15 mg / 10 mg / 325 mg Capsule
Antitussive / Nasal Decongestant / Analgesic – Antipyretic
Each capsule contains:
Dextromethorphan HBr …………………………………….. 15 mg
Phenylephrine HCl ………………………………………….. 10 mg
Paracetamol …..………….…………………………….….... 325 mg
Dextromethorphan HBr + Phenylephrine HCl + Paracetamol (Tuseran Forte) Capsule comes in a hard gelatin capsule with gray opaque cap printed with Medichem logo and yellow opaque body printed with Tuseran Forte.
WHAT IS IN THE MEDICINE?
This medicine contains dextromethorphan HBr, phenylephrine HCl and paracetamol.
Dextromethorphan HBr, an antitussive, suppresses the area in the brain that causes coughing.
Phenylephrine HCl, a nasal decongestant, clears obstructed air passages and nasal sinuses due to congestion making breathing easier. It also reduces postnasal drip.
Paracetamol is an effective fever reducer and pain reliever.
STRENGTH OF THE MEDICINE
WHAT IS THE MEDICINE USED FOR?
This medicine is used for the relief of cough, clogged nose, postnasal drip, headache, body aches, and fever associated with the common cold, sinusitis, flu, and other minor respiratory tract infections. It also helps decongest sinus openings and passages.
HOW MUCH AND HOW OFTEN SHOULD YOU USE THIS MEDICINE?
Adults and Children 12 years and older: Orally, 1 capsule every 6 hours or as recommended by a doctor.
WHEN SHOULD YOU NOT TAKE THIS MEDICINE?
· If you are allergic to any ingredient in the product
· If you have high blood pressure or severe heart disease unless recommended by a doctor
· If you have anemia, kidney or liver disease unless recommended by a doctor
· If you are pregnant or breastfeeding
Adverse effects with dextromethorphan are rare and include nausea, stomach discomfort, dizziness, drowsiness, excitation, and mental confusion.
Phenylephrine HCl may cause tremor (muscle shaking), restlessness, anxiety (feeling of uneasiness), insomnia/sleeplessness, nervousness, dizziness, increased blood pressure, palpitation, arrhythmia (irregular heart beat), weakness, respiratory distress (noisy, congested breathing), and pallor.
Paracetamol, when taken within the recommended dose and duration of treatment, has low incidence of side effects. Skin rashes and minor stomach and intestinal disturbances have been reported.
WHAT OTHER MEDICINE OR FOOD SHOULD BE AVOIDED WHILE TAKING THIS MEDICINE?
Do not use this product together with sympathomimetic agents (e.g., Epinephrine, etc.) and general anesthetics (e.g., Halothane, etc.) because of the possibility for increased toxicity.
Concurrent administration with medicines for depression (e.g., Amitriptyline, Imipramine, Sertraline, Moclobemide, etc.) may result in hypertensive crisis (sudden, severe increase in blood pressure that can lead to stroke).
Taking an adrenergic-blocking agent (e.g., Phenothiazine drugs, Phentolamine, Propranolol, etc.) before the administration of this product may decrease the effect of Phenylephrine.
Medicines which stimulate the enzymes responsible for the metabolic activation of paracetamol such as medicines for convulsion (e.g., Phenobarbital, etc.) may increase susceptibility to the harmful effects to the liver.
Tell your doctor about other medicines you are taking, especially other medicines for cough, cold, pain, or fever.
Alcohol Information: If you consume 3 or more alcoholic drinks everyday, ask your doctor whether you should take paracetamol or other pain relievers/fever reducers. Paracetamol may cause liver damage.
WHAT SHOULD YOU DO IF YOU MISS A DOSE?
If you 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 (i.e., every 6 hours).
Do not double the dose.
HOW SHOULD YOU KEEP THIS MEDICINE?
Keep the product out of reach and sight of children.
Store at temperatures not exceeding 30°C.
SIGNS AND SYMPTOMS OF OVERDOSAGE
· Nausea and vomiting
· Drowsiness and dizziness
· Blurred vision
· A feeling of poor coordination
· Difficulty in breathing
· Urinary retention (abnormal holding of urine)
· Stupor (decreased mental alertness)
· Increased blood pressure
· Paresthesia (sensation of tingling, pricking, or numbness of the skin)
· Cerebral hemorrhage (bleeding from a ruptured blood vessel in the brain)
Overdosage of paracetamol usually involves 4 phases with the following signs and symptoms:
I. Eating disorder, nausea, vomiting, malaise, and excessive sweating
II. Right upper abdominal pain or tenderness, liver enlargement which may be characterized by abdominal discomfort of “feeling full”, elevated bilirubin and liver enzyme concentrations, prolongation of prothrombin time, and occasionally decreased urine output
III. Eating disorder, nausea, vomiting, and malaise recur and signs of liver (e.g., jaundice) and possibly kidney failure
IV. Recovery or progression to fatal complete liver failure
WHAT TO DO IF YOU HAVE TAKEN MORE THAN THE RECOMMENDED DOSAGE?
If you have taken more than the recommended dosage, consult a doctor or contact a poison control center right away, even if you seem well, because of the risk of delayed, serious liver damage. Quick medical attention is important for adults as well as for children even if you do not notice any signs or symptoms.
CARE THAT SHOULD BE TAKEN WHEN TAKING THIS MEDICINE?
· Do not take this medicine if you have persistent or chronic cough (i.e., cough lasting for more than 3 weeks) or when coughing is accompanied by excessive secretions unless directed by a doctor.
· A persistent cough may be a sign of a serious condition. If cough persists for more than one week, tends to recur, or is accompanied by fever, rash, or persistent headache, consult a doctor.
· This medicine should be given with care to patients with kidney or liver disease including patients taking other drugs that affect the liver.
· Do not take more than the recommended dose. Taking more than the recommended dose (overdose) may not provide more relief and may cause liver damage.
· Do not use after the expiry date on the label.
WHEN SHOULD YOU CONSULT YOUR DOCTOR?
Before taking this medication, tell your doctor if you have:
· High blood pressure or any type of heart problems
· Thyroid problems
· Liver or kidney disease
· An enlarged prostate, bladder problems or difficulty urinating
Stop use and ask a doctor if:
· Fever gets worse or lasts more than 3 days
· New symptoms occur
In box of 500’s (foil strip x 10’s) and 100’s (foil strip x 4’s).