Ask a doctor before using this medicine if you are pregnant. Dextromethorphan and doxylamine may pass into breast milk and may harm a nursing baby. Antihistamines may also slow breast milk production.
Ask a doctor before using this medicine if you are breast-feeding. Artificially sweetened cough or cold medicine may contain phenylalanine.
If you have phenylketonuria PKU , check the medication label to see if the product contains phenylalanine. Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cough or cold medicine is usually taken only for a short time until your symptoms clear up.
Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Call 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 surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken this medicine within the past few days. Since dextromethorphan and doxylamine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
Ask a doctor or pharmacist before using any other cold, cough, allergy, or sleep medicine. Many combination medicines contain dextromethorphan or doxylamine.
Taking certain products together can cause you to get too much of this medicine. This medicine may cause blurred vision or impair your thinking or reactions. Avoid driving or operating machinery until you know how dextromethorphan and doxylamine will affect you.
Get emergency medical help if you have signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
Ask a doctor or pharmacist before using this medicine if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide. Check the label to see if a medicine contains an antihistamine or cough suppressant.
This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Get emergency medical help if you have any of these signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Tell your doctor about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide. Taking this medicine with other drugs that make you sleepy or slow your breathing can worsen these effects.
Ask your doctor before taking doxylamine, dextromethorphan, and pseudoephedrine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures. Your pharmacist can provide more information about doxylamine, dextromethorphan, 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. 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.
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. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Long-term use of an opioid drug may lead to lower sex hormone levels. Call your doctor if you have a lowered interest in sex, fertility problems, no menstrual period, or ejaculation problems. This drug may raise the chance of seizures in some people, including people who have had seizures in the past.
Talk to your doctor to see if you have a greater chance of seizures while taking this drug. If you are 65 or older, use this drug with care. You could have more side effects. This drug may cause harm to the unborn baby if you take it while you are pregnant.
If you are pregnant or you get pregnant while taking this drug, call your doctor right away. Children: The chance of very bad side effects may be higher in children. This may be more likely to happen in children who have breathing problems.
Deadly breathing problems have happened with the use of codeine in some children. What are some side effects that I need to call my doctor about right away? Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain. Very bad dizziness or passing out. Chest pain or pressure. Trouble breathing, slow breathing, or shallow breathing. Noisy breathing. Breathing problems during sleep sleep apnea. Feeling confused. Depression or other mood changes. Severe constipation or stomach pain. These may be signs of a severe bowel problem. Change in eyesight.
Ringing in ears. Trouble passing urine. Rarely, low blood cell counts have happened with this drug. Call your doctor right away if you have any unexplained bruising or bleeding; signs of infection like fever, chills, or sore throat; or feel very tired or weak. It can cause severe health problems that may not go away, and sometimes death.
Get medical help right away if you have signs like red, swollen, blistered, or peeling skin with or without fever ; red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
A severe and sometimes deadly problem called serotonin syndrome may happen if you take this drug with certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or severe headache.
What are some other side effects of this drug? Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Feeling dizzy, sleepy, tired, or weak.
Feeling nervous and excitable. Constipation, diarrhea, stomach pain, upset stomach, or throwing up. Dry mouth. Trouble sleeping. You may report side effects to your national health agency. How is this drug best taken? Take with or without food. Take with food if it causes an upset stomach. Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
Do not take this drug for longer than you were told by your doctor. If you have been taking this drug on a regular basis and you stop it all of a sudden, you may have signs of withdrawal.
Do not stop taking this drug all of a sudden without calling your doctor. Tell your doctor if you have any bad effects. Have your blood work checked if you are on this drug for a long time.
Talk with your doctor. Do not take this drug with other strong pain drugs or if you are using a pain patch without talking to your doctor first. This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug. What do I do if I miss a dose? If you take this drug on a regular basis, take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
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