DIHYDROCODEINE AND GUAIFENESIN

(dye HYE droe KOE deen gwye FEN e sin) Brand: J-Max DHC

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

• 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 if you have taken furazolidone (Furoxone), sodium oxybate (GHB, Xyrem), or an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious or life-threatening side effects can occur if you take dihydrocodeine and guaifenesin till these another medications have cleared from your body.

• You also must not take dihydrocodeine and guaifenesin if you have severe tall blood pressure, ischemic heart malady, stomach ulcer, blocked intestines, urination problems, narrow angle glaucoma, or if you are having an asthma onslaught or are allergic to another narcotic medications (Lortab, Vicodin, OxyContin, Demerol, and others).

• Do not take dihydrocodeine and guaifenesin 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.

What is dihydrocodeine and guaifenesin?

• Dihydrocodeine is a narcotic cough suppressant. It affects signals in the brain that trigger the 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 dihydrocodeine and guaifenesin is used to treat cough and to reduce chest congestion caused by allergies, flu, or the general cold.

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

• Dihydrocodeine 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 dihydrocodeine and guaifenesin?

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

· severe or uncontrolled tall blood pressure;

· ischemic heart malady (reduced circulation of blood to the heart);

· stomach ulcer;

· a blockage in your intestines;

· urination problems;

· narrow angle glaucoma;

· if you are having an asthma onslaught; or

· if you are allergic to another narcotic medications such as codeine (Tylenol 3), hydrocodone (Lortab, Vicodin), hydromorphone (Dilaudid, Palladone), meperidine (Demerol), morphine (Kadian, MS Contin, Oramorph), oxycodone (OxyContin), and others.

• If you have any of these another conditions, you may need a doze adjustment or particular trials to safely take dihydrocodeine and guaifenesin:

· heart malady, tall or low blood pressure;

· circulation problems or a history of stroke;

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

· kidney or liver disease;

· a history of head injury or brain tumor;

· epilepsy or another seizure disorder;

· diabetes;

· a gallbladder or pancreas problem;

· a thyroid disorder;

· glaucoma;

· enlarged prostate, urination problems;

· Addison's malady or another adrenal gland disorders;

· a history of stomach problems such as ulcers, intestinal blockage, ulcerative colitis, or any surgeries; or

· a history of drug or alcohol addiction, or suicidal thoughts.

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

• It is not known whether dihydrocodeine and guaifenesin 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.

• 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.

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

How must I take dihydrocodeine and guaifenesin?

• Take this medicine exactly as it has been predesigned by your doctor. Do not use the medicine in larger amounts, or use it for longer than recommended. Cough or cool medication is generally taken only for 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.

• You may take this medicine with or without food.

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

• 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.

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

• 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.

• 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.

• 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?

• Cough or cool medication is generally taken only as needed, so 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 vomiting, extreme dizziness or drowsiness, confusion, hallucinations, blurred vision, cool and clammy skin, fast/slow or uneven heart course, pinpoint pupils, fainting, and seizure (convulsions).

What must I avoid while taking dihydrocodeine and guaifenesin?

• Avoid drinking alcohol while you are taking this medicine. Alcohol can magnify some of the side effects of dihydrocodeine.

• Dihydrocodeine and guaifenesin 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 getting up too quick from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

• Do not use any another over-the-counter cool, allergy, or cough medication without first asking your doctor or pharmacist. Guaifenesin is contained in much medicines accessible over the counter. If you take determined commodity together you may accidentally take too many of a determined drug. Read the label of any another medication you are using to see if it contains guaifenesin.

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

What are the possible side effects of dihydrocodeine 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:

· quick or uneven heart rate;

· feeling like you might pass out;

· confusion, hallucinations, unusual thoughts or behavior;

· severe dizziness or drowsiness, feeling irritable;

· shallow breathing, slow heartbeat;

· painful or difficult urination; or

· seizure (convulsions).

• Smaller serious side effects may include:

· dizziness, drowsiness, headache;

· constipation;

· heighten sweating;

· nausea, vomiting, upset stomach, mild loss of appetite;

· feeling excited or restless;

· sleep problems (insomnia);

· warmth, tingling, or redness under your skin; 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 dihydrocodeine and guaifenesin?

• 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.

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

· cimetidine (Tagamet);

· methyldopa (Aldomet);

· mecamylamine (Inversine);

· a beta-blocker such as atenolol (Tenormin), carvedilol (Coreg), esmolol (Brevibloc), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;

· HIV or AIDS medication such as atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Invirase, Fortovase); or

· phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), perphenazine (Trilafon), prochlorperazine (Compazine), promethazine (Phenergan, Adgan, Anergan 50, Pentazine), thioridazine (Mellaril), or trifluperazine (Stelazine).

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