Intended for UK patients and members of the public
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 16 May 2025
Renewal. Date of renewal: 23/01/2025.
SmPC sections updated: 9 & 10.
Last updated on this site: 03 May 2023
Variation description:
Update to SPC section 4.4 and PIL in line with the recommendations following MHRA review of myasthenia gravis (SA 19083871).
Update to PIL in line with the recommendations following MHRA review of CNS depressants (SA 18643283).
Additional update to SPC section 4.2 for 15/500mg strength only to correct strength from ‘500mg/15mg’ to ‘15mg/500mg’ in the renal insufficiency table.
Amends to the PIL in line with the latest QRD template (Version 10.3), and correction of ‘cinacelet’ to ‘cinacalcet’.
PIL sections updated- Heading, Introduction, 2, 3, 4 and 6.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
SmPC sections updated: 4.2, 4.4, 4.5, 4.8 and 10
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
PIL sections updated: 2, 3, 4, 5 and 6
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 16 Apr 2026
Update to SPC sections 4.2, 4.4, 4.8 and PIL in line with PSUSA/00000851/202503 recommendations for Interactions with gabapentinoids, Sphincter of Oddi dysfunction, Hyperalgesia, Central Sleep apnoea (CSA), Opioid drug disorder (OUD), and the need to store the product in a safe and secure place.
MHRA recommendations for Opioid use disorder (OUD) in codeine/paracetamol combination products is to align with the PSUSA recommendations.
Additional editorial amends made in SPC and PIL.
SPC sections updated: 4.2, 4.4, 4.8 and 10
Approval date: 09/04/2026
Last updated on this site: 16 Apr 2026
Update to SPC sections 4.2, 4.4, 4.8 and PIL in line with PSUSA/00000851/202503 recommendations for Interactions with gabapentinoids, Sphincter of Oddi dysfunction, Hyperalgesia, Central Sleep apnoea (CSA), Opioid drug disorder (OUD), and the need to store the product in a safe and secure place.
MHRA recommendations for Opioid use disorder (OUD) in codeine/paracetamol combination products is to align with the PSUSA recommendations.
Additional editorial amends made in SPC and PIL.
PIL sections updated: 2, 3, 4, 5 and 6
Approval date: 09/04/2026
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
SmPC sections updated: 4.2, 4.4, 4.5, 4.8 and 10
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
PIL sections updated: 2, 3, 4, 5 and 6
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintDiscontinued Other versions of this medicine may still be available. Information for reference purposes.
Product Documentation
Last updated on this site: 22 Sep 2022
initial upload
Last updated on this site: 22 Sep 2022
initial upload
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 12 Sep 2025
IA, B.II.e.1.a.1 – Change in immediate packaging of the finished product – qualitative and quantitative composition – change from Aluminium (9μm)/glassine paper (35g/m2) to Aluminium (25μm)/paper (25g/m2). SmPC Section 6.5 is updated accordingly. [Impl. date = 16/07/2025]
Last updated on this site: 08 May 2025
To update sections 4.4, 4.5, 4.8 of the SmPC and the PIL in line with the PRAC recommendation (EPITT No 20105) for high anion gap metabolic acidosis (HAGMA) due to pyroglutamate acidosis.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 24 Sep 2025
Last updated on this site: 24 Sep 2025
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
PIL sections updated: Introduction, 2, 3, 4, 5 and 6
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
SmPC sections updated: 4.2, 4.4, 4.5, 4.8 and 10
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 22 Apr 2026
Description of update:
SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL have been updated in line with PSUSA/00000851/202503 recommendations for Interactions with gabapentinoids, Sphincter of Oddi dysfunction, Hyperalgesia, Central Sleep apnoea (CSA), Opioid drug disorder (OUD), and the need to store the product in a safe and secure place. Additional amendments have been made to the SmPC and PIL to align with QRD and to correct typographical errors and grammar.
Date of approval: 20/04/2026
SmPC sections updated: 4.2, 4.4, 4.5, 4.8 and 10.
Last updated on this site: 22 Apr 2026
SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL have been updated in line with PSUSA/00000851/202503 recommendations for Interactions with gabapentinoids, Sphincter of Oddi dysfunction, Hyperalgesia, Central Sleep apnoea (CSA), Opioid drug disorder (OUD), and the need to store the product in a safe and secure place. Additional amendments have been made to the SmPC and PIL to align with QRD and to correct typographical errors and grammar.
