BROMPHENIRAMINE, DIHYDROCODEINE, AND PSEUDOEPHEDRINE

(BROM fen IR a meen, paint HYE droe KOE deen, SOO doe ee FED rin) Brand: J-Cof DHC

What is the most significant information I must know about brompheniramine, dihydrocodeine, and pseudoephedrine?

• Do not use a cough or cool medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cool medication till the MAO inhibitor has cleared from your body.

• 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.

• Dihydrocodeine may be habit-forming and should be used only by the face it was predesigned for. Dihydrocodeine must never be shared with other face, especially somebody who has a history of drug abuse or addiction. Hold the medicine in a secure seat where others can't get to it. Dihydrocodeine is a drug of abuse and you must be aware if any face in the household is using this medication improperly or without a prescription.

• Do not use any another over-the-counter cough, cool, or allergy medicine without first asking your doctor or pharmacist. If you take determined commodity together you may accidentally take too many of one or more types of medication. Read the label of any another medication you are using to see if it contains an antihistamine, decongestant, or cough suppressant.

• This medicine can reason side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What is brompheniramine, dihydrocodeine, and pseudoephedrine?

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

• Dihydrocodeine is in a group of drugs called narcotics and is similar to codeine. Dihydrocodeine is a cough suppressant that affects signals in the brain that trigger cough reflex.

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

• The combination of brompheniramine, dihydrocodeine, and pseudoephedrine is used to treat cough, sneezing, itching, watery eyes, runny nose, stuffy nose, and sinus congestion caused by allergies, the general cool, or the flu.

• Brompheniramine, dihydrocodeine, and pseudoephedrine may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking brompheniramine, dihydrocodeine, and pseudoephedrine?

• Till taking brompheniramine, dihydrocodeine, and pseudoephedrine, speak your doctor if you are allergic to any drugs, or if you have:

· kidney or liver disease;

· heart malady or tall blood pressure;

· enlarged prostate or urination problems;

· diabetes;

· glaucoma;

· a thyroid disorder;

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

· a history of head injury or brain tumor;

· epilepsy or another seizure disorder;

· low blood pressure;

· gallbladder disease;

· Addison's malady or another adrenal gland disorders;

· mental diseases; or

· a history of drug or alcohol addiction.

• If you have any of these conditions, you may need a doze adjustment or particular trials to safely take this medication.

• FDA pregnancy category C. This medicine may be deleterious to an unborn child. Speak your doctor if you are pregnant or plan to become pregnant during treatment.

• This medicine may pass into breast milk and could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How must I take brompheniramine, dihydrocodeine, and pseudoephedrine?

• Take this medicine exactly as it was predesigned for you. Do not take the medicine in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Cough or cool medication is generally taken for only a short time before your symptoms clear up.

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

• Measure liquid medication with a particular dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• Conversation with your 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.

• If you need to have any type of surgery, speak the surgeon onward of time if you have taken a cool medication within the past little days.

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

• Store this medication at room temperature, away from heat, easy, and moisture.

What happens if I miss a dose?

• Since cough or cool medication is generally taken only as 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. If it is nearly time for your following doze, skip the missed doze and take the medication at your following regularly scheduled time. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medication. An overdose of dihydrocodeine can be fatal.

• Overdose symptoms may include extreme dizziness or drowsiness, confusion, feeling restless or nervous, cool and clammy skin, warmth or tingly feeling, nausea, vomiting, slow or shallow breathing, slow heart course, pinpoint pupils, fainting, and seizure (convulsions).

What must I avoid while taking brompheniramine, dihydrocodeine, and pseudoephedrine?

• This medicine can reason side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

• Avoid becoming overheated or dehydrated during exercice and in hot weather.

• Do not drink alcohol while you are taking this medicine. Alcohol can magnify some of the side effects of brompheniramine, dihydrocodeine, and pseudoephedrine.

• Avoid taking diet pills, caffeine pills, or another stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can magnify your risk of unpleasant side effects.

• Do not use any another over-the-counter cough, cool, or allergy medicine without first asking your doctor or pharmacist. Brompheniramine and pseudoephedrine are contained in much medicines accessible over the counter. If you take determined commodity together you may accidentally take too many of one or more types of medication. Read the label of any another medication you are using to see if it contains an antihistamine, decongestant, or cough suppressant.

What are the possible side effects of brompheniramine, dihydrocodeine, and pseudoephedrine?

• 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.

• Stop using this medicine and call your doctor at once if you have any of these serious side effects:

· quick, pounding, or uneven heartbeats;

· shallow breathing, slow heartbeat;

· severe dizziness, fainting, anxiety, restless feeling, nervousness, or tremor;

· confusion, hallucinations, unusual thoughts or behavior;

· light bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;

· urinating smaller than normal or not at all; or

· heighten blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

• Smaller serious side effects may include:

· blurred vision;

· dry mouth;

· nausea, vomiting, stomach pain, constipation, mild loss of appetite;

· mild dizziness, drowsiness;

· problems with memory or concentration;

· ringing in your ears;

· warmth, tingling, or redness under your skin;

· restless or excitability (especially in children);

· sleep problems (insomnia); or

· skin rash or itching.

• This is not a complete list of side effects and others may occur. Speak your doctor about any unusual or bothersome side effect. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect brompheniramine, dihydrocodeine, and pseudoephedrine?

• Till taking this medicine, speak your doctor if you regularly use another medicines that create you sleepy (such as another cool or allergy medication, narcotic pain medication, sleeping pills, muscle relaxers, and medication for seizures, depression, or anxiety). They can add to sleepiness caused by brompheniramine or dihydrocodine.

• Till taking this medicine, speak your doctor if you are using any of the next drugs:

· an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others; or

· a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others;

• This list is not complete and there may be another drugs that can interact with brompheniramine, dihydrocodeine, and pseudoephedrine. Speak your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start using a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about brompheniramine, dihydrocodeine, 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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