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Calpol SixPlus Sugar Free– 200ml different flavours

Calpol SixPlus Sugar Free– 200ml different flavours

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  • ✔️ Relieves mild to moderate pain in children aged 6 to 12
  • ✔️ Reduces fever quickly including post-vaccination temperatures
  • ✔️ Sugar-free formula suitable for children managing sugar intake
  • ✔️ Available in multiple flavours for easier administration
  • ✔️ Each 5ml dose delivers 250mg paracetamol accurately

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What Is Calpol SixPlus Sugar Free and How Does It Help?

 

When your child has a temperature or is in pain, you want something that works — and works safely. Calpol SixPlus sugar free is a well-established paracetamol oral suspension designed specifically for children aged 6 to 12 years. Each 5ml dose contains 250mg of paracetamol, making it straightforward to give the right amount without guesswork. It's available in different flavours, which can make dosing a little easier when your child is feeling under the weather. You'll find it alongside other trusted options in our baby and toddler range.

This formulation is sugar free, which matters for children who use it regularly — for example, those managing recurrent fevers or post-vaccination discomfort. The absence of sucrose reduces the risk of dental issues associated with frequent use of sweetened medicines, according to NHS guidance on children's oral health.

 

How Does Calpol SixPlus Sugar Free Work in the Body?

 

Paracetamol — the active ingredient in Calpol SixPlus — works primarily by inhibiting the synthesis of prostaglandins in the central nervous system. Prostaglandins are chemical messengers that contribute to both pain perception and the elevation of body temperature during illness. By reducing their production, paracetamol helps bring a fever down and eases mild to moderate pain.

  • Paracetamol is absorbed rapidly from the gastrointestinal tract after oral administration.
  • Peak plasma concentration is typically reached within 30 to 60 minutes of ingestion.
  • It acts centrally on the hypothalamus to reduce fever (antipyretic effect).
  • It also has a peripheral analgesic action, reducing pain at the site of inflammation.
  • It is metabolised primarily in the liver and excreted via the kidneys.

 

Who Is Calpol SixPlus Sugar Free Suitable For?

 

This suspension is intended for children aged 6 to 12 years. It's particularly useful for children who struggle to swallow tablets, or those who need a sugar-free option due to dietary requirements or dental health concerns. It can be used to manage a range of common childhood conditions.

  • Children aged 6 to 12 years with mild to moderate pain (e.g. headache, toothache, sore throat)
  • Children with a fever, including post-immunisation pyrexia
  • Children who require a sugar-free liquid paracetamol formulation
  • Children who cannot or will not swallow solid dosage forms

It is not suitable for children under 6 years — for younger children, Calpol Infant Suspension (120mg/5ml) is the appropriate formulation. Always check the label and confirm the child's weight and age before dosing.

 

How Does Calpol SixPlus Compare to Calpol Infant Suspension?

 

Feature Calpol SixPlus Sugar Free Calpol Infant Suspension
Age range 6 to 12 years 2 months to 6 years
Paracetamol strength 250mg per 5ml 120mg per 5ml
Sugar free Yes Available in sugar-free variant
Flavours available Multiple (e.g. strawberry, orange) Strawberry

 

How Should You Store Calpol SixPlus Sugar Free?

 

Store Calpol SixPlus sugar free below 25°C, away from direct sunlight and heat sources. Do not refrigerate the suspension — cold temperatures can affect the consistency of the liquid. Always keep the bottle tightly closed and well out of reach of children. Once opened, use within the period stated on the packaging (typically 28 days). If you're also managing other health concerns at home, our pain relief collection includes a range of options for adults and older children.

Check the expiry date on the bottle before each use. Never use a medicine past its expiry date, even if it looks and smells unchanged.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Calpol SixPlus Sugar Free specifications
Treatment category Analgesic / Antipyretic
Mechanism of action Inhibits prostaglandin synthesis in the CNS; reduces fever and pain
Effective for Mild to moderate pain, fever, post-immunisation pyrexia
Suitable for Children aged 6 to 12 years
Active ingredient Paracetamol 250mg per 5ml
Pack size 200ml
UK classification General Sale List (GSL)
Drug class Non-opioid analgesic
Preparation Oral suspension
Route of administration Oral

Specifications of Calpol SixPlus Sugar Free

 

What Is Calpol SixPlus Sugar Free and What Is It Used For?

