ACETAMINOPHEN, PHENIRAMINE, AND PHENYLEPHRINE

(a SEET a MIN o fen, fen EER a meen, FEN il EFF rin) Brand: Flu & Severe Cool Night Time, Theraflu Flu & Sore Throat, Theraflu Nighttime Severe Cool, Theraflu Sinus & Cold

What is the most significant information I must know about acetaminophen, pheniramine, and phenylephrine?

• Ask a doctor till taking medication that contains acetaminophen if you have ever had liver malady, or if you drink more than 3 alcoholic beverages for day.

• Do not use cool or allergy medication if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• 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.

• Do not take more of this medicine than is recommended. An overdose of acetaminophen can hurt your liver or reason death.

What is acetaminophen, pheniramine, and phenylephrine?

• Acetaminophen is a pain reliever and a fever reducer.

• Pheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can manufacture symptoms of sneezing, itching, watery eyes, and runny nose.

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

• Acetaminophen, pheniramine, and phenylephrine is a combination medication used to treat headache, runny nose, sneezing, stuffy nose, sinus congestion, watery eyes, and pain or fever caused by allergies, the general cool, or the flu.

• Acetaminophen, pheniramine, and phenylephrine may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking acetaminophen, pheniramine, and phenylephrine?

• Ask a doctor till taking medication that contains acetaminophen if you have ever had liver malady, or if you drink more than 3 alcoholic beverages for day.

• You must not use this medicine if you are allergic to acetaminophen (Tylenol) or chlorpheniramine, or if you have:

· severe constipation, blockage in your stomach or intestines;

· untreated or uncontrolled diseases--glaucoma, asthma or COPD, heart malady, tall blood pressure, coronary artery malady, overactive thyroid; or

· if you are unable to urinate.

• Ask a doctor or pharmacist if it is safety for you to take acetaminophen, pheniramine, and phenylephrine if you have another medical conditions, especially:

· kidney disease;

· cough with mucus, or cough caused by emphysema or chronic bronchitis;

· an enlarged prostate, problems with urination;

· a history of alcoholism; or

· if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).

• It is not known whether acetaminophen, pheniramine, and phenylephrine will harm an unborn child. Do not use cool or allergy medication without a doctor's advice if you are pregnant.

• This medication may pass into breast milk and may harm a nursing child. Antihistamines and decongestants may also slow breast milk manufacture. Do not use cool or allergy without a doctor's advice if you are breast-feeding a baby.

• Always ask a doctor till giving a cool or allergy medication to a child. Death can occur from the misuse of cough and cool medicines in very young children.

How must I take acetaminophen, pheniramine, and phenylephrine?

• Use exactly as directed on the label, or as predesigned by your doctor. Do not use for longer than recommended. Cool or allergy medication is generally taken only for a short time before your symptoms clear up.

• Do not take more of this medicine than is recommended. An overdose of acetaminophen can hurt your liver or reason death.

• Dissolve the contents of one packet of medication in 8 ounces of hot water. You may also mix the powder with 8 ounces of cold water and heat the mixture in a microwave oven. Stir the mixture thoroughly till and after heating it. Sip the mixture slowly, making certain you finish all of it within 10 to 15 minutes.

• Do not take more than 6 packets of this medication in one day (24 hours).

• Call doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

• This medicine can reason unusual results with allergy skin trials. Speak any doctor who treats you that you are taking an antihistamine.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since this medication is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not use 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.

• 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.

What must I avoid while taking acetaminophen, pheniramine, and phenylephrine?

• Ask a doctor or pharmacist till using any another cool, allergy, pain, 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.

• Avoid drinking alcohol. It may magnify your risk of liver hurt while taking acetaminophen.

• This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of acetaminophen, pheniramine, and phenylephrine?

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

• 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 the medication and call your doctor at once if you have:

· chest pain, rapid pulse, quick or uneven heart course;

· confusion, hallucinations, tremor, severe dizziness or anxiety;

· slow, shallow breathing;

· few or no urinating;

· light bruising or bleeding, unusual weakness;

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

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

• General side effects may include:

· dryness of the eyes, nose, and mouth;

· blurred vision;

· dizziness, drowsiness, problems with memory or concentration;

· ringing in your ears;

· feeling restless or irritable; or

· mild nausea, stomach pain, constipation.

• 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 acetaminophen, pheniramine, and phenylephrine?

• Ask a doctor or pharmacist till using this medication if you are also using any another drugs, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Some medicines can reason unwanted or dangerous effects when used together. Not all possible interactions are listed in this medicine manual.

• Taking this medication with another drugs that create you sleepy or slow your breathing can worsen these effects. Ask your doctor till taking acetaminophen, pheniramine, and phenylephrine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

Where can I get more information?

• Your pharmacist can provide more information about acetaminophen, pheniramine, and phenylephrine.

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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