Myasthenia Gravis Medications


Definition of Myasthenia Gravis: Myasthenia gravis is a neuromuscular disorder characterized by variable weakness of voluntary muscles, which often improves with rest and worsens with activity. The condition is caused by an abnormal immune response.

Drugs associated with Myasthenia Gravis

The following drugs and medications are in some way related to, or used in the treatment of Myasthenia Gravis. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

Learn more about Myasthenia Gravis

Micromedex Care Notes:

Myasthenia Gravis

Medical Encyclopedia:

Myasthenia gravis

Harvard Health Guide:

Symptoms and treatment for Myasthenia Gravis
Drug List: Mestinon Mestinon-Timespan Mytelase Mytelase-Chloride Prostigmin Prostigmin-Bromide Regonol Soliris
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Mestinon Controlled-Release Tablets


Pronunciation: peer-id-oh-STIG-meen
Generic Name: Pyridostigmine
Brand Name: Mestinon
Mestinon Controlled-Release Tablets are used for:

Treating myasthenia gravis. It may also be used for other conditions as determined by your doctor.

Mestinon Controlled-Release Tablets are a cholinesterase inhibitor. It works by improving nerve impulses in muscles so that the muscles are better able to work.

Do NOT use Mestinon Controlled-Release Tablets if: you are allergic to any ingredient in Mestinon Controlled-Release Tablets you are taking quinine or quinidine you have a stomach, intestinal, or urinary blockage

Contact your doctor or health care provider right away if any of these apply to you.

Before using Mestinon Controlled-Release Tablets:

Some medical conditions may interact with Mestinon Controlled-Release Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have heart problems (eg, heart block, slow heartbeat), a urinary tract infection, asthma, or kidney problems

Some MEDICINES MAY INTERACT with Mestinon Controlled-Release Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

Quinine or quinidine because effectiveness of Mestinon Controlled-Release Tablets may be decreased Succinylcholine because actions and side effects may be increased by Mestinon Controlled-Release Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Mestinon Controlled-Release Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Mestinon Controlled-Release Tablets:

Use Mestinon Controlled-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Mestinon Controlled-Release Tablets may be taken with or without food. Take with food if it upsets your stomach. Swallow Mestinon Controlled-Release Tablets whole. Do not break, crush, or chew before swallowing. If you miss a dose of Mestinon Controlled-Release Tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Mestinon Controlled-Release Tablets.

Important safety information: Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Mestinon Controlled-Release Tablets. Use Mestinon Controlled-Release Tablets with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Mestinon Controlled-Release Tablets, discuss with your doctor the benefits and risks of using Mestinon Controlled-Release Tablets during pregnancy. Mestinon Controlled-Release Tablets are excreted in breast milk. If you are or will be breast-feeding while you are using Mestinon Controlled-Release Tablets, check with your doctor or pharmacist to discuss the risks to your baby. Possible side effects of Mestinon Controlled-Release Tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); diarrhea; fainting; increased production of saliva; increased sweating; muscle weakness; nausea; small pupils; stomach cramps; trouble breathing; vision changes; vomiting; weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Mestinon side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea; fainting; increased production of saliva; increased sweating; muscle weakness; nausea; small pupils; stomach cramps; trouble breathing; vision changes; vomiting; weakness.

Proper storage of Mestinon Controlled-Release Tablets:

Store Mestinon Controlled-Release Tablets between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Mestinon Controlled-Release Tablets out of the reach of children and away from pets.

General information: If you have any questions about Mestinon Controlled-Release Tablets, please talk with your doctor, pharmacist, or other health care provider. Mestinon Controlled-Release Tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Mestinon Controlled-Release Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012 Database Edition 12.1.1.002 Copyright © 2012 Wolters Kluwer Health, Inc. More Mestinon resources Mestinon Side Effects (in more detail) Mestinon Use in Pregnancy & Breastfeeding Drug Images Mestinon Drug Interactions Mestinon Support Group 6 Reviews for Mestinon - Add your own review/rating Compare Mestinon with other medications Dysautonomia Myasthenia Gravis Nerve Agent Pretreatment Reversal of Nondepolarizing Muscle Relaxants
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Mestinon Timespan


Generic Name: pyridostigmine (py rid o STIG meen)
Brand Names: Mestinon, Mestinon Timespan

What is Mestinon Timespan (pyridostigmine)?

Pyridostigmine affects chemicals in the body that are involved in the communication between nerve impulses and muscle movement.

Pyridostigmine is used to treat the symptoms of myasthenia gravis. It is also used in military personnel who have been exposed to nerve gas.

Pyridostigmine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Mestinon Timespan (pyridostigmine)? You should not use pyridostigmine if you are allergic to it, or if you have a bladder or bowel obstruction.

Before taking pyridostigmine, tell your doctor if you have asthma, kidney disease, an ulcer or other serious stomach disorder, high blood pressure, heart disease, overactive thyroid, or a history of seizures.

The amount and timing of this medicine is extremely important to the success of your treatment. Carefully follow your doctor's instructions about how much medicine to take and when to take it.

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

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of when you took each dose and how long the effects lasted. This will help your doctor determine if your dose needs to be adjusted.

If you need surgery, tell the surgeon ahead of time that you are using pyridostigmine. You may need to stop using the medicine for a short time. What should I discuss with my health care provider before taking Mestinon Timespan (pyridostigmine)? You should not use pyridostigmine if you are allergic to it, or if you have a bladder or bowel obstruction.

To make sure you can safely take pyridostigmine, tell your doctor if you have any of these other conditions:

asthma;

kidney disease;

an ulcer or other serious stomach disorder;

high blood pressure, heart disease;

overactive thyroid; or

a history of seizures.

It is not known whether pyridostigmine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether pyridostigmine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take Mestinon Timespan (pyridostigmine)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Take this medicine with food or milk if it upsets your stomach. Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Measure liquid medicine with a special dose measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose measuring device, ask your pharmacist for one.

The amount and timing of this medicine is extremely important to the success of your treatment. Carefully follow your doctor's instructions about how much medicine to take and when to take it.

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of when you took each dose and how long the effects lasted. This will help your doctor determine if your dose needs to be adjusted.

If you need surgery, tell the surgeon ahead of time that you are using pyridostigmine. You may need to stop using the medicine for a short time. Store at room temperature away from moisture and heat.

Keep the tablets in their original container, along with the canister of moisture-absorbing preservative that comes with this medicine.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, diarrhea, stomach cramps, sweating, blurred vision, drooling, and weak or shallow breathing.

