(kar BET a PEN tane, FEN il EFF rin, and pir IL a meen) Brand: C-Tanna 12D, Tannate 12D S, Tannihist-12D, Tussi-12D, Tussi-12D S
• Do not give this medicine to a baby younger than 4 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.
• You must not use this medicine if you have severe tall blood pressure, severe constipation, or if you are unable to urinate.
• Do not use cough and cool medication if you have untreated or uncontrolled illness such as glaucoma, asthma or COPD, tall blood pressure, heart malady, coronary artery malady, a stomach ulcer, or overactive thyroid.
• Do not use a cough or cool medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the recent 14 days. A dangerous drug interaction could occur, leading to serious side effects.
• Carbetapentane is a cough suppressant. It affects the signals in the brain that trigger cough reflex.
• Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can reason nasal congestion (stuffy nose).
• Pyrilamine is an antihistamine that reduces the effects of the natural chemical histamine in the body. Histamine can manufacture symptoms of sneezing, itching, watery eyes, and runny nose.
• The combination of carbetapentane, phenylephrine, and pyrilamine is used to treat runny or stuffy nose, sneezing, itching, watery eyes, cough, and sinus congestion caused by allergies, the general cool, or the flu.
• Carbetapentane, phenylephrine, and pyrilamine may also be used for purposes not listed in this medicine guide.
• Do not use a cough or cool medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the recent 14 days. A dangerous drug interaction could occur, leading to serious side effects.
• You must not use this medicine if you have severe tall blood pressure, severe constipation, severe colitis or toxic megacolon, or if you are unable to urinate.
• Do not use cough and cool medication if you have untreated or uncontrolled illness such as glaucoma, asthma or COPD, tall blood pressure, heart malady, coronary artery malady, a stomach ulcer, or overactive thyroid.
• Ask a doctor or pharmacist if it is safety for you to take this medicine if you have ever had:
· a blockage in your digestive tract (stomach or intestines), a colostomy or ileostomy;
· diabetes;
· liver or kidney disease;
· epilepsy or another seizure disorder;
· cough with mucus, or cough caused by emphysema or chronic bronchitis;
· enlarged prostate or urination problems;
· an adrenal gland tumor or mess (such as pheochromocytoma or Addison's disease); or
· if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).
• FDA pregnancy category C. It is not known whether carbetapentane, phenylephrine, and pyrilamine will harm an unborn child. Do not use cool or cough medication without medical advice if you are pregnant.
• It is not known whether carbetapentane, phenylephrine, and pyrilamine passes into breast milk or if it could harm a nursing child. Do not use cough or cool medication without medical advice if you are breast-feeding a baby.
• Use exactly as directed on the label, or as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended. Cough or cool medication is generally taken only for a short time before your symptoms clear up.
• Do not take for longer than 7 days in a row. Conversation with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache or skin rash.
• Do not give this medicine to a baby younger than 4 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.
• Measure liquid medication with a particular doze measuring spoon or medication cup, not with a regular table spoon. If you do not have a doze measuring device, ask your pharmacist for one.
• If you need surgery or medical trials, speak the surgeon or doctor onward of time if you have taken a cough or cool medication within the past little days.
• Store at room temperature away from moisture, heat, and easy. Do not freeze.
• Since cough or cool 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.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• Overdose symptoms may include extreme drowsiness or nervousness, severe stomach pain, vomiting, loss of coordination, tremors, rapid heart course, dilated pupils, fainting, or seizure (convulsions).
• 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.
• Drinking alcohol can magnify determined side effects of carbetapentane, phenylephrine, and pyrilamine.
• Avoid becoming overheated or dehydrated during exercice and in hot weather. Carbetapentane, phenylephrine, and pyrilamine can decrease sweating and you may be more prone to heat stroke.
• Ask a doctor or pharmacist till using any another cool, allergy, cough, or sleep medication. Antihistamines, decongestants, and cough suppressants are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined drug. Check the label to see if a medication contains an antihistamine, decongestant, or cough suppressant.
• Avoid taking this medicine if you also take diet pills, caffeine pills, or another stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can magnify your risk of unpleasant side effects.
• 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.
• Stop using carbetapentane, phenylephrine, and pyrilamine and call your doctor at once if you have a serious side effect such as:
· quick or pounding heartbeats;
· confusion, hallucinations, unusual thoughts or behavior;
· severe dizziness, anxiety, restless feeling, or nervousness;
· urinating smaller than normal or not at all;
· light bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or`
· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).
• Smaller serious side effects may include:
· dry mouth, nausea, heartburn, upset stomach, loss of appetite, diarrhea;
· headache, dizziness, drowsiness, weakness, problems with memory or concentration;
· feeling restless or excited (especially in children);
· sleep problems (insomnia);
· double vision;
· heighten urination; or
· flushing (warmth, redness, or tingly feeling).
• 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.
• Ask a doctor or pharmacist till using this medication if you regularly use another medicines that create you sleepy (such as narcotic pain medicine, sedatives, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety). They can add to sleepiness caused by pyrilamine.
• Ask a doctor or pharmacist if it is safety for you to take carbetapentane, phenylephrine, and pyrilamine if you are also using any of the next drugs:
· atropine (Atreza, Sal-Tropine);
· benztropine (Cogentin);
· topiramate (Topamax);
· tramadol (Ultram, Ultracet);
· zonisamide (Zonegran);
· an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan, Silenor), nortriptyline (Pamelor), and others;
· anti-nausea medications such as belladonna (Donnatal), dimenhydrinate (Dramamine), droperidol (Inapsine), methscopolamine (Pamine), or scopolamine (Transderm Scop);
· bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), solifenacin (Vesicare), tolterodine (Detrol), or Urogesic Blue;
· bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);
· heart or blood pressure medicine such as mecamylamine (Inversine), methyldopa (Aldomet), or reserpine;
· irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine); or
· ulcer medication such as glycopyrrolate (Robinul) or mepenzolate (Cantil).
• This list is not complete and another drugs may interact with carbetapentane, phenylephrine, and pyrilamine. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about carbetapentane, phenylephrine, and pyrilamine.
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.