Thursday, September 29, 2016

Chlorpheniramine Suspension



Pronunciation: KLOR-fen-IR-a-meen
Generic Name: Chlorpheniramine
Brand Name: Examples include Pediox-S and Ricobid H


Chlorpheniramine Suspension is used for:

Relieving symptoms of sinus congestion, sinus pressure, runny nose, watery eyes, itching of the nose and throat, and sneezing due to upper respiratory infections (eg, colds), allergies, and hay fever. It may also be used for other conditions as determined by your doctor.


Chlorpheniramine Suspension is an antihistamine. It works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing.


Do NOT use Chlorpheniramine Suspension if:


  • you are allergic to any ingredient in Chlorpheniramine Suspension

  • you are taking sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.



Before using Chlorpheniramine Suspension:


Some medical conditions may interact with Chlorpheniramine Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a fast, slow, or irregular heartbeat

  • if you have a history of asthma, lung problems (eg, emphysema), heart problems, high blood pressure, diabetes, heart blood vessel problems, stroke, glaucoma, a blockage of your stomach or intestines, ulcers, a blockage of your bladder, trouble urinating, an enlarged prostate, seizures, or an overactive thyroid

Some MEDICINES MAY INTERACT with Chlorpheniramine Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Furazolidone, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Chlorpheniramine Suspension's side effects

  • Hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Chlorpheniramine Suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Chlorpheniramine Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Chlorpheniramine Suspension:


Use Chlorpheniramine Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Chlorpheniramine Suspension by mouth with or without food.

  • Shake well before each use.

  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of Chlorpheniramine Suspension, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Chlorpheniramine Suspension.



Important safety information:


  • Chlorpheniramine Suspension may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Chlorpheniramine Suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.

  • Chlorpheniramine Suspension may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Chlorpheniramine Suspension. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Chlorpheniramine Suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Chlorpheniramine Suspension for a few days before the tests.

  • Tell your doctor or dentist that you take Chlorpheniramine Suspension before you receive any medical or dental care, emergency care, or surgery.

  • Use Chlorpheniramine Suspension with caution in the ELDERLY; they may be more sensitive to its effects.

  • Caution is advised when using Chlorpheniramine Suspension in CHILDREN; they may be more sensitive to its effects.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Chlorpheniramine Suspension while you are pregnant. It is not known if Chlorpheniramine Suspension is found in breast milk. Do not breast-feed while taking Chlorpheniramine Suspension.


Possible side effects of Chlorpheniramine Suspension:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; tremor; trouble sleeping; vision changes.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Chlorpheniramine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Chlorpheniramine Suspension:

Store Chlorpheniramine Suspension at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Chlorpheniramine Suspension out of the reach of children and away from pets.


General information:


  • If you have any questions about Chlorpheniramine Suspension, please talk with your doctor, pharmacist, or other health care provider.

  • Chlorpheniramine Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Chlorpheniramine Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Chlorpheniramine resources


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chlorhexidine Topical application


klor-HEX-i-deen


Commonly used brand name(s)

In the U.S.


  • Betasept

  • Biopatch w/Chlorhexidine Gluconate

  • Chlorostat

  • Dyna-Hex

  • Dyna-Hex2

  • Hibiclens

  • Hibistat

  • Operand Chg Surgical Scrub Brush

  • Operand Chlorhexidine Gluconate

  • Operand Closed Loop Chg Scrub

In Canada


  • Stanhexidine Solution

  • Stanley Chlorhexidine Tinted

  • Stanley Chlorhexidine Untinted

Available Dosage Forms:


  • Dressing

  • Gel/Jelly

  • Lotion

  • Solution

  • Liquid

  • Pad

  • Sponge

  • Cream

Therapeutic Class: Antibacterial Cleansing Agent


Uses For chlorhexidine


Chlorhexidine belongs to a group of medicines called antiseptic antibacterial agents. It is used to clean the skin after an injury, before surgery, or before an injection. Chlorhexidine is also used to clean the hands before a procedure. It works by killing or preventing the growth of bacteria on the skin.


Before Using chlorhexidine


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For chlorhexidine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to chlorhexidine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Because of chlorhexidine's potential for causing excessive skin irritation and the risk of increased absorption through the skin, use in children less than 2 months of age is not recommended.


