Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/acetaminophen + Phenylephrine

Dosage Forms Available

• Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine is available for oral use in multiple forms such as tablets, capsules, and liquids.

• It is also available in the form of dissolving powders/strips which can be placed on the tongue and swallowed when completely dissolved.

Age and Dose Restrictions

• This medication is intended primarily for adults, and children over the age of 4 years.

Contraindications

• This medication is contraindicated in patients with known allergies to any of its components.

• It should not be used if you have certain health conditions such as heart disease, high blood pressure, thyroid problems, diabetes, glaucoma, enlarged prostate, liver or kidney disease.

Other Medications to Avoid

• Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine may interact with monoamine oxidase inhibitors (such as isocarboxazid, linezolid, metaxalone, phenelzine, selegiline and tranylcypromine).

Overdose and Missed Dose

• Overdose of this medication could lead to severe drowsiness, seizures, widened pupils, nausea, vomiting, rapid heartbeat, confusion, restlessness, hallucinations, stomach/intestinal problems, and liver damage. If an overdose is suspected, immediate medical attention must be sought.

• If a dose of this medicine is missed, it should be taken as soon as remembered. However, if it is nearing the time for the next dose, the missed one should be skipped and the regular dosage schedule adhered to.

Management of Side Effects

Most side effects are temporary and generally harmless resolving once the medication is discontinued. However, if you experience any severe side effects or worsening of symptoms, consult your doctor.

• Drinking plenty of water can help manage constipation and dry mouth.

• Rest techniques may help with managing sleep problems (insomnia).

Use in Driving and Operating Machinery

• This medication may cause drowsiness or dizziness which may affect your ability to drive or operate heavy machinery. It is advisable to avoid such activities until you are aware of how this medication affects you.

Use in Pregnancy and Lactation

• This medicine should be used with caution during pregnancy and lactation. Pregnant or breastfeeding women should consult their doctor before starting this medication.

Caution in Other Conditions

• Special caution is needed when using this medication if you have breathing problems such as asthma, COPD, sleep apnea or chronic bronchitis. Consult your doctor for guidance.

Special Dietary and Lifestyle Recommendations

• Maintain a balanced diet and stay hydrated to help manage constipation caused by this medicine.

• Regularly practising relaxation techniques like deep breathing, meditation, and yoga can help manage insomnia side effects.