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Dytan-CS

30/06/10

Generic Name: carbetapentane, diphenhydramine, and phenylephrine (car bay tah PEN tane, die fen HIGH dra meen, and feh nill EH frin)
Brand Names: D-Tann CT, Dytan-CS

What is Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Carbetapentane is a cough suppressant.

Diphenhydramine is an antihistamine. It blocks the effects of the naturally occurring chemical histamine in the body. Diphenhydramine prevents sneezing; itchy, watery eyes and nose; and other symptoms of allergies and hay fever.

Phenylephrine is a decongestant. It works by constricting (shrinking) blood vessels (veins and arteries) in the body. Constriction of blood vessels in the sinuses and nose decreases congestion.

Carbetapentane, diphenhydramine, and phenylephrine is used to treat cough and nasal congestion associated with allergies or the common cold.

Carbetapentane, diphenhydramine, and phenylephrine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Use caution when driving, operating machinery, or performing other hazardous activities. Carbetapentane, diphenhydramine, and phenylephrine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking carbetapentane, diphenhydramine, and phenylephrine.

What should I discuss with my healthcare provider before taking Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Do not take carbetapentane, diphenhydramine, and phenylephrine if you have taken selegiline (Carbex, Eldepryl) or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Before taking this medication, tell your doctor if you have

epilepsy or another seizure disorder;
been diagnosed with sleep apnea (periods of not breathing during sleep);
thyroid problems;
asthma, emphysema, or chronic obstructive pulmonary disease (COPD);
gallbladder disease;
a head injury;
Addison’s disease;
diabetes;
glaucoma;
an ulcer or an obstruction in the stomach;
bladder problems or difficulty urinating;
an enlarged prostate;
high blood pressure, irregular heartbeats, or any type of heart disease;
kidney problems; or
liver problems.

You may not be able to take carbetapentane, diphenhydramine, and phenylephrine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

It is not known whether this medication will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. Carbetapentane, diphenhydramine, and phenylephrine may pass into breast milk and be harmful to a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age, you may be more likely to experience side effects from carbetapentane, diphenhydramine, and phenylephrine. You may need a lower dose of this medication.

How should I take Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Take carbetapentane, diphenhydramine, and phenylephrine exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Shake the suspension well before measuring a dose. To ensure that you get a correct dose, measure the liquid form of carbetapentane, diphenhydramine, and phenylephrine with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Do not take more of this medication than is recommended. An overdose of this medication can cause serious harm.

Do not take carbetapentane, diphenhydramine, and phenylephrine for longer than is prescribed. If your symptoms do not improve, if they get worse, or if they are accompanied by fever, talk to your doctor.

Store carbetapentane, diphenhydramine, and phenylephrine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of a carbetapentane, diphenhydramine, and phenylephrine overdose include dryness of the mouth, large pupils, flushing, nausea, vomiting, hyperactivity, or hallucinations.

What should I avoid while taking Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Do not take other over-the-counter cough, cold, allergy, diet, or sleep aids while taking carbetapentane, diphenhydramine, and phenylephrine without first talking to your doctor or pharmacist. Other medications may also contain carbetapentane, phenylephrine, pyrilamine or other similar drugs. You may accidentally take too much of these medicines.

Carbetapentane, diphenhydramine, and phenylephrine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if carbetapentane, diphenhydramine, and phenylephrine is taken with any of these medications.

Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine) side effects

Serious side effects are unlikely to occur. Stop taking carbetapentane, diphenhydramine, and phenylephrine and seek emergency medical attention if an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives) is experienced.

Other, less serious side effects may be more likely to occur. Continue to take carbetapentane, diphenhydramine, and phenylephrine and talk to your doctor or try another similar medication if you experience

dryness of the eyes, nose, or mouth;
drowsiness or dizziness;
blurred vision;
difficulty urinating; or
excitation in children.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Dytan-CS (carbetapentane, diphenhydramine, and phenylephrine)?

Drugs other than those listed here may also interact with carbetapentane, diphenhydramine, and phenylephrine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information?

Your pharmacist has additional information about carbetapentane, diphenhydramine, and phenylephrine written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

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Dyphylline Elixir

30/06/10

Generic Name: Dyphylline (DYE-fi-lin)
Brand Name: Dylix

Dyphylline Elixir is used for:

Relieving breathing problems caused by bronchial asthma, chronic bronchitis, or emphysema.

Dyphylline Elixir is a bronchodilator. It works by widening the air passages and making it easier to breathe.

