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Panadol Extra Soluble - 24 Tablets

Panadol Extra Soluble - 24 Tablets

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  • ✔️ Combines paracetamol 500mg and caffeine 65mg per tablet
  • ✔️ Dissolves in water for fast, easy absorption
  • ✔️ Relieves headaches, dental pain, and cold and flu aches
  • ✔️ Suitable for adults and children aged 12 and over
  • ✔️ 24 tablets per pack for multi-day pain management

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What Is Panadol Extra Soluble and How Does It Help?

 

Panadol extra soluble is a fast-dissolving effervescent tablet that combines two active ingredients — paracetamol 500mg and caffeine 65mg — to provide effective relief from mild to moderate pain and fever. Each tablet dissolves in water to create a drinkable solution, which many people find easier to take than standard tablets, particularly when swallowing is uncomfortable during a cold or sore throat. If you're looking for a convenient, well-established option for everyday pain, this could be a practical choice. You can browse our full range of pain relief products to compare your options.

Panadol Extra Soluble is classified as a General Sale List (GSL) medicine in the UK, meaning it's available without a prescription. It's suitable for adults and children aged 12 and over, and each pack contains 24 tablets — enough for several days of use at the standard dosing schedule.

 

How Does Panadol Extra Soluble Work in the Body?

 

The two active ingredients work together to tackle pain from slightly different angles. Here's how:

  • Paracetamol (500mg per tablet): Inhibits the synthesis of prostaglandins in the central nervous system — the chemical messengers that transmit pain signals and raise body temperature. This reduces both pain perception and fever.
  • Caffeine (65mg per tablet): Acts as an adjuvant analgesic. Research published in clinical literature suggests caffeine can enhance the pain-relieving effect of paracetamol by up to 40% compared to paracetamol alone, though individual responses vary.
  • Soluble formulation: Because the tablet is dissolved in water before ingestion, absorption may begin slightly faster than with a standard solid tablet, as the active ingredients are already in solution when they reach the stomach.

It's worth noting that the caffeine content (65mg per tablet, 130mg per dose) is roughly equivalent to one to one-and-a-half cups of coffee. If you're sensitive to caffeine or already consuming a lot of it throughout the day, factor that in.

 

Who Is Panadol Extra Soluble Suitable For?

 

This product is designed for adults and young people aged 12 and over who need short-term relief from a range of common painful conditions. It's particularly useful when you want a fast-acting, easy-to-take format. Typical indications include:

  • Headaches and migraines (mild to moderate)
  • Cold and flu symptoms, including fever and body aches
  • Dental pain and toothache
  • Period pain and muscular aches
  • Sore throat discomfort

It is not suitable for children under 12, people with severe liver or kidney impairment, or those with a known hypersensitivity to paracetamol or caffeine. If you're managing symptoms alongside a cold or flu, you might also find our cold and flu range helpful for broader symptom relief.

 

How Does Panadol Extra Soluble Compare to Standard Paracetamol?

 

Feature Panadol Extra Soluble Standard Paracetamol Tablets
Active ingredients Paracetamol 500mg + Caffeine 65mg Paracetamol 500mg only
Formulation Effervescent / soluble tablet Solid oral tablet or capsule
Ease of swallowing Dissolved in water — no swallowing required Must be swallowed whole
Suitable for caffeine-sensitive individuals No — contains 65mg caffeine per tablet Yes — caffeine-free

 

How Should You Store Panadol Extra Soluble?

 

Store panadol extra soluble below 25°C in a dry place, away from direct sunlight and moisture. The effervescent tablets are particularly sensitive to humidity — once the tube or foil is opened, reseal it promptly. Keep all medicines out of the sight and reach of children, and never use tablets past the expiry date printed on the packaging.

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.

Panadol Extra Soluble 24 Tablets specifications
Treatment category General Pain Relief / Antipyretic
Mechanism of action Prostaglandin synthesis inhibition (paracetamol); adjuvant analgesic enhancement (caffeine)
Effective for Headache, cold and flu pain, dental pain, period pain, muscular aches, fever
Suitable for Adults and children aged 12 and over
Active ingredient Paracetamol 500mg, Caffeine 65mg per tablet
Pack size 24 tablets
Strengths Paracetamol 500mg / Caffeine 65mg
UK classification General Sale List (GSL)
Drug class Analgesic / Antipyretic
Preparation Effervescent (soluble) tablet
Route of administration Oral (dissolved in water)

Specifications of Panadol Extra Soluble 24 Tablets

 

What Is Panadol Extra Soluble and What Is It Used For?

