CODEINE AND GUAIFENESIN

(KOE deen and gwye FEN a sin) Brand: Allfen CD, Allfen CDX, Brontex, Cheracol with Codeine, Cheratussin AC, Codar GF, Dex-Tuss, Diabetic Tussin C, Duraganidin NR, ExeClear-C, Guaiatussin AC, Guaifen-C, Guiatuss AC, Guiatussin with Codeine, Iophen-C NR, M-Clear, M-Clear WC, Mar-cof CG, Mytussin AC, Robafen AC, Robitussin-AC, Tussiden C, Tusso-C

What is the most significant information I must know about codeine and guaifenesin?

• Ask a doctor or pharmacist till using any another cough or cool medication. Guaifenesin is contained in much combination medicines. Taking determined commodity together can reason you to get too many guaifenesin. Check the label to see if a medication contains an guaifenesin, or an expectorant.

• Codeine and guaifenesin may impair your thinking or reactions. Avoid driving or operating machinery before you know how this medication will affect you.

• Codeine may be habit-forming and should be used only by the face it was predesigned for. This medicine 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.

• 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.

What is codeine and guaifenesin?

• Codeine is in a group of drugs called narcotics. It is a cough suppressant that affects the signals in the brain that trigger cough reflex.

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

• The combination of codeine and guaifenesin is used to treat cough and to reduce chest congestion caused by upper respiratory infections or the general cold.

• Codeine and guaifenesin will not treat a cough that is caused by smoking, asthma, or emphysema.

• Codeine and guaifenesin may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking codeine and guaifenesin?

• You must not take this medicine if you are allergic to codeine or guaifenesin.

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

· heart malady, heart rhythm disorder;

· asthma, COPD, emphysema, or another breathing disorders;

· a history of head injury or brain tumor;

· epilepsy or another seizure disorder;

· a stomach or intestinal disorder;

· Addison's malady or another adrenal gland disorders;

· curvature of the spine;

· a thyroid disorder;

· liver or kidney disease;

· enlarged prostate; or

· a history of depression, mental diseases, or drug addiction;

• FDA pregnancy category C. It is not known whether codeine and guaifenesin will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• Codeine can pass into breast milk and may harm a nursing child. The use of codeine by some nursing mothers may lead to life-threatening side effects in the child. Do not use this medicine if you are breast-feeding a baby.

• Codeine 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.

• Older adults may be more likely to have side effects from this medication.

• Liquid forms of this medicine may contain sugar or artificial sweetener (phenylalanine). Conversation to your doctor till using this form of codeine and guaifenesin if you have diabetes or phenylketonuria (PKU).

How must I take codeine and guaifenesin?

• 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 only for a short time before your symptoms clear up.

• Take codeine and guaifenesin with food if it upsets your stomach.

• Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication.

• 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.

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

• This medicine can reason unusual results with determined medical trials. Speak any doctor who treats you that you are using codeine and guaifenesin.

• Do not stop using this medicine suddenly after long-term use or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using the medication.

• Store at room temperature away from moisture, heat, and easy. Hold the bottle tightly closed when not in use.

• 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 cough 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 codeine can be fatal.

• Overdose symptoms may include extreme dizziness or drowsiness, nausea, vomiting, sweating, confusion, hallucinations, cool and clammy skin, blue-colored lips or fingernails, weak or limp muscles, pinpoint pupils, weak pulse, slow breathing, fainting, or seizures (convulsions).

What must I avoid while taking codeine and guaifenesin?

• Codeine and guaifenesin may impair your thinking or reactions. Avoid driving or operating machinery before you know how this medication will affect you.

• Drinking alcohol can magnify determined side effects of codeine and guaifenesin.

What are the possible side effects of codeine and guaifenesin?

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

· severe dizziness or drowsiness;

· confusion, hallucinations, unusual thoughts or behavior;

· urinating smaller than normal or not at all; or

· slow heart course, weak pulse, fainting, weak or shallow breathing.

• Smaller serious side effects include:

· dizziness, drowsiness, headache;

· warmth, redness, or tingling under your skin;

· nausea, vomiting, upset stomach;

· constipation; 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 codeine and guaifenesin?

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

• Also speak your doctor if you are using any of the next drugs:

· droperidol (Inapsine);

· alvimopan (Entereg);

· naloxone (Narcan, Suboxone);

· tramadol (Ultram, Ultracet);

· bupropion (Wellbutrin, Zyban); or

· bowel cleansing preparations (Half Lytely, Fleet Prep Kit, Evac-Q-Kwik, GoLytely, Supraprep, and others).

• This list is not complete and another drugs may interact with codeine and guaifenesin. 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 codeine and guaifenesin.

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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