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DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL

About

AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE belongs to a class of medications called ‘expectorants’ 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+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is a combination of four drugs, namely: Ammonium chloride (expectorants), Diphenhydramine hydrochloride (antihistamine), Sodium citrate (mucolytic), and ethanol. Ammonium chloride works by increasing the volume of fluid in the airways, reducing the stickiness of mucus. Diphenhydramine hydrochloride works by blocking the action of histamine, a substance responsible for causing allergic reactions. Sodium citrate works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose. Thereby, it helps to cough out easily. Ethanol acts as a preservative.

Take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as prescribed by your doctor. You are advised to take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience drowsiness, dizziness, dry mouth, nervousness, stomach pain, diarrhoea, or constipation. Most of these side effects of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE 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+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE or any other medicines, please tell your doctor. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is not recommended for children below 2 years of age unless advised by a doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE should be used with caution in elderly patients due to the increased risk of side effects. Drive only if you are alert as AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause dizziness. You are recommended to avoid alcohol consumption with AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it may increase drowsiness or dizziness.

Uses of DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL

Treatment of Cough

Medicinal Benefits

AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE contains Ammonium chloride, Diphenhydramine hydrochloride, Sodium citrate and ethanol used to treat cough. Ammonium chloride is an expectorant that increases the volume of fluid in the airways, reduces the stickiness of mucus and helps to remove it from the airways. Diphenhydramine hydrochloride is an antihistamine (anti-allergic drug) that blocks the action of histamine, a substance responsible for causing allergic reactions.  It helps to provide relief from symptoms of allergy such as sneezing, running nose, watery eyes, itching, swelling, and congestion or stiffness. Sodium citrate is a mucolytic agent (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Thereby, it helps to cough out easily. Ethanol acts as a preservative.

Directions for Use

Take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with or without food as advised by your doctor. Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL

  • Drowsiness
  • Dizziness
  • Dry mouth
  • Nervousness
  • Stomach pain
  • Diarrhoea
  • Constipation

In-Depth Precautions and Warning

Drug Warnings

If you are allergic to AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE or any other medicines, please tell your doctor. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is not recommended for children below 2 years of age unless advised by a doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE should be used with caution in elderly patients due to increased risk of side effects. Avoid using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE 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 asthma, inform your doctor before taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE. Drive only if you are alert as AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause dizziness. You are recommended to avoid alcohol consumption with AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it may increase drowsiness or dizziness.

Drug Interactions

Drug-Drug Interaction: AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may interact with a blood thinner (warfarin), antibiotic (chloramphenicol), medicines containing propantheline or metoclopramide, and anticonvulsants (pregabalin).

Drug-Food Interaction: AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may interact with alcohol. Therefore, avoid the consumption of alcohol with AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it may increase the risk of adverse effects such as drowsiness or dizziness.

Drug-Disease Interaction: If you have asthma, pneumonia, glaucoma, epilepsy, bladder problems (urinary retention), prostate problems, liver or kidney disease, inform your doctor before taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

Drug-Drug Interactions Checker List:

  • WARFARIN
  • CHLORAMPHENICOL
  • PROPANTHELINE
  • METOCLOPRAMIDE
  • PREGABALIN
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it may increase drowsiness or dizziness.

    • Safety Warning

      Pregnancy

      caution

      AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is given to pregnant women only if the doctor thinks the benefits outweigh the risks. Please consult a doctor if you are pregnant.

    • Safety Warning

      Breast Feeding

      caution

      AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may be excreted in human milk. Therefore, AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

    • Safety Warning

      Driving

      caution

      AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause dizziness in some people. Therefore, drive only if you are alert after taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

    • Safety Warning

      Liver

      caution

      Take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with caution, especially if you have a history of liver diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Kidney

      caution

      Take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with caution, especially if you have a history of kidney diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Children

      caution

      AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is not recommended for children below 2 years of age unless advised by a doctor.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid dairy products such as milk as it may increase mucus production. Also, avoid processed or refined foods. 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. It also helps 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

    If the symptoms persist or worsen after using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE for 1 week, please consult a doctor.

    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, 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.