Geriatric


No information is available on the relationship of age to the effects of chlorhexidine in geriatric patients.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of chlorhexidine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Deep or open skin wounds—Some products should not be used for this condition. Use the medicine only as directed by your doctor.

Proper Use of chlorhexidine


Some of the chlorhexidine products will be used in a hospital or clinic setting. The medicine will be applied by a nurse or other trained health professional.


You may be instructed to use chlorhexidine at home. It is very important that you use chlorhexidine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause irritation of the skin.


Different forms of the medicine are used in different ways. Be sure you understand the directions for the product you are given before you use it. Ask your doctor or pharmacist if you have any questions.


Follow your doctor's instructions about how to clean and care for your skin before and after you use chlorhexidine. Make sure you understand all of the directions, and ask questions if you find something is not clear.


Chlorhexidine should only be used on the skin. Do not swallow it or get it in the eyes, ears, mouth, or nose. Do not use it on the genital area (sex organs) or anal area. If it does get on these areas, rinse it off right away.


Dosing


The dose of chlorhexidine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of chlorhexidine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For topical dosage form (hand rinse or wipe, solution, or swabstick applicator):
    • To clean the hands (eg, Hibistat®):
      • The Hibistat® product contains large amounts of alcohol (70%) and is flammable. Apply the medicine in a well-ventilated place and do not use it while you are smoking.

      • Adults, teenagers, and children 2 months of age and older:
        • Wash your hands with soap and water. Dry your hands with a towel.

        • Rub the hands with the hand wipe for 15 seconds. Make sure to use the wipe under the fingernails and between the fingers. The medicine will dry quickly so you should not use a towel for drying. Do not wet your hands a second time.

        • Pour 1 teaspoonful (5 milliliters) of the hand rinse in your cupped hand. Rub the hands together for 15 seconds. Make sure to apply the rinse under the fingernails and between the fingers. The medicine will dry quickly so you should not use a towel for drying. Do not wet your hands a second time.


      • Children younger than 2 months of age—Use is not recommended.


    • To clean the skin or a wound (eg, Betasept®, Hibiclens®):
      • Adults, teenagers, and children 2 months of age and older—Rinse the area to be cleaned with water. Apply the smallest amount of liquid needed to cover the skin or wound area and wash gently. Thoroughly rinse the area again with water.

      • Children younger than 2 months of age—Use is not recommended.


    • To use before surgery or an injection (eg, Chloraprep®):
      • The Chloraprep® product contains large amounts of alcohol (70%) and is flammable. Do not use it on skin areas that have cuts or scrapes. Apply the medicine in a well-ventilated place and do not use it while you are smoking.

      • Adults, teenagers, and children 2 months of age and older:
        • Open the pouch and use the handle to remove the swabstick applicator. Do not touch the applicator tip. Rub the applicator on the skin with the flat side against the skin. Use a back and forth motion for 30 seconds.

        • Make sure the skin is completely wet. Let the skin air dry for one minute. Do not use a towel for drying.

        • Do not cover the treated area until the skin is completely dry. This is usually one minute or longer for hairless skin. If you must apply the medicine to a hairy area of the body, wipe the area with a towel to remove extra medicine.


      • Children younger than 2 months of age—Use is not recommended.



Storage


Ask your healthcare professional how you should dispose of any medicine you do not use.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


The Chloraprep® and Hibistat® products contain large amounts of alcohol (70%) and are flammable. Do not store them near a flame, heater, or electrical device.


Precautions While Using chlorhexidine


Check with your doctor if your skin problem becomes worse. Call your doctor if you have skin irritation that does not go away, such as redness, itching, or burning in the area where you used chlorhexidine.


chlorhexidine should not be used for an extended period of time on large areas of the body. Follow your doctor's instructions about how long to use chlorhexidine.


chlorhexidine may cause serious and permanent injury when placed in the eyes, ears, or mouth. Carefully follow all instructions before using chlorhexidine to prevent serious side effects.


chlorhexidine may cause a brown stain on clothing when chlorine is also present. These stains may not be removed by regular washing. Use only non-chlorine products to wash or bleach fabrics exposed to chlorhexidine. If the medicine has directions on the package about washing fabrics, follow them carefully.