 

Panadol Extra Soluble 24 Tablets is an over-the-counter analgesic and antipyretic medicine used for the short-term relief of mild to moderate pain and fever. Each effervescent tablet contains paracetamol 500mg and caffeine 65mg. The standard adult dose of two tablets provides 1,000mg of paracetamol and 130mg of caffeine per dose. It is indicated for headaches, dental pain, period pain, cold and flu symptoms, sore throat, and general muscular aches. The soluble format makes it a practical option for people who find swallowing tablets difficult.

 

What Do You Need to Know Before Using Panadol Extra Soluble?

 

Before taking this medicine, read the following carefully. Do not take Panadol Extra Soluble if any of the following apply to you:

  • You are allergic to paracetamol, caffeine, or any other ingredient in the tablet
  • You have severe liver disease or active liver problems
  • You have severe kidney impairment
  • You are under 12 years of age
  • You are already taking other medicines containing paracetamol — this is a common and serious risk of accidental overdose
  • You have phenylketonuria (PKU) — check the full PIL for excipient information

Speak to your pharmacist or GP before taking this product if you:

  • Regularly drink alcohol (more than 3 units per day)
  • Have mild to moderate liver or kidney problems
  • Are pregnant or breastfeeding — paracetamol is generally considered safe in pregnancy at the lowest effective dose for the shortest time, but always seek medical advice first
  • Are sensitive to caffeine or have anxiety, insomnia, or a heart rhythm condition
  • Have Gilbert's syndrome

Drug interactions — tell your pharmacist if you are taking:

  • Warfarin or other anticoagulants — regular paracetamol use may enhance anticoagulant effect
  • Monoamine oxidase inhibitors (MAOIs) — caffeine interactions are a concern
  • Metoclopramide or domperidone — may affect paracetamol absorption rate
  • Cholestyramine — may reduce paracetamol absorption
  • Other caffeine-containing medicines or supplements

 

How Should You Use Panadol Extra Soluble?

 

Always use this medicine exactly as described in the patient information leaflet or as directed by your pharmacist. Do not exceed the stated dose.

  1. Drop 2 tablets into a glass containing at least 100ml of water.
  2. Wait for the tablets to fully dissolve — this usually takes around 1–2 minutes.
  3. Stir gently if needed, then drink the entire solution.
  4. Wait at least 4 hours before taking your next dose.
  5. Do not take more than 4 doses (8 tablets) in any 24-hour period.
Indication Age Group Dose Frequency
Mild to moderate pain / fever Adults and children 12+ 1–2 tablets dissolved in water Every 4–6 hours; max 8 tablets in 24 hours
Mild to moderate pain / fever Under 12 years Not recommended Not applicable

If you are managing pain alongside other symptoms, our first aid range includes additional products that may complement your recovery.

 

What Are the Possible Side Effects of Panadol Extra Soluble?

 

Like all medicines, Panadol Extra Soluble can cause side effects, although not everyone experiences them. Paracetamol is generally well tolerated at recommended doses. The caffeine component may cause additional effects in some people.

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

  • Nausea or stomach discomfort
  • Restlessness or difficulty sleeping (related to caffeine)
  • Increased heart rate (palpitations) — particularly in caffeine-sensitive individuals

Less common or rare side effects:

  • Skin rash, itching, or urticaria (hives)
  • Allergic reactions — including, very rarely, anaphylaxis
  • Blood disorders (thrombocytopenia, agranulocytosis) — extremely rare with normal use
  • Liver damage — only if the recommended dose is exceeded; this is a medical emergency

Stop taking this medicine and seek immediate medical attention if you develop a rash, swelling of the face or throat, or difficulty breathing. If you accidentally take too much, go to A&E immediately even if you feel well — paracetamol overdose can cause delayed liver damage.

 

How Should You Store Panadol Extra Soluble?

 

  • Store below 25°C in a dry place — moisture will degrade effervescent tablets rapidly
  • Keep away from direct sunlight and heat sources
  • Keep the tube or foil sealed when not in use
  • Store out of the sight and reach of children
  • Do not use after the expiry date printed on the packaging
  • Do not dispose of medicines via wastewater or household waste — return unused tablets to your pharmacy

If you're looking for other health essentials to keep at home, explore our vitamins and supplements range to support your general wellbeing alongside pain management.

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 Panadol Extra Soluble online in the UK?

You can buy Panadol Extra Soluble 24 Tablets directly from Cured Pharmacy, a GPhC-registered online pharmacy in the UK. It is available without a prescription as a General Sale List medicine. Simply add it to your basket and it will be dispatched to your door — no appointment needed.

How does Panadol Extra Soluble work in the body?

