ACETAMINOPHEN, CODEINE, GUAIFENESIN, AND PSEUDOEPHEDRINE

(a SEET oh MIN oh fen, KOE deen, gwye FEN e sin, SOO doe ee FED rin) Brand: Maxiflu CD, Maxiflu CDX

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What is the most significant information I must know about this medicine?

• You must not use this medication if you have recently used alcohol, sedatives, tranquilizers, or another narcotic medications.

Do not use acetaminophen, codeine, guaifenesin, and pseudoephedrine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Do not take more of this medicine than is recommended. An overdose of acetaminophen can hurt your liver or reason death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).

• Medicines that contain codeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

• In rare cases, acetaminophen may reason a severe skin reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

What is acetaminophen, codeine, guaifenesin, and pseudoephedrine?

Acetaminophen is a pain reliever and fever reducer.

Codeine is a narcotic cough suppressant. It affects the signals in the brain that trigger cough reflex.

Guaifenesin is an expectorant. It helps loosen mucus congestion in your chest and throat, making it easier to cough out through your mouth.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can reason nasal congestion (stuffy nose).

Acetaminophen, codeine, guaifenesin, and pseudoephedrine is a combination medication used to treat headache, fever, body aches, cough, chest congestion, stuffy nose, and sinus congestion caused by allergies, the general cool, or the flu. This medication will not treat a cough that is caused by smoking, asthma, or emphysema.

Acetaminophen, codeine, guaifenesin, and pseudoephedrine may also be used for another purposes not listed in this medicine guide.

What must I discuss with my health care provider till taking this medicine?

• You must not use this medication if you are allergic to acetaminophen, codeine, guaifenesin, or pseudoephedrine, or if you have recently used alcohol, sedatives, tranquilizers, or another narcotic medications.

Do not use acetaminophen, codeine, guaifenesin, and pseudoephedrine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Medicines that contain codeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

• To create certain this medication is safety for you, speak your doctor if you have:

· liver malady, cirrhosis, or if you drink more than 3 alcoholic beverages for day;

· a history of alcoholism or drug addiction;

· a blockage in your stomach or intestines;

· diarrhea, inflammatory bowel disease;

· a colostomy or ileostomy;

· kidney disease;

· bladder obstruction or another urination problems;

· history of head injury or brain tumor;

· asthma, COPD, sleep apnea, or another breathing disorders;

· an adrenal gland tumor or mess (pheochromocytoma or Addison's disease); or

· low blood pressure, or if you are dehydrated.

Codeine may be habit forming. Never share this medication with other face, especially somebody with a history of drug abuse or addiction. Hold the medicine in a seat where others can't get to it.

• FDA pregnancy category C. Codeine may reason addiction or withdrawal symptoms in a newborn if the mother takes the medicine during pregnancy. Do not use this medication without telling your doctor if you are pregnant.

Codeine can pass into breast milk. The use of codeine by some nursing mothers may lead to life-threatening side effects in the child. Do not breast-feed while taking acetaminophen, codeine, guaifenesin, and pseudoephedrine.

How must I take this medicine?

• Follow all directions on your prescription label. Never take this medication in larger amounts, or for longer than predesigned. An overdose can hurt your liver or reason death.

• In some people, codeine breaks down rapidly in the liver and reaches higher than usual levels in the body. This can reason dangerously slow breathing and may reason death, especially in a baby.

• Do not give this medicine to a baby younger than 6 years old. Always ask a doctor till giving a cough or cool medication to a child. Death can occur from the misuse of cough and cool medicines in very young children.

Do not take for longer than 7 days in a row. Stop taking the medication and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.

• If you need surgery or medical trials, speak the surgeon or doctor onward of time if you have taken this medication within the past little days.

• Store at room temperature away from moisture and heat.

• Hold track of the amount of medication used from every new bottle. Codeine is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.

What happens if I miss a dose?

• Since this medication is taken when needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen or codeine can be fatal.

• The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

• Overdose symptoms may include confusion, extreme weakness, pinpoint pupils, cool and clammy skin, weak pulse, slow breathing, fainting, or breathing that stops.

What must I avoid while taking this medicine?

• Ask a doctor or pharmacist till using any another pain, cool, allergy, or sleep medicine. Acetaminophen (sometimes abbreviated as APAP) is contained in much combination medicines. Taking determined commodity together can reason you to get too many acetaminophen which can lead to a fatal overdose. Check the label to see if a medication contains acetaminophen or APAP.

Do not drink alcohol while you are taking this medicine. Dangerous side effects or death can occur when alcohol is combined with a narcotic medication. Alcohol may also magnify your risk of liver hurt while you are taking acetaminophen. Check your food and medication labels to be certain these commodity do not contain alcohol.

• This medication may reason blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

What are the possible side effects of this medicine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

Seek abnormal medical attention if a baby taking this medicine has any of the next life-threatening side effects: noisy breathing, sighing, slow breathing with long pauses between breaths; being unusually sleepy or heavy to wake up; blue colored lips.

In rare cases, acetaminophen may reason a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you must never again take any medication that contains acetaminophen.

• Stop using this medication and call your doctor at once if you have:

· confusion, mood changes, severe dizziness or anxiety, feeling like you might pass out;

· sudden severe headache or vomiting, pain or numbness in the arms or legs;

· tremor, seizure (convulsions);

· nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or

· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, uneven heartbeats, seizure).

• General side effects may include:

· dizziness, drowsiness, mild headache;

· mild nausea, upset stomach, constipation;

· runny nose;

· feeling nervous, restless, or anxious; or

· sleep problems (insomnia).

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect this medicine?

Taking this medication with another drugs that create you sleepy or slow your breathing can reason dangerous or life-threatening side effects. Ask your doctor till taking acetaminophen, codeine, guaifenesin, and pseudoephedrine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Another drugs may interact with acetaminophen, codeine, guaifenesin, and pseudoephedrine, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Speak every of your health care providers about all medicines you use now and any medication you start or stop using.

Where can I get more information?

• Your pharmacist can provide more information about acetaminophen, codeine, guaifenesin, and pseudoephedrine.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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