Simple Linctus Paediatric BP

Oral Solution

4.1 Therapeutic indications For relief of non productive (dry) coughs4.2 Posology and method of administration **Dose** **Children:** 1 to 5 years: Give one 5ml spoonful 6 to 12 years: Give two 5ml spoonfuls Repeat up to four times a day if necessary.4.3 Contraindications Known hypersensitivity to any of the ingredients4.4 Special warnings and precautions for use Keep out of the sight and reach of children. Consult a doctor if symptoms persist for more than 5 days Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine. **Excipient warnings**: This medicine contains 4.4g of sucrose per 5ml. This should be taken into account in patients with diabetes mellitus. This medicine contains 2.5mg sodium benzoate per 5ml dose. This medicine contains less than 1mmol sodium (23mg) per 5ml dose, that is to say essentially 'sodium-free'.4.5 Interaction with other medicinal products and other forms of interaction None known4.6 Pregnancy and lactation There are no or limited amount of data from the use of citric acid monohydrate in pregnant women. Animal studies are insufficient with respect to reproductive toxicity (see section 5.3). There is insufficient information on the excretion of citric acid monohydrate metabolites in human milk.4.7 Effects on ability to drive and use machines None known4.8 Undesirable effects **Tabulated list of adverse reaction(s)** Adverse reactions frequency are defined using the following convention: Very common (≥ 1/10); common (≥ 1/100 to < 1/10); uncommon (≥ 1/1,000 to < 1/100); rare (≥ 1/10,000 to < 1/1,000); very rare (< 1/10,000), not known (cannot be estimated from the available data). | | | | | --- | --- | --- | | **System organ class (MedDRA)** | **Frequency** | **Adverse event** | | **Immune System Disorders** | Not known | Hypersensitivity | **Reporting of suspected adverse reactions** Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.4.9 Overdose Overdose with this preparation is unlikely to occur due to the low concentrations of the ingredients. However, in the event treatment should be symptomatic.

5.1 Pharmacodynamic properties Pharmacotherapeutic Group: Acid Preparations ATC Code: A09 AB5.2 Pharmacokinetic properties Citric acid is absorbed after oral administration. It is found naturally in the body and is widely distributed. It is metabolised to carbon dioxide and water in Kreb's citric acid cycle. Citric acid is normally excreted in the urine in amounts ranging from 0.4 to 1.5g daily and this amount is not increased unless very large doses are administered.5.3 Preclinical safety data No data of relevance, which is additional to that included on other sections of the SPC.

6.1 List of excipients Anise flavour (contains propylene glycol (E1520)) Sodium benzoate (E211) Glycerol (E422) Purified Water Sucrose (Syrup)6.2 Incompatibilities None6.3 Shelf life 36 months unopened, 3 months after first opening6.4 Special precautions for storage Store below 25°C6.5 Nature and contents of container 200ml: Amber glass bottle with a white 28mm child resistant cap with tamper evident band and EPE/Saranex liner6.6 Special precautions for disposal and other handling Any unused product or waste material should be disposed of in accordance with local requirements.