CHLORPHENIRAMINE, DIHYDROCODEINE, AND PSEUDOEPHEDRINE

(klor fen EER a meen, paint hye droe KOE deen, soo doe e FED rin) Brand: Dihydro-CP, Hydro-Tussin DHC

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

• You must not use this medicine if you are allergic to chlorpheniramine, dihydrocodeine, pseudoephedrine, or codeine, or if you have severe or uncontrolled tall blood pressure, severe coronary artery malady, narrow-angle glaucoma, a stomach ulcer, a bowel obstruction called paralytic ileus, bladder obstruction or another urination problems, overactive thyroid, or asthma, pneumonia, or another breathing problems.

• Till you take chlorpheniramine, dihydrocodeine, and pseudoephedrine, speak your doctor about all of your medical conditions and another medicines you use.

• 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.

• Do not take this medicine with alcohol, another narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or another medicines that can create you sleepy or slow your breathing. Dangerous side effects may result.

• Dihydrocodeine may be habit-forming and should be used only by the face it was predesigned for. Hold the medicine in a secure seat where others can't get to it.

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

• This medicine may reason blurred vision and may 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 is chlorpheniramine, dihydrocodeine, and pseudoephedrine?

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

• Dihydrocodeine is a narcotic cough suppressant similar to codeine. Dihydrocodeine affects the 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 chlorpheniramine, 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.

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

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

• You must not use this medicine if you are allergic to chlorpheniramine, dihydrocodeine, pseudoephedrine, or codeine, or if you have:

· severe or uncontrolled tall blood pressure;

· severe coronary artery malady;

· narrow-angle glaucoma;

· a stomach ulcer;

· a bowel obstruction called paralytic ileus;

· bladder obstruction or another urination problems;

· overactive thyroid; or

· asthma, pneumonia, or another breathing problems.

• 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.

• To create certain you can safely take chlorpheniramine, dihydrocodeine, and pseudoephedrine, speak your doctor if you have any of these another conditions:

· kidney or liver disease;

· curvature of the spine;

· heart malady or tall blood pressure;

· enlarged prostate or urination problems;

· diabetes;

· glaucoma;

· a thyroid disorder;

· COPD another breathing disorder;

· 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.

• Dihydrocodeine may be habit forming and must be used only by the face it was predesigned for. Never share this medicine 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. It is not known whether this medicine will harm an unborn child. Dihydrocodeine may reason addiction or withdrawal symptoms in a newborn if the mother takes the medicine during pregnancy. Speak your doctor if you are pregnant or plan to become pregnant while using chlorpheniramine, dihydrocodeine, and pseudoephedrine.

• This medication can pass into breast milk and may harm a nursing child. You must not breast-feed while you are using chlorpheniramine, dihydrocodeine, and pseudoephedrine.

How must I take chlorpheniramine, dihydrocodeine, and pseudoephedrine?

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

• Measure the liquid form of this 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, or skin rash.

• If you need surgery, speak the surgeon onward of time if you have taken a cough or 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 at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

• 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.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. 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, seizure (convulsions), or fainting.

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

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

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

• Drinking alcohol can magnify determined side effects of chlorpheniramine, dihydrocodeine, and pseudoephedrine.

• Do not take this medicine with another narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or another medicines that can create you sleepy or slow your breathing. Life-threatening side effects may result.

• 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.

What are the possible side effects of chlorpheniramine, 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 medication and call your doctor at once if you have a serious side effect such as:

· quick, pounding, or uneven heartbeats;

· weak or 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

· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, 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, redness, or tingling under your skin;

· feeling restless or excited (especially in children);

· sleep problems (insomnia); or

· skin rash or itching.

• 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 chlorpheniramine, dihydrocodeine, and pseudoephedrine?

• Speak your doctor about all another medicines you use, especially:

· methyldopa (Aldomet);

· cimetidine (Tagamet);

· rifampin (Rifadin, Rifater, Rifamate, Rimactane);

· zidovudine (Retrovir, AZT);

· aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);

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

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

· bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);

· a diuretic (water pill), or blood pressure medication;

· medicine to treat irritable bowel syndrome;

· medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), pimozide (Orap), or thioridazine (Mellaril); or

· seizure medicine such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton).

• This list is not complete and another drugs may interact with chlorpheniramine, dihydrocodeine, and pseudoephedrine. 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.

Where can I get more information?

• Your pharmacist can provide more information about chlorpheniramine, 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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