For children more than 1 year and less than 5 years: 1 teaspoonful (5 mI) 3 times a day for 5 days.
For more than 5 years and less than 18 years: 2 teaspoonful (10 mI) 3 times a day for 5 days.
Above 18 years: 3 teaspoonful (15 mI) 3 times a day for 5 days or as directed by a physician.

Hypersensitivity, Pregnancy. In males with prostate dysfunction, such as BPH or prostate cancer, Carica papaya should be avoided as it increases the iron absorption. Excess iron may increase oxidative stress, especially in the aging male. Iron overload may increase the risk of developing prostate cancer.

Should be used with caution in individuals with bleeding disorders or those taking blood thinning medications such as aspirin or warfarin. Co administration of extracts of Carica papaya with oral hypoglycemic may lead to very low blood glucose as observed in one of the experimental animal study. Thus it is important to closely monitor the blood glucose levels regularly to avoid hypoglycemia.

No health hazards or side effects are known in conjunction with the proper administration of designated therapeutic dosages.

It has been found to increase the bioavailability of amiodarone and therefore the dose should be adjusted accordingly when co-administered with Carica papaya leaf extract. In vitro study demonstrated potentiating the action of various antibiotics like penicillin G, ampicillin, amoxyclav, cephalothin, polymyxin B, rifampicin, amikacin, nalidixic acid, gentamycin, chloramphenicol, ofloxacin when co-administered with Carica papaya. The extract of Carica papaya with antimicrobial agents possesses synergistic properties which act against pathogenic organisms.

Not recommended in pregnancy and lactation

Pepelif Syrup: Each PET bottle contains 200 ml syrup.