BRONCHOGRIP powder for oral solution

2. What you need to know before taking Bronchogrip

If you take a pain reliever for headache for more than 3 days, it may worsen.

Do not takeBronchogrip if you:

• Are allergic to paracetamol, guaifenesina, phenylephrine hydrochloride, or any of the other components of this medication (included in section 6).
• Have severe liver or kidney disease.
• Have a heart condition or a cardiovascular disorder or blood problems, such as anemia (low red blood cell count).
• Have high blood pressure (hypertension).
• Have an overactive thyroid (hyperthyroidism).
• Have diabetes.
• Have pheochromocytoma (a rare tumor of the adrenal gland tissue).
• Are taking tricyclic antidepressants such as imipramine or amitriptiline.
• Are taking beta-blockers (e.g., atenolol) or vasodilators (e.g., hydralazine), which are used to treat high blood pressure (hypertension).
• Are taking other products that contain paracetamol.
• Are taking antidepressant medications called monoamine oxidase inhibitors (MAOIs) or have taken them in the last 14 days (medications such as moclobemide, phenelzine, isocarboxazid, and tranylcypromine).
• Have narrow-angle glaucoma (high pressure in the eyes).
• Have difficulty urinating, an enlarged prostate, or other prostate problems.
• Are currently taking other decongestant medications (e.g., ephedrine and xylometazoline) or stimulants (e.g., dextroamphetamine).

Warnings and precautions

Consult your doctor or pharmacist before taking Bronchogrip if you:

• Have a lot of coughing or asthma and sensitivity to aspirin. Consult your doctor if your cough lasts more than 5 days or if it recurs.
• Have circulatory disorders, such as a condition called Raynaud's phenomenon, which consists of poor circulation in the fingers of the hands and feet.
• Have angina or other cardiovascular diseases.
• Have an autoimmune disorder called myasthenia gravis, where muscles become tired and weakened easily.
• Have an enlarged prostate gland, as this can cause more difficulty urinating.
• Have severe stomach or intestinal problems.
• Have liver or kidney disease.
• Are taking a cough suppressant.
• Have difficulty sleeping (insomnia), nervousness, fever, tremors, and/or convulsions.
• Are intolerant to some sugars.
• Have phenylketonuria, a rare inherited metabolic disorder.
• Have chronic alcoholism, malnutrition, or dehydration.
• Have Gilbert's syndrome (familial non-hemolytic jaundice).
• Are an elderly patient, adult, or adolescent who weighs less than 50 kg.

You should consult your doctor if:

• You develop a high fever, rash, or persistent headache.
• You develop signs of another infection such as malaise, night sweats, fatigue, pain, or swelling.
• Your symptoms do not improve after three days.
• If you have severe diseases, such as severe kidney failure or sepsis (when bacteria and their toxins circulate in the blood causing damage to organs), or if you suffer from malnutrition, chronic alcoholism, or if you are also taking flucloxacillin (an antibiotic). There have been reports of a serious condition called metabolic acidosis (a blood and fluid anomaly) in patients in these situations when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken with flucloxacillin. The symptoms of metabolic acidosis may include: severe breathing difficulties with rapid and deep breathing, drowsiness, feeling of dizziness (nausea), and vomiting.

Children and adolescents

Do not give this medication to children under 15 years of age.

Using Bronchogrip with other medications

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

If you are taking any of the following medications, consult your doctor before taking Bronchogrip:

