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Fexofenadine+paracetamol+phenylephrine

About

Fexofenadine+paracetamol+phenylephrine belongs to the class of medications called ‘cough and cold preparations’ used in the treatment of the common cold and allergic symptoms such as the runny nose, sneezing, itchy or watery eyes and blocked nose. The common cold is a respiratory illness of the nose and throat caused by ‘rhinoviruses’. Allergies are immune system reactions to foreign bodies or allergens such as certain foods, chemicals, pet dander, or pollen.

Fexofenadine+paracetamol+phenylephrine contains Fexofenadine, Paracetamol, and Phenylephrine. Fexofenadine is an antiallergic medicine. It blocks the release of histamine, chemical substances that cause allergic symptoms such as the runny nose, watery eyes, itching, sneezing, and swelling or congestion. Paracetamol is an analgesic (reduce pain) and antipyretic (reduce fever). It can block the production of prostaglandins (chemical substances), thereby decreasing pain, swelling, and inflammation. Phenylephrine is a decongestant that can reduce swelling in the nasal passages making it easy to breathe.

You should take this medicine exactly as prescribed by the doctor. The common side-effects of Fexofenadine+paracetamol+phenylephrine are nausea, vomiting, headache, ear pain, trouble sleeping, restlessness, and palpitations (pounding heart). These side-effects usually go away without requiring any medical attention. However, if any of these side-effects persist or get worse, inform your doctor immediately.

It is not recommended to take Fexofenadine+paracetamol+phenylephrine if you are allergic to any contents of it. It should not be used in patients with severe liver failure. It should be used with caution in children, patients with liver or kidney disease, pregnant women, breastfeeding mothers, and elderly people. Alcohol increases the risk of side-effects. Fexofenadine+paracetamol+phenylephrine may decrease alertness, so do not drive or operate heavy machinery if you are not fully alert.

Uses of Fexofenadine+paracetamol+phenylephrine

Common cold, Allergies

Medicinal Benefits

Fexofenadine+paracetamol+phenylephrine is composed of three medicines, namely Fexofenadine, Paracetamol, and Phenylephrine. Fexofenadine is an anti-allergic drug that works by blocking the action of histamine, a substance responsible for causing allergic reactions.  It helps relieve allergy symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion or stiffness. Paracetamol is an analgesic (relieves pain) and antipyretic (reduces fever) that works by inhibiting the production of certain chemical messengers in the brain known as 'prostaglandin's responsible for pain and fever. Phenylephrine helps in shrinking the blood vessels in the nostrils and the nasal passage and reducing stuffy nose. Together, Fexofenadine+paracetamol+phenylephrine can effectively treat common cold and allergy symptoms.

Directions for Use

Swallow Fexofenadine+paracetamol+phenylephrine as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Fexofenadine+paracetamol+phenylephrine

  • Nausea
  • Vomiting
  • Headache
  • Ear pain
  • Trouble sleeping
  • Restlessness
  • Palpitations (pounding heart)

In-Depth Precautions and Warning

Drug Warnings

Do not take Fexofenadine+paracetamol+phenylephrine if you have been taking medicines to treat depression (monoamine oxidase inhibitors) such as selegiline and rasagiline in the past 14 days. Before taking Fexofenadine+paracetamol+phenylephrine, inform your doctor if you have any liver or kidney disease, diabetes, hyperactive thyroid, heart problems, fits, and glaucoma (increased pressure in the eye). Fexofenadine+paracetamol+phenylephrine may cause liver damage on prolonged use or when used in high doses, so it is not recommended for use in patients with severe liver failure.

Drug Interactions

Drug-Drug Interactions: Fexofenadine+paracetamol+phenylephrine may interact with medicines used to treat nausea and vomiting (domperidone and metoclopramide), antidepressants (phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine, imipramine, and desipramine, etc.), anticoagulant (warfarin), a medicine used to treat high cholesterol (cholestyramine), medicines used to treat fits, anti-HIV drug (zidovudine), narcotic pain killers (codeine and morphine), antibiotic (chloramphenicol), medicines used to treat asthma (epinephrine and formoterol), antacids (magnesium hydroxide and aluminium hydroxide), and medicines used to treat high blood pressure (methyldopa and reserpine).

Drug-Food Interactions: Avoid consumption of grapefruit juice and alcohol as it may increase the risk of side-effects.

Drug-Disease Interactions: Fexofenadine+paracetamol+phenylephrine should not be used in patients with severe liver failure. It should be used with caution in patients with liver or kidney disease, diabetes, hyperactive thyroid, heart problems, fits, and glaucoma (increased pressure in the eye).

