Drugs & Vitamins

C-Phed DPD Tannate Active Ingredients: Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine Suspension or Syrup Representative Names: C-Phed DPD Tannate, TanaCof-DM, Tanafed DMX Available Product Images: What is Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine suspension or syrup? What should I tell my health care provider before I take this medicine? How should this medicine be used? What if I miss a dose? What drug(s) may interact with Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? What side effects may I notice from receiving Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? What should I watch for while taking Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? Where can I keep my medicine? What is Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine suspension or syrup? (Back to top) DEXCHLORPHENIRAMINE, DEXTROMETHORPHAN, AND PSEUDOEPHEDRINE (e.g., C-Phed DPD Tannate™, TanaCof-DM™, Tanafed DMX™, Tannate DMP-DEX™) are used together to decrease symptoms caused by colds, allergies, or sinus problems. Dexchlorpheniramine is an antihistamine that relieves runny nose, sneezing, and watery eyes. Dextromethorphan helps to stop cough. Pseudoephedrine helps reduce nasal and sinus congestion. This product is not intended for treating a chronic cough that is due to smoking, asthma, emphysema, or problems that cause a large amount of phlegm. 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, emphysema, chronic bronchitis, or other breathing problems •bladder disease •chronic cough •constipation •diabetes mellitus •glaucoma •hardening of the arteries •head injury •heart disease including angina (chest pain), heart attack, irregular heart beat, enlarged heart, blockage in heart vessels, heart failure •high or low blood pressure •kidney disease •liver disease •pain or difficulty passing urine •poor circulation (example: peripheral vascular disease) •prostate trouble •history of stroke, mini-strokes (TIAs), or aneurysm •smoker •thyroid disease (overactive thyroid) •ulcers or other stomach or intestine problems (example: ulcerative colitis) •an unusual reaction to dexchlorpheniramine, dextromethorphan, pseudoephedrine, other medicines, foods, dyes, or preservatives •pregnant or trying to get pregnant •breast-feeding How should this medicine be used? (Back to top) Take this medicine by mouth. Follow the directions on the label. Use the specially marked spoon or measuring cup that comes with your medicine. Ask your pharmacist if you do not have one; household spoons are not always accurate. Take the medicine with food or milk if it upsets your stomach. Take your doses at regular intervals. Do not take your medicine more often than directed. Shake the suspension preparation well before using. Try to avoid grapefruit juice while using this medicine because this may increase the chance of side effects from dextromethorphan. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. What if I miss a dose? (Back to top) If you are using the medicine regularly and miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What drug(s) may interact with Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? (Back to top) •antacids •bicarbonate, citrate, or acetate products (such as sodium bicarbonate, sodium acetate, sodium citrate, sodium lactate, and potassium citrate) •bretylium •caffeine •celecoxib •cocaine •delavirdine •doxercalciferol •ergot medicines like ergotamine or ergonovine •furazolidone •gefitinib •imatinib •linezolid •mecamylamine •medicines for chest pain, heart disease, high blood pressure, or heart rhythm problems •medicine for diabetes •medicines known as MAO inhibitors, like phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), and selegiline (Carbex®, Eldepryl®) •medicines for mental depression •medicines for mental problems and psychotic disturbances •medicines for motion sickness •medicines for movement abnormalities as in Parkinson's disease, or for gastrointestinal problems •medicines for weight loss •memantine •procarbazine •ritonavir •St. John's wort •terbinafine •theophylline or aminophylline •thyroid hormones •valdecoxib Because this product can cause drowsiness, other medicines that also cause drowsiness may increase this effect. Some medicines that cause drowsiness are: •alcohol and alcohol-containing medicines •barbiturate medicines for inducing sleep or treating seizures (convulsions) •medicines for anxiety or sleeping problems, such as diazepam or temazepam •medicines for hay fever and other allergies •muscle relaxers •prescription pain medicines Tell your prescriber or health care professional about all other medicines 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 receiving Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? (Back to top) Side effects that you should report to your prescriber or health care professional as soon as possible: •agitation, anxiety, nervousness, excitability, not able to sleep (these are more likely in children) •chest pain •confusion •difficulty breathing, or wheezing •difficulty urinating •headache, especially if severe or gets worse •high blood pressure •irregular heart beat •muscle weakness •nausea and vomiting •numbness or tingling in hands or feet •seizures •skin rash or redness, hives •tremors •unusual bleeding or bruising, pinpoint red spots on the skin •unusual tiredness or weakness •vision changes Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome): •constipation •diarrhea •dry nose, eyes, or throat •loss of appetite •ringing in ears •stomach ache What should I watch for while taking Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine? (Back to top) Tell your prescriber if your symptoms do not improve in 7 days. If you have a high fever, skin rash, or headache along with a cough, see your prescriber right away. You may get drowsy or dizzy. Do not do anything that needs mental alertness until you know how this medicine affects you. Alcohol can increase the chance of drowsiness, dizziness, or confusion while using this medicine. Avoid alcoholic beverages. If this medicine makes it difficult for you to sleep at night, take your last dose at least a few hours before bedtime. Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help. This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See an eye doctor if the problem does not go away or is severe. If you are going to have surgery, tell your prescriber or health care professional that you are taking this medicine. Your skin may become more sensitive to the sun while taking this medicine. Avoid prolonged sun exposure and use sunscreen. 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). Do not transfer liquid preparations to another bottle or container. Protect from light, heat, and freezing. Throw away any unused medicine after the expiration date. Last Updated:04/21/2006 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.