Description
A liquid oral formulation of paracetamol (also known as acetaminophen) intended for pain relief and fever reduction, especially in children or persons who have difficulty swallowing tablets.

Prescription
Over-the-counter (OTC)

Therapeutic Category
Analgesic / Antipyretic (Pain reliever and fever reducer)

Active Ingredients / Composition

• Active: Paracetamol (acetaminophen) — the concentration is often given as mg per mL (e.g. 120 mg/5 mL in some pediatric elixirs) 
• Inactive/excipients may include: ethanol, propylene glycol, glycerol, sorbitol, flavorings, colorants, stabilizers, etc. (as seen in pediatric elixir formulations)

Variant
Liquid form / oral suspension (“elixir”). The “125 mL” refers to the bottle volume (i.e. the container size). The strength (mg/mL) depends on the product variant.

Consume Type
Oral — swallowed (liquid to be measured via dosing spoon, syringe or cup).

Directions / Usage

• Shake well before use.
• Use the dosing device provided (spoon, syringe).
• Dosing is based on age or weight. For example, in UK pediatric elixirs of 120 mg/5 mL:
    • 3–6 months: 2.5 mL every 4–6 hours (max 4 doses in 24 h)
    • 6–24 months: 5 mL every 4–6 hours, up to 4 doses
    • 2–4 years: 7.5 mL every 4–6 hours (with maximum)
    • And so on for older children per the dosing table in product leaflets. 
• Do not exceed 4 doses in 24 hours for most pediatric formulations. 
• Use for the shortest duration necessary.
  
• Avoid using other paracetamol-containing products concurrently.
  

Common Side Effects

• Usually well tolerated when used properly.
• Possible side effects: skin rash, allergic reactions (rare), mild gastrointestinal discomfort in some cases.
• In overdose or misuse: risk of serious liver damage, nausea, vomiting, jaundice, elevated liver enzymes.
  

Package Type

• Bottle (amber or opaque) with child-resistant cap.
• Dosing spoon or syringe often included.
• Labeling and carton insert with dosing instructions.
  

Storage Advice

• Store below a specified temperature (often < 25 °C).
• Keep in original container.
• Protect from light and moisture.
• Keep out of reach of children.
• Do not use past expiry date.
  

Safety Advice

• Do not exceed recommended dose.
• Avoid use in severe liver disease or severe renal impairment.
• Be cautious with alcohol consumption (liver risk).
• Avoid combining with other paracetamol-containing medications.
• In case of overdose, seek immediate medical attention (paracetamol toxicity can be delayed).
• Use in pregnancy or breastfeeding only after medical advice (paracetamol is generally considered safer among analgesics in these settings but should be used cautiously).
• Monitor for signs of allergy (rash, swelling, breathing difficulty).
• In children, do not use longer than recommended without consulting a doctor (often not more than 3 days) 
• Check for excipient warnings (e.g. sugar content, ethanol content) especially in pediatric or sensitive patients.

Product Substitutes
Other brands of paracetamol (acetaminophen) oral liquid, such as:

• Pediatric paracetamol syrup / suspension
• Other brand-name elixirs
• Solutions or suspensions in equivalent strength
  

Manufacturer / Marketer
This depends on the brand in your country. For example:

• In the UK, “Paediatric Paracetamol Elixir BP” is marketed by Pinewood Laboratories Ltd. 
• Bell’s Paracetamol Elixir is made by Bell’s Healthcare (UK) for export markets.

Country of Origin
Depends on the brand — e.g. Pinewood Laboratories (Ireland/UK for UK market) for the UK elixir version.
Bell’s Healthcare version is from the UK.