Do NOT use Dyphylline Elixir if:

you are allergic to any ingredient in Dyphylline Elixir or to other xanthines (eg, theophylline)
you are taking amprenavir, disulfiram, fluorouracil, metronidazole, intravenous (IV) dipyridamole, halothane, or sodium oxybate (GHB)

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

Before using Dyphylline Elixir:

Some medical conditions may interact with Dyphylline Elixir. 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 severe heart disease or heart damage, high blood pressure, epilepsy, kidney disease, thyroid problems, or ulcers

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

Beta-blockers (eg, propranolol) because the effectiveness of Dyphylline Elixir may be decreased
Cimetidine, ephedrine, halothane, mexiletine, probenecid, sympathomimetics (eg, albuterol), tacrine, xanthines (eg, theophylline ), or zileuton because side effects and toxic effects of Dyphylline Elixir may be increased
Acetaminophen, acitretin, amprenavir, barbiturates (eg, phenobarbital), cephalosporins (eg, cefotetan), disulfiram, fluorouracil, furazolidone, insulin, metformin, metronidazole, sodium oxybate (GHB), or sulfonylureas (eg, glipizide) because actions and side effects may be increased by Dyphylline Elixir
Adenosine, IV dipyridamole, lithium, or nondepolarizing muscle relaxants (eg, pancuronium) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Dyphylline Elixir 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 Dyphylline Elixir:

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

Dyphylline Elixir may be taken with or without food. Taking it after eating may help to decrease stomach upset.
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 Dyphylline Elixir, 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 Dyphylline Elixir.

Important safety information:

Dyphylline Elixir will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
Do not exceed the recommended dose without checking with your doctor.
Avoid large amounts of caffeine-containing foods and beverages, such as coffee, tea, cocoa, cola drinks, and chocolate.
Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Dyphylline Elixir.
Dyphylline Elixir may interfere with certain lab tests. Make sure your doctor and lab personnel know that you are taking Dyphylline Elixir.
Use Dyphylline Elixir with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Dyphylline Elixir during pregnancy. Dyphylline Elixir is excreted in breast milk. If you are or will be breast-feeding while you are using Dyphylline Elixir, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Dyphylline Elixir:

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:

Headache; nausea; upset stomach.

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); blood in the urine; bloody vomit; diarrhea; dizziness; excitability; fast breathing; fast/irregular heartbeat; flushing; increased thirst or urination; irritability; muscle twitching; pounding in the chest; restlessness; seizures; stomach pain; trouble sleeping; vomiting.

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. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include agitation; chest pain; dehydration; excessive sweating; excessive thirst; fever or chills; irregular heartbeat; loss of appetite; ringing in the ears; seizures; severe vomiting.

Proper storage of Dyphylline Elixir:

Store Dyphylline Elixir 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 Dyphylline Elixir out of the reach of children and away from pets.

General information:

If you have any questions about Dyphylline Elixir, please talk with your doctor, pharmacist, or other health care provider.
Dyphylline Elixir 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.

This information is a summary only. It does not contain all information about Dyphylline Elixir. 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: May 5, 2010

Database Edition 10.2.1.002

D,Med-facts

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dyphylline and guaifenesin

30/06/10

Generic Name: dyphylline and guaifenesin (DYE fil in and gwye FEN e sin)
Brand names: COPD, Difil G, Difil-G Forte, Dilex-G, Dy-G, Dyfilin GG, Dyflex-G, Dyphylline GG, Jay-Phyl, Lufyllin-GG, Panfil G, …show all 21 brand names.

What is dyphylline and guaifenesin?

Dyphylline is a bronchodilator. It works by relaxing muscles in the airways to improve breathing.

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

The combination of dyphylline and guaifenesin is used to treat cough and breathing problems caused by bronchial asthma, chronic bronchitis, or emphysema. This medication is not a cure for asthma, bronchitis, or emphysema.

Dyphylline and guaifenesin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about dyphylline and dyphylline and guaifenesin?

You should not use this medicine if you are allergic to dyphylline or guaifenesin. This medication will not treat an asthma attack.

Before taking this medication, tell your doctor if you have heart disease or a history of heart attack, high blood pressure, overactive thyroid, or a stomach ulcer.

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

Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children. Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication.

Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. Guaifenesin is contained in many medicines available over the counter. If you take certain products together you may accidentally take too much guaifenesin. Read the label of any other medicine you are using to see if it contains guaifenesin.

What should I discuss with my healthcare provider before taking dyphylline and guaifenesin?

You should not use this medicine if you are allergic to dyphylline or guaifenesin. This medication will not treat an asthma attack.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take dyphylline and guaifenesin, tell your doctor if you have:

heart disease or a history of heart attack;
high blood pressure;
overactive thyroid; or
a stomach ulcer.