 

Calpol SixPlus Sugar Free Oral Suspension contains paracetamol 250mg per 5ml as its active ingredient. It is used to relieve mild to moderate pain in children aged 6 to 12 years — including headaches, toothache, sore throats, and earache — and to reduce fever, including fever following childhood vaccinations. It is a General Sale List (GSL) medicine, meaning it can be purchased without a prescription from a registered pharmacy or retailer.

The sugar-free formulation uses aspartame as a sweetener rather than sucrose, making it a more suitable option for children who need to limit their sugar intake or who use liquid paracetamol frequently. It is available in different flavours to help with palatability.

 

What Do You Need to Know Before Using Calpol SixPlus Sugar Free?

 

Before giving this medicine to your child, read the following carefully. There are situations where it should not be used, or where extra caution is needed.

Do not use Calpol SixPlus Sugar Free if your child:

  • Is under 6 years of age
  • Is allergic to paracetamol or any other ingredient in the suspension
  • Has severe liver or kidney disease
  • Is already taking another medicine containing paracetamol
  • Has phenylketonuria (PKU) — this product contains aspartame, a source of phenylalanine

Drug interactions — tell your pharmacist if your child is taking:

  • Warfarin or other anticoagulants (regular paracetamol use may enhance anticoagulant effect)
  • Other paracetamol-containing products (risk of accidental overdose)
  • Metoclopramide or domperidone (may increase the rate of paracetamol absorption)
  • Cholestyramine (may reduce paracetamol absorption if taken within one hour)

 

How Should You Use Calpol SixPlus Sugar Free?

 

Always use the measuring device provided with the bottle — never use a household spoon, as this can lead to inaccurate dosing. Shake the bottle well before each use.

  1. Check the child's age and weight to confirm the correct dose.
  2. Shake the bottle thoroughly before measuring.
  3. Use the oral syringe or measuring cup provided to draw up the correct dose.
  4. Give the suspension directly into the child's mouth, or mix with a small amount of water if preferred.
  5. Record the time of each dose to avoid accidental repeat dosing.
  6. Do not give more than 4 doses in any 24-hour period.
  7. Leave at least 4 hours between doses.

Dosage guide by age:

Age Group Dose (ml) Paracetamol (mg) Frequency
6–8 years 5ml 250mg Every 4–6 hours (max 4 doses/24 hrs)
8–10 years 7.5ml 375mg Every 4–6 hours (max 4 doses/24 hrs)
10–12 years 10ml 500mg Every 4–6 hours (max 4 doses/24 hrs)

If your child's symptoms persist for more than 3 days, or if their fever is very high or worsening, seek medical advice. You may also find it helpful to browse our cold and flu range for additional supportive products during illness.

 

What Are the Possible Side Effects of Calpol SixPlus Sugar Free?

 

Paracetamol is generally well tolerated at recommended doses. Serious side effects are rare but can occur, particularly in cases of overdose or in children with pre-existing liver conditions. Always use the lowest effective dose for the shortest time needed.

Common side effects (may affect up to 1 in 10 children):

  • Nausea
  • Stomach discomfort

Less common or rare side effects:

  • Allergic skin reactions (rash, itching, urticaria)
  • Swelling of the face, lips, or throat (angioedema) — seek emergency help immediately
  • Blood disorders (thrombocytopenia, agranulocytosis) — very rare
  • Liver damage — associated with overdose, not therapeutic doses

If you notice any signs of an allergic reaction — particularly facial swelling, difficulty breathing, or a widespread rash — stop the medicine immediately and call 999 or go to your nearest A&E.

 

How Should You Store Calpol SixPlus Sugar Free?

 

Correct storage helps maintain the medicine's safety and effectiveness. Follow these instructions carefully. If you're managing a child's health at home, our first aid collection has useful products to keep alongside medicines in your home medicine cabinet.

  • Store below 25°C — do not refrigerate
  • Keep away from direct sunlight and heat sources
  • Keep the bottle tightly closed when not in use
  • Keep out of sight and reach of children
  • Do not use after the expiry date printed on the label
  • Once opened, use within 28 days
  • Do not dispose of medicines via wastewater or household waste — return unused medicine to your pharmacy

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Calpol SixPlus Sugar Free online in the UK?

You can buy Calpol SixPlus Sugar Free 200ml online from Cured Pharmacy, a GPhC-registered UK online pharmacy. It is available without a prescription as an over-the-counter medicine. Simply add it to your basket and choose your preferred delivery option for fast, discreet dispatch.

