Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine is used to provide temporary relief from symptoms of common cold, flu, allergies and other breathing illnesses. It belongs to a group of anti-allergic and decongestant medicines.
Furthermore, it also assists in managing secondary symptoms such as fever, headache, sinus congestion and cough.
Drowsiness
Upset stomach
Dry mouth or throat
Constipation
Mild headache
Chlorpheniramine Maleate is an antihistamine. It blocks the action of histamine, a substance in the body that causes allergy symptoms like runny nose, sneezing and itching.
Dextromethorphan is a cough suppressant. It acts on the part of the brain that triggers coughing, thus reducing the urge to cough.
Paracetamol/Acetaminophen is a painkiller and fever reducer. It works by changing how your body senses pain and by cooling down your body when you have a fever.
Phenylephrine is a decongestant. It narrows the blood vessels in your nose, reducing swelling and congestion, and making breathing easier.
When used together in this combination, these medicines provide effective relief from the symptoms of colds, flu and allergies.
Doctor of Medicine
BMS, FMC, MD Resident
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.
This medication is intended primarily for adults, and children over the age of 4 years.
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.
Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine may interact with monoamine oxidase inhibitors (such as isocarboxazid, linezolid, metaxalone, phenelzine, selegiline and tranylcypromine).
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.
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).
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.
This medicine should be used with caution during pregnancy and lactation. Pregnant or breastfeeding women should consult their doctor before starting this medication.
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.
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.
Frequently asked questions
The time it takes for this medicine to start working can vary depending on the individual and the condition being managed. It is best to consult your doctor for this information.
Yes, one of the common side effects of this medication can be drowsiness. Therefore, you should avoid activities requiring alertness such as driving until you know how the medication affects you.
Yes, Constipation is one of the common side effects of this medication. Drinking plenty of water and eating a diet high in fibre can help manage this side effect.
No, the combination of Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine is not a steroid. It is a combination medicine that includes an antihistamine, a cough suppressant, a pain reliever (also reduces fever), and a nasal decongestant.
Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/Acetaminophen + Phenylephrine is not associated with affecting fertility. If you have any concerns about fertility or are planning to start a family, speak with your doctor for further information.
The duration of the effects can vary depending on many factors, including the severity and nature of your symptoms, your body’s response to the medication, and the exact dosage taken. However, relief from symptoms is generally experienced for several hours after taking a dose.
While some natural remedies may help manage cold and flu symptoms, they may not be as effective as this medication. Always consult your doctor before substituting a prescribed medicine with a natural remedy.
Chlorpheniramine Maleate + Dextromethorphan + Paracetamol/acetaminophen + Phenylephrine in other salts
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