The Chloraprep® and Hibistat® products contain large amounts of alcohol (70%) and are flammable. Do not use them or store them near a flame, heater, or electrical device. Do not use the medicine while you are smoking. Apply the medicine in a well-ventilated place.


chlorhexidine Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Incidence not known
  • Blistering, burning, itching, peeling, skin rash, redness, swelling, or other signs of irritation on the skin

  • swelling of the face, hands, or feet

  • trouble breathing

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: chlorhexidine Topical application side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


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Chloromag



magnesium chloride

Dosage Form: injection, solution
Magnesium Chloride Injection 200 mg/mL (20% w/v) 2.951 mOsm/mL

Chloromag Description


Magnesium Chloride Injection is a sterile solution of

Magnesium Chloride Hexahydrate in Water for Injection

q.s. Each mL contains Magnesium Chloride Hexahydrate

200 mg, Sodium Chloride 9 mg, Benzyl Alcohol 1% as

a preservative, Water for Injection, q.s. pH adjusted

with Hydrochloric Acid and/or Sodium Hydroxide. Total

osmolarity equivalent to 2951 mOsm/L.

Contains 1.97 mEq of Mg++ and Cl- per mL.

The structural formula is MgCl2•6H2O.



ACTIONS


Magnesium is the second most plentiful cation within

cellular fluids. It is an important activator of many

enzyme systems and deficits are accompanied by a

variety of functional disturbances.



INDICATIONS


As an electrolyte replenisher in magnesium

deficiencies.



Contraindications


Magnesium Chloride Injection should not be administered

if there is renal impairment, marked myocardial disease

or to comatose patients.



Warning


Do not use if a precipitate is present.



Precautions


The usual precautions for parenteral administration

should be observed. Administer with caution if flushing

and sweating occurs. A preparation of a calcium salt

should be readily available for intravenous injection

to counteract potential serious signs of magnesium

intoxication. As long as deep tendon reflexes are active

it is probable that the patient will not develop respiratory

paralysis. Respiration and blood pressure should be

carefully observed during and after administration of

Magnesium Chloride Injection.











Chloromag 
magnesium chloride  injection, solution










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)30727-304
Route of AdministrationINTRAVENOUSDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Magnesium Chloride (Magnesium cation)Magnesium Chloride200 mg  in 1 mL














Inactive Ingredients
Ingredient NameStrength
Sodium Chloride9 mg  in 1 mL
Benzyl Alcohol1 mL  in 100 mL
Water 
Sodium Hydroxide 
Hydrochloric Acid 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
130727-304-9050 mL In 1 VIAL, MULTI-DOSENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other06/11/2011


Labeler - Merit Pharmaceutical (093370369)

Registrant - Merit Pharmaceutical (093370369)









Establishment
NameAddressID/FEIOperations
Merit Pharmaceutical093370369manufacture
Revised: 07/2011Merit Pharmaceutical




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Coricidin HBP Maximum Strength Flu


Generic Name: acetaminophen, chlorpheniramine, and dextromethorphan (a SEET a MIN oh fen, klor fen IR a meen, dex troe meth OR fan)

Brand Names: Coricidin HBP Maximum Strength Flu, Mapap Cough & Sinus Formula, Triaminic Flu Cough & Fever, Triaminic Multi-Symptom Fever, Tylenol Childrens Plus Cough & Runny Nose


What is Coricidin HBP Maximum Strength Flu (acetaminophen, chlorpheniramine, and dextromethorphan)?

Acetaminophen is a pain reliever and fever reducer.


Chlorpheniramine is an antihistamine that reduces the effects of the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


Dextromethorphan is a cough suppressant. It affects the cough reflex in the brain that triggers coughing.


The combination of acetaminophen, chlorpheniramine, and dextromethorphan is used to treat headache, fever, body aches, cough, runny nose, sneezing, itching, and watery eyes caused by allergies, the common cold, or the flu.


This medicine will not treat a cough that is caused by smoking, asthma, or emphysema.

Acetaminophen, chlorpheniramine, and dextromethorphan may also be used for purposes not listed in this medication guide.


What is the most important information I should know about this medicine?


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Avoid drinking alcohol. It may increase your risk of liver damage while you are taking acetaminophen, and can increase certain side effects of chlorpheniramine. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

What should I discuss with my healthcare provider before taking this medicine?