FDA pregnancy category C. It is not known whether dyphylline and guaifenesin is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Dyphylline and guaifenesin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take dyphylline and guaifenesin?

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

Measure the liquid form of dyphylline and guaifenesin with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using dyphylline and guaifenesin.

Store dyphylline and guaifenesin at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, diarrhea, thirst, sweating, fast or slow heart rate, ringing in your ears, feeling anxious or irritable, and seizure (convulsions).

What should I avoid while taking dyphylline and guaifenesin?

Dyphylline and guaifenesin 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. Call your doctor at once if you have a serious side effect such as:

fast, pounding, or uneven heartbeats;
rapid breathing;
muscle twitching;
feeling like you might pass out;
seizure (convulsions); or
extreme thirst with headache, nausea, vomiting, and weakness.

Less serious side effects may include:

headache;
mild nausea, vomiting, or stomach pain;
feeling restless, agitated, or irritable;
sleep problems (insomnia); or
warmth, redness, or tingly feeling under your skin.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

Dyphylline and guaifenesin Dosing Information

Usual Adult Dose for Asthma:

Dyphylline-guaifenesin:
200 mg-100 mg capsule: 1 capsule orally 3 or 4 times a day.
200 mg-200 mg or 200 mg-300 mg: 1 tablet orally four times a day.
100 mg-100 mg/15 mL: 15 to 30 mL orally four times a day.
100 mg-50 mg/5 mL: 10 mL orally 3 or 4 times a day.
300 mg-300 mg/15 mL: 5 to 10 mL orally four times a day.
200 mg-400 mg tablet: 1 tablet orally 3 or 4 times daily.
100 mg-200 mg/5 mL: 5 to 10 mL orally 3 or 4 times a day.
100 mg-100 mg/5 mL: 5 to 10 mL orally 3 or 4 times a day.

Dosage should be individually titrated according to severity of condition and patient response.

Usual Adult Dose for Bronchitis:

Dosage should be individually titrated according to severity of condition and patient response.

Usual Pediatric Dose for Asthma:

6 years or older:
Dyphylline-guaifenesin:
200 mg-100 mg: 1 capsule orally 3 or 4 times a day.
200 mg-200 mg or 200 mg-300 mg: 1/2 to 1 tablet orally three or four times a day.
100 mg-100 mg/15 mL: 15 to 30 mL orally three or four times a day.
100 mg-50 mg/5 mL: 1.25 mL to 10 mL orally 3 or 4 times a day not to exceed 10 mg/kg/day.
300 mg-300 mg/15 mL: 5 to 10 mL orally three or four times a day.
100 mg-200 mg/5 mL: 4.4 to 6.6 mg of dyphylline per kg of body weight per day orally in divided doses 3 to 4 times a day.

Dosage should be individually titrated according to severity of condition and patient response.

Usual Pediatric Dose for Bronchitis:

Dosage should be individually titrated according to severity of condition and patient response.

What other drugs will affect dyphylline and guaifenesin ?

The following drugs can interact with dyphylline and guaifenesin. Tell your doctor if you are using any of these:

probenecid (Benemid);
aminophylline (Phyllocontin, Truphylline); or
theophylline (Elixophyllin, Theo-24, Uniphyl).

This list is not complete and there may be other drugs that can interact with dyphylline and guaifenesin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about dyphylline and guaifenesin.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

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Dyphylline GG

30/06/10

Generic Name: dyphylline and guaifenesin (DYE fil in and gwye FEN e sin)
Brand Names: COPD, Difil G, Difil-G Forte, Dilex-G, Dy-G, Dyfilin GG, Dyflex-G, Dyphylline GG, Jay-Phyl, Lufyllin-GG, Panfil G

What is Dyphylline GG (dyphylline and guaifenesin)?

Dyphylline is a bronchodilator. It works by relaxing muscles in the airways to improve breathing.

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

Dyphylline and guaifenesin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about dyphylline and Dyphylline GG (dyphylline and guaifenesin)?

You should not use this medicine if you are allergic to dyphylline or guaifenesin. This medication will not treat an asthma attack.

Before taking this medication, tell your doctor if you have heart disease or a history of heart attack, high blood pressure, overactive thyroid, or a stomach ulcer.

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

What should I discuss with my healthcare provider before taking Dyphylline GG (dyphylline and guaifenesin)?

