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Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol

About

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol belongs to a class of medications called 'expectorants'. It is used in the treatment of cough. Cough is defined as the sudden expulsion of air out of the lungs due to irritation through the throat with a sharp noise. Cough is classified into two types, namely: Dry cough and wet cough. A dry cough is tickly without the production of vicious or thick mucus, while a wet cough is the production of vicious or thick mucus. 

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is a combination of Paracetamol (analgesic and antipyretic), Phenylephrine (decongestant), Chlorpheniramine, Sodium citrate (mucolytic agent), Ammonium chloride, and Menthol (cooling agent). Paracetamol inhibits the production of prostaglandins (chemical messengers) in the brain responsible for pain and fever. Ammonium chloride works by irritating the airways, which increases respiratory tract fluid production and decreases the stickiness of mucus that can be coughed out easily. Chlorpheniramine blocks the action of histamine, which is responsible for causing allergic reactions. Phenylephrine helps in shrinking the blood vessels in the nasal passage, thereby reducing the stuffy nose. Sodium citrate works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose. Menthol provides relief from minor throat irritation by giving a cooling sensation. Together, Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol helps to provide relief from cough.

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol should be taken as advised by your doctor. Your doctor will decide the dose of the medicine based on your medical condition. Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol may cause certain side effects such as nausea, stomach upset, dizziness, dry mouth, vomiting, drowsiness, headache, blurred vision, constipation, and restlessness. Most of these side effects of Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol should be avoided if you are allergic to any of the medicines or the components in them. Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is not recommended for children below six years of age. Inform your doctor if you have/had liver/kidney disease, glaucoma, seizures, heart disease, lung disease, stomach problem, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), or urinary problems. If you are pregnant or breastfeeding, consult your doctor before taking this medicine.

Uses of Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol

Cough

Medicinal Benefits

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is a combination of Paracetamol (analgesic and antipyretic), Phenylephrine (decongestant), Chlorpheniramine, Sodium citrate (mucolytic agent), Ammonium chloride, and Menthol (cooling agent). Paracetamol inhibits the production of prostaglandins (chemical messengers) in the brain responsible for pain and fever. Phenylephrine helps in shrinking the blood vessels in the nasal passage, thereby reducing the stuffy nose. Chlorpheniramine blocks the action of histamine, which is responsible for causing allergic reactions.  Sodium citrate works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose. Ammonium chloride works by irritating the airways, which increases respiratory tract fluid production and decreases the stickiness of mucus that can be coughed out easily. Menthol provides relief from minor throat irritation by giving a cooling sensation. Together, Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol helps to provide relief from cough.

Directions for Use

Take Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol as prescribed by your doctor. Shake the bottle well before use. Take the recommended amount of syrup with the help of a measuring cup provided with the pack. Check the label for directions, and it can be taken with or without food.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol

  • Dry mouth
  • Vomiting
  • Stomach upset
  • Constipation
  • Drowsiness
  • Headache
  • Nausea
  • Restlessness
  • Blurred vision
  • Dizziness
  • Nervousness

In-Depth Precautions and Warning

Drug Warnings

Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol should be avoided if you are allergic to any of the medicines or the components in them. Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is not recommended for children below six years of age. Inform your doctor if you have/had liver/kidney disease, glaucoma, seizures, heart disease, lung disease, stomach problem, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), or urinary problems. Pregnant and breastfeeding mothers should take Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol only if advised by their doctor. This medicine is not recommended for use in children below six years of age as the safety and efficacy are not established. Avoid using Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol if you have taken medicines such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine, and methylene blue injection in the past 14 days.

Drug Interactions

Drug-Drug Interactions: Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol may have interaction with antiallergic drugs (diphenhydramine, cetirizine), antidepressants (duloxetine, sertraline, escitalopram), opioid painkillers (methadone), antipsychotics (haloperidol, quetiapine), antianxiety drug (alprazolam), medicines used to treat irregular heartbeats (quinidine, amiodarone), anticonvulsants (pregabalin) and a central nervous system stimulant (amphetamine).

