Dextromethorphan

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Description

COMPOSITION:
Dextromethorphan hydrobromide ....... 10 mg
Excipients q.s................................... 1 tablet
(Ludipress, magnesium stearate).
DOSAGE FORM: Tablets.
PRESENTATION: Box of 1 bottle x 100 tablets.
ACTIONS:
Dextromethorphan is a cough suppressant acting on the oblongatal cough centre. It is used in the temporary relief of cough due to mildly bronchial and throaty irritations such as common cold or due to inhalation of stimulants. Dextromethorphan is the most effective in the treatment of chronic, hacking cough. Dextromethorphan's antitussive effect is equivalent to that of codeine; however, it causes fewer adverse effects on the gastrointestinal tract than codeine. The drug has no apophlegmatic action.
Dextromethorphan is rapidly absorbed through gastrointestinal tract, acts within 15 - 30 minutes after oral administration and lasts for 6 - 8 hours. The drug is metabolized in liver and excreted via urine.
INDICATIONS:
Treatment of cough symptoms caused by irritated throat and bronchi during common cold or inhalation of stimulants.
Treatment of chronic and unproductive cough.
CONTRAINDICATIONS: Hypersensitivity to Dextromethorphan and any components of the drug. Patients receiving monoamine oxidase inhibitors (MAOIs). Children aged less than 2 years.
PRECAUTIONS: Patients undergoing cough with sputum, chronic cough in smokers, asthma or emphysema, people with the risk of respiratory impairment. Children with allergies. Dextromethorphan abuse and dependence may occur (although rarely), particularly in high dose for a prolonged time.
PREGNANCY AND LACTATION: The drug should not be indicated to these subjects. Consult a doctor before using this drug.
VEHICLES DRIVERS AND MACHINERY OPERATORS:
The drug may cause drowsiness; therefore, use with caution when driving vehicles or operating machinery.
INTERACTIONS: Contraindicated combination with monoamine oxidase inhibitors (MAOIs). Alcohol increases tranquilizing effect of Dextromethorphan. Caution should be taken when concurrent administration of Dextromethorphan and CNS inhibitors. Quinidine inhibits the metabolism of Dextromethorphan in the liver, and increases the serum concentration of Dextromethorphan.
ADVERSE EFFECTS: The drug may cause fatigue, tachycardia, constipation, dizziness, nausea, flushing, urticaria, skin rash.
Inform your physician about any adverse effects occur during the treatment.
OVERDOSAGE: Symptoms: nausea, vomiting, drowsiness, blurred vision, nystagmus, urine retention, hallucination, ataxia, respiratory depression, convulsions.
Treatment: supportive treatment. Naloxone 2 mg intravenously may be given and repeated to the total dose of 10 mg if necessary.
DOSAGE & ADMINISTRATION: Dosage should be depended on age and administered for several days only.
Children aged less than 6 years: do not use because it is hard to divide the tablet into small doses.
Children aged from 6 - 12 years: 1 tablet once every 4 hrs, maximum of 6 tablets per day.
Adults and children aged more than 12 years: 1 - 2 tablets once every 4 hrs or 3 tablets once every 6 - 8 hrs, maximum of 12 tablets per day.
The prolonged time of use should not exceed 7 days.
Or as directed by the physician.
Read the directions carefully before use.
Consult the physician for more information.
The drug is for prescription only.
  Shelf-life: 36 months from the manufacturing date.
  Storage conditions: Store in dry places, not exceeding 30oC, protect from light.
  Specifications: Manufacturer’s.

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