1086Name des Medikaments
Dextromethorphan/decongestant/acetaminophen/antihistamine - oral
One ingredient in this product is paracetamol. Taking too much acetaminophen can lead to serious (possibly fatal) liver disease. Adults should not take more than 4000 milligrams (4 grams) of acetaminophen per day. People with liver problems and children should take less paracetamol. Ask your doctor or pharmacist how much acetaminophen is safe to take.
Do not use it with other medicines containing paracetamol without first consulting your doctor or pharmacist. Acetaminophen is found in many over-the-counter and prescription medications (such as pain relievers, fever medications, or cough and cold medicines). Check the labels of all your medicines to see if they contain paracetamol and ask your pharmacist if you are not sure.
Get medical help right away if you take too much acetaminophen (overdose), even if you feel well. Overdose symptoms may include nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing of the eyes/skin, and dark urine.
Daily alcohol consumption, especially in combination with acetaminophen, can damage your liver. Avoid alcohol.
This combination drug is used to temporarily treat symptoms caused by the common cold, flu, allergies, or other respiratory illnesses (such as sinusitis, bronchitis). Dextromethorphan is a cough medicine that acts on a specific part of the brain, reducing the urge to cough. Decongestants relieve the symptoms of stuffy nose and ears. Acetaminophen (APAP) is an aspirin-free pain reliever and fever reducer. Antihistamines relieve watery eyes, itchy eyes/nose/throat, runny nose and sneezing.
This drug is not usually used for a persistent cough due to smoking, asthma, or other long-term breathing problems (such as emphysema), or a cough with a lot of phlegm, unless directed to do so by your doctor.
Cough and cold medicines have not been proven safe or effective in children under the age of 6. Do not use this product to treat cold symptoms in children under 6 years of age unless specifically directed to do so by your doctor. Some products (e.g. long-acting tablets/capsules) are not recommended for use in children under 12 years of age. Ask your doctor or pharmacist for more details on the safe use of your product.
These products do not cure or shorten the duration of a cold and can cause serious side effects. To reduce the risk of serious side effects, follow all dosage instructions carefully. Do not use this product to make a child sleepy. Do not give other cough and cold medicines that may contain the same or similar ingredients (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (e.g., drinking enough fluids, using a humidifier, or saline nasal drops/sprays).
how to use
See also the Warning section.
If you are taking the over-the-counter product, read and follow all package label directions. If your doctor has prescribed this medication for you, take it as directed by your doctor. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food, or as directed by your doctor. If stomach upset occurs, taking this medication with food or milk may help. Drink plenty of fluids while taking this medicine unless your doctor tells you otherwise. The liquid will help loosen the mucus in your lungs.
If you are taking the liquid form of this medicine, carefully measure the dose with a special measuring device/spoon. Do not use a household spoon or you may not get the right dose. If your liquid form is a suspension, shake the bottle well before each dose.
If you are taking prolonged-release capsules, swallow them whole. Do not crush or chew prolonged-release capsules or tablets. This allows all of the drug to be released at once, increasing the risk of side effects. Also, do not share prolonged-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the tablet whole or divided without crushing or chewing.
If you are taking the chewable form of this medication, chew it thoroughly before swallowing.
The dosage depends on your age, medical condition and response to treatment. Do not increase your dose, take it more frequently, or use it for longer than recommended. Improper use of this drug (abuse) can result in serious harm (including brain damage, seizures, death).
Tell your doctor if your condition lasts more than a week, worsens, or if you develop a headache that doesn't go away, a skin rash, or a fever that lasts more than three days. These can be symptoms of a serious medical problem and should be checked out by a doctor.
See also the Warning section.
You may experience drowsiness, dizziness, blurred vision, upset stomach, nausea, nervousness, congestion, or dry mouth/nose/throat. If any of these side effects persist or worsen, tell your doctor or pharmacist immediately.
If your doctor has prescribed this medication for you, remember that your doctor's opinion is that the benefits for you outweigh the risk of side effects. Many people taking this drug do not experience any serious side effects.
Tell your doctor right away if you get any serious side effects, including:
- mental/mood changes (such as confusion, hallucinations)
- difficulty urinating
- fast/slow/irregular heartbeat
A very severe allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- difficulty breathing
This is not a complete list of possible side effects. If you notice any other side effects not listed above, talk to your doctor or pharmacist.
In the USA -
Call your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada: Call your doctor for medical advice about side effects. You can report side effects to Health Canada at 1-866-234-2345.
