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Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine

About

Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine belongs to a class of medications called ‘expectorants’ primarily used to treat dry cough. Additionally, Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine also treats allergy symptoms such as sneezing, runny nose, throat irritation or watery eyes. Coughing (dry or productive) is a body’s way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce any vicious or thick mucus, while a chesty cough (wet cough) means mucous or sputum is produced to help clear your airways. 

Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is a combination of four drugs, namely: Guaifenesin (expectorant), Dextromethorphan (cough suppressant), Phenylephrine (decongestant) and Chlorpheniramine (antihistamine). Guaifenesin belongs to the class of expectorants that increase the volume of fluid in the airways, reduce the stickiness of mucus, and remove it from the airways. Dextromethorphan is a cough suppressant that works by blocking the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough. Thus, it decreases the need to cough. Phenylephrine is a decongestant that works by contracting and narrowing the blood vessels. Thereby, provides relief from congestion and decreases mucus production. Chlorpheniramine belongs to the class of antihistamines (anti-allergic drugs) that works by blocking the action of histamine, a substance responsible for causing allergic reactions.

Take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine as prescribed. Your doctor will recommend how often you take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine based on your medical condition. Some people may experience nausea, stomach upset, vomiting, loss of appetite, drowsiness, headache, diarrhoea, dizziness or skin rash. Most of these side effects of Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine. Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is not recommended for children below 12 years of age. If you are about to undergo any medical tests or surgery, please inform your doctor that you are taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine. Drink plenty of fluids while taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine to loosen the congestion. If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumour in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

Uses of Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine

Dry cough

Medicinal Benefits

Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is a combination of four drugs, namely: Guaifenesin, Dextromethorphan, Phenylephrine, and Chlorpheniramine. Guaifenesin belongs to the class of expectorants that works by increasing the volume of fluid in the airways, reducing the stickiness of mucus, and helping to remove it from the airways. Dextromethorphan is a cough suppressant that blocks the transmission of nerve signals from the cough center in the brain to the muscles that produce cough. Thus, it decreases the need to cough. Phenylephrine is a decongestant that works by contracting and narrowing the blood vessels. Thereby, providing relief from congestion and decreasing mucus production. Chlorpheniramine is an antihistamine (anti-allergic drug) that works by blocking the action of histamine, a substance responsible for causing allergic reactions, and provides relief from symptoms of allergy such as sneezing, running nose, watery eyes, itching, swelling, and congestion or stiffness.

Directions for Use

Shake the bottle well before use. Check the label for directions and take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with or without food in doses as prescribed by your doctor with the help of a measuring cup that is provided with the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine

  • Nausea
  • Stomach upset
  • Vomiting
  • Loss of appetite
  • Drowsiness
  • Headache
  • Diarrhoea
  • Dizziness
  • Skin rash

In-Depth Precautions and Warning

Drug Warnings

If you are allergic to Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine. Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is not recommended for children below 12 years of age. If you are about to undergo any medical tests or surgery, please inform your doctor that you are taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine. Avoid using Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine if you have taken medicines such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine, and methylene blue injection in the past 14 days. If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumor in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

Drug Interactions

Drug-Drug Interaction: Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine may have interaction with anti-allergic drugs (diphenhydramine, cetirizine), antidepressants (duloxetine, sertraline, escitalopram), narcotic analgesics (hydrocodone, codeine), antianxiety drug (alprazolam), central nervous system stimulants (methylphenidate), antipsychotics  (quetiapine), medicines used to treat irregular heartbeats  (quinidine), anticonvulsants (pregabalin), a central nervous system stimulant (amphetamine).

Drug-Food Interaction: Avoid or limit the intake of chocolate and caffeine-containing foods such as cocoa beans and tea leaves with Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine as they may increase the risk of severity of side effects. Also, avoid consumption of alcohol with Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine as it may increase the risk of adverse effects such as drowsiness, dizziness, or difficulty in concentrating.