You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:



  • liver disease, cirrhosis, a history of alcoholism, or if you drink more than 3 alcoholic beverages per day;




  • a blockage in your digestive tract (stomach or intestines);




  • kidney disease;




  • cough with mucus, or cough caused by emphysema or chronic bronchitis;




  • enlarged prostate or urination problems; or




  • if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).




It is not known whether acetaminophen, chlorpheniramine, and dextromethorphan will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant. Acetaminophen, chlorpheniramine, and dextromethorphan may pass into breast milk and may harm a nursing baby. Antihistamines may also slow breast milk production. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Artificially sweetened cold medicine may contain phenylalanine. If you have phenylketonuria (PKU), check the medication label to see if the product contains phenylalanine.


How should I take this medicine?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. This medicine is usually taken only for a short time until your symptoms clear up.


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

Measure liquid medicine with a special dose measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose measuring device, ask your pharmacist for one.


Do not take for longer than 7 days in a row. Stop taking the medicine and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.


If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken this medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?


Since this medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.


Overdose symptoms may also include severe forms of some of the side effects listed in this medication guide.


What should I avoid while taking this medicine?


Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while you are taking acetaminophen, and can increase certain side effects of chlorpheniramine. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

This medicine side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • chest pain, rapid pulse;




  • fast, slow, or uneven heart rate;




  • severe dizziness or anxiety, feeling like you might pass out;




  • severe headache;




  • mood changes, confusion, hallucinations, severe nervousness;




  • tremor, seizure (convulsions);




  • fever, easy bruising or bleeding, unusual weakness;




  • urinating less than usual or not at all;




  • nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or




  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, uneven heartbeats, seizure).



Less serious side effects may include:



  • dizziness, drowsiness, mild headache;




  • dry mouth, nose, or throat;




  • constipation, diarrhea, mild nausea, upset stomach;




  • blurred vision;




  • feeling restless or irritable; or




  • sleep problems (insomnia).



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect this medicine?


Ask a doctor or pharmacist before using this medicine if you regularly use other medicines that make you sleepy (such as narcotic pain medication, sedatives, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by chlorpheniramine.

Ask a doctor or pharmacist if it is safe for you to use acetaminophen, chlorpheniramine, and dextromethorphan if you are also using any of the following drugs:



  • leflunomide (Arava);




  • topiramate (Topamax);




  • zonisamide (Zonegran);




  • an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;




  • an antidepressant;




  • birth control pills or hormone replacement therapy;




  • bladder or urinary medications;




  • blood pressure medication;




  • a bronchodilator;




  • cancer medicine;




  • cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;




  • gout or arthritis medications (including gold injections);




  • HIV/AIDS medication;




  • medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;




  • medicines to treat psychiatric disorders;




  • an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or




  • seizure medication.



This list is not complete and there may be other drugs that can affect acetaminophen, chlorpheniramine, and dextromethorphan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More Coricidin HBP Maximum Strength Flu resources


  • Coricidin HBP Maximum Strength Flu Side Effects (in more detail)
  • Coricidin HBP Maximum Strength Flu Use in Pregnancy & Breastfeeding
  • Coricidin HBP Maximum Strength Flu Drug Interactions
  • 0 Reviews for Coricidin HBP Maximum Strength Flu - Add your own review/rating


Compare Coricidin HBP Maximum Strength Flu with other medications


  • Cold Symptoms
  • Influenza


Where can I get more information?


  • Your pharmacist can provide more information about acetaminophen, chlorpheniramine, and dextromethorphan.

See also: Coricidin HBP Maximum Strength Flu side effects (in more detail)


chlorpheniramine, methscopolamine, and pseudoephedrine


Generic Name: chlorpheniramine, methscopolamine, and pseudoephedrine (KLOR fen IR a meen, METH skoe POL a meen, SOO doe ee FED rin)

Brand names: AllePak, Allergy AM-PM Dose Pack, Allergy DN, Amdry-C, Durahist, Hista-Vent PSE, PCM-LA, Pseudo CM TR, Rhinaclear, Time-Hist QD, VisRx Dose Pack, ...show all 20 brand names.


What is chlorpheniramine, methscopolamine, and pseudoephedrine?

Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.


Methscopolamine reduces the secretions of certain organs in the body.


Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).


The combination of chlorpheniramine, methscopolamine, and pseudoephedrine is used to treat symptoms of the common cold or seasonal allergies, including sneezing, runny or stuffy nose, and itchy, watery eyes.


