Chlorpheniramine; Dextromethorphan; Pseudoephedrine oral liquid

What is this medication?

CHLORPHENIRAMINE; DEXTROMETHORPHAN; PSEUDOEPHEDRINE (klor fen IR a meen; dex troe meth OR fan; soo doe e FED rin) is a combination of an antihistamine, a cough suppressant, and a decongestant. It is used to treat the symptoms of allergy and colds. This medicine will not treat an infection.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Amerifed DM, KidKare Cough/Cold, M-End DM, Mesehist DM, PediaCare Multi-Symptom Cold, PediaCare Night Rest Cough and Cold, Pediatric Cough and Cold, Rescon DM, Robitussin Pediatric Night Relief, Robitussin PM Cough and Cold, Triaminic Cough and Cold, Triaminic NightTime Cold and Cough, Vicks Formula 44M

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• blockage in your bowels
• diabetes (high blood sugar)
• glaucoma
• heart disease
• high blood pressure
• kidney disease
• lung or breathing disease (asthma, COPD)
• prostate disease
• stomach ulcers, other stomach or intestine problems
• taken an MAOI such as Marplan, Nardil, or Parnate in last 14 days
• thyroid disease
• an unusual or allergic reaction to chlorpheniramine, dextromethorphan, pseudoephedrine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medication?

Take this medicine by mouth. Take it as directed on the label at the same time every day. Use a specially marked oral syringe, spoon, or dropper to measure each dose. Ask your pharmacist if you do not have one. Household spoons are not accurate.

Talk to your health care provider about the use of this medicine in children. While this drug may be given to children as young as 6 years for selected conditions, precautions do apply.

Patients over 65 years of age may have stronger reactions and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply. This medicine is not for regular use. It should only be used as needed.

What may interact with this medication?

Do not take this medicine with any of the following medications:

• ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
• MAOIs like Marplan, Nardil, and Parnate
• ozanimod

This medicine may also interact with the following medications:

• alcohol
• certain medicines for anxiety or sleep
• certain medicines for depression like amitriptyline, fluoxetine, sertraline
• certain medicines for seizures like phenobarbital, primidone
• general anesthetics like halothane, isoflurane, methoxyflurane, propofol
• medicines for blood pressure
• medicines that relax muscles for surgery
• narcotic medicines for pain
• other antihistamines for allergy, cough, and cold
• phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy and drinking plenty of water may help. Contact your health care provider if the problem does not go away or is severe.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions (skin rash, itching or hives, swelling of the face, lips, or tongue)
• increase in blood pressure
• seizures
• serotonin syndrome (irritable; confusion; diarrhea; fast or irregular heartbeat; muscle twitching; stiff muscles; trouble walking; sweating; high fever; seizures; chills; vomiting)
• trouble passing urine

Side effects that usually do not require medical attention (report these to your doctor or health care professional if they continue or are bothersome):

• anxious
• dizziness
• dry mouth
• trouble sleeping
• unusually weak or tired

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medicine after the expiration date.

To get rid of medicines that are no longer needed or have expired:

• Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
• If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, pour the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.