Worsening muscle weakness, or no change in your myasthenia gravis symptoms, may also be signs of overdose.

What should I avoid while taking Mestinon Timespan (pyridostigmine)? This medication may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of pyridostigmine. Mestinon Timespan (pyridostigmine) side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using pyridostigmine and call your doctor at once if you have any of these serious side effects:

extreme muscle weakness, muscle twicthing;

slurred speech, vision problems;

severe vomiting or diarrhea;

cough with mucus;

confusion, anxiety, panic attacks;

seizure (convulsions); or

worsening or no improvement in your symptoms of myasthenia gravis.

Less serious side effects may include:

cold sweat, pale skin;

urinating more than usual;

watery eyes;

mild nausea, vomiting, or upset stomach;

warmth or tingly feeling; or

mild 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 report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Mestinon Timespan (pyridostigmine)?

Tell your doctor about all other medicines you use, especially:

atropine (Atreza, Sal-Tropine);

belladonna (Donnatal, and others);

benztropine (Cogentin);

clidinium (Quarzan);

clozapine (Clozaril, FazaClo);

dimenhydrinate (Dramamine);

methscopolamine (Pamine), scopolamine (Transderm Scop);

glycopyrrolate (Robinul);

mepenzolate (Cantil);

bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);

cold medicine, allergy medicine, or sleeping pills that contain an antihistamine such as diphenhydramine (Tylenol PM) or doxylamine (Unisom);

heart rhythm medication such as quinidine (Quin-G), procainamide (Procan, Pronestyl), disopyramide (Norpace), flecaininde (Tambocor), mexiletine (Mexitil), propafenone, (Rythmol), and others;

irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);

medicine to treat Alzheimer's dementia, such as donepezil (Aricept), rivastigmine (Exelon), or tacrine (Cognex); or

a steroid such as betamethasone (Celestone) or dexamethasone (Cortastat, Dexasone, Solurex, DexPak).

This list is not complete and other drugs may interact with pyridostigmine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Mestinon Timespan resources Mestinon Timespan Side Effects (in more detail) Mestinon Timespan Use in Pregnancy & Breastfeeding Drug Images Mestinon Timespan Drug Interactions Mestinon Timespan Support Group 1 Review for Mestinon Timespan - Add your own review/rating Pyridostigmine Prescribing Information (FDA) Mestinon MedFacts Consumer Leaflet (Wolters Kluwer) Mestinon Prescribing Information (FDA) Pyridostigmine Bromide Monograph (AHFS DI) Regonol Prescribing Information (FDA) Compare Mestinon Timespan with other medications Dysautonomia Myasthenia Gravis Nerve Agent Pretreatment Reversal of Nondepolarizing Muscle Relaxants Where can I get more information? Your pharmacist can provide more information about pyridostigmine.

See also: Mestinon Timespan side effects (in more detail)


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Expectorants


A drug may be classified by the chemical type of the active ingredient or by the way it is used to treat a particular condition. Each drug can be classified into one or more drug classes.

Expectorants are drugs that increase the bronchial secretion and enhance the expulsion of mucus by air passages of the lungs. This makes it is easier to cough up the phlegm or sputum. Expectorants are used in cough mixtures for chesty coughs.

See also

Medical conditions associated with expectorants:

Bronchitis Cough Cutaneous Sporotrichosis Fibromyalgia Hyperthyroidism Radiation Emergency Drug List: Duratuss-G Pima-Syrup Mucinex Guaifenesin-La Altarussin Amibid-La Availnex-Chewable-Tablets Benylin-E-Extra-Strength-Chest-Congestion Bidex-400 Drituss-G Ganidin-Nr Gg-200-Nr Guaifenex-G Guaifenex-La Guaituss-Liquid Hytuss-Immediate-Release-Capsules Iosat Liquibid Mucinex-Children-S-Granules Muco-Fen-1200 Organidin-Nr-Immediate-Release-Capsules Q-Bid-La Robitussin Scot-Tussin Sski-Drops Thyroshield-Solution Diabetic-Tussin-Ex Yodefan-Liquid Yodefan-Nf
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Sinus Symptoms Medications


Drugs associated with Sinus Symptoms

The following drugs and medications are in some way related to, or used in the treatment of Sinus Symptoms. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.