Drug-Food Interactions: Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol may interact with alcohol. Therefore, avoid the consumption of alcohol with Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol as it may increase the risk of adverse effects such as drowsiness, dizziness or difficulty in concentrating.

Drug-Disease Interactions: Inform your doctor if you have heart problems, seizures, glaucoma, hyperthyroidism (overactive thyroid), lung disease, blockage in stomach or intestines, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), pheochromocytoma (tumour in the adrenal glands), kidney, liver, or urinary problems,  before taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol.

Drug-Drug Interactions Checker List:

  • ESCITALOPRAM
  • METHADONE
  • HALOPERIDOL
  • QUETIAPINE
  • ALPRAZOLAM
  • QUINIDINE
  • AMIODARONE
  • PREGABALIN
  • DULOXETINE
  • DIPHENHYDRAMINE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol as it may increase adverse effects. Please consult a doctor before consuming alcohol with Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol.

    • Safety Warning

      Pregnancy

      caution

      It is not known whether Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol can be used in pregnancy. Hence, if you are pregnant or planning pregnancy, inform your doctor before taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      consult your doctor

      It is not known whether Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol passes into breastmilk. If you are breastfeeding, consult your doctor before taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Driving

      unsafe

      Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol may cause blurred vision or dizziness in some people. Therefore, avoid driving vehicles or operating machines after taking this medicine. Drive only if you are alert.

    • Safety Warning

      Liver

      caution

      If you have a history of liver disease, inform your doctor before taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Kidney

      caution

      If you have a history of kidney disease, inform your doctor before taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Children

      unsafe

      Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is not recommended for children below six years of age. Please consult a doctor for more information.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid foods that can increase cough, such as dairy products, processed or refined foods. Instead, replace it with green leafy vegetables.
    • Drink plenty of fluids to avoid a dry throat while you have a cough. It also helps loosen mucus.
    • Avoid citrus fruits as they may worsen the cough. Eat fruits rich in water content, such as pears, watermelon, peaches and pineapples.
    • Avoid alcohol consumption and smoking as it can increase the side effects
    • Stay away from pollution and allergens.

    Special Advise

    • It is advised to stop the use of Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol if your cough persists for more than 1 week if it reoccurs or is accompanied by hay fever, skin rash, or persistent fever. 

    Patients Concern

    Disease/Condition Glossary

    Cough: Cough is defined as the sudden expelling of air out of the lungs due to irritation through the throat with a sharp noise. Cough is classified into two types, namely: Dry cough and wet cough. A dry cough is tickly without the production of any vicious or thick mucus, while a wet cough is the production of any vicious or thick mucus. Coughing is the body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. If you are coughing thick, solid white mucus, you may have a bacterial infection in the airways. If the mucus is clear or light-coloured, you may have allergies or minor infections in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

    FAQs

    Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol contains Paracetamol inhibits the production of prostaglandins (chemical messengers) in the brain responsible for pain and fever. Phenylephrine helps in shrinking the blood vessels in the nasal passage, thereby reducing the stuffy nose. Chlorpheniramine blocks the action of histamine, which is responsible for causing allergic reactions. Sodium citrate works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose. Ammonium chloride works by irritating the airways, which increases respiratory tract fluid production and decreases the stickiness of mucus that can be coughed out easily. Together, Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol helps to provide relief from cough.

    No, consumption of alcohol along with Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is not recommended as it can worsen your health condition. Hence, consult your doctor before consuming alcohol.

    No, Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol is not recommended for use in children below six years of age as the safety and efficacy of this medicine are not established.

    You should avoid taking Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol and inform your doctor if you have heart-related problems, breathing difficulty, liver disease or kidney disease.

    Available Medicines for

    Paracetamol+phenylephrine Hydrochloride+chlorpheniramine Maleate+sodium Citrate+ammonium Chloride+menthol

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