Dextromethorphan

Dosage Forms Available

• Dextromethorphan is available in various formulations for oral administration. These include syrups, tablets, lozenges, and extended-release suspensions. Each formulation is designed to provide relief from dry cough.

Age and Dose Restrictions

• The medicine is meant for both adults and children. However, it is not recommended for children under 4 years of age.

Contraindications

• Dextromethorphan is contraindicated in individuals with a known hypersensitivity to the medicine or any of its components.

• It should also be used cautiously in patients with certain respiratory conditions like asthma, Chronic Obstructive Pulmonary Disease (COPD) or bronchitis.

Other Medications to Avoid

• Dextromethorphan may interact with Monoamine oxidase inhibitors (eg., phenelzine, selegiline ), selective serotonin reuptake inhibitors (eg., fluoxetine, paroxetine), serotonin and norepinephrine reuptake inhibitors (eg., venlafaxine, milnacipran), and CYP2D6 inhibitors (eg., fluoxetine, quinidine).

Overdose and Missed Dose

• An overdose of Dextromethorphan can cause serious symptoms such as respiratory depression, seizures, rapid heartbeat, hypertension, hallucinations and even coma. If suspected, immediate medical attention should be sought.

• If you forget to take a dose, take it as soon as remember. However, if it is nearly time for the next dose, skip the missed dose and resume the regular dosing regime. Avoid repeating the dose.

Management of Side Effects

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

• If you experience dizziness or drowsiness, try taking the medicine at night or before you go to sleep.

• In case of nausea, taking the medicine with food may help.

Use in Driving and Operating Machinery

• Dextromethorphan may affect your ability to drive or operate heavy machines. Avoid driving if you feel dizzy or drowsy after taking this medication.

Use in Pregnancy and Lactation

• Pregnant and nursing women should only use Dextromethorphan after consulting with a doctor and if the potential benefits outweigh the risks.

Caution in Other Conditions

• Patients with liver or kidney impairment should exercise caution when using Dextromethorphan as dosage adjustments may be necessary.

• Also, caution is advised in patients with respiratory conditions, as it may thicken bronchial secretions making them more difficult to clear.

Special Dietary and Lifestyle Recommendations

• Maintain good hydration to keep the throat moist and to help soothe any irritation.

• Avoid exposure to irritants such as smoke and dust that can trigger coughing.