Drug List: Actifed-Plus Advil-Childrens-Cold Advil-Cold-And-Sinus-Caplets Advil-Cold-And-Sinus-Liqui-Gels Aldex Aldex-G Aleve-Cold-And-Sinus Alka-Seltzer-Plus-Cold Alka-Seltzer-Plus-Cold-And-Sinus Alka-Seltzer-Plus-Sparkling-Original-Cold-Formula-Effervescent-Tablets Allepak Allerest-No-Drowsiness Allergy-Am-Pm-Dose-Pack Allergy-Dn Allergy-Relief-Multi-Symptom Allerx-D Ambi-40-1000 Amdry-C Amdry-D-Extended-Release-Tablets Amitex-La Aquatab-D C-Hist-Sr Chlortox Comhist Complete-Sinus-Relief Comtrex-Cold-Cough Comtrex-Cold-And-Cough-Maximum-Strength Comtrex-Flu-Therapy Comtrex-Severe-Cold-Sinus Contac-Cold-Flu Crantex D-Phen-1000 D-Tab Dallergy-Pse-Sustained-Release-Tablets Deconex Deconsal-Ii Deconsal-Pediatric Despec Dexphen-M-Solution Dimetapp-Multi-Symptom-Cold-And-Flu-Liquid Dimetapp-Nighttime-Flu-Suspension Dixaphedrine-Sustained-Release-Tablets Donatussin-Drops Donatussin-Pediatric-Drops Dristan-Cold-Multi-Symptom-Formula Dristan-Cold-Non-Drowsy Dristan-Sinus Drixoral Drixoral-Allergy-Sinus Drixoral-Cold-And-Flu Drixoral-Cold-Flu-Controlled-Release-Tablets Drixoral-Sinus Drymax-Syrup Dryphen Duomax Durahist-Sustained-Release-Tablets Duraphen-1000 Duraphen-Ii Duratuss Duratuss-Pe Dynex-La Entex-Er Entex-La-Sustained-Release-Capsules Excedrin-Sinus-Headache Exetuss Extendryl-Solution Extendryl-G Extendryl-Pse-Extended-Release-Tablets Fenesin-Pe-Ir Flu-Severe-Cold-Cough-Daytime-Powder Genexa-La Gentex-La-Sustained-Release-Tablets-12-Hour Gilphex-Tr Guaifed-Caps Guaifed-Pd Guaifen-Pe Guaiphen-D-1200 Guaiphen-D-600 Guaiphen-Pd Guaphenyl-La-Sustained-Release-Capsules Guiadex-Pd Guiatex-Pe Hista-Vent-Pse Histex-Hc-Liquid J-Max Lemohist-Plus Linhist-L-A Liquibid-D-R Liquibid-D-Sustained-Release-Tablets-12-Hour Liquibid-Pd Little-Colds-Multi-Symptom-Drops Lusonex-Controlled-Release-Tablets Mapap-Cold-Formula Mapap-Sinus-Congestion-And-Pain Maxiphen Medent-Pe Medent-Pei Mintex-Hc-Liquid Miraphen-Pe-Controlled-Release-Tablets Montephen Motrin-Childrens-Cold Motrin-Cold-And-Flu Motrin-Ib-Sinus Motrin-Sinus-Headache Mucinex-Children-S-Cold Mucus-Relief-Sinus Mydex Nalex-A-Controlled-Release-Tablets Nariz Nasex Nasex-G Nazarin Nescon-Pd Nexphen-Pd Norel-Ex Ornex Ornex-Maximum-Strength Pcm-La Pe-Guai Pendex Phenavent Prolex-D Prolex-Pd Protid-Controlled-Release-Tablets Pseudo-Cm-Tr Pyrroxate Quad-Tuss-Suspension Quadratuss Qual-Tussin-Pediatric-Drops Quintex Re-Drylex Refenesen-Pe Relcof-Pse-Sustained-Release-Tablets Reluri Rentamine Rescon-Gg-Liquid Respa-Ar-Sustained-Release-Tablets Respa-Pe Rhinaclear Rhinacon-A-Controlled-Release-Tablets Robitussin-Nasal-Relief Robitussin-Nighttime-Nasal-Relief Ru-Tuss-Sustained-Release-Tablets Rynatuss Rynatuss-Pediatric-Suspension Simuc Simuc-Gp Sina-12X-Suspension Sinadrin-Plus Sinarest-Sinus Sine-Off-Maximum-Strength Sinupan Sinus-Congestion-And-Pain-Daytime-Cool-Ice Sinuvent-Pe Sitrex Sitrex-Pd Sudafed-Pressure-Pain-12-Hour Sudafed-Pe-Non-Drying-Sinus Sudafed-Pe-Sinus-Headache Sudex Tavist-Allergy-Sinus-Headache Tavist-Sinus Theraflu-Daytime-Severe-Cold-Cough Theraflu-Multi-Symptom-Severe-Cold Theraflu-Warming-Relief-Daytime-Multi-Symptom-Cold Time-Hist-Qd Tri-Vent-Hc Triaminic-Chest-Nasal-Congestion Tuss-Tan Tylenol-Allergy-Multi-Symptom Tylenol-Cold-Multi-Symptom-Liquid Tylenol-Children-S-Plus-Cold Tylenol-Children-S-Plus-Cold-Cough Tylenol-Children-S-Plus-Flu-Suspension Tylenol-Sinus-Congestion-Daytime Tylenol-Sinus-Congestion-Nighttime Ursinus Vicks-Dayquil-Multi-Symptom-Cold-Flu-Relief Vicks-Dayquil-Sinus Visonex Visrx-Sustained-Release-Tablets Wellbid-D Xedec Xedec-Ii Xiral-Sr-Sustained-Release-Tablets Xpect-Pe Zotex-Gpx Zotex-Gp Zyrphen
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Bronchitis Medications


Definition of Bronchitis: Bronchitis is an inflammation of the bronchi -- the main air passages to the lungs.

Drugs associated with Bronchitis

The following drugs and medications are in some way related to, or used in the treatment of Bronchitis. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

Learn more about Bronchitis

Medical Encyclopedia:

Bronchitis
Drug List: Ala-Tet Altarussin Amibid-La Amoclan-Suspension Amoxil Augmentin Augmentin-Es-600-Suspension Augmentin-Xr-Extended-Release-Tablets Avelox Avelox-I-V Azithromycin-3-Day-Dose-Pack Bactrim Bactrim-Ds Benylin-E-Extra-Strength-Chest-Congestion Biaxin Biaxin-Xl-Extended-Release-Tablets Bidex-400 Broncodur-Liquid Bronkometer Bronkosol Cedax Ceftin Cefzil Cipro Cipro-I-V Cipro-Xr-Extended-Release-Tablets Co-Trimoxazole Copd Cotrim Difil-G Difil-G-Forte Dilex-G-Liquid Dilex-G-200 Dilex-G-400-Tablets Dilor Dilor-400 Dispermox Doryx-Delayed-Release-Capsules Doxy-100 Doxy-200 Drituss-G Duratuss-G Dy-G Dycill Dyfilin-Gg Dyflex-G Dylix-Elixir Dynabac Dynabac-D5-Pak Dynapen Dyphyllin-Gg Dyphylline-Gg Dyphylline-Gg-Es E-E-S-Granules-Suspension E-E-S-200 E-E-S-400 E-E-S-400-Filmtab Ed-Bron-G-Liquid Elixophyllin-Gg-Liquid Ery-Tab Eryc-Delayed-Release-Particles-Capsules Eryped-Drops Erythrocin Erythromycin-Lactobionate-I-V Erythrocin-Stearate-Filmtab Factive Floxin Ganidin-Nr Gg-200-Nr Guaifenesin-La Guaifenex-G Guaifenex-La Guaituss-Liquid Hytuss-Immediate-Release-Capsules Ilosone Jay-Phyl Ketek Ketek-Pak Levaquin Levaquin-Leva-Pak Liquibid Lorabid Lorabid-Pulvules Lufyllin Lufyllin-400 Lufyllin-Gg Maxaquin Monodox Mucinex Mucinex-Children-S-Granules Muco-Fen-1200 Neothylline Ocudox-Convenience-Kit Omnicef Omnicef-Omni-Pac Oraxyl Organidin-Nr-Immediate-Release-Capsules Panfil-G Pce Primaxin-Im Primaxin-Iv Principen Q-Bid-La Quibron Quibron-300 Qvar-Aerosol-Solution Raniclor Robitussin Scot-Tussin Septra Septra-Ds Smz-Tmp-Ds Spectracef Sulfatrim-Suspension Sulfatrim-Pediatric Sumycin Suprax Tequin Tequin-Teqpaq Theomar-Gg-Liquid Trimox Diabetic-Tussin-Ex Vantin Vibra-Tabs Vibramycin Zagam Zagam-Respipac Zinacef Zithromax Zmax-Extended-Release-Oral-Suspension
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Robitussin Dry Cough Medicine


1. Name Of The Medicinal Product

Robitussin Dry Cough Medicine

2. Qualitative And Quantitative Composition

Active Ingredient

Dextromethorphan Hydrobromide Ph Eur 7.5mg per 5ml

For full list of excipients see section 6.1

3. Pharmaceutical Form

Bright pink clear liquid for oral administration.

