Chlorpheniramine + Dextromethorphan + Paracetamol/acetaminophen + Phenylephrine

Dosage Forms Available

• Chlorpheniramine + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine is available in oral form such as tablets and syrups.

• The medicine is taken by mouth.

Age and Dose Restrictions

• This medicine is intended for use in adults and children above 12 years of age.

Contraindications

• The medicine is contraindicated in patients with severe high blood pressure or severe coronary artery disease.

• It is also contraindicated in patients with a history of hypersensitivity to any of its components.

Other Medications to Avoid

• This combination may interact with monoamine oxidase inhibitors (such as phenelzine and tranylcypromine), antidepressants (like amitriptyline and sertraline), and blood pressure medications (including beta-blockers like propranolol and ACE inhibitors such as lisinopril).

Overdose and Missed Dose

• An overdose of this medicine may lead to symptoms such as nausea, vomiting, severe dizziness, confusion, and liver damage due to excess paracetamol/acetaminophen. Immediate medical attention is required in case of overdose.

• If you miss a dose, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with 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 medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If experiencing dry mouth, sipping water regularly can be helpful.

• For mild dizziness, resting and avoiding sudden movements can aid in reducing the sensation.

Use in Driving and Operating Machinery

• This medication may affect your ability to drive or operate machinery. Avoid engaging in such activities if you feel drowsy or dizzy after taking this medication.

Use in Pregnancy and Lactation

• The use of this medicine during pregnancy or breastfeeding is not recommended without a doctor's advice. It is best to consult your doctor before taking this medication if you are pregnant or nursing.

Caution in Other Conditions

• Caution is advised when using this medicine in patients with liver or kidney disease, as altered medicine metabolism may increase the risk of adverse effects.

• Patients with diabetes or thyroid disorders should also use this medicine cautiously.

Special Dietary and Lifestyle Recommendations

• Maintain adequate hydration to help alleviate symptoms managed by this medicine, especially conditions like the common cold or flu.

• A balanced diet rich in vitamins and minerals can support overall health and aid in recovery from respiratory infections.

• Ensure sufficient rest during illness to help your body recover more efficiently.

• Avoid smoking and exposure to second-hand smoke, as these can exacerbate respiratory symptoms.