DEXTROMETHORPHAN AND GUAIFENESIN

(DEX troe me THOR fan and gwye FEN e sin) Brand: Allfen DM, Altarussin DM, Aquatab DM, Benylin Expectorant, Drituss DM, Extuss LA, Fenesin DM IR, Glycotuss-DM, Guaifen DM, Mucinex Children's Cough, Mucinex DM, MucusRelief DM, Naldecon DX Liquigel, Relacon LAX, Respa-DM, Robitussin Cough & Congestion, Tussi-Bid, Tussi-Organidin DM NR, Vicks 44E

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

• Do not give this medicine to a baby younger than 2 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 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.

• Do not use any another over-the-counter cough or cool 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 dextromethorphan or guaifenesin.

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

What is dextromethorphan and guaifenesin?

• Dextromethorphan is a cough suppressant. It 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 dextromethorphan and guaifenesin is used to treat cough and chest congestion caused by the general cool, infections, or allergies.

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

• Dextromethorphan 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 dextromethorphan and guaifenesin?

• Ask a doctor or pharmacist if it is safety for you to take this medicine if you have emphysema or chronic bronchitis.

• FDA pregnancy category C. It is not known whether dextromethorphan and guaifenesin is deleterious to an unborn child. Till you take this medicine, speak your doctor if you are pregnant or plan to become pregnant during treatment.

• It is not known whether this medicine passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• Artificially-sweetened liquid forms of cool medication may contain phenylalanine. This would be significant to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medicine label if you are concerned about phenylalanine.

How must I take dextromethorphan and guaifenesin?

• Use this medicine exactly as directed on the label, or as predesigned by your doctor. Do not use it in larger amounts or for longer than recommended. Cool medication is generally taken only for 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.

• Do not crush, chew, or interrupt an extended-release tablet. Swallow the pill intact. It is specially made to release medication slowly in the body. Breaking the pill would reason too many of the drug to be released at one time.

• Dextromethorphan and guaifenesin granules must be sprinkled directly onto the tongue and swallowed right away.

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

• 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.

• 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 medicine.

• Overdose symptoms may include feeling restless or nervous.

What must I avoid while taking dextromethorphan and guaifenesin?

• 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 drinking alcohol. It can magnify some of the side effects of this medication.

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

• Do not use any another over-the-counter cough or cool medicine without first asking your doctor or pharmacist. Dextromethorphan and guaifenesin 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 dextromethorphan or guaifenesin.

What are the possible side effects of dextromethorphan 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 using this medicine and call your doctor at once if you have any of these serious side effects:

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

· confusion, hallucinations; or

· slow, shallow breathing.

• Smaller serious side effects may include:

· dizziness;

· headache;

· skin rash or itching; or

· nausea, vomiting, or stomach upset.

• 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 dextromethorphan and guaifenesin?

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

· celecoxib (Celebrex);

· cinacalcet (Sensipar);

· darifenacin (Enablex);

· imatinib (Gleevec);

· quinidine (Quinaglute, Quinidex);

· ranolazine (Ranexa);

· ritonavir (Norvir);

· sibutramine (Meridia);

· terbinafine (Lamisil);

· medicines to treat tall blood pressure; or

· an antidepressant such as amitriptyline (Elavil, Etrafon), bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), paroxetine (Paxil), sertraline (Zoloft), and others.

• This list is not complete and there may be another drugs that can interact with dextromethorphan and guaifenesin. 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 dextromethorphan 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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