How does Calpol SixPlus Sugar Free work in the body?

Calpol SixPlus Sugar Free contains paracetamol 250mg per 5ml, which works by inhibiting prostaglandin synthesis in the central nervous system. This reduces both the sensation of pain and the hypothalamic set-point for body temperature, bringing fever down. It is absorbed quickly from the gut, with effects typically felt within 30 to 60 minutes.

What age is Calpol SixPlus Sugar Free suitable for?

Calpol SixPlus Sugar Free is suitable for children aged 6 to 12 years only. It should not be given to children under 6 years — for younger children, Calpol Infant Suspension (120mg/5ml) is the appropriate formulation. Always confirm your child's age and weight before selecting a paracetamol product.

How often can I give Calpol SixPlus Sugar Free to my child?

You can give Calpol SixPlus Sugar Free every 4 to 6 hours as needed, but no more than 4 doses in any 24-hour period. Always leave at least 4 hours between doses. If your child's symptoms are not improving after 3 days, consult your GP or pharmacist.

What is the correct dose of Calpol SixPlus Sugar Free for my child?

The dose depends on your child's age: children aged 6–8 years take 5ml (250mg), those aged 8–10 years take 7.5ml (375mg), and children aged 10–12 years take 10ml (500mg). Always use the measuring device provided with the bottle — never a household spoon. Do not exceed 4 doses in 24 hours.

Can I give Calpol SixPlus Sugar Free alongside other medicines?

Do not give Calpol SixPlus Sugar Free alongside any other medicine containing paracetamol, as this significantly increases the risk of accidental overdose. If your child is taking warfarin, metoclopramide, or domperidone, speak to your pharmacist before use. Always check the ingredients of any other medicines your child is taking.

What are the side effects of Calpol SixPlus Sugar Free?

Side effects are uncommon at recommended doses but may include nausea, stomach discomfort, or allergic skin reactions such as rash or itching. Rarely, serious allergic reactions including facial swelling or difficulty breathing can occur — if this happens, stop the medicine and call 999 immediately. Liver damage is associated with overdose, not therapeutic doses.

Does Calpol SixPlus Sugar Free contain aspartame?

Yes, Calpol SixPlus Sugar Free contains aspartame as a sweetener in place of sucrose. Aspartame is a source of phenylalanine, so it must not be given to children with phenylketonuria (PKU). If you are unsure whether this product is suitable for your child, speak to your pharmacist before use.

Is Calpol SixPlus Sugar Free suitable for children with diabetes?

Because Calpol SixPlus Sugar Free does not contain sucrose, it is generally considered more suitable for children who need to manage their sugar intake, including those with diabetes. However, you should always consult your child's GP or diabetes care team before introducing any new medicine. You can also explore our diabetes monitoring range for supportive products.

How should I store Calpol SixPlus Sugar Free?

Store Calpol SixPlus Sugar Free below 25°C, away from direct sunlight and heat. Do not refrigerate the suspension, as cold temperatures can affect the liquid's consistency. Keep the bottle tightly closed, out of reach of children, and use within 28 days of opening.

What happens if my child accidentally takes too much Calpol SixPlus Sugar Free?

If you think your child has taken more than the recommended dose, seek medical attention immediately — even if they seem well. Paracetamol overdose can cause serious liver damage, and symptoms may not appear for several hours. Call 999 or go to your nearest A&E and take the medicine bottle with you.

What are the alternatives to Calpol SixPlus Sugar Free for children?

Alternatives for children aged 6 to 12 years include ibuprofen oral suspension (e.g. Nurofen for Children), which also reduces fever and pain but works via a different mechanism (NSAID). Paracetamol and ibuprofen should not be given simultaneously without medical advice. Browse our pain relief collection for more options.

Can Calpol SixPlus Sugar Free be used after vaccinations?

Yes, Calpol SixPlus Sugar Free can be used to manage fever and discomfort following childhood vaccinations in children aged 6 years and over. The NHS advises that paracetamol can be given after immunisation if a child develops a fever or seems distressed. Always follow the dosage instructions for your child's age group.

How long can I use Calpol SixPlus Sugar Free for?

Calpol SixPlus Sugar Free is intended for short-term use only. If your child's pain or fever persists for more than 3 days, or if symptoms worsen, you should seek advice from your GP or pharmacist rather than continuing to use the medicine. Prolonged use without medical supervision is not recommended.