4. Clinical Particulars 4.1 Therapeutic Indications

For the relief of persistent dry irritant coughs.

4.2 Posology And Method Of Administration

Oral administration.

Adults, the elderly and children over 12 years: One 10ml measure up to four times daily.

Children under 12 years: Do not use

4.3 Contraindications

Hypersensitivity to any of the ingredients.

Patients taking a prescription monoamine oxidase inhibitor (MAOI) or for 14 days after stopping the MAOI drug. (See section 4.5).

Use in children under 12 years.

4.4 Special Warnings And Precautions For Use

Patients suffering from chronic cough, asthma or patients suffering from an acute asthma attack, or where cough is accompanied by excessive secretions should be advised to consult a Healthcare Professional before use.

Causes of chronic cough should be excluded if symptoms are persistent. Any accompanying symptoms should be actively sought and appropriately investigated/ treated. Stop use and ask your healthcare professional if your cough lasts more than 7 days, comes back or is accompanied by a fever, rash or persistent headache.

Keep out of the sight and reach of children.

Do not exceed recommended dose.

Excipient warnings:

- Patients with rare hereditary problems of fructose intolerance should not take this medicine because this product contains Sorbitol and Maltitol.

- This product contains Amaranth (E123), which may cause allergic reactions.

- This medicinal product contains 2.5% v/v ethanol (alcohol), up to196 mg per dose, (equivalent to approx 1.6 ml wine per dose). Harmful for those suffering from alcoholism. To be taken into account in pregnant or breast-feeding women and high-risk groups such as patients with liver disease, or epilepsy.

4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction

Not to be used in patients taking monoamine inhibitors or within 14 days of stopping treatment as there is a risk of hyperpyrexic crisis when MOAI are taken in combination with dextromethorphan.

Quinidine can increase serum concentrations of dextromethorphan markedly and some patients have experienced symptoms of dextromethorphan toxicity when the two agents have been used together.

Amiodarone appears to be able to increase serum concentrations of dextromethorphan.

4.6 Pregnancy And Lactation

Although dextromethorphan has been in widespread use for many years without apparent illconsequence, there are no specific data on its use during pregnancy. Caution should therefore be exercised by balancing the potential benefit of treatment against any possible hazards. It is not known whether dextromethorphan or its metabolites are excreted in human milk.

4.7 Effects On Ability To Drive And Use Machines

Dextromethorphan hydrobromide has no adverse effects on the patients ability to drive and to use machines.

4.8 Undesirable Effects

Adverse effects are rare, however the following side effects may be associated with dextromethorphan hydrobromide:

Gastrointestinal Disorders

Rare: Gastrointestinal upset

Nervous System Disorders

Rare: Dizziness

4.9 Overdose

Symptoms:

These include nausea and vomiting, CNS depression, dizziness, dysarthria (slurred speech), nystagmus, somnolence (drowsiness), excitation, mental confusion, psychotic disorder (psychosis), and respiratory depression.

Management:

Treatment of overdose should be symptomatic and supportive. Gastric lavage may be of use. Naloxone has been used successfully as a specific antagonist to dextromethorphan toxicity in children.

5. Pharmacological Properties 5.1 Pharmacodynamic Properties

Dextromethorphan hydrobromide is a cough suppressant which has a central action on the cough centre in the medulla. It has no analgesic properties and little sedative activity.

Dextromethorphan

Pharmacotherapeutic group: Cough suppressant

ATC code: R05DA09

5.2 Pharmacokinetic Properties

Dextromethorphan hydrobromide is well absorbed from the gastrointestinal tract. It is metabolised in the liver and excreted in the urine as unchanged dextromethorphan and demethylated metabolites including dextrorphan, which has some cough suppressant activity.

5.3 Preclinical Safety Data

There is no relevant information additional to that already contained elsewhere in the SmPC or of relevance to the prescriber.

6. Pharmaceutical Particulars 6.1 List Of Excipients

Glycerol

Sodium Carboxymethyl Cellulose

Sodium Benzoate

Disodium Edetate

Maltitol (E965)

Ethanol (96%)

Citric Acid Anhydrous

Amaranth (E123)

Caramel (E150)

Levomenthol

Cherry/Grenadine Flavour

Sorbitol Solution 70%

Sodium Cyclamate

Acesulfame Potassium Salt

Purified Water

6.2 Incompatibilities

None stated.

6.3 Shelf Life

36 months.

6.4 Special Precautions For Storage

Do not store above 25°C.

Keep out of reach and sight of children.

6.5 Nature And Contents Of Container

PET bottles containing 100ml with PET lined PP/HDPE screw caps.

A clear polypropylene measuring cap also included.

6.6 Special Precautions For Disposal And Other Handling

No special requirements

ADMINISTRATIVE DATA 7. Marketing Authorisation Holder

Pfizer Consumer Healthcare Ltd

Ramsgate Road

Sandwich

Kent

CT13 9NJ

United Kingdom

8. Marketing Authorisation Number(S)

PL 00165/0100

9. Date Of First Authorisation/Renewal Of The Authorisation

01 September 1993

10. Date Of Revision Of The Text

October 2011


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antimyasthenic Oral, Parenteral


Class Name: antimyasthenic (Oral route, Parenteral route)

Commonly used brand name(s)

In the U.S.

Aricept Cognex Exelon Mestinon Mestinon Timespan Mytelase Chloride Prostigmin Bromide Razadyne Razadyne ER Razadyne IR

In Canada

Reminyl

Available Dosage Forms:

Tablet Syrup Tablet, Extended Release Capsule, Extended Release Solution Tablet, Disintegrating Capsule Uses For This Medicine

Antimyasthenics are given by mouth or by injection to treat myasthenia gravis. Neostigmine may also be given by injection as a test for myasthenia gravis. Sometimes neostigmine is given by injection to prevent or treat certain urinary tract or intestinal disorders. In addition, neostigmine or pyridostigmine may be given by injection as an antidote to certain types of muscle relaxants used in surgery.

