Dextromethorphan 15mg tipharco treatment of dry cough, cough due to irritation (10 blisters x 10 tablets)

Dosage form Box of 10 blisters x 10 tablets
Specifications Dextromethorphan hydrobromid
Ingredient Tipharco

Ingredient

Composition information	Content
Dextromethorphan hydrobromid	15mg

Uses

indications

Dextromethorphan drugs are indicated in the following cases:

Treatment of symptoms of throat and bronchial is irritated when the cold is used or when inhaling the stimulant.

ATC code: R05DA09.

dextromethorphan hydrobromid is a reduced drug they work on their center in the brain. Although the chemical structure is related to morphine, the dextromethorphan has no pain to relieve pain and generally have very little sedative effects.

dextromethorphan is used to reduce cough due to mild stimulation in the bronchial and throat as the usual cold or inhalation of stimulants. Dextromethorphan is most effective in the treatment of chronic cough, without sputum. The drug is often used in combination with many other substances in the treatment of upper respiratory symptoms. The drug has no effect on sputum.

The effect of dextromethorphan is equivalent to the effect of codeine in the treatment of chronic cough. Compared to Codeine, dextromethorphan has the effect of reducing the irritating cough similar to Codeine, less side effects in the digestive tract. With the treatment dose, the anti -cough effect of the drug lasts 5-6 hours. Low toxicity, but with very high doses can inhibit the TKTW system.

Dynamic pharmacokinetics

Dextromethorphan is quickly absorbed through the digestive tract and works within 15-30 minutes after drinking, lasting about 6-8 hours (12 hours with slow liberation). The drug is metabolized in the liver and excreted through the urine in a constant form and the Demethyl metabolites, among them the Dexorophan also has a slight cough reduction effect.

Before taking Dextromethorphan 15mg tipharco treatment of dry cough, cough due to irritation (10 blisters x 10 tablets)

How to use

oral tablets. Take the tablet with a glass of water.

Dosage

Adults and children over 12 years: Take 10 - 20 mg, 4 hours/time, or 30 mg, 6 - 8 hours/time, up to 120 mg/24 hours.

Elderly: The dose of adults.

Children 6 - 12 years old: Take 15 mg, 6 - 8 hours/time, maximum 60 mg/24 hours.

Children 2 - 6 years old: This form of preparation is not suitable for the dose.

Patients are at risk of respiratory failure and patients who have coughing up phlegm, pus, maximum time to use the drug for no more than 7 days.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What to do when overdose?

symptoms:

Nausea, vomiting, drowsiness, blurred vision, eyeball, urinary retention, numbness, hallucinations, loss of air conditioning, respiratory failure, convulsions (often occurring with children).

Management:

Support treatment, using Naloxon 2 mg intravenously, for repeated use if the total dose of 10 mg is needed.

In case of emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double doses to compensate for missed dose.

Side Effects

When using the drug often has unwanted effects (ADR) such as:

Common, ADR> 1/100:

Body: Fatigue, dizziness.

Skin: urticaria.

Rare, ADR Sometimes I feel sleepy, digestive disorders.

Instructions on how to handle ADR:

In case of respiratory failure and inhibiting the central nervous system, using 2 - 10 mg dose of Naloxon, intravenous injection may have a recovery effect.

Notice to patients: The drug can cause drowsiness, avoiding the same central neurological and alcoholic inhibitors.

Notify the physician with unwanted effects when using the drug.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

contraindicated

Dextromethorphan drugs in the following cases:

Hypersensitivity to dextromethorphan and other ingredients of the drug.

Be cautious when using

need to be very careful when taking the drug for patients in the following cases:

Patients with coughs have too many phlegm and chronic cough in smokers, asthma or alveoli. Rare), especially due to prolonged high doses.

The effect of the drug on the ability to drive and operate machinery

The drug can cause dizziness and fatigue, so cautious when used for people who are operating machinery and trains.

Use drugs for women during pregnancy and lactation

Pregnant women:

dextromethorphan is considered safe when used for pregnant women and is not at risk for the fetus. But be careful when using combined preparations containing ethanol and should be avoided during pregnancy. Some authors recommend that pregnant women should not use preparations with dextromethorphan.

breastfeeding women:

Avoid using dextromethorphan combination preparations with ethanol for breastfeeding.

Drug interaction

dextromethorphan is metabolized by Cytochrom P450 Isoenzyme CYP2D6, so interact with these enzyme inhibitors such as Amiodarone, Haloperidol, Propafenon, Thioridazin, Quinidine reduces the metabolism of the liver and increases the liver and increases this level Increase the ADR of dextromethorphan.

Avoid simultaneous use with Mao inhibitors because it can cause harmful interaction reactions.

Concentrated with TKTW inhibitors can enhance the Inhibition of TKTW of these drugs or of dextromethorphan.

Valdecobid increases the concentration of dextromethorphan in serum when used together.

Dextromethorphan is used with Linezolid, causing serotonin syndrome syndrome. Memantin can increase the frequency and unwanted effects of Memantin and Dextromethorphan so avoid combining. Do not use in combination with moclobemid.

Storage

Leave a cool place, avoid light, temperatures below 30⁰C.

To be out of reach of children, read the instructions carefully before use.

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