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 with caffeine and paracetamol alone

Pain relief vs paracetamol alone

Panadol Extra provides up to 37% more potentpain relief than paracetamol alone.10

Graph showing time taken to achieve total pain relief (TOPTAR)  between Panadol Extra paracetamol and caffeine 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 titled “patients achieving at least a 50% maximal pain  response over 0 to 4 hours on paracetamol/caffeine vs  paracetamol alone”

Panadol Extra with caffeine boosts the analgesic effect of paracetamol. There was a lower NNT (number needed to treat) when patients used Panadol Extra vs Paracetamol from 0–4 hours.11

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

Significant pain relief in headache, dental, menstrual and post-surgical pain

More patients achieved good pain relief than with paracetamol alone.12 Results from 15 studies with 2186 participants that compared paracetamol plus caffeine to paracetamol alone showed that more patients achieved good pain relief with Panadol Extra for pain states such as headache, dysmenorrhea, dental and post-surgical/post-partum.12

Recommend Panadol Extra to fight tough pains

Panadol Extra pack shot

Panadol Extra

Dual “active” formulation with paracetamol and caffeine that fights tough pains.1,3-6

Panadol Extra product details

  • Each tablet contains paracetamol 500 mg and caffeine 65 mg.

  • 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)


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

  • Body system

    Undesirable effect


    Blood and lymphatic system disorders


    Immune system disorders


    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


    Central nervous system

    Dizziness, headache

    Cardiac disorders


    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.

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Provide your patients with a product sample when you make your expert recommendation to encourage them to make changes for better oral health and pain relief.

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Clinical Trial

Clinical Study

Non Prescription Drugs For Common Pain Conditions

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Woman comforting a child with a  headache, testing his temperature with  a thermometer

Managing headaches and migraines

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

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