These medicines are available only with your doctor's prescription.

Before Using This Medicine Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Although there is no specific information comparing use of antimyasthenics in children with use in other age groups, these medicines are not expected to cause different side effects or problems in children than they do in adults.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is not much information comparing use of antimyasthenics in the elderly with use in other age groups, these medicines are not expected to cause different side effects or problems in older people than they do in younger adults.

Pregnancy

Antimyasthenics have not been reported to cause birth defects; however, muscle weakness has occurred temporarily in some newborn babies whose mothers took antimyasthenics during pregnancy.

Breast Feeding

Antimyasthenics have not been reported to cause problems in nursing babies.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these medicines, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using medicines in this class with any of the following medicines is not recommended. Your doctor may decide not to treat you with a medication in this class or change some of the other medicines you take.

Atropine Metoclopramide

Using medicines in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Succinylcholine Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

Intestinal blockage or Urinary tract blockage or Urinary tract infection—These medicines may make the condition worse. Proper Use of This Medicine

Your doctor may want you to take this medicine with food or milk to help lessen the chance of side effects. If you have any questions about how you should be taking this medicine, check with your doctor.

Take this medicine only as directed. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

If you are taking this medicine for myasthenia gravis:

When you first begin taking this medicine, your doctor may want you to keep a daily record of: the time you take each dose. how long you feel better after taking each dose. how long you feel worse. any side effects that occur.

This is to help your doctor decide whether the dose of this medicine should be increased or decreased and how often the medicine should be taken in order for it to be most effective in your condition.

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For ambenonium For oral dosage form (tablets): For myasthenia gravis: Adults and teenagers—At first, the dose is 5 milligrams (mg) three or four times per day. Then, if needed, the dose will be adjusted by your doctor. Children—The dose is based on body weight or size and must be determined by your doctor. The total daily dose is usually 300 micrograms (mcg) per kilogram (kg) (136 mcg per pound) of body weight or 10 mg per square meter of body surface area. This dose may be divided into three or four smaller doses. If needed, the total daily dose will be increased to 1.5 mg per kg (0.68 mg per pound) of body weight or 50 mg per square meter of body surface area. This dose may be divided into three or four smaller doses. For neostigmine For oral dosage form (tablets): For myasthenia gravis: Adults and teenagers—At first, the dose is 15 milligrams (mg) every three or four hours. Then, the dose is 150 mg taken over a twenty-four-hour period. Children—The dose is based on body weight or size and must be determined by your doctor. The total daily dose is usually 2 mg per kilogram (kg) (0.91 mg per pound) of body weight or 60 mg per square meter of body surface area. This dose may be divided into six to eight smaller doses. For injection dosage form: For myasthenia gravis: Adults and teenagers—The usual dose is 500 micrograms (mcg) injected into a muscle or under the skin. Children—The dose is based on body weight and must be determined by your doctor. It is usually 10 to 40 mcg per kg (4.5 to 18.2 mcg per pound) of body weight, injected into a muscle or under the skin, every two or three hours. For urinary tract or intestinal disorders: Adults and teenagers—The usual dose is 250 to 500 mcg, injected into a muscle or under the skin, as needed. Children—Use and dose must be determined by your doctor. For pyridostigmine For oral dosage forms (syrup and tablets): For myasthenia gravis: Adults and teenagers—At first, the dose is 30 to 60 milligrams (mg) every three or four hours. Then, the dose is 60 mg to 1.5 grams (usually 600 mg) per day. Children—The dose is based on body weight or size and must be determined by your doctor. The total daily dose is usually 7 mg per kilogram (kg) (3.2 mg per pound) of body weight or 200 mg per square meter of body surface area. This dose may be divided into five or six smaller doses. For long-acting oral dosage form (extended-release tablets): For myasthenia gravis: Adults and teenagers—The usual dose is 180 to 540 mg one or two times per day. Children—Dose must be determined by your doctor. For injection dosage form: For myasthenia gravis: Adults and teenagers—The usual dose is 2 mg, injected into a muscle or vein, every two or three hours. Children—The dose is based on body weight and must be determined by your doctor. It is usually 50 to 150 micrograms (mcg) per kg (22.7 to 68.1 mcg per pound) of body weight, injected into a muscle every four to six hours. Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Keep the syrup form of pyridostigmine from freezing.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Symptoms of overdose Blurred vision clumsiness or unsteadiness confusion convulsions (seizures) diarrhea (severe) increase in bronchial secretions or watering of mouth (excessive) increasing muscle weakness (especially in the arms, neck, shoulders, and tongue) muscle cramps or twitching nausea or vomiting (severe) shortness of breath, troubled breathing, wheezing, or tightness in chest slow heartbeat slurred speech stomach cramps or pain (severe) unusual irritability, nervousness, restlessness, or fear unusual tiredness or weakness

Check with your doctor as soon as possible if any of the following side effects occur:

Rare Redness, swelling, or pain at place of injection (for pyridostigmine injection only) skin rash (does not apply to ambenonium)

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common Diarrhea increased sweating increased watering of mouth nausea or vomiting stomach cramps or pain Less common Frequent urge to urinate increase in bronchial secretions unusually small pupils unusual watering of eyes

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.


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Pyridostigmine Tablets


Pronunciation: peer-id-oh-STIG-meen
Generic Name: Pyridostigmine
Brand Name: Mestinon
Pyridostigmine is used for:

Treating myasthenia gravis. It may also be used for other conditions as determined by your doctor.

Pyridostigmine is a cholinesterase inhibitor. It works by improving nerve impulses in muscles so that the muscles are better able to work.

Do NOT use Pyridostigmine if: you are allergic to any ingredient in Pyridostigmine you are taking quinine or quinidine you have a stomach, intestinal, or urinary blockage

Contact your doctor or health care provider right away if any of these apply to you.

Before using Pyridostigmine:

Some medical conditions may interact with Pyridostigmine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have heart problems (eg, heart block, slow heartbeat), a urinary tract infection, asthma, or kidney problems

Some MEDICINES MAY INTERACT with Pyridostigmine. Tell your health care provider if you are taking any other medicines, especially any of the following:

Quinine or quinidine because effectiveness of Pyridostigmine may be decreased Succinylcholine because actions and side effects may be increased by Pyridostigmine

This may not be a complete list of all interactions that may occur. Ask your health care provider if Pyridostigmine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Pyridostigmine:

Use Pyridostigmine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Pyridostigmine may be taken with or without food. Take with food if it upsets your stomach. If you miss a dose of Pyridostigmine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Pyridostigmine.