Drug-Disease Interaction: If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumor in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

Drug-Drug Interactions Checker List:

  • DIPHENHYDRAMINE
  • CETIRIZINE
  • DULOXETINE
  • SERTRALINE
  • ESCITALOPRAM
  • HYDROCODONE
  • CODEINE
  • ALPRAZOLAM
  • METHYLPHENIDATE
  • QUETIAPINE
  • QUINIDINE
  • PREGABALIN
  • AMPHETAMINE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine as it may increase adverse effects. Please consult a doctor before consuming alcohol with Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

    • Safety Warning

      Pregnancy

      caution

      Please consult a doctor if you are pregnant. Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is given to pregnant women only if the doctor thinks benefits outweigh risks.

    • Safety Warning

      Breast Feeding

      caution

      It is unknown whether Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is excreted in human milk. Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

    • Safety Warning

      Driving

      caution

      Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine may impair thinking or cause blurred vision in some people. Therefore, drive only if you are alert after taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

    • Safety Warning

      Liver

      caution

      Take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Kidney

      caution

      Take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Children

      consult your doctor

      Please consult a doctor if you have any concerns regarding the usage of Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine for children.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid dairy products such as milk as they may increase mucus production. Also, avoid processed or refined foods to have relief from cough. Instead replace baked foods, fried foods, white bread, white pasta, French fries, sugary desserts and chips with green leafy vegetables.
    • Drink plenty of fluids to avoid dry throat while you have a cough and loosen mucus.
    • Avoid citrus fruits as they may worsen the cough. Eat fruits rich in water content such as pears, watermelon, peaches and pineapples.

    Special Advise

    • You are recommended to inform your doctor that you are taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine before undergoing any medical tests or surgery.
    • Drink plenty of fluids while taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine to loosen the congestion of nasal passage and airways. If you are a kidney patient, ask a doctor before taking fluid. 

    Patients Concern

    Disease/Condition Glossary

    Cough: Coughing is a body’s way of clearing irritants (like allergens, mucus, or smoke) from airways and preventing infection. Coughs may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus, and other matter) from the lungs. Cough is commonly caused as a response to allergy or viral infection but coughing up mucus is possibly an indication of infection in the respiratory tract. If you are coughing thick, solid white mucus, it indicates you may have a bacterial infection in the airways. If the mucus is clear or light-colored, it indicates you may have allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

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

    FAQs

    Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine contains Guaifenesin, Dextromethorphan, Phenylephrine and Chlorpheniramine. Guaifenesin belongs to the class of expectorants that works by increasing the volume of fluid in the airways, reduce the stickiness of mucus and helps to remove it from airways. Dextromethorphan is a cough suppressant that blocks the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough. Thus, decreases the need to cough. Phenylephrine is a decongestant that works by contracting and narrowing the blood vessels. Thereby, provides relief from congestion and decreases mucus production. Chlorpheniramine is an antihistamine (anti-allergic drug) that works by blocking the action of histamine, a substance responsible for causing allergic reactions and provides relief from symptoms of allergy.

    Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine may be used to provide relief from allergic symptoms such as sneezing, runny nose, throat irritation or watery eyes. Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine contains Triprolidine, an anti-allergic drug that works by blocking the action of histamine, a substance responsible for causing allergic reactions.

    You are not recommended to take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with selegiline or other MAO inhibitors such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine and methylene blue injection at the same time as it may cause severe high blood pressure which may lead to stroke. Therefore, if you have taken any of these medicines in the past 14 days, avoid taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine and consult a doctor for proper advice.

    You are recommended to avoid taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine if you have asthma, enlarged prostate, blockage in stomach or intestines, glaucoma or if you are unable to urinate. However, please consult a doctor if you have any of these conditions before taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine.

    You are not recommended to take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with duloxetine as it may lead to a severe condition called ‘serotonin syndrome’ and cause symptoms such as blurred vision, stomach cramps, diarrhoea, hallucination, extreme changes in blood pressure, confusion, excessive sweating, increased heart rate, fever, shivering or shaking, tremor, incoordination, muscle spasm or stiffness. However, please consult a doctor before taking Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine with other medicines.

    You are recommended to take Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine for as long as your doctor has prescribed it. However, if the symptoms persist or worsen with rash, fever or persistent headache after 1 week of using Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine, please consult your doctor.

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    Guaifenesin+dextromethorphan+phenylephrine+chlorpheniramine

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