You should not use this medicine if you are allergic to dyphylline or guaifenesin. This medication will not treat an asthma attack.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take dyphylline and guaifenesin, tell your doctor if you have:

heart disease or a history of heart attack;
high blood pressure;
overactive thyroid; or
a stomach ulcer.

How should I take Dyphylline GG (dyphylline and guaifenesin)?

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

Measure the liquid form of dyphylline and guaifenesin with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using dyphylline and guaifenesin.

Store dyphylline and guaifenesin at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, diarrhea, thirst, sweating, fast or slow heart rate, ringing in your ears, feeling anxious or irritable, and seizure (convulsions).

What should I avoid while taking Dyphylline GG (dyphylline and guaifenesin)?

Dyphylline GG (dyphylline and guaifenesin) side effects

fast, pounding, or uneven heartbeats;
rapid breathing;
muscle twitching;
feeling like you might pass out;
seizure (convulsions); or
extreme thirst with headache, nausea, vomiting, and weakness.

Less serious side effects may include:

headache;
mild nausea, vomiting, or stomach pain;
feeling restless, agitated, or irritable;
sleep problems (insomnia); or
warmth, redness, or tingly feeling under your skin.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect dyphylline and guaifenesin ?

The following drugs can interact with dyphylline and guaifenesin. Tell your doctor if you are using any of these:

probenecid (Benemid);
aminophylline (Phyllocontin, Truphylline); or
theophylline (Elixophyllin, Theo-24, Uniphyl).

Where can I get more information?

Your pharmacist can provide more information about dyphylline and guaifenesin.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

Comments (0)

30/06/10

Dyphylline/

Guaifenesin

Generic Name: Dyphylline/Guaifenesin (DYE-fi-lin/gwye-FEN-e-sin)
Brand Name: Examples include COPD and Lufyllin-GG

Dyphylline/Guaifenesin is used for:

Relieving breathing problems caused by bronchial asthma, chronic bronchitis, or emphysema.

Dyphylline/Guaifenesin is a bronchodilator and expectorant combination. It works by widening the air passages and making it easier to breathe, and by thinning the mucus for a more productive cough.

Do NOT use Dyphylline/Guaifenesin if:

you are allergic to any ingredient in Dyphylline/Guaifenesin
you are taking intravenous (IV) dipyridamole or halothane

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

Before using Dyphylline/Guaifenesin:

Some medical conditions may interact with Dyphylline/Guaifenesin. 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 severe heart disease or heart damage, high blood pressure, epilepsy, kidney disease, thyroid problems, or ulcers

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

Beta-blockers (eg, propranolol) because the effectiveness of Dyphylline/Guaifenesin may be decreased
Ephedrine, halothane, mexiletine, probenecid, sympathomimetics (eg, albuterol), tacrine, xanthines (eg, theophylline), or zileuton because side effects and toxic effects of Dyphylline/Guaifenesin may be increased
Adenosine, IV dipyridamole, lithium, or nondepolarizing muscle relaxants (eg, pancuronium) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Dyphylline/Guaifenesin 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 Dyphylline/Guaifenesin:

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

Dyphylline/Guaifenesin may be taken with or without food. Taking it after eating may help to decrease stomach upset.
Drinking extra fluids while you are taking Dyphylline/Guaifenesin is recommended. Check with your doctor for instructions.
If you miss a dose of Dyphylline/Guaifenesin, 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 Dyphylline/Guaifenesin.

Important safety information:

Do not exceed the recommended dose without checking with your doctor.
Avoid large amounts of caffeine-containing foods and beverages, such as coffee, tea, cocoa, cola drinks, and chocolate.
Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Dyphylline/Guaifenesin.
Dyphylline/Guaifenesin may interfere with certain lab tests. Make sure your doctor and laboratory personnel know that you are taking Dyphylline/Guaifenesin.
Dyphylline/Guaifenesin is not recommended for use in CHILDREN younger than 6 years of age. Safety and effectiveness in this age group have not been confirmed.
Caution is advised when using Dyphylline/Guaifenesin in CHILDREN 6 years of age and older because they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Dyphylline/Guaifenesin during pregnancy. Dyphylline/Guaifenesin is excreted in breast milk. If you are or will be breast feeding while you are using Dyphylline/Guaifenesin, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Dyphylline/Guaifenesin:

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:

Headache; nausea; upset stomach.

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); blood in the urine; bloody vomit; diarrhea; dizziness; excitability; fast breathing; fast/irregular heartbeat; flushing; increased thirst or urination; irritability; muscle twitching; pounding in the chest; restlessness; seizures; stomach pain; trouble sleeping; vomiting.

