Parmol 250mg/5ml Suspension

Parmol 250mg/5ml Suspension is an OTC oral liquid medicine manufactured by Hovid, formulated with Paracetamol (acetaminophen) as its active ingredient at a concentration of 250mg per 5ml. It belongs to the paracetamol (analgesic/antipyretic) class of active ingredients and is one of several strengths and formats sold under the Parmol brand name in Malaysia, alongside the higher-strength Parmol 650mg Tablet formulated for adults.

This suspension is an OTC product, meaning it is available for purchase from a pharmacy or an online pharmacy such as DoctorOnCall without a doctor’s prescription, although parents and caregivers are encouraged to confirm dosing with a pharmacist, particularly for young or lighter-weight children. It is supplied as a ready-to-use liquid suspension that should be shaken well before each use, and it is typically given with a measuring spoon, cup, or oral syringe to allow accurate, weight-appropriate dosing in children.

What distinguishes this 250mg/5ml formulation from a standard lower-concentration children’s paracetamol suspension is its higher concentration, meaning a smaller liquid volume delivers the same milligram dose. Parmol 250mg/5ml Suspension is sold in Malaysia in a 60ml bottle.

Shake the bottle of Parmol 250mg/5ml Suspension well before each use to ensure the medicine is evenly mixed. Measure the dose accurately using the measuring spoon, cup, or oral syringe provided with the product; never use an ordinary household spoon, as this can lead to an inaccurate and potentially unsafe dose. The suspension may be given with or without food. Always check any other medicines your child is taking, including cough, cold, or fever syrups, as many contain paracetamol as well, and giving more than one paracetamol-containing product at the same time can lead to an accidental overdose.

Dosing of Parmol 250mg/5ml Suspension in children should be based on the child’s body weight and age, following the dosing chart on the product packaging or the advice of a doctor or pharmacist. As a general paracetamol dosing guide, children are typically given approximately 10-15mg of paracetamol per kilogram of body weight per dose, repeated every 4 to 6 hours as needed, with a maximum of 4 doses in any 24-hour period and a total daily amount that should not exceed the limit set out on the product label or advised by a healthcare professional. Because this is a higher-concentration (250mg/5ml) suspension, extra care is needed when measuring the dose for younger or lighter children, and it may not be the most appropriate strength for infants or very young children, for whom a lower-concentration paracetamol suspension is usually preferred; check with a pharmacist if unsure which strength is appropriate for your child. If a dose is missed, give it as soon as remembered unless it is almost time for the next dose, in which case the missed dose should be skipped rather than doubled up. If fever persists beyond 3 days, if pain persists beyond 5 days, or if the child’s condition worsens, stop self-treating and see a doctor promptly. This product is not intended for adult dosing; adults should use an adult-strength paracetamol tablet, such as Parmol 650mg Tablet, instead.

Use Parmol 250mg/5ml Suspension before the expiry date printed on the bottle and outer carton. As with most oral paracetamol suspensions, once the bottle has been opened it is generally best used within the in-use period stated on the packaging or pharmacist’s label, as the product may lose potency after prolonged storage once opened; check your individual pack or ask your pharmacist for this specific period.

Store Parmol 250mg/5ml Suspension below 30°C, in a cool, dry place away from direct sunlight. Do not refrigerate or freeze unless the label specifically instructs otherwise. Keep the bottle tightly capped between uses, and store it out of the reach and sight of children, as accidental ingestion of a large volume of paracetamol suspension can be dangerous.

• Common: Parmol 250mg/5ml Suspension is generally well tolerated when dosed correctly, and side effects are uncommon.
• Common: Mild nausea or stomach upset may occasionally occur.
• Serious: Signs of an allergic reaction, such as skin rash, hives, swelling of the face or lips, or difficulty breathing, require immediate medical attention.
• Serious: Unusual bruising, bleeding, or yellowing of the skin or eyes may indicate a liver problem and should be assessed by a doctor promptly.
• Serious: Symptoms suggestive of an accidental overdose, such as persistent vomiting, abdominal pain, sweating, or unusual drowsiness, require emergency medical care immediately, even if the child appears well at first.

• Known hypersensitivity or allergy to paracetamol or to any other ingredient in the suspension.
• Severe active liver disease or severe hepatic impairment.
• Concurrent use with any other paracetamol-containing product, which increases the risk of accidental overdose in children.

• Giving Parmol 250mg/5ml Suspension together with other paracetamol-containing children’s medicines, such as combination cough, cold, or fever syrups, increases the risk of exceeding the safe daily paracetamol dose and should be avoided.
• Long-term or high-dose use together with certain anti-seizure medicines may increase the risk of liver-related side effects; check with a doctor if your child is on regular anticonvulsant treatment.
• No clinically significant interactions with ordinary food or milk feeds have been established, and the suspension may be given with or without food.
• Always inform your pharmacist or doctor of all other medicines and supplements your child is taking before starting this suspension.

• Always use the measuring spoon, cup, or syringe provided with the bottle rather than a kitchen spoon.
• Shake the bottle well before every single dose to keep the suspension evenly mixed.
• Check the child’s current weight before calculating or confirming the dose with a pharmacist.
• Keep a simple log of the time and amount of each dose given to avoid accidental double-dosing.
• Check other medicines in the house, including combination cold or flu syrups, for hidden paracetamol content.
• Store the bottle out of reach of children, as the sweet flavouring can make children want to drink more than the correct dose.

Precautions: Parmol 250mg/5ml Suspension should be used with care in children with existing liver or kidney problems, and the dose should always be based on the child’s current body weight rather than age alone. Because this is a higher-concentration suspension, parents and caregivers should double-check the volume being measured, especially for infants and lighter children, and should not assume an ordinary teaspoon gives the correct dose. If your child is taking any other medicine, including other over-the-counter cough, cold, or fever products, check with a pharmacist first, as paracetamol is a very common ingredient in combination products.

When to See a Doctor or Pharmacist: Seek medical advice if your child’s fever lasts more than 3 days, if pain lasts more than 5 days, if the child is under 3 months old, if symptoms worsen or new symptoms develop, or if you notice any signs of an allergic reaction. Seek emergency medical attention immediately if you suspect your child has taken more than the recommended dose, even if the child seems well, as early treatment for a paracetamol overdose is important.