See also the Warning section.
Before taking this product, tell your doctor or pharmacist if you are allergic to any of the ingredients. or if you have other allergies. This product may contain inactive ingredients that may cause allergic reactions or other problems. For more details talk to your pharmacist.
If you have any of the following health problems, consult your doctor or pharmacist before using this medicine:
- Breathing problems (such as asthma, emphysema)
- heart problems
- high blood pressure
- kidney problems
- liver disease
- Stomach/intestinal problems (eg, constipation, constipation, ulcers)
- Overactive thyroid (hyperthyroidism)
- Problems with urination (eg, difficulty urinating due to an enlarged prostate, urinary retention)
This drug may cause dizziness, drowsiness, or affect your vision. Alcohol or marijuana (cannabis) can increase dizziness or drowsiness. Do not drive, operate machinery, or do anything that requires alertness or clear vision until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you use marijuana (cannabis).
Some brands of this product may contain sugar, alcohol or aspartame. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU) or any other condition that requires restriction/avoidance of these substances in your diet. Ask your doctor or pharmacist about the safe use of this product.
Before having surgery, tell your doctor or dentist about all products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older adults may be more sensitive to the effects of this medicine, particularly dizziness, drowsiness, mental/mood changes, constipation, problems urinating, rapid heartbeat and changes in blood pressure. Dizziness, drowsiness, and confusion can increase the risk of falling.
During pregnancy, this medication should not be used unless clearly necessary. Discuss the risks and benefits with your doctor.
This drug can pass into breast milk and cause unwanted effects in breastfed infants. Consult your doctor before breastfeeding.
Interactions with other drugs
See also the Warning section.
Drug interactions can change the way your medication works or increase the risk of serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/non-prescription medicines and herbal products) and share them with your doctor and pharmacist. Do not take, stop, or change the dosage of any medicine without your doctor's approval.
Taking certain MAOIs with this drug can cause serious (possibly fatal) drug interactions. Avoid taking isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while being treated with this drug. Also, most MAO inhibitors should not be taken for two weeks prior to treatment with this drug. Ask your doctor when to start and stop taking this medicine.
Some products that may interact with this medication are:
- Antihistamines applied to the skin (eg, diphenhydramine cream, ointment, spray)
Tell your doctor or pharmacist if you are taking other products that cause drowsiness, such as opioid pain or cough medicines (such as codeine, hydrocodone), alcohol, marijuana (cannabis), sleeping or anxiety medicines (such as alprazolam, lorazepam, zolpidem) . , muscle relaxants (such as carisoprodol, cyclobenzaprine) or other antihistamines (such as cetirizine, diphenhydramine).
The ingredients in this product are available in many prescription and non-prescription products. Check the labels of all your medications (e.g. pain/fever medicines, diet medications or cough and cold/allergy products) as they may contain the same or similar ingredients. Taking these medicines with this product could increase the side effects (e.g. rapid heartbeat, increased blood pressure or drowsiness). Ask your pharmacist about the safe use of these products.
This drug may interfere with certain laboratory tests (e.g., urine drug tests, urine 5-HIAA) and possibly cause false test results. Make sure the lab staff and all your doctors know you're using this drug.
If someone has overdosed and has serious symptoms, such as fainting or trouble breathing, call 911. Otherwise, call a poison control center immediately. US citizens can call their local poison control center at 1-800-222-1222. Canadian residents can call a provincial poison control center. Overdose symptoms may include: nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, agitation, confusion, flushing, hallucinations, yellowing of the eyes/skin, dark urine, seizures. In children, excitation may occur first, followed by loss of coordination, drowsiness, loss of consciousness, and seizures.
Keep all doctor and lab appointments.
Do not take this product for several days before the allergy test as it may affect the test results.
If you are using this product regularly and miss a dose, take it as soon as you remember. When it is time for your next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Do not freeze liquid forms of this medicine. Keep all medications away from children and pets.
Do not flush medication down the toilet or pour it down the drain unless instructed to do so. Dispose of this product properly when it has expired or is no longer needed. Contact your pharmacist or your local waste disposal service.
HOW TO USE THIS INFORMATION: This is a summary and does NOT contain all possible information about this product. This information does not guarantee that this product is safe, effective, or suitable for you. This information does not constitute individual medical advice and does not replace the advice of your doctor. Always consult your doctor for complete information about this product and your specific health needs.
Information last revised in April 2023.
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