Dextromethorphan; Guaifenesin; Phenylephrine oral syrup and solution

What is this medication?

DEXTROMETHORPHAN, GUAIFENESIN, and PHENYLEPHRINE (dex troe meth OR fan, gwye FEN e sin, fen il EF rin) is a combination of a cough suppressant, an expectorant, and a decongestant. It is used to treat cough and congestion. 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): Actidom DMX, Actinel DM, Broncotron PED, Dacex-DM, Dexcon-DM, Endacon, GDP-EX, Giltuss, Giltuss Children's Cough & Cold, Giltuss Cough & Cold, Giltuss Pediatric, Mucinex Children's Congestion & Cough, Mucinex Children's FreeFrom Daytime Multi-Symptom Cold & Stuffy Nose, Mucinex Children's Multi-Symptom Cold, Mucinex Fast-Max, Mucinex Fast-Max Severe Congestion & Cough, Mucinex Multi-Symptom Cold Children's, Numonyl DX, Q-Tussin CF, Robafen CF, Robitussin Adult Peak Cold, Robitussin CF Adult Peak Multi-Symptom, Robitussin CF Children's Cough & Cold, TriTuss, Tussafed EX, Tussafed-EX, Tussi-Pres, Tussidex, VanaCof DM, VanaCof DMX, Z-Dex, Z-Dex Pediatric, Zotex, Zotex Pediatric, ZTuss DM

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

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

•diabetes

•enlarged prostrate

•glaucoma

•heart disease

•high blood pressure

•if you have taken an MAOI like Carbex, Eldepryl, Marplan, Nardil, or Parnate in last 14 days

•lung or breathing disease, like asthma

•thyroid disease

•an unusual or allergic reaction to dextromethorphan, guaifenesin, phenylephrine, 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 with a full glass of water. Follow the directions on the prescription label. Take with food or milk. Use a specially marked spoon or container to measure your dose. Household spoons are not accurate. Take your medicine at regular intervals. Do not take it more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 4 years old for selected conditions, precautions do apply.

Patients over 60 years old may have a stronger reaction 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?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?

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

•ergot alkaloids like dihydroergotamine

•MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

•stimulant medicines for attention disorders, weight loss, or to stay awake

This medicine may also interact with the following medications:

•alcohol

•barbiturates like phenobarbital

•certain heart medicines like metoprolol, digoxin, and methyldopa

•diuretics

•doxazosin

•medicines for depression, anxiety, or psychotic disturbances

•medicines for sleep

•medicines to treat blood pressure

•muscle relaxers

•other medicines for cold, cough, or allergy

•some medicines used for sleep during surgery

•tamsulosin

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?

Talk to your doctor if your cough lasts for more than 1 week. If you have a high fever, skin rash, lasting headache, or sore throat, see your doctor.

Drink several glasses of water each day. This will help loosen mucus.

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.

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 like skin rash, itching or hives, swelling of the face, lips, or tongue

•anxiety, irritable, or excited

•breathing problems

•confusion

•fast, irregular heartbeat

•seizures

•tremor

•unusually weak or tired

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

•diarrhea

•dizziness

•headache

•nausea, vomiting

•stomach upset

•tiredness

•trouble sleeping

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.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep bottle tightly closed. Protect from light. Throw away any unused medicine after the expiration date.

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.