Important safety information: Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Pyridostigmine. Use Pyridostigmine with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed. PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Pyridostigmine, discuss with your doctor the benefits and risks of using Pyridostigmine during pregnancy. Pyridostigmine is excreted in breast milk. If you are or will be breast-feeding while you are using Pyridostigmine, check with your doctor or pharmacist to discuss the risks to your baby. Possible side effects of Pyridostigmine:

All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); diarrhea; fainting; increased production of saliva; increased sweating; muscle weakness; nausea; small pupils; stomach cramps; trouble breathing; vision changes; vomiting; weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Pyridostigmine side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea; fainting; increased production of saliva; increased sweating; muscle weakness; nausea; small pupils; stomach cramps; trouble breathing; vision changes; vomiting; weakness.

Proper storage of Pyridostigmine:

Store Pyridostigmine between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Pyridostigmine out of the reach of children and away from pets.

General information: If you have any questions about Pyridostigmine, please talk with your doctor, pharmacist, or other health care provider. Pyridostigmine is to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Pyridostigmine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012 Database Edition 12.1.1.002 Copyright © 2012 Wolters Kluwer Health, Inc. More Pyridostigmine resources Pyridostigmine Side Effects (in more detail) Pyridostigmine Dosage Pyridostigmine Use in Pregnancy & Breastfeeding Drug Images Pyridostigmine Drug Interactions Pyridostigmine Support Group 12 Reviews for Pyridostigmine - Add your own review/rating Compare Pyridostigmine with other medications Dysautonomia Myasthenia Gravis Nerve Agent Pretreatment Reversal of Nondepolarizing Muscle Relaxants
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Mucinex DM


guaifenesin and dextromethorphan hydrobromide
Dosage Form: tablet, extended release
Mucinex®DM

600 mg guaifenesin & 30 mg dextromethorphan HBr extended-release bi-layer tablets

EXPECTORANT & COUGH SUPPRESSANT

Drug Facts

Active ingredients (in each extended-release bi-layer tablet) Purpose Dextromethorphan HBr 30 mg Cough suppressant Guaifenesin 600 mg Expectorant Uses helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive temporarily relieves: cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the intensity of coughing the impulse to cough to help you get to sleep Warnings

Do not use

for children under 12 years of age if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.

Ask a doctor before use if you have

persistent or chronic cough such as occurs with smoking, asthma, chronic bronchitis, or emphysema cough accompanied by too much phlegm (mucus)

When using this product

do not use more than directed

Stop use and ask a doctor if

cough lasts more than 7 days, comes back, or occurs with fever, rash, or persistent headache. These could be signs of a serious illness.

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.

Directions do not crush, chew, or break tablet take with a full glass of water this product can be administered without regard for timing of meals adults and children 12 years and older: 1 or 2 tablets every 12 hours; not more than 4 tablets in 24 hours children under 12 years of age: do not use Other information tamper evident: do not use if carton is open or if printed seal on blister is broken or missing store at 20-25°C (68-77°F) Inactive ingredients

carbomer 934P, NF; D&C yellow #10 aluminum lake; hypromellose, USP; magnesium stearate, NF; microcrystalline cellulose, NF; sodium starch glycolate, NF

Distributed by:
Reckitt Benckiser Inc.
Parsippany, NJ 07054-0224
©RBI 2009

PRINCIPAL DISPLAY PANEL - 600 mg Carton

NDC 63824-056-32

Mucinex®DM

600 mg guaifenesin & 30 mg dextromethorphan HBr
extended-release bi-layer tablets

EXPECTORANT & COUGH SUPPRESSANT

12 HOUR

NEW LOOK-
SAME RELIEF

Thins And Loosens Mucus

Controls Cough

20 EXTENDED-RELEASE BI-LAYER TABLETS


Mucinex DM 
guaifenesin and dextromethorphan hydrobromide  tablet, extended release Product Information Product Type HUMAN OTC DRUG NDC Product Code (Source) 63824-056 Route of Administration ORAL DEA Schedule      Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Guaifenesin (Guaifenesin) Guaifenesin 600 mg Dextromethorphan Hydrobromide (Dextromethorphan) Dextromethorphan Hydrobromide 30 mg Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found Product Characteristics Color WHITE (yellow and white) Score no score Shape OVAL Size 16mm Flavor Imprint Code Mucinex;600 Contains          Packaging # NDC Package Description Multilevel Packaging 1 63824-056-32 2 BLISTER PACK In 1 CARTON contains a BLISTER PACK 1 10 TABLET In 1 BLISTER PACK This package is contained within the CARTON (63824-056-32) 2 63824-056-34 4 BLISTER PACK In 1 CARTON contains a BLISTER PACK 2 10 TABLET In 1 BLISTER PACK This package is contained within the CARTON (63824-056-34) 3 63824-056-58 1 BOTTLE In 1 CARTON contains a BOTTLE 3 58 TABLET In 1 BOTTLE This package is contained within the CARTON (63824-056-58) 4 63824-056-72 25 POUCH In 1 CARTON contains a POUCH 4 2 TABLET In 1 POUCH This package is contained within the CARTON (63824-056-72) 5 63824-056-76 3 POUCH In 1 CARTON contains a POUCH 5 2 TABLET In 1 POUCH This package is contained within the CARTON (63824-056-76)
Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date NDA NDA021620 03/31/2009
Labeler - Reckitt Benckiser, Inc. (094405024) Revised: 12/2009Reckitt Benckiser, Inc.
More Mucinex DM resources Mucinex DM Side Effects (in more detail) Mucinex DM Dosage Mucinex DM Use in Pregnancy & Breastfeeding Mucinex DM Drug Interactions Mucinex DM Support Group 0 Reviews for Mucinex DM - Add your own review/rating Mucinex DM Concise Consumer Information (Cerner Multum) Anti-Tuss DM Concise Consumer Information (Cerner Multum) Atuss-12 DX Extended-Release Liquid MedFacts Consumer Leaflet (Wolters Kluwer) Bidex-A Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer) Duratuss DM 12 Suspension MedFacts Consumer Leaflet (Wolters Kluwer) Guaifenesin DM Elixir MedFacts Consumer Leaflet (Wolters Kluwer) Humibid CS MedFacts Consumer Leaflet (Wolters Kluwer) Robitussin DM infant drops Scot-Tussin DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer) Compare Mucinex DM with other medications Cough Expectoration
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Mucinex DM Maximum Strength


guaifenesin and dextromethorphan hydrobromide
Dosage Form: tablet, extended release
Mucinex®DM

Drug Facts

Active ingredients (in each extended-release bi-layer tablet) Purpose Dextromethorphan HBr 60 mg Cough suppressant Guaifenesin 1200 mg Expectorant Uses helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive temporarily relieves: cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the intensity of coughing the impulse to cough to help you get to sleep Warnings

Do not use

for children under 12 years of age if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.

