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Dextromethorphan+chlorpheniramine+guaifenesin+ammonium Chloride

About Dextromethorphan+chlorpheniramine+guaifenesin+ammonium Chloride

Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin belongs to a class of medications called ‘expectorants’ primarily used to treat cough. Coughing (dry or productive) is the body’s way of clearing irritants (like allergens, mucus, or smoke) from airways and preventing infection. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce any vicious or thick mucus, while a chesty cough (wet cough) means mucous or sputum is produced to help clear your airways. 

Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin contains four medicines, namely: Dextromethorphan (cough suppressant), Chlorpheniramine (antihistamine/antiallergic), Guaifenesin (expectorant), and Ammonium chloride (irritative agent). Dextromethorphan belongs to the class of cough suppressants that work by blocking the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough, thereby decreasing the urge to cough. Chlorpheniramine belongs to the class of antihistamines (anti-allergic drugs) that work by blocking the action of histamine and is responsible for causing allergic reactions. It also provides relief from allergic symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion or stiffness. Guaifenesin and Ammonium chloride belong to the class of irritants and expectorants that work by irritating the airways, which increases the production of respiratory tract fluids and decreases the stickiness of mucus that can be coughed out easily. Thus, together, Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin helps remove mucus from the airways and helps with easy breathing, especially.

Take Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin as prescribed. Your doctor will recommend how often you take Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin based on your medical condition. Some people may experience dry mouth, throat or nose, nausea, stomach upset, vomiting, drowsiness, headache, blurred vision, constipation, dizziness, restlessness, or nervousness. Most of these side effects of Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin. Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is not recommended for children below 12 years of age. Drink plenty of fluids while taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin to loosen mucus. If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumour in the adrenal glands), kidney, liver, lung, heart or urinary problems, inform your doctor before taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

Uses of Dextromethorphan+chlorpheniramine+guaifenesin+ammonium Chloride

Treatment of Cough

Medicinal Benefits

Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is a combination of four drugs, namely: Dextromethorphan, Chlorpheniramine, Guaifenesin, and Ammonium chloride. Dextromethorphan belongs to the class of cough suppressants that decrease the urge to cough. Chlorpheniramine is an antihistamine (anti-allergic drug) that provides relief from symptoms of allergy such as sneezing, stuffy/runny nose, watery eyes, itching, swelling, and congestion or stiffness. Guaifenesin and Ammonium chloride belong to the class of irritants and expectorants that work by irritating the airways, which increases the production of respiratory tract fluids and decreases the stickiness of mucus that can be coughed out easily. Together, Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin helps clear the respiratory tract from cough for easy breathing.

Directions for Use

Shake the bottle well before use. Check the label for directions, and take Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin with or without food as prescribed by your doctor using the measuring cup provided with the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Dextromethorphan+chlorpheniramine+guaifenesin+ammonium Chloride

  • Dry mouth, throat or nose
  • Nausea
  • Vomiting
  • Stomach upset
  • Constipation
  • Drowsiness
  • Headache
  • Blurred vision
  • Dizziness
  • Restlessness or nervousness

Drug Warnings

If you are allergic to Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin or are pregnant or breastfeeding, then it is advised to inform your doctor before using Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin. Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is not recommended for children below 12 years of age. If you are about to undergo any medical tests or surgery, please inform your doctor that you are taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin. Avoid using Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin if you have taken medicines such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine, and methylene blue injection in the past 14 days. If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumour in the adrenal glands), kidney, liver, lung, heart or urinary problems, inform your doctor before taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

Drug Interactions

Drug-Drug Interaction: Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin may have interaction with anti-allergic drugs (diphenhydramine, cetirizine), antidepressants (duloxetine, sertraline, escitalopram), opioid painkiller (methadone), narcotic analgesics (hydrocodone, codeine), antipsychotics (haloperidol, quetiapine), antianxiety drug (alprazolam), medicines used to treat irregular heartbeats  (quinidine, amiodarone), anticonvulsants (pregabalin) and a central nervous system stimulant (amphetamine).
Drug-Food Interaction: Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin may interact with alcohol. Therefore, avoid consumption of alcohol with Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin as it may increase the risk of adverse effects such as drowsiness, dizziness, or difficulty in concentrating.
Drug-Disease Interaction: If you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, cough with mucus, cough caused by smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), enlarged prostate, pheochromocytoma (tumour in the adrenal glands), kidney, liver, lung, heart or urinary problems, inform your doctor before taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

Drug-Drug Interactions Checker List:

  • DIPHENHYDRAMINE
  • CETIRIZINE
  • DULOXETINE
  • SERTRALINE
  • ESCITALOPRAM
  • HYDROCODONE
  • CODEINE
  • ALPRAZOLAM
  • QUETIAPINE
  • QUINIDINE
  • PREGABALIN
  • AMPHETAMINE
  • HALOPERIDOL
  • METHADONE
  • AMIODARONE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin as it may increase adverse effects. Please consult a doctor before consuming alcohol with Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

    • Safety Warning

      Pregnancy

      caution

      The safety of Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks benefits outweigh risks.

    • Safety Warning

      Breast Feeding

      safe if prescribed

      Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

    • Safety Warning

      Driving

      caution

      Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin may impair thinking or cause blurred vision or dizziness in some people. Therefore, drive only if you are alert after taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

    • Safety Warning

      Liver

      caution

      Take Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required if you have severe liver disease.

    • Safety Warning

      Kidney

      caution

      Take Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required in sever kidney disease.

    • Safety Warning

      Children

      unsafe

      Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is not recommended for children below 12 years of age. Please consult a doctor if you have any concerns.

    Habit Forming

    No

    Diet & Lifestyle Advise

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

    Special Advise

    • You are recommended to inform your doctor that you are taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin before undergoing any medical tests or surgery.
    • It is advised to stop using Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin if your cough persists for more than 1 week and reoccurs or is accompanied by hay fever, skin rash, or persistent fever.

    Patients Concern

    Disease/Condition Glossary

    Cough: Coughing is a 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, you may have a bacterial infection in the airways. If the mucus is clear or light-coloured, you may have allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

    FAQs

    Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin is used to treat cough.

    Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin contains Dextromethorphan, Chlorpheniramine, Guaifenesin and Ammonium chloride. Dextromethorphan belongs to the class of cough suppressants that work by blocking the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough. Thus decreasing the urge to cough. Chlorpheniramine is an antihistamine (anti-allergic drug) that works by blocking the action of histamine, a substance responsible for causing allergic reactions and helps to provide relief from symptoms of allergy. Guaifenesin and Ammonium chloride are expectorants that work by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helping to remove it from the airways.

    No, you are not recommended to consume alcohol with Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin as it may increase the adverse effects like excessive dizziness or drowsiness. So, it is advisable to consult a doctor before consuming alcohol with Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

    Yes, Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin to experience this side effect. However, to avoid such side effects, drink plenty of water, regularly rinse your mouth, practice good oral hygiene and suck on sugarless candy. However, if the condition persists or worsens, please consult a doctor.

    You should avoid taking Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin if you have high blood pressure, low blood pressure, breathing difficulty, heart problems (like tachycardia (more than 100 heartbeats/min), liver disease, kidney disease and coronary artery diseases. If you have these conditions, contact a doctor before using Ammonium Chloride+chlorpheniramine+dextromethorphan+guaifenesin.

    Available Medicines for

    Dextromethorphan+chlorpheniramine+guaifenesin+ammonium Chloride

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