Physicuf-D Syrup 100 ml

Physicuf-D Syrup belongs to the class of medications called ‘expectorants’ used to treat cough. Cough is a common reflex action to clear foreign particles, mucus or irritants present in the airway. Physicuf-D Syrup also treats symptoms such as runny nose, throat or airway irritation, sinus pressure or congestion, watery, or itchy eyes and sneezing associated with upper respiratory tract infections. 

Physicuf-D Syrup is a combination of six medicines: Chlorpheniramine, Dextromethorphan, Guaifenesin, Sodium citrate, Menthol, and Ammonium chloride. Chlorpheniramine is an antihistamine and works by blocking histamine, a substance responsible for causing allergic reactions.  Dextromethorphan acts as a cough suppressant by blocking nerve signals transmitted from the cough centre in the brain. Guaifenesin and ammonium chloride work by  helping in the removal of mucus (phlegm) from the airways . Sodium citrate is a 'mucolytic agent' that makes sputum less viscous and easier to cough out. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation. Thus, together Physicuf-D Syrup helps to relieve overall cough, cold and allergic symptoms. 

You should take this medicine as prescribed by your doctor. However, Physicuf-D Syrup is usually prescribed for short-term use (not more than 7 days). The common side-effects of Physicuf-D Syrup are dry mouth, nausea, stomach upset, vomiting, drowsiness, headache, blurred vision, constipation, dizziness and restlessness. These side-effects usually do not require any medical attention. However, consult a doctor immediately if any of these side-effects persist or worsen. 

Do not take Physicuf-D Syrup if you are allergic to any contents of it. Physicuf-D Syrup is not recommended for treating the chronic cough associated with smoking, or lung problems such as asthma, chronic obstructive pulmonary disease (COPD) or emphysema. It is also used with caution in patients diagnosed with high blood pressure, epilepsy (fits), glaucoma (a condition caused by increased pressure inside the eye), urination problems and phenylketonuria (a congenital disability resulting in accumulation of phenylalanine (amino acid) in the body). Please do not take this medication with alcohol or sedatives, hypnotics or tranquillizers as it increases the risk of side-effects. It is also not recommended for use in children below 2 years of age. It is also used with caution in pregnant and breastfeeding women. 

Physicuf-D Syrup is a combination of six medicines: Chlorpheniramine, Dextromethorphan, Guaifenesin, Sodium citrate, Menthol, and Ammonium chloride. It is used in the treatment of cough. Chlorpheniramine inhibits the action of histamines (a substance that causes allergic reactions).  Dextromethorphan acts on the cough centre in the brain and blocks the nerve signals that cause cough. Guaifenesin and ammonium chloride help in the removal of mucus (phlegm) from the airways. Sodium citrate helps loosen and thin the sputum in the airway to cough up the mucus easily. Menthol provides a cooling sensation and relieves throat irritation.  Thus, together Physicuf-D Syrup helps to relieve overall cough, cold, and allergic symptoms.

• Dry mouth
• Nausea (feeling sick)
• Stomach upset
• Vomiting (being sick)
• Drowsiness
• Headache
• Blurred vision
• Constipation
• Dizziness
• Restlessness

Many combination medicines contain guaifenesin, ammonium chloride, and sodium citrate. So, always inform your doctor that you are taking Physicuf-D Syrup to avoid overdosing of these drugs. Physicuf-D Syrup may cause drowsiness, so avoid taking this medicine with other sedatives or medications used to treat depression, psychosis, or behavioral problems. Do not use this medicine for longer duration than recommended. Stop using Physicuf-D Syrup and consult a doctor if your symptoms does not improve or have fever, rash, or persistent headache within 7 days after using this medicine. 

Drug-Drug Interactions: Physicuf-D Syrup may interact with anti-allergic drugs (diphenhydramine and cetirizine), antidepressants (duloxetine, sertraline, and escitalopram), narcotic analgesic (codeine), opioid (methadone), antipsychotics (haloperidol and quetiapine), antifungal medication (terbinafine), antianxiety drug (alprazolam, clonazepam, and diazepam), medicines used to treat irregular heartbeat (quinidine and amiodarone), anticonvulsants (pregabalin), and a central nervous system stimulant (amphetamine).

Drug-Food Interactions: Alcohol may increase the risk of side-effects such as drowsiness or dizziness.

Drug-Disease Interactions: Physicuf-D Syrup should be used with caution in conditions such as asthma, chronic obstructive pulmonary disease (COPD), or emphysema, high blood pressure (hypertension), epilepsy (fits), glaucoma (a condition caused by increased pressure inside the eye), liver diseases, and phenylketonuria (a birth defect resulting in accumulation of phenylalanine (amino acid) in the body).

• DIPHENHYDRAMINE
• CETIRIZINE
• DULOXETINE
• SERTRALINE
• ESCITALOPRAM
• CODEINE
• HALOPERIDOL
• QUETIAPINE
• ALPRAZOLAM
• CLONAZEPAM
• DIAZEPAM
• QUINIDINE
• AMIODARONE
• PREGABALIN
• AMPHETAMINE
• TERBINAFINE
• METHADONE

• Avoid dairy products such as milk as it may increase mucus production. Also, avoid processed or refined foods to have relief from cough. Avoid taking baked foods, fried foods, white bread, white pasta, French fries, sugary desserts and chips. Opt for green leafy vegetables.
• Drink plenty of fluids to avoid dry throat while you have a cough and loosen mucus.
• Avoid citrus fruits as it may worsen the cough. Eat fruits rich in water content such as pears, watermelon, peaches and pineapples.

• You are recommended to inform your doctor that you are taking Physicuf-D Syrup before undergoing any medical tests or surgery.
• It is advised to stop the use of Physicuf-D Syrup if your cough persists for more than 1 week and it reoccurs or is accompanied by hay fever, skin rash or persistent fever. In such cases, consult a doctor immediately. 

Cough: Coughing is a reflex action or body’s way of clearing irritants (like allergens, mucus, or smoke) from airways and preventing infection. Coughs may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. Cough is commonly caused as a response to allergy or viral infection but coughing up mucus is possibly an indication of infection in the respiratory tract. If you are coughing thick, solid white mucus, it indicates you may have a bacterial infection in the airways. If the mucus is clear or light-coloured, it indicates you may have allergies or minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.