Chlorpheniramine, methscopolamine, and pseudoephedrine may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about chlorpheniramine, methscopolamine, and pseudoephedrine?


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Do not use this medication if you are allergic to chlorpheniramine or methscopolamine, or if you have severe high blood pressure or coronary artery disease, narrow-angle glaucoma, a stomach ulcer, or if you are unable to urinate.

Do not use this medication during an asthma attack.


Avoid drinking alcohol while you are taking this medication.

What should I discuss with my healthcare provider before taking chlorpheniramine, methscopolamine, and pseudoephedrine?


Do not use a cough or cold if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Dangerous side effects may occur if you take a cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use this medication if you are allergic to chlorpheniramine, methscopolamine, or pseudoephedrine, or if you have:

  • severe or uncontrolled high blood pressure;




  • severe coronary artery disease;




  • narrow angle glaucoma;




  • a stomach ulcer;




  • if you are unable to urinate; or




  • if you are having an asthma attack.



Before using chlorpheniramine, methscopolamine, and pseudoephedrine, tell your doctor if you are allergic to any drugs, or if you have:


  • kidney disease;

  • liver disease;


  • diabetes;




  • glaucoma;




  • heart disease, high blood pressure, or circulation problems;




  • overactive thyroid;




  • a seizure disorder such as epilepsy;




  • asthma, emphysema or chronic bronchitis; or




  • urination problems or an enlarged prostate.



If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.


FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Chlorpheniramine, methscopolamine, and pseudoephedrine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take chlorpheniramine, methscopolamine, and pseudoephedrine?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the instructions on your prescription label. Cold medicine is usually taken for only a short time until your symptoms clear up.


Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take this medicine with a full glass of water. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Contact your doctor if your symptoms do not improve or if they get worse while using this medication.


This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are taking an antihistamine.


Store chlorpheniramine, methscopolamine, and pseudoephedrine at room temperature away from moisture, heat, and light.

See also: Chlorpheniramine, methscopolamine, and pseudoephedrine dosage (in more detail)

What happens if I miss a dose?


Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, severe drowsiness, shallow breathing, ringing in your ears, problems with balance or coordination, hallucinations (seeing things), sleep problems (insomnia), feeling restless or excited, blurred vision, tremors, flushed face, and seizure (convulsions).


What should I avoid while taking chlorpheniramine, methscopolamine, and pseudoephedrine?


This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid becoming overheated in hot weather. Chlorpheniramine, methscopolamine, and pseudoephedrine increases the risk of heat stroke because it causes decreased sweating and can make you more sensitive to sunlight.


Avoid drinking alcohol. It can increase some of the side effects of chlorpheniramine, methscopolamine, and pseudoephedrine. Narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by chlorpheniramine or methscopolamine. Tell your doctor if you regularly use any of these medicines, or any other cold or allergy medications.

Chlorpheniramine, methscopolamine, and pseudoephedrine side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • numbness, tingling, or cold feeling in your hands or feet;




  • fast, pounding, or uneven heart beats;




  • painful or difficult urination;




  • confusion, hallucinations, unusual thoughts or behavior;




  • feeling short of breath;




  • tremors or shaking; or




  • severe drowsiness, feeling light-headed, fainting.



Less serious side effects may include:



  • dry mouth, stomach pain, changes in appetite;




  • drowsiness, dizziness, weakness, headache;




  • dry eyes, blurred vision;




  • increased sweating;




  • skin rash; or




  • feeling nervous or excited (especially in children).



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Chlorpheniramine, methscopolamine, and pseudoephedrine Dosing Information


Usual Adult Dose for Allergic Rhinitis:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
1 tablet orally per day.

Usual Adult Dose for Nasal Congestion:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
1 tablet orally per day.

Usual Adult Dose for Sinus Symptoms:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
1 tablet orally per day.

Usual Pediatric Dose for Allergic Rhinitis:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
6 to 11 years: 5 mL orally every 4 to 6 hours not to exceed 20 mL daily.
12 years or older: 5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
6 to 11 years: 1 tablet orally every 12 hours not to exceed 2 doses daily.
12 years or older: 1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
12 years or older: 1 tablet orally per day.

