Drugs & Vitamins

Panmist-DM Syrup Active Ingredients: Pseudoephedrine, Guaifenesin, Dextromethhorphan Liquid Representative Names: Guiatuss CF Syrup, Panmist-DM Syrup, Profen II DM Liquid, Robafen CF Syrup, Robitussin CF Syrup, Z-Cof DM Syrup Available Product Images: What is dextromethorphan; guaifenesin; pseudoephedrine oral liquid? What should I tell my health care provider before I take this medicine? How should I take this medicine? What if I miss a dose? What drug(s) may interact with dextromethorphan; guaifenesin; pseudoephedrine? What side effects may I notice from dextromethorphan; guaifenesin; pseudoephedrine? What do I need to watch for while I take dextromethorphan; guaifenesin; pseudoephedrine? Where can I keep my medicine? What is dextromethorphan; guaifenesin; pseudoephedrine oral liquid? (Back to top) DEXTROMETHORPHAN; GUAIFENESIN; PSEUDOEPHEDRINE (Benylin® Multi-Symptom, Maxifed® DM, Tusnel® Pediatric, and others) is used to treat cough, especially non-productive coughs, and nasal congestion due to bronchitis, colds, or hay fever. Generic dextromethorphan, guaifenesin, and pseudoephedrine liquids are available. What should I tell my health care provider before I take this medicine? (Back to top) They need to know if you have any of these conditions: •asthma •diabetes •difficulty passing urine •chronic cough •emphysema •enlarged prostate •heart disease including angina •high blood pressure •history of stroke or mini-strokes (TIAs) •irregular heart beat •liver disease •thyroid disease •an unusual or allergic reaction to dextromethorphan, guaifenesin, pseudoephedrine, other medicines, foods, dyes, or preservatives •pregnant or trying to get pregnant •breast-feeding How should I take this medicine? (Back to top) Take this medicine by mouth. Follow the directions on the bottle. Use a specially marked spoon or container to measure your medicine. Ask your pharmacist if you do not have one; household spoons are not always accurate. Take your doses at regular intervals. Do not take your medicine more often than directed. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Do not give to children less than 2 years of age without consulting your health care provider. What if I miss a dose? (Back to top) If you miss a dose, take it as soon as you can. If it is almost time for your next dose (within 2 hours), take only that dose. Do not take double or extra doses. What drug(s) may interact with dextromethorphan; guaifenesin; pseudoephedrine? (Back to top) •alcohol •amiodarone •cocaine •ergot drugs like dihydroergotamine or ergotamine •herbal or dietary supplements like ephedra or St. John's wort •medicines for depression •medicines for high blood pressure •medicines for weight loss, including dietary supplements •other medicines for nasal congestion, cough or cold symptoms (may contain duplicate ingredients) •quinidine •ritonavir •thyroid hormones like levothyroxine Tell your prescriber or health care professional about all other medicines that you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines. What side effects may I notice from dextromethorphan; guaifenesin; pseudoephedrine? (Back to top) Severe side effects from dextromethorphan, guaifenesin, and pseudoephedrine are usually only seen in patients who have taken very high doses. These side effects should be reported to your prescriber or health care professional as soon as possible: •agitation, anxiety, excitement, nervousness, restlessness, or irritability •confusion •dizziness, or fainting spells •excessive sweating •high blood pressure •numbness or tingling in the hands or feet •seizures (convulsions) •severe nausea, vomiting •severe, persistent, or worsening headache •slow or troubled breathing •slurred speech •tremor Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome): •drowsiness •headache (mild) •nausea, stomach upset •rash (mild) •weakness What do I need to watch for while I take dextromethorphan; guaifenesin; pseudoephedrine? (Back to top) If you have a fever, skin rash, or persistent headache as well as a cough, see your prescriber or health care professional. Do not treat yourself for a cough for more than one week without consulting your prescriber or health care professional. You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know this medicine affects you. Alcohol can increase the risk of getting drowsy, dizzy, or confused. Avoid alcoholic drinks. Drink plenty of water while taking dextromethorphan; guaifenesin; pseudoephedrine products. This will help loosen mucus. Where can I keep my medicine? (Back to top) Keep out of the reach of children in a container that small children cannot open. Store at room temperature between 15—30 degrees C (59—86 degrees F) unless otherwise directed. Throw away any unused medicine after the expiration date. Last Updated:07/12/2006 CLINICAL PHARMACOLOGY© GOLD STANDARD MULTIMEDIA INC, ALL RIGHTS RESERVED

Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It should not be construed to indicate that the use of the product is safe, appropriate, or effective for you. Consult your healthcare professional before taking the product.