Ask a doctor before use if you have

persistent or chronic cough such as occurs with smoking, asthma, chronic bronchitis, or emphysema cough accompanied by too much phlegm (mucus)

When using this product

do not use more than directed

Stop use and ask a doctor if

cough lasts more than 7 days, comes back, or occurs with fever, rash, or persistent headache. These could be signs of a serious illness.

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.

Directions do not crush, chew, or break tablet take with a full glass of water this product can be administered without regard for timing of meals adults and children 12 years and older: 1 tablet every 12 hours; not more than 2 tablets in 24 hours children under 12 years of age: do not use Other information tamper evident: do not use if carton is open or if printed seal on blister is broken or missing store at 20-25°C (68-77°F) Inactive ingredients

carbomer 934P, NF; D&C yellow #10 aluminum lake; hypromellose, USP; magnesium stearate, NF; microcrystalline cellulose, NF; sodium starch glycolate, NF

Distributed by:
Reckitt Benckiser Inc.
Parsippany, NJ 07054-0224
©RBI 2009

PRINCIPAL DISPLAY PANEL - 1200 mg Carton

MAXIMUM STRENGTH

NDC 63824-072-35

Mucinex®DM

1200 mg guaifenesin & 60 mg dextromethorphan HBr
extended-release bi-layer tablets

EXPECTORANT & COUGH SUPPRESSANT

12 HOUR

NEW LOOK-
SAME RELIEF

Thins And Loosens Mucus

Controls Cough

14 EXTENDED-RELEASE BI-LAYER TABLETS


MUCINEX DM  MAXIMUM STRENGTH
guaifenesin and dextromethorphan hydrobromide  tablet, extended release Product Information Product Type HUMAN OTC DRUG NDC Product Code (Source) 63824-072 Route of Administration ORAL DEA Schedule      Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Guaifenesin (Guaifenesin) Guaifenesin 1200 mg Dextromethorphan Hydrobromide (Dextromethorphan) Dextromethorphan Hydrobromide 60 mg Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found Product Characteristics Color WHITE (yellow and white) Score no score Shape OVAL Size 22mm Flavor Imprint Code Mucinex;1200 Contains          Packaging # NDC Package Description Multilevel Packaging 1 63824-072-35 2 BLISTER PACK In 1 CARTON contains a BLISTER PACK 1 7 TABLET In 1 BLISTER PACK This package is contained within the CARTON (63824-072-35) 2 63824-072-36 4 BLISTER PACK In 1 CARTON contains a BLISTER PACK 2 7 TABLET In 1 BLISTER PACK This package is contained within the CARTON (63824-072-36) 3 63824-072-39 1 BOTTLE In 1 CARTON contains a BOTTLE 3 38 TABLET In 1 BOTTLE This package is contained within the CARTON (63824-072-39) 4 63824-072-45 1 BOTTLE In 1 CARTON contains a BOTTLE 4 44 TABLET In 1 BOTTLE This package is contained within the CARTON (63824-072-45)
Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date NDA NDA021620 03/31/2009
Labeler - Reckitt Benckiser, Inc. (094405024) Revised: 12/2009Reckitt Benckiser, Inc.
More Mucinex DM Maximum Strength resources Mucinex DM Maximum Strength Side Effects (in more detail) Mucinex DM Maximum Strength Dosage Mucinex DM Maximum Strength Use in Pregnancy & Breastfeeding Mucinex DM Maximum Strength Drug Interactions Mucinex DM Maximum Strength Support Group 0 Reviews for Mucinex DM Maximum Strength - Add your own review/rating Allfen DM Concise Consumer Information (Cerner Multum) Anti-Tuss DM Concise Consumer Information (Cerner Multum) Atuss-12 DX Extended-Release Liquid MedFacts Consumer Leaflet (Wolters Kluwer) Bidex-A Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer) Duratuss DM 12 Suspension MedFacts Consumer Leaflet (Wolters Kluwer) Guaifenesin DM Elixir MedFacts Consumer Leaflet (Wolters Kluwer) Humibid CS MedFacts Consumer Leaflet (Wolters Kluwer) Robitussin DM infant drops Scot-Tussin DM Liquid MedFacts Consumer Leaflet (Wolters Kluwer) Compare Mucinex DM Maximum Strength with other medications Cough Expectoration
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Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules


Pronunciation: a-seet-a-MIN-oh-fen/dex-troe-meth-OR-fan/gwye-FEN-e-sin/sue-doe-eh-FED-rin
Generic Name: Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine
Brand Name: Examples include Robitussin Cold/Cough/Flu and Sudafed Cold/Cough
Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules is used for:

Relieving pain, congestion, cough, and throat and airway irritation due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.

Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules is an analgesic, decongestant, cough suppressant, and expectorant combination. It works by constricting blood vessels and reducing swelling in the nasal passages, loosening mucus and lung secretions in the chest, and making coughs more productive. The analgesic and cough suppressant works in the brain to decrease pain and to help decrease the cough reflex to reduce a dry cough.

Do NOT use Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules if: you are allergic to any ingredient in Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules you have severe high blood pressure, rapid heartbeat, or other severe heart problems (eg, heart blood vessel disease) you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

Before using Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules:

Some medical conditions may interact with Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, plan to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have a history of glaucoma, an enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, adrenal gland problems, an overactive thyroid, seizures, stroke, or liver problems, or if you consume more than 3 alcohol-containing drinks per day if you have a chronic cough, lung problems (eg, asthma, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if your cough occurs with large amounts of mucus

Some MEDICINES MAY INTERACT with Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:

Beta-blockers (eg, propranolol), COMT inhibitors (eg, tolcapone), furazolidone, indomethacin, isoniazid, MAO inhibitors (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because the risk of side effects from Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may be increased Anticoagulants (eg, warfarin), digoxin, or droxidopa because the risk of side effects such as bleeding, irregular heartbeat or heart attack may be increased Bromocriptine because the risk of side effects may be increased by Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because effectiveness may be decreased by Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules

This may not be a complete list of all interactions that may occur. Ask your health care provider if Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules:

Use Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may be taken with or without food. Drink plenty of water while taking Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. If you miss a dose of Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules.