If OVERDOSE is suspected:

Proper storage of Dyphylline/Guaifenesin:

Store Dyphylline/Guaifenesin at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Avoid excessive heat (above 104 degrees F [40 degrees C]). Keep Dyphylline/Guaifenesin out of the reach of children and away from pets.

General information:

If you have any questions about Dyphylline/Guaifenesin, please talk with your doctor, pharmacist, or other health care provider.
Dyphylline/Guaifenesin 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.

This information is a summary only. It does not contain all information about Dyphylline/Guaifenesin. 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: May 5, 2010

Database Edition 10.2.1.002

D,Med-facts

Comments (0)

30/06/10

Dyphylline/

Guaifenesin Liquid

Generic Name: Dyphylline/Guaifenesin (DYE-fi-lin/gwye-FEN-e-sin)
Brand Name: Examples include Dilex-G and Lufyllin-GG

Dyphylline/Guaifenesin Liquid is used for:

Relieving breathing problems caused by bronchial asthma, chronic bronchitis, or emphysema.

Dyphylline/Guaifenesin Liquid is a bronchodilator and expectorant combination. It works by widening the air passages and making it easier to breathe, and by thinning the mucus for a more productive cough.

Do NOT use Dyphylline/Guaifenesin Liquid if:

you are allergic to any ingredient in Dyphylline/Guaifenesin Liquid
you are taking intravenous (IV) dipyridamole or halothane

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

Before using Dyphylline/Guaifenesin Liquid:

Some medical conditions may interact with Dyphylline/Guaifenesin Liquid. 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 severe heart disease or heart damage, high blood pressure, epilepsy, kidney disease, thyroid problems, or ulcers

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

Beta-blockers (eg, propranolol) because the effectiveness of Dyphylline/Guaifenesin Liquid may be decreased
Ephedrine, halothane, mexiletine, probenecid, sympathomimetics (eg, albuterol), tacrine, xanthines (eg, theophylline), or zileuton because side effects and toxic effects of Dyphylline/Guaifenesin Liquid may be increased
Adenosine, IV dipyridamole, lithium, or nondepolarizing muscle relaxants (eg, pancuronium) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Dyphylline/Guaifenesin Liquid 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 Dyphylline/Guaifenesin Liquid:

Use Dyphylline/Guaifenesin Liquid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Dyphylline/Guaifenesin Liquid may be taken with or without food. Taking it after eating may help to decrease stomach upset.
Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
Drinking extra fluids while you are taking Dyphylline/Guaifenesin Liquid is recommended. Check with your doctor for instructions.
If you miss a dose of Dyphylline/Guaifenesin Liquid, 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 Dyphylline/Guaifenesin Liquid.

Important safety information:

Do not exceed the recommended dose without checking with your doctor.
Avoid large amounts of caffeine-containing foods and beverages, such as coffee, tea, cocoa, cola drinks, and chocolate.
Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Dyphylline/Guaifenesin Liquid.
Dyphylline/Guaifenesin Liquid may interfere with certain lab tests. Make sure your doctor and lab personnel know that you are taking Dyphylline/Guaifenesin Liquid.
Dyphylline/Guaifenesin Liquid is not recommended for use in CHILDREN younger than 6 years of age. Safety and effectiveness in this age group have not been confirmed.
Caution is advised when using Dyphylline/Guaifenesin Liquid in CHILDREN 6 years of age and older because they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Dyphylline/Guaifenesin Liquid during pregnancy. Dyphylline/Guaifenesin Liquid is excreted in breast milk. If you are or will be breast feeding while you are using Dyphylline/Guaifenesin Liquid, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Dyphylline/Guaifenesin Liquid:

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:

Headache; nausea; upset stomach.

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); blood in the urine; bloody vomit; diarrhea; dizziness; excitability; fast breathing; fast/irregular heartbeat; flushing; increased thirst or urination; irritability; muscle twitching; pounding in the chest; restlessness; seizures; stomach pain; trouble sleeping; vomiting.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org ), or emergency room immediately. Symptoms may include agitation; chest pain; dehydration; excessive sweating; excessive thirst; fever or chills; irregular heartbeat; loss of appetite; ringing in the ears; seizures; severe vomiting.

Proper storage of Dyphylline/Guaifenesin Liquid:

Store Dyphylline/Guaifenesin Liquid at room temperature, 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 Dyphylline/Guaifenesin Liquid out of the reach of children and away from pets.

General information:

If you have any questions about Dyphylline/Guaifenesin Liquid, please talk with your doctor, pharmacist, or other health care provider.
Dyphylline/Guaifenesin Liquid 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.

