Chlorpheniramine + Dextromethorphan + Guaifenesin + Phenylephrine

Dosage Forms Available

• Chlorpheniramine + Dextromethorphan + Guaifenesin + Phenylephrine is available in various formulations for oral administration, including tablets, capsules, liquid syrup, and extended-release tablets or capsules.

Age and Dose Restrictions

• This combination is suitable for adults and children; however, it should not be given to children under four without consulting a doctor.

Contraindications

• This combination is contraindicated in patients who have severe hypertension or coronary artery disease.

• It is also contraindicated in patients who have taken monoamine oxidase inhibitors (MAOIs) within the past 14 days.

Other Medications to Avoid

• This combination may interact with MAOIs (such as phenelzine and tranylcypromine), antidepressants (like sertraline, amitriptyline, and fluoxetine), beta-blockers (including propranolol and atenolol), diuretics (such as furosemide and hydrochlorothiazide), certain cardiac glycosides (like digoxin), and sedatives or tranquillisers (like diazepam and alprazolam).

Overdose and Missed Dose

• An overdose of Chlorpheniramine + Dextromethorphan + Guaifenesin + Phenylephrine can lead to symptoms such as severe dizziness, increased heart rate, and confusion. If such symptoms are observed, it is crucial to seek medical attention immediately.

• If you miss a dose of this combination, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this combination. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If experiencing dry mouth, sip water regularly or use sugar-free gum to keep the mouth moist.

• In case of mild dizziness, try lying down until the sensation passes.

Use in Driving and Operating Machinery

• This combination can cause drowsiness or dizziness. You should avoid driving or operating heavy machinery if you feel affected in this way after taking the medicine.

Use in Pregnancy and Lactation

• Consult your doctor before using Chlorpheniramine + Dextromethorphan + Guaifenesin + Phenylephrine if you are pregnant or breastfeeding. It is important to assess the benefits against any potential risks to the mother and child with your doctor's guidance.

Caution in Other Conditions

• Individuals with conditions such as thyroid disorders, diabetes, glaucoma, prostate enlargement, or those with known difficulties in urination should exercise caution when using this combination.

Special Dietary and Lifestyle Recommendations

• Maintain adequate hydration, especially if experiencing dry mouth due to this medication.

• Engage in light to moderate exercise regularly that may help improve your respiratory health.

• Avoid exposure to allergens that might trigger respiratory symptoms requiring the use of this medication.