Drug-Drug Interactions Checker List:

  • DOMPERIDONE
  • METOCLOPRAMIDE
  • PHENELZINE
  • PROCARBAZINE
  • RASAGILINE
  • SELEGILINE
  • TRANYLCYPROMINE
  • IMIPRAMINE
  • DESIPRAMINE
  • WARFARIN
  • CHOLESTYRAMINE
  • ZIDOVUDINE
  • CODEINE
  • MORPHINE
  • CHLORAMPHENICOL
  • EPINEPHRINE
  • FORMOTEROL
  • MAGNESIUM HYDROXIDE
  • ALUMINIUM HYDROXIDE
  • METHYLDOPA
  • RESERPINE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Alcohol consumption may cause liver damage and increase the risk of side-effects.

    • Safety Warning

      Pregnancy

      caution

      Fexofenadine+paracetamol+phenylephrine is a category C medicine and may cause toxic effects to the unborn baby. When clinically needed, Fexofenadine+paracetamol+phenylephrine is given to pregnant women after doing a risk/benefit assessment.

    • Safety Warning

      Breast Feeding

      safe if prescribed

      Fexofenadine+paracetamol+phenylephrine is probably safe when used in breastfeeding mothers.

    • Safety Warning

      Driving

      caution

      Fexofenadine+paracetamol+phenylephrine may decrease alertness. So, avoid driving or operating heavy machinery while using this medicine if you are not fully alert.

    • Safety Warning

      Liver

      caution

      Fexofenadine+paracetamol+phenylephrine should not be used in patients with severe liver diseases. In mild to moderate conditions, the dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      unsafe

      Fexofenadine+paracetamol+phenylephrine should be used with caution in patients with kidney diseases. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      caution

      Fexofenadine+paracetamol+phenylephrine should be used with caution in children. The dose may have to be adjusted by your doctor based on age and medical history.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Staying hydrated is vital for those with a cough or cold. Drinking liquids at room temperature can alleviate cough, runny nose, and sneezing.
    • The immune system is affected by stress and raises the risk of being sick. An individual can exercise regularly, meditate, do deep breathing, and try progressive muscle relaxation techniques to relieve stress.
    • To stay fit and safe, try to sleep at least 8 hours each night.
    • It is advised to avoid contact with known allergens (allergy-causing agents) such as pollen, dust, etc. Certain food items are known to cause allergies to you.
    • Maintain personal hygiene and keep your surroundings clean.

    Special Advise

    • If you are undergoing an allergy test, the doctor might advise you to stop Fexofenadine+paracetamol+phenylephrine 5 days before the test as this medicine may interfere with the test results.
    • Check the labels carefully before taking any over-the-counter (OTC) medicines as many pain and cold medicines contain paracetamol as an ingredient.

    Patients Concern

    Disease/Condition Glossary

    Common cold: The common cold is an infection caused by the virus, mainly known as ‘rhinoviruses’ affecting the nose and throat (upper respiratory tract). Children younger than 6 years are at the most significant risk of colds, but healthy adults can also be affected to have 2-3 colds annually. In most cases, cold symptoms are recovered within a week or ten days. However, symptoms might last longer in people who smoke or are exposed to allergens like pollutants, dust, etc. The common cold symptoms include sneezing, sore throat, cough, congestion, mild body pains, low fever, mild headache, feeling unwell, stuffy, or runny nose. In some cases, the discharge from the nose may become thicker and yellow or green, which is not an indication of bacterial infection.

    Allergies: It occurs when foreign elements that cause allergy (allergens) attack and invade our body, causing the release of histamines. This chemical messenger 'histamines' causes swelling, inflammation, redness, itchiness, itchy/watery nose, throat, and watery eyes. Allergies generally occur due to chemicals, air pollution, pet danders, dust, pollen hairs, seasonal allergies like hay fever, etc.

    FAQs

    Fexofenadine+paracetamol+phenylephrine contains Fexofenadine, Paracetamol, and Phenylephrine. Fexofenadine is an antiallergic medicine. It blocks the release of histamine, chemical substances that cause allergic symptoms such as the runny nose, watery eyes, itching, sneezing, and swelling or congestion. Paracetamol is an analgesic (reduce pain) and antipyretic (reduce fever). It can block the production of prostaglandins (chemical substances), thereby decreasing pain, swelling, and inflammation. Phenylephrine is a decongestant that can reduce swelling in the nasal passages making it easy to breathe.

    Fexofenadine+paracetamol+phenylephrine should not be used if you have taken antidepressants in the last 14 days. So, it is always advised to inform your doctor about all the prescription, non-prescription, and dietary supplements you are taking, to identify any interactions with the Fexofenadine+paracetamol+phenylephrine.

    Fexofenadine+paracetamol+phenylephrine should be used with caution in elderly people as there is an increased risk of side-effects. The dose may have to be adjusted by the doctor based on the health condition.

    The common side-effects of Fexofenadine+paracetamol+phenylephrine are nausea, vomiting, headache, ear pain, trouble sleeping, restlessness, and palpitations (pounding heart). These side-effects are usually mild and temporary. However, if any of these side-effects persist or get worse, inform your doctor immediately.

    No, there is no evidence that Fexofenadine+paracetamol+phenylephrine is habit-forming or addictive.

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    Fexofenadine+paracetamol+phenylephrine

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