RiteMed Dextromethorphan HBr

RiteMed Dextromethorphan HBr





United Lab
Full Prescribing Info
Dextromethorphan hydrobromide.
Each 5 mL (1 teaspoonful) syrup contains: Dextromethorphan hydrobromide 10 mg.
This medicine contains dextromethorphan, an antitussive that suppresses the area in the brain that causes coughing. It is reported to act within 30 minutes and its effect may persist for up to 6 hours.
Dextromethorphan is used for the relief of unproductive cough associated with the common cold, sore throat, and uncomplicated respiratory tract infection.
Dosage/Direction for Use

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Missed Dose: If the patient miss a dose, just take the next dose if still needed for the condition being treated, and the subsequent doses at the recommended time or schedule.
Do not double the dose.
What to do when the patient has taken more than the recommended dose? If the patient has taken more than the recommended dosage, consult a doctor.
Symptoms: Acute overdosage of dextromethorphan may cause nausea, vomiting, drowsiness, dizziness, excitation, confusion, psychosis, CNS depression, stupor, decreased mental alertness), blurred vision, nystagmus (involuntary and rapid movement of the eyeball), dysarthria (slurred speech), respiratory depression, shallow respiration, ataxia (uncontrolled muscle movement), myoclonus (involuntary muscle twitching), tremor, urinary retention, seizures, and coma.
When should the patient not take this medicine? If the patient is allergic to dextromethorphan or other ingredients in the product.
If the patient is at risk of developing respiratory failure (e.g., during an acute asthma attack).
If the patient has liver disease.
Special Precautions
This medicine should not be taken for persistent or chronic cough (e.g., with smoking, emphysema, asthma) or when coughing is accompanied by excessive secretions.
Use with caution in patients with the following conditions: Atopy; History of asthma.
May cause drowsiness; patients should observe caution while driving or performing other tasks requiring alertness.
Do not use with other medicines containing dextromethorphan.
Do not take more than the recommended dose.
When should the patient consult a doctor? Ask the doctor before use if: the patient is pregnant or breastfeeding.
Stop use and ask a doctor if: Symptoms worsen or do not improve (e.g., cough persist for more than a week, tends to recur, or is accompanied by high fever, rash, or persistent headache); New symptoms occur; Any undesirable effects occurs.
Adverse Reactions
Adverse effects with dextromethorphan are rare, but nausea and/or other gastrointestinal disturbances, slight drowsiness, dizziness and hypersensitivity sometimes occur.
Drug Interactions
What other medicine or food should be avoided while taking this medicine? Dextromethorphan should not be used in patients receiving monoamine oxidase inhibitor (MAOI), seletive serotonin reuptake inhibitor (SSRI), or other medications for depression, psychiatric, or emotional conditions, or Parkinson's disease, or have taken these medicines in the last 14 days.
Dextromethorphan is primarily metabolized by the cytochrome P450 isoenzyme CYP2D6. There is a possibility of interaction with inhibitors of this enzyme, including amiodarone, haloperidol, propafenone, quinidine, and thioridazine. Symptoms of dextromethorphan toxicity have been reported when used together with amiodarone and quinidine.
Additive central nervous system (CNS) depression may occur when dextromethorphan is taking together with alcohol, antihistamines, psychotropics and other CNS depressants.
Tell the doctor if the patient is taking other medicines, including vitamins, supplements, and herbal medicines.
Store at temperatures not exceeding 30°C.
ATC Classification
R05DA09 - dextromethorphan ; Belongs to the class of opium alkaloids and derivatives. Used as cough suppressant.
Syr 10 mg/5 mL (red, clear, taste of caramel) x 60 mL x 1's.
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