GUAIFENESIN, HYDROCODONE, AND PHENYLEPHRINE

(gwye FEH neh sin , tall droe KOE dohn , and feh nill EH frin) Brand: Levall 5.0, Tussafed-HC, Tussafed-HCG

What is the most significant information I must know about guaifenesin, hydrocodone, and phenylephrine?

• 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.

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

• 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 cool, allergy, or cough medication without first asking your doctor or pharmacist. Guaifenesin and phenylephrine are contained in much medicines accessible over the counter. If you take determined commodity together you may accidentally take too many of a determined drug.

What is guaifenesin, hydrocodone, and phenylephrine?

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

• Hydrocodone is a narcotic. It is a pain reliever and a cough suppressant.

• Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can reason nasal congestion (stuffy nose).

• The combination of guaifenesin, hydrocodone, and phenylephrine is used to treat cough and nasal congestion, and to reduce chest congestion caused by the general cool, infections, or allergies.

• Guaifenesin, hydrocodone, and phenylephrine may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking guaifenesin, hydrocodone, and phenylephrine?

• Do not use this medicine if you are allergic to guaifenesin, hydrocodone, or phenylephrine, or to another decongestants, diet pills, stimulants, or ADHD medications.

• Hydrocodone 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.

• Till taking guaifenesin, hydrocodone, and phenylephrine, speak your doctor if you are allergic to any drugs, or if you have:

· asthma, COPD, sleep apnea, or another breathing disorders;

· heart malady or tall blood pressure;

· diabetes;

· a thyroid disorder;

· liver or kidney disease;

· a seizure disorder;

· Addison's malady or another adrenal gland disorders;

· enlarged prostate, urination problems;

· mental diseases; or

· a history of drug or alcohol addiction.

• If you have any of these conditions, you may need a doze adjustment or particular trials to safely take this medication.

• FDA pregnancy category C. This medicine may be deleterious to an unborn child, and could reason addiction or withdrawal symptoms in a newborn. Speak your doctor if you are pregnant or plan to become pregnant during treatment.

• This medicine may pass into breast milk and 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 guaifenesin, hydrocodone, and phenylephrine?

• Use this medicine exactly as directed on the label, or as it has been predesigned by your doctor. Do not use the medicine in larger amounts, or use it for longer than recommended. 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.

• 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.

• 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.

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

• Take guaifenesin, hydrocodone, and phenylephrine 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.

• 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.

• Hold track of how many of this medication has been used from every new bottle. Hydrocodone 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.

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 medication. Overdose symptoms may include nausea, vomiting, dizziness, and feeling restless or nervous.

What must I avoid while taking guaifenesin, hydrocodone, and phenylephrine?

• 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 while you are taking this medicine.

• 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 guaifenesin, hydrocodone, and phenylephrine?

• 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, pounding, or uneven heartbeat;

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

· light bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or

· heighten blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

· nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

• Smaller serious side effects may include:

· dizziness or headache;

· feeling excited or restless;

· sleep problems (insomnia);

· nausea, vomiting, or stomach upset;

· mild loss of appetite;

· 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. Speak your doctor about any unusual or bothersome side effect. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect guaifenesin, hydrocodone, and phenylephrine?

• Till taking guaifenesin, hydrocodone, and phenylephrine, speak your doctor if you are using any of the next drugs:

· methyldopa (Aldomet);

· medicines to treat tall blood pressure;

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

· an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

• This is not a complete list and there may be another drugs that can affect guaifenesin, hydrocodone, and phenylephrine. 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 guaifenesin, hydrocodone, and phenylephrine.

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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