Pulmocare 125ml Syrup

Chlorpheniramine, a first-generation antihistamine, blocks H1-receptor sites, preventing histamine from binding and leading to reduced allergic symptoms. Dextromethorphan acts centrally as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist and sigma ligand to suppress the cough reflex. Pseudoephedrine, a sympathomimetic amine, primarily stimulates α-adrenergic receptors, causing vasoconstriction and resulting in reduced nasal congestion and increased sinus drainage.

Chlorpheniramine, Dextromethorphan, Pseudoephedrine

Antihistamine, Antitussive, Decongestant

Suspension

The following are the uses of Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• Used for relieving symptoms of the common cold, flu, allergies, or other breathing illnesses
• Used to treat coughs, including those with mucus
• Used to temporarily relieve runny nose, sneezing, and itching
• Used to help reduce nasal congestion and sinus pressure
• Used to suppress coughs caused by minor throat or airway irritation
• Used for easing symptoms of sinus congestion and pressure
• Used to provide temporary relief from watery eyes and itchy throat
• Used to promote comfortable breathing by reducing congestion

In the case of an overdose of Chlorpheniramine, Dextromethorphan, and Pseudoephedrine Syrup/Suspension, prompt medical attention is required. Symptoms may include rapid heartbeat, dizziness, severe drowsiness, and confusion. Seek emergency care if these symptoms occur, especially in children or the elderly. Medical professionals should be informed of the specific medication and dosage taken to provide appropriate treatment and support.

In the case of a missed dose of Chlorpheniramine, Dextromethorphan, and Pseudoephedrine Syrup/Suspension, it is recommended to take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one. For children, it is crucial to consult a healthcare professional for guidance on missed doses, as the medication is typically dosed based on age and weight.

To use Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension, shake the bottle well, measure the prescribed dose with a measuring device, and take it orally, following the dosage instructions provided by your healthcare provider, typically taken every 4 to 6 hours, with or without food, but it is advisable to take it with food to prevent stomach upset.

Following are the conditions/situations when Chlorpheniramine, Dextromethorphan, and Pseudoephedrine Syrup/Suspension should not be used:

• Avoid using this medication if you are allergic to any of the active ingredients,Chlorpheniramine, Dextromethorphan, or Pseudoephedrine, or any of the inactive components in the syrup/suspension.
• Not suitable for individuals with a history of hypersensitivity or severe reactions to antihistamines, cough suppressants, or decongestants.
• Should not be used in patients with narrow-angle glaucoma, as it can worsen the condition.
• Contraindicated in individuals with severe high blood pressure (hypertension) or cardiovascular disease.
• Avoid using this medication if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days.
• Not recommended for patients with severe liver or kidney disease.
• Do not use in children younger than 4 years old, as it can lead to serious side effects.
• Should not be combined with other medications containing the same active ingredients or similar drugs without medical advice.
• Contraindicated in patients with difficulty urinating due to an enlarged prostate gland.
• Avoid using this medication if you have a respiratory condition like chronic bronchitis or asthma, as it may worsen breathing problems.

Side effects of Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• Drowsiness
• Dizziness
• Dry mouth, nose, or throat
• Nausea
• Vomiting
• Constipation
• Difficulty sleeping
• Increased heart rate or palpitations
• Nervousness or restlessness
• Blurred vision
• Headache
• Sweating
• Difficulty urinating
• Loss of appetite
• High blood pressure

Following are the precautions and warnings for Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• This medication should not be used in patients with narrow-angle glaucoma, severe hypertension, cardiovascular disease, or hyperthyroidism.
• Patients with diabetes, heart disease, high blood pressure, or an enlarged prostate should use this medication with caution.
• Do not take this medication if you have taken an MAOI (monoamine oxidase inhibitor) in the last 14 days.
• Avoid using alcohol or other central nervous system depressants while on this medication as it may increase drowsiness.
• Patients with liver or kidney disease should exercise caution and consult a healthcare professional before use.
• Do not exceed the recommended dosage, as it may lead to serious side effects.
• If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medication.
• Keep this medication out of reach of children and pets.

Following are the drug interactions for Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• Concomitant use with CNS depressants, such as benzodiazepines or alcohol, may enhance sedative effects and increase the risk of drowsiness or respiratory depression.
• Monoamine oxidase inhibitors (MAOIs), such as phenelzine or tranylcypromine, may increase the risk of severe hypertension and other cardiovascular side effects when taken with pseudoephedrine.
• Antihypertensive drugs, such as beta-blockers or alpha-blockers, may have reduced effectiveness when taken with pseudoephedrine due to its vasoconstrictive effects.
• Tricyclic antidepressants (e.g., amitriptyline) may enhance the anticholinergic effects of chlorpheniramine, increasing the risk of dry mouth, constipation, and urinary retention.
• Other decongestants, such as phenylephrine or oxymetazoline, may increase the risk of cardiovascular side effects like increased heart rate or blood pressure when used together with pseudoephedrine.
• Cimetidine may inhibit the metabolism of dextromethorphan, potentially increasing its plasma concentration and the risk of side effects.
• Digoxin or other cardiac medications may have altered effects when combined with dextromethorphan, requiring monitoring of cardiac function.

Following are the food interactions for Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• Grapefruit and grapefruit juice consumption should be avoided as they can increase the bioavailability of Dextromethorphan, potentially leading to increased side effects.
• Alcohol is not recommended with this medication as it can enhance the sedative effects of Chlorpheniramine and Dextromethorphan, causing excessive drowsiness and impaired coordination.
• Caffeine intake should be limited as Pseudoephedrine may already cause stimulation, and caffeine can further increase heart rate and blood pressure.
• Dairy products can potentially decrease the absorption of Pseudoephedrine, so it is advisable to separate them by a few hours.
• High-fat meals might delay the absorption of Dextromethorphan, potentially affecting its onset of action.
• Spicy foods should be consumed with caution as Pseudoephedrine may increase stomach acid production, potentially causing discomfort or exacerbating reflux symptoms.
• Well-balanced meals are recommended to maintain overall health and support the body's response to the medication.
• Staying hydrated is essential, especially when consuming medications with potential drying effects like Chlorpheniramine.

Chlorpheniramine, Dextromethorphan, and Pseudoephedrine Syrup/Suspension should be stored in a controlled environment, maintaining a cool temperature between 68°F and 77°F (20°C and 25°C), ensuring it remains dry and protected from direct sunlight. Keep the medication securely sealed in its original packaging to maintain its integrity and prevent contamination. Avoid exposing it to excessive heat or moisture, and steer clear of storage areas like bathrooms or kitchens, which can compromise its quality. Dispose of any unused or expired syrup responsibly; refrain from flushing it or pouring it down the drain. Contact your pharmacist or healthcare provider for guidance on proper disposal methods. Always keep medications out of children's reach to prevent accidental ingestion.

Following are the quick tips for Chlorpheniramine, Dextromethorphan, Pseudoephedrine Syrup/Suspension:

• Consult a healthcare professional for dosage instructions, especially for children.
• Always measure the dose accurately using a measuring device.
• Take the syrup with a full glass of water for better effectiveness.
• Avoid taking it with citrus juices as they may interfere with absorption.
• Store the medication at room temperature, away from light and moisture.
• Do not double the dose to make up for a missed one; continue with the regular schedule.
• Inform your doctor about any other medications you are taking to avoid potential interactions.
• Dispose of any unused or expired medication properly, following local guidelines.