Usual Pediatric Dose for Nasal Congestion:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
6 to 11 years: 5 mL orally every 4 to 6 hours not to exceed 20 mL daily.
12 years or older: 5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
6 to 11 years: 1 tablet orally every 12 hours not to exceed 2 doses daily.
12 years or older: 1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
12 years or older: 1 tablet orally per day.

Usual Pediatric Dose for Sinus Symptoms:

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-30 mg/ 5 mL oral syrup:
6 to 11 years: 5 mL orally every 4 to 6 hours not to exceed 20 mL daily.
12 years or older: 5 to 10 mL orally every 4 to 6 hours not to exceed 40 mL daily.

Chlorpheniramine/methscopolamine/PSE 4 mg-1.25 mg-60 mg oral tablet, extended release:
6 to 11 years: 1 tablet orally every 12 hours not to exceed 2 doses daily.
12 years or older: 1 to 2 tablets orally every 12 hours not to exceed 2 doses daily.

Chlorpheniramine/methscopolamine/PSE 6 mg-2.5 mg-120 mg oral tablet, extended release:
12 years or older: 1 tablet orally per day.


What other drugs will affect chlorpheniramine, methscopolamine, and pseudoephedrine?


Many drugs can interact with chlorpheniramine, methscopolamine, and pseudoephedrine. Below is just a partial list. Tell your doctor if you are using any of these drugs:



  • antacids;




  • medicine to treat diarrhea (such as Immodium, Kaopectate, Pepto-Bismol);




  • atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);




  • bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);




  • glycopyrrolate (Robinul);




  • mepenzolate (Cantil);




  • bladder or urinary medications such as darifenacin (Enablex), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);




  • irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine);




  • a beta-blocker such as atenolol (Tenormin), bisoprolol (Zebeta, Ziac), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), timolol (Blocadren), and others;




  • a barbiturate such as phenobarbital (Luminal, Solfoton); or




  • an antidepressant such as amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Janimine, Tofranil), and others.



This list is not complete and there may be other drugs that can interact with chlorpheniramine, methscopolamine, and pseudoephedrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More chlorpheniramine, methscopolamine, and pseudoephedrine resources


  • Chlorpheniramine, methscopolamine, and pseudoephedrine Dosage
  • Chlorpheniramine, methscopolamine, and pseudoephedrine Use in Pregnancy & Breastfeeding
  • Chlorpheniramine, methscopolamine, and pseudoephedrine Drug Interactions
  • Chlorpheniramine, methscopolamine, and pseudoephedrine Support Group
  • 4 Reviews for Chlorpheniramine, methscopolamine, and pseudoephedrine - Add your own review/rating


Compare chlorpheniramine, methscopolamine, and pseudoephedrine with other medications


  • Hay Fever
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Where can I get more information?


  • Your pharmacist can provide more information about chlorpheniramine, methscopolamine, and pseudoephedrine written for health professionals that you may read.


Cortaid


Generic Name: hydrocortisone topical (hye droe KOR ti sone)

Brand Names: Ala-Cort, Ala-Scalp HP, Aquanil HC, Beta HC, Caldecort, Cortaid, Cortaid Intensive Therapy, Cortaid Maximum Strength, Cortaid with Aloe, Cortalo with Aloe, Corticaine, Cortizone for Kids, Cortizone-10, Cortizone-10 Intensive Healing Formula, Cortizone-10 Plus, Cortizone-5, Dermarest Dricort, Dermarest Eczema Medicated, Dermarest Plus Anti-Itch, Dermtex HC, Genasone/Aloe, Gly-Cort, Gynecort Maximum Strength, Hycort, Hydrocortisone 1% In Absorbase, Hydrocortisone with Aloe, Hydrocortisone-Aloe, Hytone, Instacort, Itch-X Lotion, Locoid, Locoid Lipocream, Locoid Lotion, Massengill Medicated Soft Cloth, MD Hydrocortisone, Neutrogena T-Scalp, NuCort with Aloe, NuZon, Pandel, Recort Plus, Rederm, Sarnol-HC, Scalacort, Texacort, U-Cort, Westcort


What is Cortaid (hydrocortisone topical)?

Hydrocortisone is a topical steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.


Hydrocortisone topical is used to treat inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, or psoriasis.


Hydrocortisone topical may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about Cortaid (hydrocortisone topical)?