Important safety information: Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Using Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks. Do not take appetite suppressants while you are taking Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules without checking with your doctor. Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules contains acetaminophen and pseudoephedrine. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains acetaminophen or pseudoephedrine. If it does or if you are uncertain, contact your doctor or pharmacist. Do NOT exceed the recommended dose or take Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules for longer than prescribed without checking with your doctor. If your symptoms do not improve within 5 to 7 days or if they become worse, check with your doctor. Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may cause liver damage. If you consume 3 or more alcohol-containing drinks every day, ask your doctor if you should take Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules or other pain relievers/fever reducers. Alcohol use combined with Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may increase your risk for liver damage. Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules may interfere with certain lab test results. Make sure that all of your doctors and lab personnel know that you are taking Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Use Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules with caution in the ELDERLY because they may be more sensitive to its effects. Caution is advised when using Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules in CHILDREN because they may be more sensitive to its effects. PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules, discuss with your doctor the benefits and risks of using Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules during pregnancy. It is unknown if Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules is excreted in breast milk. Do not breast-feed while taking Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. Possible side effects of Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; stomach pain; tremor; yellowing of skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; stomach pain; unusually fast, slow, or irregular heartbeat; vomiting; yellowing of skin or eyes.

Proper storage of Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules:

Store Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules out of the reach of children and away from pets.

General information: If you have any questions about Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules, please talk with your doctor, pharmacist, or other health care provider. Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules is to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Capsules. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012 Database Edition 12.1.1.002 Copyright © 2012 Wolters Kluwer Health, Inc. More Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine resources Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Side Effects (in more detail) Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Dosage Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Use in Pregnancy & Breastfeeding Drug Images Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Drug Interactions Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine Support Group 0 Reviews for Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine - Add your own review/rating Compare Acetaminophen/Dextromethorphan/Guaifenesin/Pseudoephedrine with other medications Cold Symptoms Cough and Nasal Congestion
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Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup


Pronunciation: a-seet-a-MIN-oh-fen/dex-troe-meth-OR-fan/fen-ill-EF-rin/peer-IL-a-meen
Generic Name: Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine
Brand Name: Robitussin Night Relief
Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup is used for:

Relieving symptoms of pain, sinus congestion, runny nose, sneezing, and cough due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.

Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup is a decongestant, antihistamine, cough suppressant, and analgesic combination. It works by constricting blood vessels and reducing swelling in the nasal passages. The antihistamine works by blocking the action of histamine, which helps reduce symptoms, such as watery eyes and sneezing. The analgesic and cough suppressant work in the brain to decrease pain and to reduce dry or unproductive cough.

Do NOT use Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup if: you are allergic to any ingredient in Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup you have severe high blood pressure, severe heart blood vessel disease, a rapid heartbeat, or severe heart problems you are unable to urinate or are having an asthma attack you take sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

Before using Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup:

Some medical conditions may interact with Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have a fast, slow, or irregular heartbeat if you have a history of adrenal gland problems (eg, adrenal gland tumor); heart problems; high blood pressure; diabetes; heart blood vessel problems; stroke; glaucoma; a blockage of your bladder, stomach, or intestines; ulcers; trouble urinating; an enlarged prostate or other prostate problems; seizures; an overactive thyroid; liver problems; severe kidney problems; or if you consume more than 3 alcohol-containing drinks per day if you have a history of asthma, chronic cough, lung problems (eg, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if cough occurs with large amounts of mucus

Some MEDICINES MAY INTERACT with Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Tell your health care provider if you are taking any other medicines, especially any of the following:

Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, isoniazid, MAO inhibitors (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because side effects of Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may be increased Anticoagulants (eg, warfarin), digoxin, or droxidopa because risk of bleeding, irregular heartbeat or heart attack may be increased Bromocriptine or hydantoins (eg, phenytoin) because side effects may be increased by Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because effectiveness may be decreased by Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup

This may not be a complete list of all interactions that may occur. Ask your health care provider if Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup:

Use Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may be taken with or without food. Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose. If you miss a dose of Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup.

Important safety information: Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Using Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks. Do not take diet or appetite control medicines while you are taking Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup without checking with your doctor. Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup contains acetaminophen and dextromethorphan, phenylephrine, and pyrilamine. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains acetaminophen, dextromethorphan, phenylephrine, or pyrilamine. If it does or if you are uncertain, contact your doctor or pharmacist. Do NOT exceed the recommended dose or take Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup for longer than prescribed without checking with your doctor. If your symptoms do not improve within 5 to 7 days or if they become worse, check with your doctor. Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Use a sunscreen or protective clothing if you must be outside for a prolonged period. Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may cause liver damage. If you consume 3 or more alcohol-containing drinks every day, ask your doctor if you should take Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup or other pain relievers/fever reducers. Alcohol use combined with Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup may increase your risk for liver damage. If you are scheduled for allergy skin testing, do not take Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup for several days before the test because it may decrease your response to the skin tests. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Use Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup with caution in the ELDERLY because they may be more sensitive to its effects. Caution is advised when using Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup in CHILDREN because they may be more sensitive to its effects. PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup, discuss with your doctor the benefits and risks of using Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup during pregnancy. It is unknown if Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup is excreted in breast milk. Do not breast-feed while taking Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. Possible side effects of Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; stomach pain; tremor; trouble sleeping; vision changes; yellowing of skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; and vomiting.

Proper storage of Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup:

Store Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup out of the reach of children and away from pets.

General information: If you have any questions about Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup, please talk with your doctor, pharmacist, or other health care provider. Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup is to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Syrup. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012 Database Edition 12.1.1.002 Copyright © 2012 Wolters Kluwer Health, Inc. More Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine resources Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Side Effects (in more detail) Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Use in Pregnancy & Breastfeeding Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Drug Interactions Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine Support Group 0 Reviews for Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine - Add your own review/rating Compare Acetaminophen/Dextromethorphan/Phenylephrine/Pyrilamine with other medications Cold Symptoms Cough Cough and Nasal Congestion Nasal Congestion Pain/Fever Rhinorrhea Sinus Symptoms
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