• If you are taking probenecid, talk to your doctor as it may be necessary to reduce the dose of Bronchogrip.
• Medications to treat high cholesterol levels that reduce the amount of fat in the blood, such as cholestyramine.
• Medications to control nausea and vomiting, such as metoclopramide or domperidone.
• Medications called anticoagulants, which are used to thin the blood, such as warfarin or other coumarins - you may take occasional doses of paracetamol but should consult your doctor if you need to take it regularly.
• Barbiturates (for epilepsy or to help you sleep), such as phenobarbitones.
• Tricyclic antidepressants such as imipramine and amitriptiline.
• Monoamine oxidase inhibitors (MAOIs) such as moclobemide, phenelzine, isocarboxazid, and tranylcypromine, which are used to treat depression.
• Medications to treat heart problems or circulatory problems, or to lower blood pressure (e.g., digoxin, guanethidine, reserpine, methyldopa).
• Aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs).
• Medications to treat migraines (e.g., ergotamine and methysergide).
• Zidovudine, as this could cause blood problems (low white blood cell count).
• Phenothiazines used as sedatives (e.g., chlorpromazine, periciazine, and flufenazine).
• Other products for flu or colds, or decongestants that contain sympathomimetic amines.
• If you are going to have a blood or urine test, as taking this medication may affect the results.
• If you are going to undergo general anesthesia, as this may cause changes in heart rhythm.
• If you are taking flucloxacillin (an antibiotic), due to a serious risk of alteration of blood and fluids (metabolic acidosis with high anion imbalance) that should be treated urgently (see section 2).

Bronchogrip with alcohol

Do not drink alcohol if you take this medication.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

This product should not be used during pregnancy.

This product should not be used during breastfeeding without medical advice.

Driving and using machines

This product may cause dizziness. If you feel dizzy, do not drive or operate machinery.

Bronchogrip contains sucrose

This medication contains 2.1g of sucrose (sugar) per sachet. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication. This should be taken into account in patients with diabetes.

Bronchogrip contains aspartame (E951)

This medication contains 12 mg of aspartame per sachet. Aspartame is a source of phenylalanine. It may be harmful if you have phenylketonuria, a rare genetic disorder in which phenylalanine accumulates because the body cannot eliminate it properly.

Bronchogrip contains sodium

This medication contains 129 mg of sodium (main component of table/cooking salt) per sachet. This is equivalent to 6.5% of the maximum recommended daily intake of sodium for an adult.

3. How to take Bronchogrip

Follow the administration instructions described in this leaflet or as indicated by your doctor or pharmacist exactly. Consult your doctor or pharmacist if you are unsure.

Oral use.

Adults, elderly patients, and adolescents 15 years or older

The recommended dose is 1 sachet every 4 to 6 hours, as needed. Do not take more than 4 sachets (4 doses) in a 24-hour period. Do not take it more frequently than every 4 hours.

Use in children and adolescents

Do not administer to children under 15 years of age.

Elderly patients

Elderly patients, debilitated and immobile patients may require a reduced dose.

Pour the contents of 1 sachet into a standard cup. Fill the cup up to just below the rim with approximately 250 ml of hot water that does not boil. Stir until dissolved and let cool to a temperature that can be drunk. Drink the entire yellow solution within 1 hour and 30 minutes.

Do not exceed the indicated dose. If symptoms persist for more than 3 days or worsen, consult your doctor or pharmacist.

If you take more Bronchogrip than you should

In case of overdose or accidental poisoning, consult the Toxicology Information Service, telephone 91 562 04 20.

Medical advice should be sought immediately in case of overdose, due to the risk of irreversible liver damage. Talk to a doctor immediately if you take too much medication, even if you feel well. This is because too much paracetamol can cause serious and late liver damage.

Go to the emergency department of the nearest hospital. Take the medication and this leaflet with you.

If you forget to takeBronchogrip

Do not take a double dose to make up for the forgotten dose.

If you have any doubts about the use of this medication, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone gets them.

Most people do not have any side effects while taking this medication. However, if you experience any of the following side effects, or if something unusual happens, stop taking the medication immediately and consult your doctor or pharmacist.

The following adverse reactions represent the most common adverse reactions, although the actual frequencies are not available:

• Difficulty sleeping (insomnia)
• Diarrhea, nausea
• Nervousness, tremors, irritability, restlessness, or excitability
• Increased blood pressure with headache, dizziness, vomiting, and irregular heartbeats (palpitations).
• A serious condition that can make the blood more acidic (called metabolic acidosis), in patients with severe disease who take paracetamol (see section 2).