What are the latest guidelines on paracetamol use in children?

Current NHS and NICE guidance recommends using the lowest effective dose of paracetamol for the shortest time necessary in children. Routine alternating of paracetamol and ibuprofen is not recommended unless advised by a healthcare professional. Always follow the age-appropriate dosing instructions on the product label.

How Should You Use Calpol SixPlus Sugar Free?

Always read the label carefully before giving this medicine to your child. Shake the bottle well before each use to ensure the suspension is evenly mixed. Use only the measuring device supplied with the bottle — a household teaspoon is not accurate enough and could result in your child receiving too little or too much medicine.

What Is the Correct Dose of Calpol SixPlus Sugar Free?

The dose is determined by your child's age. Do not give more than 4 doses in any 24-hour period, and always leave at least 4 hours between doses. If you are unsure which dose is right for your child, ask your pharmacist before administering.

When Is the Best Time to Use Calpol SixPlus Sugar Free?

Give Calpol SixPlus Sugar Free as soon as your child's symptoms begin — there is no specific time of day that is better than another. However, spacing doses evenly throughout the day (every 4 to 6 hours) helps maintain a more consistent level of pain relief or fever control. If your child wakes in the night with a high temperature, it is safe to give a dose at that time provided at least 4 hours have passed since the last dose.

For post-vaccination fever, the NHS advises that paracetamol can be given as soon as symptoms develop following immunisation. Do not give it routinely before vaccination to prevent fever, as this may reduce the immune response to some vaccines.

How Long Can You Use Calpol SixPlus Sugar Free For?

This medicine is intended for short-term use only. Do not use it for more than 3 days without seeking medical advice. If your child's fever remains high, their pain is not improving, or new symptoms develop, contact your GP or call NHS 111 for guidance. Prolonged use of paracetamol without medical supervision is not appropriate for children.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Calpol SixPlus Sugar Free?

Paracetamol is one of the most widely used medicines for children and is generally very well tolerated when used at the correct dose. Serious side effects at therapeutic doses are uncommon. That said, it is important to be aware of what to look out for so you can act quickly if needed.

  • Nausea
  • Stomach discomfort or abdominal pain
  • Feeling generally unwell (though this may also be related to the underlying illness)

What Are the Less Common Side Effects of Calpol SixPlus Sugar Free?

Less common side effects occur in a small number of children and are more likely if the medicine is used incorrectly or in higher-than-recommended doses. If you notice any of the following, stop giving the medicine and speak to a pharmacist or GP.

  • Skin rash or itching (urticaria)
  • Redness or flushing of the skin
  • Mild swelling
  • Diarrhoea

What Are the Serious Side Effects of Calpol SixPlus Sugar Free?

Serious side effects are rare but require immediate medical attention. The most significant risk associated with paracetamol is liver damage, which occurs in cases of overdose — not at recommended therapeutic doses. If you suspect your child has taken more than the prescribed amount, do not wait for symptoms to appear before seeking help, as liver damage may not be immediately obvious.

  • Severe allergic reaction (anaphylaxis): facial swelling, difficulty breathing, rapid heartbeat — call 999 immediately
  • Angioedema: swelling of the lips, tongue, or throat
  • Liver damage: associated with overdose; symptoms include jaundice, dark urine, severe abdominal pain
  • Blood disorders (thrombocytopenia, agranulocytosis): very rare; signs include unusual bruising or persistent infections

What Should You Do If Your Child Experiences Side Effects?

If your child develops a mild rash or stomach upset, stop the medicine and contact your pharmacist for advice. For any signs of a serious allergic reaction — particularly swelling of the face or throat, or difficulty breathing — call 999 immediately and do not give any further doses. In the event of a suspected overdose, go to your nearest A&E without delay, even if your child appears well.

You should also report suspected side effects to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk. This helps improve medicine safety for all patients.

Can Calpol SixPlus Sugar Free Interact With Other Medicines?

Yes. The most important interaction to be aware of is with other paracetamol-containing products — combining them can lead to accidental overdose. Always check the ingredients of any other medicines your child is taking, including cold and flu remedies, before giving Calpol SixPlus Sugar Free. Warfarin users (in older children or adolescents) should be monitored more closely, as regular paracetamol use can enhance the anticoagulant effect. Medicines that affect stomach emptying, such as metoclopramide or domperidone, may alter the rate at which paracetamol is absorbed.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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