Date of approval: 20/04/2026
PIL sections updated: Index, 1, 2, 3, 4, 5 and 6
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 12 Sep 2025
IA, B.II.e.1.a.1 – Change in immediate packaging of the finished product – qualitative and quantitative composition – change from Aluminium (9μm)/glassine paper (35g/m2) to Aluminium (25μm)/paper (25g/m2). SmPC Section 6.5 is updated accordingly. [Impl. date = 16/07/2025]
Last updated on this site: 16 May 2023
Variation Description: To update section 2 of the PIL following an MHRA review of CNS depressants (SA 18643283). Editorial changes have also been made throughout the PIL.
PIL sections updated – 2, 3, 5 and 6.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintProduct Documentation
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
SmPC sections updated: 4.2, 4.4, 4.5, 4.8 and 10
Last updated on this site: 27 Apr 2026
Description of update: IB C.3.a: To update SmPC sections 4.2, 4.4, 4.8 and PIL in line with MHRA recommendation following review of PSUSA/00000851/202503 to amend directions in terms of opioid drug disorder (OUD).
IB C.3.b: To update SmPC sections 4.2, 4.4, 4.5, 4.8 and PIL in line with PRAC recommendation (PSUSA/00000851/202503). Additionally, there are editorial and QRD updates to SmPC sections 4.4 (15 mg/500 mg & 30 mg/500 mg only) and the PIL. There are editorial updates to SmPC section 4.8 (15 mg/500 mg & 30 mg/500 mg only).
Date of approval: 11/04/2026
PIL sections updated: Introduction, 2, 3, 4, 5 and 6
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at yellowcard.mhra.gov.uk. By reporting side effects, you can help provide more information on the safety of this medicine.
Report a side effect or a product complaintA generic drug is a medicine that is developed to be the same as a medicine that has already been authorised, and which is usually branded. Generic medications contain the same active ingredient as the original branded medication and work the same way but may differ in shape or size. Most Accord medications are generic medications.
A biosimilar medication is a biological medication (one whose active substance is made by a living organism) that is highly similar to an already approved biological medicine. These biosimilar medications are approved according to the same standards of pharmaceutical quality, safety and efficacy that apply to all medicines.
There are two ways to search for a product on the Accord Product Website. The first is to use the search bar at the top of the screen to search by product name or PL number (e.g. 0142/0456). The second way to search for a product is to look at our full list by clicking on “Products” at the top of the screen, or by clicking one of the letter icons at the top of every page.
Search for the relevant product and click on it. Here, you will see all available strengths and their associated documents. Click on one of the links under the “Product Documentation” header to open the document in a new window in your browser. Right click on the document in this new window and select “Print” from the drop-down menu that appears by your cursor.
The controller of your personal data is Accord-UK Ltd, with its registered office at Whiddon Valley, Barnstaple, EX32 8NS, United Kingdom. Your personal data will be processed for the purpose of correspondence, handling your enquiry and/or taking appropriate steps to conclude and perform the contract between the controller and the company you represent. For more information on the processing of personal data, including your rights, please see our Privacy Policy available on our website: https://www.accord-healthcare.com/uk/
A Summary of Product Characteristics (SmPC) is a document describing the properties and the approved conditions of use of a medicine. Summaries of product characteristics form the basis of information for healthcare professionals on how to use the medicine safely and effectively, and are approved by the Medicines and Healthcare Products Regulatory Agency (MHRA) in the UK and the European Medicines Agency (EMA) in the EU.
A Patient Information Leaflet (PIL) is a document included in the package of a medication that provides specific information about that medication and its use. It includes information about dose and administration of the medicine, warnings and precautions and potential side effects.
All medicines have both risks and benefits of treatment, it is important to minimise the risks. Some products will have specific activities or materials that companies need to do or provide in order to make the risks of treatment with the medicine as small as possible, these are known as Risk Minimisation Measures or RMMs. Examples of risk minimisation measures could include written guides for patients or healthcare professionals, an alert card for patients or a requirement to ask specific questions if a patient experiences a particular adverse effect of treatment.
Medicines showing this symbol are subject to additional monitoring. This will allow quick identification of new safety information. The black triangle will appear on the Summary of Product Characteristics and the Patient Information Leaflet. You can help by reporting any side effects you may get. See yellowcard.mhra.gov.uk for how to report side effects or report to Accord by clicking on the Report a side effect or a product complaint button, or emailing medinfo@accord-healthcare.com.
As well as Accord products, Accord also sells medications that are licenced by other pharmaceutical companies. If you need information about a product, you may need to check who the marketing authorisation holder is, and this will be on the packaging. You may need to contact the other company for an answer to your query.
All Accord medicinal products have a Product Licence (PL) number. This is unique to each type of medicine and will differ by the strength of each medicine as well. PL numbers are listed under each product on this website. To find your medicine’s PL number, look on the carton or bottle label, as this will have the PL number on it (usually on the back – check beneath the dispensing label if necessary).
For any further assistance, please get in touch.