The frequency of the following reactions is unknown, but they are considered rare:

• Allergic reactions that can be serious, such as skin rash, skin peeling, itching, red and swollen skin areas, sometimes with difficulty breathing or swelling of the mouth, lips, tongue, throat, or face
• Respiratory problems, these are more likely if you have experienced them before when taking other pain relievers like aspirin or ibuprofen
• Gastrointestinal disorders (stomach pain or discomfort), nausea, vomiting, diarrhea
• Numbness or cold skin
• Liver problems
• Faster or irregular heartbeats
• Sudden increase in pressure inside the eye, dilated eye pupil
• Difficulty or pain when swallowing water.

The frequency of the following reaction is rare:

• Cloudy urine.

The frequency of the following reactions is unknown but is considered very rare:

• Increased tendency to bleed, bruising, fever, and infections, such as sore throat and ulcers, due to changes in your blood.

There have been reports of very rare cases of serious skin reactions.

If you have previously experienced an allergic reaction (hypersensitivity) when taking decongestants, appetite suppressants, and stimulants, you may have a higher risk of developing an allergic reaction when taking this product.

Reporting of side effects:

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish Medicines Monitoring System for Human Use: www.notificaram.es.

By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Bronchogrip

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date indicated on the packaging and on the sachet. The expiration date refers to the last day of the month.

Do not store above 25°C.

After reconstitution with hot water, the solution is stable for 1 hour and 30 minutes.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This way, you will help protect the environment.

6. Contents of the pack and additional information

What Bronchogrip contains

Each sachet contains the active ingredients: Paracetamol (500 mg), Guaifenesina (200 mg), and Phenylephrine hydrochloride (10 mg).

The other ingredients are: sucrose, citric acid (E330), tartaric acid (E334), sodium citrate (E331), acesulfame potassium (E950), aspartame (E951), menthol flavor powder [contains natural menthol, corn maltodextrin, and gum arabic (E414)], lemon flavor [contains flavoring preparation, natural flavoring substance, corn maltodextrin, gum arabic E414, sodium citrate E331, citric acid E330, and butylated hydroxyanisole E320 (0.01%)], lemon juice flavor [contains flavoring preparation, natural flavoring substance(s), maltodextrin, modified starch E1450, and butylated hydroxyanisole E320 (0.03%)], quinoline yellow (E104).

Appearance of Bronchogrip and contents of the pack

Bronchogrip is a powder for oral solution, white in color and with a characteristic citrus/menthol odor, in sachets.

The reconstituted solution is yellowish and opalescent with a characteristic citrus/menthol odor.

Bronchogrip is available in packs of 5, 6, 10, 14, 15, or 20 sachets, although not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing Authorization Holder:

Perrigo España, S.A.

Pza. Xavier Cugat, 2 - Edif. D, Pl. 1ª

08174 Sant Cugat del Vallès (Barcelona)

Spain

Manufacturer:

Omega Pharma International NV

Venecoweg 26, Nazareth

9810 Belgium

Perrigo Supply Chain International DAC

The Sharp Building

10-12 Hogan Place

Dublin 2

Ireland

This medication is authorized in the Member States of the European Economic Area under the following names:

Croatia Coldrex ComboGrip 500mg/200mg/10mg powder for oral solution

Estonia Coldrex Lemon & Menthol

Hungary Coldrex Plus köhögés elleni por belsoleges oldathoz

Latvia Hotex 500 mg/200 mg/10 mg pulveris iekškigi lietojama škiduma pagatavošanai

Lithuania Coldrex Lemon & Menthol

Portugal Antigrippine Trieffect Tosse 500mg+10mg+200mg Powder for oral solution

Slovenia Paracetamol/guaifenesin/phenylephrine Adriatic BST 500 mg/200 mg/10 mg powder for peroral solution

Spain Bronchogrip powder for oral solution

Date of the last revision of this leaflet:April 2025