There are many brands and forms of hydrocortisone topical available and not all brands are listed on this leaflet.


Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended.


Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.


Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of hydrocortisone topical.

Hydrocortisone topical will not treat a bacterial, fungal, or viral skin infection.


Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days.

What should I discuss with my healthcare provider before using Cortaid (hydrocortisone topical)?


Do not use this medication if you are allergic to hydrocortisone.

Hydrocortisone topical will not treat a bacterial, fungal, or viral skin infection.


FDA pregnancy category C. It is not known whether hydrocortisone topical is harmful to an unborn baby. Before using this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether hydrocortisone topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of hydrocortisone topical.

How should I use Cortaid (hydrocortisone topical)?


Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger or smaller amounts, or use it for longer than recommended.


Hydrocortisone topical will not treat a bacterial, fungal, or viral skin infection.


Wash your hands before and after each application, unless you are using hydrocortisone topical to treat a hand condition.


Apply a small amount to the affected area and rub it gently into the skin.


Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.


Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. It is important to use hydrocortisone topical regularly to get the most benefit. Store hydrocortisone topical at room temperature away from moisture and heat.

What happens if I miss a dose?


Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of hydrocortisone topical applied to the skin is not expected to produce life-threatening symptoms.

What should I avoid while using Cortaid (hydrocortisone topical)?


Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use hydrocortisone topical on sunburned, windburned, irritated, or broken skin. Also avoid using this medication in open wounds.

Avoid using skin products that can cause irritation, such as harsh soaps or shampoos or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.


Cortaid (hydrocortisone topical) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using hydrocortisone topical and call your doctor at once if you have any of these serious side effects:

  • blurred vision, or seeing halos around lights;




  • uneven heartbeats;




  • sleep problems (insomnia);




  • weight gain, puffiness in your face; or




  • feeling tired.



Less serious side effects may include:



  • skin redness, burning, itching, or peeling;




  • thinning of your skin;




  • blistering skin; or




  • stretch marks.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Cortaid (hydrocortisone topical)?


It is not likely that other drugs you take orally or inject will have an effect on topically applied hydrocortisone. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.



More Cortaid resources


  • Cortaid Side Effects (in more detail)
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  • Cortaid Drug Interactions
  • Cortaid Support Group
  • 0 Reviews for Cortaid - Add your own review/rating


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  • Pediaderm HC Lotion MedFacts Consumer Leaflet (Wolters Kluwer)

  • ProctoCream-HC Cream MedFacts Consumer Leaflet (Wolters Kluwer)

  • Proctocort Prescribing Information (FDA)

  • Texacort Prescribing Information (FDA)

  • U-cort Prescribing Information (FDA)

  • Westcort Prescribing Information (FDA)



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  • Anal Itching
  • Aphthous Stomatitis, Recurrent
  • Atopic Dermatitis
  • Dermatitis
  • Eczema
  • Gingivitis
  • Proctitis
  • Pruritus
  • Psoriasis
  • Seborrheic Dermatitis
  • Skin Rash


Where can I get more information?


  • Your pharmacist can provide more information about hydrocortisone topical.

See also: Cortaid side effects (in more detail)


Cesamet


Generic Name: nabilone (NAB il own)

Brand Names: Cesamet


What is nabilone?

Nabilone is a man-made form of cannabis (marijuana is an herbal form of cannabis). Nabilone causes many effects on your central nervous system.


Nabilone is used to treat severe nausea and vomiting that is caused by cancer chemotherapy. Nabilone is for use only when other medications have been unable to control the nausea and vomiting.


Nabilone may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about nabilone?


Nabilone may be habit-forming and should be used only by the person it was prescribed for. Nabilone should never be given to another person, especially someone who has a history of drug abuse or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. Do not use nabilone if you have ever had an allergic reaction to natural or man-made marijuana.

Before taking nabilone, tell your doctor if you have high blood pressure, heart disease, a history of mental illness or drug addiction, or if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.


Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor.


Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson's disease). These other drugs can add to the effects of nabilone.


Nabilone causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of nabilone wear off.

There are many other medicines that can add to the side effects of nabilone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.


What should I discuss with my health care provider before taking nabilone?


Do not use nabilone if you have ever had an allergic reaction to natural or man-made marijuana such as dronabinol (Marinol).

