Metro Drug
Full Prescribing Info
Cap: Paracetamol, guaifenesin, phenylpropanolamine hydrochloride, dextromethorphan hydrobromide, chlorphenamine maleate. Syr: Dextromethorphan hydrobromide, guaifenesin.
Forte cap: Each capsule contains: Paracetamol 325 mg, Guaifenesin 50 mg, Phenylpropanolamine Hydrochloride 12.5 mg, Dextromethorphan Hydrobromide 10 mg, Chlorphenamine Maleate 1 mg.
Syr: Each 5 mL (1 teaspoonful) contains: Dextromethorphan Hydrobromide, USP 10 mg, Guaifenesin 50 mg.
Pharmacology: Syr: Dextromethorphan Hydrobromide is a cough suppressant. Depresses cough reflex through direct effect on cough center in medulla.
Guaifenesin is an expectorant. Exert vasoconstrictive action that leads to decreased edema congestion. Also increases respiratory secretions and reduces mucus viscosity.
Forte cap: For control of cough associated with colds, allergy and inhalation of irritating substances and psychogenic cough.
Syr: For the relief of coughs associated with common colds, influenza, allergy and other respiratory infections, particularly useful in dry unproductive and paroxysmal cough.
Dosage/Direction for Use
Forte cap: One capsule every four hours or as prescribed by the physician.
Syr: (See table).

Click on icon to see table/diagram/image

To be taken orally, 3 to 4 times a day or as prescribed by the physician.
Missed dose: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your regular dosing schedule.
Do not double dose.
Syr: Signs and Symptoms of Overdose: Symptoms of overdose may include: extreme drowsiness, blurred vision, confusion, hallucinations, and slow/shallow breathing seizures.
Management: In case of overdose, contact the doctor or emergency room immediately.
Dextromethorphan hydrobromide is contraindicated in patients with asthma as it causes release of histamine.
Forte cap: Patients with the following health conditions should be careful in taking Phenylpropanolamine HCl: High blood pressure, toxic goiter, benign prostatic hypertrophy, heart rate irregularity, glaucoma, if taking antidepressants.
Patients with heart disease and uncontrolled, untreated high blood pressure should consult the doctor prior to taking Phenylpropanolamine HCl.
Special Precautions
Forte cap: Antihistamines may cause drowsiness and dulling of mental alertness where loss of attention may lead to accidents.
Paracetamol should be given with care to patients with impaired kidney or liver function.
Syr: Dextromethorphan Hydrochloride should be administered with caution to patients with liver disease.
Tell the doctor: What prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products the patient is taking.
If the patient smokes, or if the patient has or has ever had breathing problems such as asthma, emphysema, or chronic bronchitis.
Use in Pregnancy & Lactation: If the patient is breast-feeding. If the patient becomes pregnant while taking Mucotuss, discuss the risks and benefits with the doctor.
Consult the doctor: Call the doctor if the patient experiences any unusual problems while taking this medication.
Adverse Reactions
Syr: Rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Seek immediate medical attention if it occurs.
Drug Interactions
Syr: Mucotuss should not be used within 14 days of using a MAO inhibitor.
Forte cap: Store at temperatures not exceeding 30°C.
Syr: Store at temperature not exceeding 30°C away from light and moisture.
ATC Classification
R05FA02 - opium derivatives and expectorants ; Belongs to the class of combinations of opium derivatives cough suppressants and expectorants. Used in the treatment of cough.
Forte cap 100's. Syr (clear, red liquid, cherry flavor) 60 mL, 120 mL.
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