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you are under 18 years old, or over 65 years old. This is because metoclopramide can cause problems in people of these ages.
If you are pregnant or breastfeeding. Although paracetamol and metoclopramide are not known to be harmful to an unborn baby, you should tell your doctor if you think you could be pregnant.
If you have any allergies, or have asthma.
If you have been told you have an irregular heart rhythm.
If you know you have a problem with your digestive system, such as a blockage or any internal bleeding.
If you have any problems with your liver or kidneys, or if you regularly drink large amounts of alcohol.
If you have epilepsy, or have Parkinson's disease.
If you have a tumour on your adrenal gland, known as phaeochromocytoma.
If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.
If you have ever had an allergic reaction to a medicine.
How to take paracetamol and metoclopramide
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about paracetamol and metoclopramide and it will provide you with a full list of the side-effects which you may experience.
Take Paramax exactly as your doctor tells you to. It is usual to take two tablets or two sachets at the start of an attack, and then to take two further tablets or sachets every four hours if needed. You must not take more than a total of six tablets or six sachets in any 24-hour period.
The tablets can be taken with a drink of water. If you have been supplied with sachets, dissolve the powder from two sachets into quarter of a glassful of water before taking.
A number of things can trigger migraines in some people. These can include some foods (for example, cheese, chocolate, and red wine), worry, bright sunlight, too much or too little sleep, and skipping meals. If you are not sure if these things trigger a migraine for you, it may help for you to keep a migraine diary. Note down when and where each migraine attack started, what you were doing, and what you had eaten that day. A pattern may emerge and it may be possible for you to avoid some of the things that trigger an attack.
Try to keep your follow-up appointments with your doctor. Paramax will only be prescribed for short-term use - it must not be taken for more than five consecutive days, and a course of treatment will last no longer than three months in total. If you find that the tablets/sachets do not relieve your migraine, discuss this with your doctor as an alternative preparation may prove to be more effective for you.
It is important that you do not take more than one preparation containing paracetamol at a time. Paracetamol is an ingredient in a number of over-the-counter preparations, including many cold and flu products. Paracetamol may also be contained in painkillers which you may already have been prescribed by your doctor. Before taking any other medicines, check the label to see whether they contain paracetamol.
This medicine is used to treat headache pain during a migraine attack, but there are other medicines available that may help to reduce the number of migraine attacks. If you have migraines frequently, discuss this with your doctor.
Some people who get frequent migraine attacks are in fact getting medication-induced headache. Medication-induced headache (also called medication-overuse headache) is caused by taking painkillers too often. If you use painkillers on more than two days a week on a regular basis, you may be at risk of this. You should talk to your doctor if you suspect it.
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