It’s passed on by coughs or sneezes, or hand contact – germs can live on the hands and on surfaces for up to 24 hours.

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Treatment with N-acetylcysteine may be used up to 24 hours after ingestion of paracetamol, however, the maximum protective effect is obtained up to 8 hours post-ingestion. Due to the vasoconstrictive properties of phenylephrine the product should not be used in patients with a history of pre-eclampsia. If you are experiencing symptoms of fever, coughing, sore throat or shortness of breath you should seek medical advice from a doctor (including pathology testing) and stay at home. The speed of absorption of paracetamol may be increased by metoclopramide or domperidone and absorption reduced by cholestyramine.If you, or someone close to you, has a cold the risk of it spreading can be lessened by washing the hands often with warm soapy water, and using tissues to trap germs, then throwing them in the bin as soon as possible afterwards. Please note, your healthcare professional is best placed to provide you with advice regarding your health. Treatment with activated charcoal should be considered if the overdose has been taken within 1 hour. Cold viruses are so common that if you have contact with other people, you’re bound to catch one occasionally – if someone coughs or sneezes nearby they can spray the virus out into the air in tiny droplets of mucus, which you can breathe in directly, or pick up from where it has landed and then pass on by touching your face or eyes. However the amount required to produce serious phenylephrine toxicity would be greater than that required to cause paracetamol-related liver toxicity.

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Epidemiological studies in human pregnancy have shown no ill-effects due to paracetamol used in the recommended dosage, but patients should follow the advice of their doctor regarding its use. Your symptoms shouldn’t last longer than a few weeks, 1 after which you’re likely to come into contact with another virus, because there are some 200 different viruses to catch – that’s why most adults get 2-3 colds every year.Management of patients who present with serious hepatic dysfunction beyond 24 hours from ingestion should be discussed with the NPIS or a liver unit. Care is advised in the administration of paracetamol to patients with severe renal or severe hepatic impairment. The physician or pharmacist should check that sympathomimetic containing preparations are not simultaneously administered by several routes, i.