Before using nabilone, tell your doctor if you have:



  • high blood pressure (hypertension);




  • heart disease;




  • past or present mental illness such as depression, schizophrenia, or other psychotic disorders;




  • a history of drug or alcohol addiction; or




  • if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.



If you have any of these conditions, you may not be able to use nabilone, or you may need a dosage adjustment or special tests during treatment.


Nabilone may be habit-forming and should be used only by the person it was prescribed for. Nabilone should never be given to another person, especially someone who has a history of drug abuse or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether nabilone passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be especially sensitive to the side effects of nabilone.


Nabilone is not for use in patients younger than 18 years old.

How should I take nabilone?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.


Nabilone is usually given 1 to 3 hours before you receive your chemotherapy treatment. Your doctor may recommend that you take a small dose of nabilone on the night before your chemotherapy.


Nabilone may also be used 2 or 3 times each day of the chemotherapy treatment cycle, and for 48 hours after treatment ends, if needed.


The effects of nabilone may last for 48 to 72 hours, and this length of time may not be the same every time you take the medication.


Store nabilone at room temperature away from moisture and heat.

See also: Cesamet dosage (in more detail)

What happens if I miss a dose?


Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a nabilone overdose may include extreme drowsiness, fainting, hallucinations, fear, disorientation, unusual thoughts or behaviors, or feeling extremely happy or sad.

What should I avoid while taking nabilone?


Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson's disease). These other drugs can add to the effects of nabilone.


Nabilone causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of nabilone wear off.

Nabilone side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using nabilone and call your doctor at once if you have any of these serious side effects:

  • hallucinations (seeing or hearing things that are not there);




  • paranoia, extreme fear;




  • fast heart rate;




  • feeling light-headed, fainting; or




  • unusual thoughts or behavior.



Continue using nabilone and talk with your doctor if you have any of these less serious side effects:



  • dizziness, drowsiness;




  • feeling "high";




  • weakness, lack of coordination;




  • depression, anxiety, confusion;




  • dry mouth;




  • headache, trouble concentrating; or




  • sleep problems (insomnia).



Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect nabilone?


Before taking nabilone, tell your doctor if you are using any of the following drugs:



  • amphetamines, including stimulants and medicine to treat attention deficit hyperactivity disorder (ADHD);




  • prescription or over-the-counter weight loss aids (Dexatrim, Meridia);




  • antidepressants such as amitriptyline (Elavil), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor);




  • barbiturates such as butalbital (Fiorinal), phenobarbital (Luminal, Solfoton), secobarbital (Seconal);




  • sedatives such as Ativan, Dalmane, Halcion, Klonopin, Librium, ProSom, Restoril, Tranxene, Valium, Xanax;




  • lithium;




  • theophylline (Respbid, Slo-Bid, Theo-24, Theo-Dur, Uniphyl);




  • buspirone (BuSpar);




  • atropine (Donnatal, and others);




  • belladonna, dicyclomine (Bentyl);




  • clidinium (Quarzan);




  • glycopyrrolate (Robinul);




  • hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);




  • mepenzolate (Cantil);




  • methscopolamine (Pamine), and scopolamine (Transderm-Scop);




  • methantheline (Provocholine), propantheline (Pro-Banthine); or




  • street drugs such as cocaine or Ectasy.



If you are using any of these drugs, you may not be able to use nabilone, or you may need dosage adjustments or special tests during treatment.


There may be other drugs not listed that can affect nabilone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More Cesamet resources


  • Cesamet Side Effects (in more detail)
  • Cesamet Dosage
  • Cesamet Use in Pregnancy & Breastfeeding
  • Cesamet Drug Interactions
  • Cesamet Support Group
  • 1 Review for Cesamet - Add your own review/rating


  • Cesamet Prescribing Information (FDA)

  • Cesamet Monograph (AHFS DI)

  • Cesamet Advanced Consumer (Micromedex) - Includes Dosage Information

  • Cesamet Consumer Overview

  • Cesamet MedFacts Consumer Leaflet (Wolters Kluwer)

  • Nabilone Professional Patient Advice (Wolters Kluwer)



Compare Cesamet with other medications


  • Nausea/Vomiting, Chemotherapy Induced


Where can I get more information?


  • Your pharmacist has more information about nabilone written for health professionals that you may read.

See also: Cesamet side effects (in more detail)