This information is a summary only. It does not contain all information about Dyphylline/Guaifenesin Liquid. 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: May 5, 2010

Database Edition 10.2.1.002

D,Med-facts

Comments (0)

Dyrenium

30/06/10

Generic Name: triamterene (try AM teh reen)
Brand Names: Dyrenium

What is Dyrenium (triamterene)?

Triamterene is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low.

Triamterene is used to treat fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or a kidney condition called nephrotic syndrome.

Triamterene is also used to treat edema caused by having too much aldosterone in your body. Aldosterone is a hormone produced by the adrenal glands to help regulate the salt and water balance in your body.

Triamterene may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Dyrenium (triamterene)?

Do not use this medication if you have kidney disease, urination problems, severe liver disease, or high levels of potassium in your blood. Do not use potassium supplements or other diuretics while you are taking triamterene.

Before using this medication, tell your doctor if you have heart or liver disease, diabetes, gout, or a history of kidney stones. Tell your doctor if you are using another diuretic.

Avoid drinking alcohol, which can increase some of the side effects of triamterene.

Avoid a diet high in salt. Too much salt will cause your body to retain water and can make this medication less effective.

Do not use salt substitutes or low-sodium milk products that contain potassium. These products could cause your potassium levels to get too high while you are taking triamterene.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor’s instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What should I discuss with my doctor before taking Dyrenium (triamterene)?

Do not use this medication if you have:

kidney disease or are unable to urinate;
severe liver disease;
high potassium levels (hyperkalemia); or
if you are taking potassium supplements, or another potassium-sparing diuretic such as Dyazide, Maxzide, amiloride (Midamor, Moduretic), or spironolactone (Aldactone, Aldactazide).

Before using triamterene, tell your doctor if you have:

diabetes;
heart disease;
liver disease;
gout;
a history of kidney stones; or
if you are using another diuretic.

If you have any of these conditions, you may not be able to use triamterene, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Triamterene may pass into breast milk and could cause harm to a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Dyrenium (triamterene)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.

Take each dose with a full glass of water. Take this medication after eating a meal.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.

Triamterene can interfere with the results of certain medical tests. Tell any doctor who treats you that you are using triamterene.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking triamterene. You may need to stop using the medicine for a short time.

Store this medication at room temperature away from heat, light, and moisture.

See also: Dyrenium dosage in more detail

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a triamterene overdose may include increased urination, nausea, vomiting, weakness, fever, warmth or flushing in your face, or muscle spasms.

What should I avoid while taking Dyrenium (triamterene)?

Avoid drinking alcohol, which can increase some of the side effects of triamterene.

Avoid using other medicines that make you light-headed (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to the side effects of triamterene.

Do not use salt substitutes or low-sodium milk products that contain potassium. These products could cause your potassium levels to get too high while you are taking triamterene.

Avoid a diet high in salt. Too much salt will cause your body to retain water and can make this medication less effective.

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Dyrenium (triamterene) 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 this medication and call your doctor at once if you have any of these serious side effects:

numbness or tingly feeling;
muscle pain or weakness;
slow, fast, or uneven heartbeat;
feeling drowsy, restless, or light-headed;
urinating less than usual or not at all;
shallow breathing;
tremors, confusion; or
nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Continue using triamterene and talk with your doctor if you have any of these less serious side effects:

mild nausea, vomiting, or diarrhea;
dizziness, headache;
dry mouth; or
skin rash.

What other drugs will affect Dyrenium (triamterene)?

Before taking this medication, tell your doctor if you are using any of the following drugs:

lithium;
insulin or diabetes medicine taken by mouth;
an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), lisinopril (Prinivil, Zestril), ramipril (Altace), and others; or
indomethacin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen (Motrin, Advil), diclofenac (Voltaren), naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others.

If you are using any of these drugs, you may not be able to use triamterene, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect triamterene. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist has additional information about triamterene written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children. Never share your medicines with others and only use this medication for the condition prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

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Dynatuss Liquid

30/06/10

Generic Name: Carbinoxamine/Dextromethorphan/Pseudoephedrine (car-bi-NOX-ah-meen/dex-troe-meth-OR-fan/sue-doe-eh-FED-rin)
Brand Name: Examples include Cordron-DM and Dynatuss

Dynatuss Liquid is used for:

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

Dynatuss Liquid is a decongestant, antihistamine, and cough suppressant 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 while the cough suppressant works in the brain to help decrease the cough reflex to reduce a dry cough.