Panadol Extra Soluble contains paracetamol, which reduces pain and fever by inhibiting prostaglandin synthesis in the central nervous system. The added caffeine acts as an adjuvant analgesic, helping to enhance the pain-relieving effect of paracetamol. Together, the two ingredients provide more effective relief than paracetamol alone for many people.

How do I use Panadol Extra Soluble step by step?

Using Panadol Extra Soluble is straightforward. Follow these steps:

  1. Drop 1–2 tablets into a glass of at least 100ml of water.
  2. Allow the tablets to fully dissolve before drinking.
  3. Drink the entire solution and wait at least 4 hours before your next dose.

Never take more than 8 tablets in any 24-hour period.

What is the correct dose of Panadol Extra Soluble for adults?

The standard adult dose is 2 tablets (providing paracetamol 1,000mg and caffeine 130mg) dissolved in water, taken every 4 to 6 hours as needed. You should not take more than 4 doses — that is, 8 tablets — in any 24-hour period. If your pain persists beyond 3 days, speak to your GP or pharmacist.

What is the best time to take Panadol Extra Soluble?

You can take Panadol Extra Soluble at any time of day when pain or fever occurs, with or without food. However, because it contains caffeine, it's worth avoiding taking it close to bedtime if you are sensitive to caffeine, as it may affect your ability to sleep. Space doses at least 4 hours apart throughout the day.

What are the side effects of Panadol Extra Soluble and how do I manage them?

Side effects are uncommon at recommended doses but may include nausea, restlessness, or a faster heartbeat due to the caffeine content. If you experience a skin rash, swelling, or difficulty breathing, stop taking the tablets immediately and seek urgent medical attention. Taking the tablets with food can help reduce any stomach discomfort.

Who should not take Panadol Extra Soluble?

Panadol Extra Soluble is not suitable for children under 12 years of age, people with a known allergy to paracetamol or caffeine, or those with severe liver or kidney disease. People who are already taking other paracetamol-containing medicines should not take this product simultaneously, as this significantly increases the risk of overdose. Always check with your pharmacist if you are unsure.

Can I take Panadol Extra Soluble during pregnancy or while breastfeeding?

Paracetamol is generally considered the first-choice painkiller during pregnancy when used at the lowest effective dose for the shortest possible time, but you should always seek advice from your GP or midwife before taking any medicine during pregnancy. The caffeine content in Panadol Extra Soluble is an additional consideration, as high caffeine intake during pregnancy is not recommended. Speak to a healthcare professional before use.

What happens if I accidentally take too much Panadol Extra Soluble?

If you take more than the recommended dose, go to your nearest A&E department immediately, even if you feel well — paracetamol overdose can cause serious liver damage that may not be apparent for several days. Take the packaging with you so medical staff can see exactly what you have taken. Do not wait for symptoms to appear before seeking help.

What happens if I miss a dose of Panadol Extra Soluble?

Panadol Extra Soluble is taken as needed for pain or fever rather than on a fixed schedule, so missing a dose simply means taking the next one when your symptoms require it. Ensure at least 4 hours have passed since your last dose before taking another. Never take a double dose to make up for one you have missed.

Can I take Panadol Extra Soluble with ibuprofen?

Yes — paracetamol and ibuprofen can generally be taken together as they work via different mechanisms, and this combination is sometimes recommended by healthcare professionals for more effective pain relief. However, you should not take ibuprofen if you have certain conditions such as stomach ulcers, kidney problems, or asthma triggered by NSAIDs. Always check with your pharmacist before combining medicines. You can explore our full pain relief range for further options.

What are alternatives to Panadol Extra Soluble?

Alternatives include standard paracetamol 500mg tablets (without caffeine), ibuprofen tablets or gel, or aspirin for adults without contraindications. If you prefer a caffeine-free option, plain paracetamol tablets or capsules are widely available. Your pharmacist can advise on the most appropriate choice based on your symptoms and medical history.

How long can I take Panadol Extra Soluble for?

Panadol Extra Soluble is intended for short-term use only. If you are using it for pain, do not take it for more than 3 days without speaking to a doctor or pharmacist. For fever, do not use it for more than 3 days without medical advice. Prolonged use without medical supervision is not recommended.

Does Panadol Extra Soluble interact with warfarin?

Yes — regular or prolonged use of paracetamol can enhance the anticoagulant effect of warfarin, potentially increasing the risk of bleeding. Occasional use at the recommended dose is generally considered lower risk, but you should always inform your anticoagulation clinic or GP if you are taking paracetamol regularly. Your INR may need to be monitored more closely during use.

