nausea and vomiting, such as metoclopramide or domperidone
– medicines that delay gastric emptying, such as exenatide
– cholestyramine is used to lower blood fats. Cholestyramine and Therimin Forest berries should be taken one hour apart
– medicines used to treat tuberculosis (rifampicin and isoniazid ) and bacterial infections (chloramphenicol)
– probenecid used to treat gout
– medicines used to treat seizures, such as phenytoin, phenobarbital and carbamazepine
– St. John’s wort extract (included in some herbal remedies).
Therimin Forest berries with food, drink, and alcohol
Do not drink alcohol while using this medicine.
Pregnancy, breastfeeding, and fertility
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.
Paracetamol passes into breast milk in small amounts. The medicine can nevertheless be used during breastfeeding. Do not exceed the recommended dose described in this leaflet.
Driving ability and use of machinery
Therimin Skogsbär does not affect your ability to drive or use machines.
Therimin Forest berries contain aspartame, sodium, sucrose, soy lecithin
Important information about some ingredients in Therimin Forest Berries
Therimin Forest berries contain:
• aspartame (E951), a source of phenylalanine. May be harmful to people with phenylketonuria (enzyme deficiency that makes it difficult to break down phenylalanine).
• sodium 38 mg per sachet. This should be taken into account if you have been prescribed a low-salt diet.
• sucrose 5.4 g per sachet. If you have an intolerance to certain sugars, you should consult a doctor before using this medicine. This should be taken into account by diabetics.
• soy lecithin (E322). Do not use this medicine if you are allergic to peanuts or soy.
How to use Therimin Forest Berry
Always use this medicine exactly as described in this leaflet or as directed by your doctor or pharmacist. Ask your doctor or pharmacist if you are unsure.
The recommended dose is:
Adults :
1-2 sachets (500 – 1000 mg) every 4-6 hours, maximum four times per day. Usually, one sachet per occasion is sufficient. Do not use more than 6 sachets (3000 mg) per day. The doses should be taken 4-6 hours apart.
Use for children and adolescents
Children and young people:
Children under 12 years weighing less than 40 kg: children under 12 years weighing less than 40 kg should not use this medicine
Young people between 12-15 years who weigh 41-50 kg: 1 sachet every 4-6 hours as needed, maximum four times per day. Do not use more than 4 sachets (2000 mg) per day. The doses should be taken 4-6 hours apart.
Young people between 16-18 years who weigh more than 50 kg: see adults
Do not exceed the recommended dose.
The total dose of paracetamol must not exceed 60 mg/kg/day for young people and adults who weigh less than 50 kg.
Patients with reduced liver and kidney function
In patients with reduced liver or kidney function, the dose must be lowered or the dosing interval extended. Consult a doctor or pharmacist before using this medicine.
How to use Therimin Forest Berry:
The contents of 1 or 2 sachets are dissolved in a cup of hot, but not boiling, water (approx. 2.5 dl). When 2 sachets are used, more water can be added to the taste. The liquid is drunk when it has reached the appropriate temperature.
How long to use Therimin Forest berries:
Contact a doctor if symptoms worsen or do not improve within 3 days for fever and 5 days for pain.
If you have used too much Therimin Forest Berry
If you have ingested too much medicine or if, for example, a child has ingested medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice. Because of the risk of delayed liver damage, immediate treatment is necessary, even if you feel well.
If you have forgotten to use Therimin Forest Berry
If you forget to use Therimin Forest Berry, take a dose as soon as you remember unless it is close to your next dose. Then continue the treatment as recommended. Always leave at least 4 hours between two doses. Do not take a double dose to make up for a missed dose.
Possible side effects
Like all medicines, Therimin Forest Berry can cause side effects, but not all users need them.
STOP using this medication and contact your doctor or pharmacist immediately if you experience:
• allergic reactions including difficulty breathing, swelling of the face, mouth, tongue, or throat
• skin rash including hives, itching, or redness of the skin
• skin flakes, blisters, sores, or mouth ulcers
• changes in the blood, including unexpected bleeding or bruising
• changes in the appearance or amount of urine, including cloudy urine, bloody urine, and difficulty urinating. These are symptoms of kidney problems
• yellowing of the skin or eyes (jaundice). These are symptoms of liver damage. Abnormal liver values may also be observed.
The side effects mentioned above are rare (may affect up to 1 in 1,000 users) or very rare (may affect up to 1 in 10,000 users).
Very rare cases of serious skin reactions have been reported.
Other side effects may occur in rare cases (may occur in 1 in 1000 users). If you experience any of the following reactions, consult a doctor:
• nausea, stomach ache, vomiting, diarrhea
• depression, confusion, hallucinations
• tremors, headache, dizziness, vertigo, nervousness, confusion
• visual disturbances
• abnormal accumulation of fluid under the skin ( edema )
• discomfort, fever, lethargy
• sweating
The following side effect may occur in very rare cases (may affect 1 in 10,000 users). If you experience it, contact your doctor:
• low blood sugar levels (hypoglycemia)
If you experience side effects, talk to your doctor or pharmacist. This also applies to any side effects that are not mentioned in this information.
How Therimin Forest Berries should be stored
Keep this medicine out of the sight and reach of children and adolescents.
Use before the expiry date stated on the carton and sachet after the “Expiry date”. The expiration date is the last day of the specified month.
Store at room temperature in the original packaging. Do not use the product if you see any signs of damage.
Medicines must not be thrown into the drain or among the household waste. Ask the pharmacist how to dispose of medications that are no longer used. These measures will help to protect the environment.
Contents of the packaging and other information
Contents declaration
• The active substance is paracetamol, 500 mg
• Other ingredients are ascorbic acid ( vitamin C ), acesulfame potassium, aspartame (E951), calcium phosphate, citric acid, maltodextrin, colloidal silicon dioxide, sodium citrate, sucrose, quinoline yellow (E104), blueberry flavor (contains soy lecithin), raspberry flavor (contains soy lecithin), cranberry flavor (contains soy lecithin), menthol flavor (contains soy lecithin), green tea flavor (contains soy lecithin). See section 2 for additional information on some content topics.
Appearance and package sizes of the medicine
Therimin Skogsbär is a white to slightly yellow granular powder with brown granules that are packed in sachets.
Therimin Forest berries are available in the following pack sizes: 6, 8, 10, and 12 sachets. Not all pack sizes may be marketed.
GlaxoSmithKline Consumer Healthcare A/S, Nykær 68, 2605 Brøndby, Denmark.