Do NOT use Dynatuss Liquid if:

you are allergic to any ingredient in Dynatuss Liquid
you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, or severe heart problems
you are unable to urinate or are having an asthma attack
you take sodium oxybate (GHB) or if you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (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 Dynatuss Liquid:

Some medical conditions may interact with Dynatuss Liquid. 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 stomach, bladder, or intestines; ulcers; trouble urinating; an enlarged prostate or other prostate problems; seizures; or an overactive thyroid
if you have a history of asthma, chronic cough, lung problems (eg, chronic bronchitis, emphysema), chronic obstructive pulmonary disease (COPD), or if your cough occurs with large amounts of mucus

Some MEDICINES MAY INTERACT with Dynatuss Liquid. 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, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Dynatuss Liquid’s side effects
Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased
Bromocriptine or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Dynatuss Liquid
Guanethidine, guanadrel, methyldopa, mecamylamine, or reserpine because their effectiveness may be decreased by Dynatuss Liquid

This may not be a complete list of all interactions that may occur. Ask your health care provider if Dynatuss Liquid 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 Dynatuss Liquid:

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

Take Dynatuss Liquid by mouth 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 Dynatuss Liquid, 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 Dynatuss Liquid.

Important safety information:

Dynatuss Liquid may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Dynatuss Liquid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Do not take diet or appetite control medicines while you are taking Dynatuss Liquid without checking with you doctor.
Dynatuss Liquid has pseudoephedrine in it. Before you start any new medicine, check the label to see if it has pseudoephedrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.
Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.
Dynatuss Liquid may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Dynatuss Liquid. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
Dynatuss Liquid may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Dynatuss Liquid for a few days before the tests.
Tell your doctor or dentist that you take Dynatuss Liquid before you receive any medical or dental care, emergency care, or surgery.
Use Dynatuss Liquid with caution in the ELDERLY; they may be more sensitive to its effects.
Caution is advised when using Dynatuss Liquid in CHILDREN; they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Dynatuss Liquid while you are pregnant. It is not known if Dynatuss Liquid is found in breast milk. Do not breast-feed while taking Dynatuss Liquid.

Possible side effects of Dynatuss Liquid:

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; itching; 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; tremor; trouble sleeping; vision changes.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), 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; vomiting.

Proper storage of Dynatuss Liquid:

Store Dynatuss Liquid 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 Dynatuss Liquid out of the reach of children and away from pets.

General information:

If you have any questions about Dynatuss Liquid, please talk with your doctor, pharmacist, or other health care provider.
Dynatuss Liquid 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.

This information is a summary only. It does not contain all information about Dynatuss Liquid. 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: May 5, 2010

Database Edition 10.2.1.002

D,Med-facts

Comments (0)

Dynex

30/06/10

Generic Name: guaifenesin and pseudoephedrine (gwye FEN e sin, soo doe e FED rin)
Brand Names: Altarussin PE, Ambifed, Biotuss PE, D-Feda II, Despec-SR, Dynex, ExeFen, Guiatex II SR, Maxifed, Maxifed-G, Medent LD, Medent-LDI, Mucinex D, Nasabid SR, Nasatab LA, Nomuc-PE, Poly-Vent IR, Poly-Vent, Jr., Pseudatex, Pseudo GG, Pseudo GG TR, Pseudo Max, Q-Tussin PE, Respaire-120 SR, Robitussin Severe Congestion, Ru-Tuss Jr., Sudafed Non Drying Sinus, SudaTex-G, Touro LA-LD, Triaminic Softchews Chest Congestion, We Mist II LA, We Mist LA

What is Dynex (guaifenesin and pseudoephedrine)?

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of guaifenesin and pseudoephedrine is used to treat nasal and sinus congestion, and to reduce chest congestion caused by the common cold, infections, or allergies.

Guaifenesin and pseudoephedrine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Dynex (guaifenesin and pseudoephedrine)?

Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains a decongestant or expectorant.

What should I discuss with my healthcare provider before taking Dynex (guaifenesin and pseudoephedrine)?

Do not use this medication if you are allergic to guaifenesin or pseudoephedrine, or to other decongestants, diet pills, stimulants, or ADHD medications. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Before taking guaifenesin and pseudoephedrine, tell your doctor if you are allergic to any drugs, or if you have:

heart disease or high blood pressure;
diabetes; or
a thyroid disorder.

If you have any of these conditions, you may not be able to use this medication, or you may need a dosage adjustment or special tests during treatment.

This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. This medication may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cold medicine may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.

How should I take Dynex (guaifenesin and pseudoephedrine)?

Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.

Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children. Do not crush, chew, break, or open a controlled-release, delayed-release, or extended-release tablet or capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

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

Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Take guaifenesin and pseudoephedrine with food if it upsets your stomach. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.

Store this medicine at room temperature, away from heat, light, and moisture.

What happens if I miss a dose?

Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, vomiting, dizziness, and feeling restless or nervous.

What should I avoid while taking Dynex (guaifenesin and pseudoephedrine)?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol while you are taking this medicine.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

Do not use any other over-the-counter cold, allergy, or cough medicine without first asking your doctor or pharmacist. Guaifenesin and pseudoephedrine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains guaifenesin or pseudoephedrine.

Dynex (guaifenesin and pseudoephedrine) 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 taking this medication and call your doctor at once if you have any of these serious side effects:

fast, pounding, or uneven heartbeat;
severe dizziness, anxiety, restless feeling, or nervousness;
easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or
increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

Keep taking guaifenesin and pseudoephedrine and talk to your doctor if you have any of these less serious side effects:

dizziness or headache;
feeling excited or restless;
sleep problems (insomnia);
nausea, vomiting, or stomach upset;
mild loss of appetite;
warmth, tingling, or redness under your skin; or
skin rash or itching.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Dynex (guaifenesin and pseudoephedrine)?

Before taking guaifenesin and pseudoephedrine, tell your doctor if you are using any of the following drugs:

methyldopa (Aldomet);
medicines to treat high blood pressure;
a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others; or
antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

This is not a complete list and there may be other drugs that can affect guaifenesin and pseudoephedrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about guaifenesin and pseudoephedrine.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

Comments (0)

Dynex HD

30/06/10

Generic Name: guaifenesin, hydrocodone, and pseudoephedrine (gwye FEN e sin, HYE droe KOE done, SOO doe ee FED rin)
Brand Names: Drituss HD, Dynex HD, Entex HC, Hydro-Tuss XP, Hydrotussin HD, Nalex Expectorant, Poly-Tussin XP, Pseudatex HC, Su-Tuss HD Elixir, Tussgen Expectorant, Vanacon

What is Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

Hydrocodone is a narcotic. It is a pain reliever and a cough suppressant.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of guaifenesin, hydrocodone, and pseudoephedrine is used to treat cough and nasal congestion, and to reduce chest congestion caused by the common cold, infections, or allergies.

Guaifenesin, hydrocodone, and pseudoephedrine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Hydrocodone may be habit-forming and should be used only by the person this medicine was prescribed for. Keep the medication in a secure place where others cannot get to it. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cold, allergy, or cough medicine without first asking your doctor or pharmacist. Guaifenesin and pseudoephedrine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug.

What should I discuss with my healthcare provider before taking Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Do not use this medication if you are allergic to guaifenesin, hydrocodone, or pseudoephedrine, or to other decongestants, diet pills, stimulants, or ADHD medications. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. This medication should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

Before taking guaifenesin, hydrocodone, and pseudoephedrine, tell your doctor if you are allergic to any drugs, or if you have:

asthma, COPD, sleep apnea, or other breathing disorders;
heart disease or high blood pressure;
diabetes;
a thyroid disorder;
liver or kidney disease;
a seizure disorder;
Addison’s disease or other adrenal gland disorders;
enlarged prostate, urination problems;
mental illness; or
a history of drug or alcohol addiction.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. This medication may pass into breast milk and 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 Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

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

Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Take guaifenesin, hydrocodone, and pseudoephedrine with food if it upsets your stomach. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.

Store this medicine at room temperature, away from heat, light, and moisture.

Keep track of how much of this medicine has been used from each new bottle. Hydrocodone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, vomiting, dizziness, and feeling restless or nervous.

What should I avoid while taking Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine) side effects

fast, pounding, or uneven heartbeat;
severe dizziness, anxiety, restless feeling, or nervousness;
easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or
increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

Less serious side effects may include:

dizziness or headache;
feeling excited or restless;
sleep problems (insomnia);
nausea, vomiting, or stomach upset;
mild loss of appetite;
warmth, tingling, or redness under your skin; or
skin rash or itching.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Dynex HD (guaifenesin, hydrocodone, and pseudoephedrine)?

Before taking guaifenesin, hydrocodone, and pseudoephedrine, tell your doctor if you are using any of the following drugs:

methyldopa (Aldomet);
medicines to treat high blood pressure;
a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others; or
an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

This is not a complete list and there may be other drugs that can affect guaifenesin, hydrocodone, and pseudoephedrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about guaifenesin, hydrocodone, and pseudoephedrine.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,D

Comments (0)

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