Is Panadol Extra Soluble suitable for people with dental pain?

Yes — Panadol Extra Soluble is indicated for dental pain and toothache as part of its licensed uses. The soluble format can be particularly convenient when chewing or swallowing tablets is uncomfortable due to mouth pain. For broader dental health support, you might also find our dental products range useful alongside pain relief.

How Should You Use Panadol Extra Soluble?

Panadol Extra Soluble is designed to be dissolved in water before drinking — never swallow the tablets whole or chew them. The effervescent formulation means the active ingredients are already in solution by the time you drink it, making it easy on the stomach and straightforward to take. Follow these steps each time you use it:

If you are unsure whether this product is right for your symptoms, speak to your pharmacist before use.

What Is the Correct Dose of Panadol Extra Soluble?

The dose varies depending on age. Children under 12 should not take this product. Always use the lowest effective dose for the shortest time necessary to relieve your symptoms.

If you are elderly or have liver or kidney problems, your pharmacist may advise a lower dose or longer interval between doses. Always follow their guidance.

When Is the Best Time to Use Panadol Extra Soluble?

Take Panadol Extra Soluble as soon as pain or fever begins — there is no fixed time of day, and it can be taken with or without food. Because each tablet contains 65mg of caffeine, it is sensible to avoid taking it in the evening if you are sensitive to caffeine, as it may interfere with sleep. If you are taking it regularly throughout the day, try to space doses evenly — for example, morning, midday, and early evening — to maintain consistent pain relief without exceeding the maximum daily dose.

How Long Can You Use Panadol Extra Soluble For?

This medicine is intended for short-term use only. For pain relief, do not use it for more than 3 consecutive days without seeking medical advice. For fever, the same 3-day limit applies. If your symptoms worsen, do not improve, or if new symptoms develop, stop taking the tablets and consult your GP or pharmacist promptly. Long-term or frequent use of paracetamol-containing products should always be discussed with a healthcare professional to avoid the risk of liver damage from cumulative dosing.

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

What Are the Most Common Side Effects of Panadol Extra Soluble?

Panadol Extra Soluble is generally well tolerated when taken at the recommended dose. Most people experience no side effects at all. However, the caffeine content (65mg per tablet) means some people may notice stimulant-related effects, particularly if they are sensitive to caffeine or already consuming it through food and drink.

  • Nausea or mild stomach discomfort
  • Restlessness or feeling jittery
  • Difficulty sleeping (insomnia), especially if taken in the evening
  • Increased heart rate (palpitations)
  • Headache — paradoxically, caffeine withdrawal between doses can sometimes trigger a headache

What Are the Less Common Side Effects of Panadol Extra Soluble?

Less common side effects are rare at therapeutic doses but can occur. If you notice any of the following, stop taking the medicine and speak to your pharmacist or GP:

  • Skin rash, itching, or hives (urticaria)
  • Flushing or sweating
  • Dizziness or light-headedness
  • Unusual bruising or bleeding (very rare — associated with blood disorders)

What Are the Serious Side Effects of Panadol Extra Soluble?

Serious side effects from paracetamol are almost exclusively associated with taking more than the recommended dose. Paracetamol overdose — even a modest excess — can cause severe and potentially fatal liver damage. Symptoms of overdose may not appear for 24 to 72 hours, which is why immediate medical attention is essential even if you feel well after taking too much. Go to A&E immediately if you suspect an overdose.

Serious allergic reactions (anaphylaxis) are extremely rare but can occur. Signs include swelling of the face, lips, tongue or throat, difficulty breathing, and a sudden drop in blood pressure. This is a medical emergency — call 999 immediately.

What Should You Do If You Experience Side Effects?

For mild side effects such as nausea or restlessness, reducing your caffeine intake from other sources (coffee, tea, energy drinks) while taking this medicine may help. If side effects are troublesome or persistent, consider switching to a caffeine-free paracetamol product and speak to your pharmacist. For any serious or unexpected reaction, stop taking the medicine immediately and seek medical advice without delay.

Can Panadol Extra Soluble Interact With Other Medicines?

Yes — interactions are possible with several medicines. The most clinically significant is with warfarin: regular paracetamol use can increase the anticoagulant effect, raising the risk of bleeding. Always inform your anticoagulation clinic if you are taking paracetamol regularly. Other interactions include monoamine oxidase inhibitors (MAOIs), metoclopramide, domperidone, and cholestyramine. Crucially, never take Panadol Extra Soluble alongside other paracetamol-containing products — this is one of the most common causes of accidental paracetamol overdose in the UK. Always check the ingredients of any other cold, flu, or pain medicine you are taking.

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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