    FAQs

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE belongs to a class of medications called 'expectorants' used to treat cough.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE contains Ammonium chloride, Diphenhydramine hydrochloride, Sodium citrate and ethanol. Ammonium chloride increases the volume of fluid in the airways, reduces the stickiness of mucus and helps to remove it from airways. Diphenhydramine hydrochloride blocks the action of histamine, a substance responsible for causing allergic reactions. Sodium citrate works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Thereby, helps to cough out easily. Ethanol is a preservative.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE 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.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause drowsiness or dizziness. It is not necessary for everyone taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE to experience this side effect. However, avoid driving if you feel drowsy or dizzy after taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

    You are recommended to take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE for as long as your doctor has prescribed it. However, if the symptoms persist or worsen with rash, fever or persistent headache after 1 week of using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE, please consult your doctor.

    You are not recommended to stop taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE without consulting your doctor as it may worsen cough or cause recurring symptoms. Therefore, take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE for as long as your doctor has prescribed it and if you experience any difficulty while taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE, please consult your doctor.

    If you use AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with other anti-allergic medicine, it will increase the side effects of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE which can be serious and require emergency treatment as AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE already contains an anti-allergic medicine in it. Thus, always avoid using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with other medicines or inform your doctor about it.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may interact with the action of some anti-diabetic medications. Thus, before taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE, inform your doctor if you are using antidiabetic medications. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE should be used by diabetic patients only if prescribed by a doctor.

    Your doctor determines the dose and frequency of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE. Do not take more than recommended daily dose. You should maintain a gap of at least 6 hours between the consecutive dose of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

    No, AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE should not be used for anxiety. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is used to treat cough, cold and relieve symptoms like runny and stuffy nose, sneezing, watery eyes, etc.

    You should take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE in doses and duration as prescribed by your doctor. Do not take more than 4 doses in a day.

    No, you should not, since the doctor can determine this after careful clinical examinations as different underlying conditions may cause similar symptoms. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE also has many side effects and contraindications which can lead to severe conditions when ignored. Therefore, do not recommend self-administration. Ask your friend to use it only after taking a doctor’s advice.

    Elderly patients should always consult a doctor before using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as they are more prone to the side effects of this medicine. Also, conditions like prostate problem, glaucoma, and kidney and liver diseases are more likely seen in the elderly population which worsens the side effects of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE usually starts working within 15 to 30 minutes after taking it but it may vary from person to person.

    Yes, one of the active components of AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is Diphenhydramine, which is used to relieve cough caused by minor throat or airway irritation. Allergic symptoms like stuffy nose, runny nose, coughing, sneezing and red and watery eyes are controlled with an antihistaminic medicine, Diphenhydramine. It blocks the action of histamine, a substance responsible for causing allergic reactions and thus provides relief from above symptoms.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause side effects such as dry mouth, drowsiness, dizziness, diarrhoea, constipation or stomach pain. However, these are usually mild and resolve on their own. If these side effects persist or worsen, please consult your doctor.

    Alzheimer's disease is not known to be caused by AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE. However, you should always take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE exactly as prescribed by your doctor. Do not take more than the recommended dose.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is a cough and cold preparation used to provide relief from the symptoms of cold, cough and sore throat. It is not known to be used in the treatment of allergies.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE may cause stomach upset in some people. However, AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE is not known to cause constipation. It is recommended to take AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE exactly as prescribed by your doctor.

    AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE and Ascoril Plus Expectorant are both used to treat colds and coughs. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE provides relief from allergy symptoms and dry coughs, while Ascoril Plus is specifically designed for wet coughs associated with respiratory infections. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE contains diphenhydramine, ammonium chloride, sodium citrate and ethanol, while Ascoril Plus contains bromhexine, guaifenesin, menthol, and terbutaline. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE works by blocking the action of histamine, a substance responsible for causing allergic reactions and also it thins mucus, while Ascoril Plus loosens and thins mucus, making it easier to clear the airways.

    No, AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE and Grilinctus syrup are both medicines used to treat coughs and colds. However, they have different active components and mechanisms of action. AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE contains diphenhydramine, ammonium chloride, sodium citrate and ethanol. It works by blocking the action of histamine, a substance responsible for causing allergic reactions and provides relief from symptoms such as watery eyes, runny nose, and sore throat. It also thins the mucus, making it easier to cough out. On the other hand, Grilinctus syrup contains ammonium chloride, chlorpheniramine, dextromethorphan, and guaifenesin. It is used to relieve symptoms of irritating, dry, and allergic cough, common cold, and bronchitis.

    No, it is not recommended to breastfeed while taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it contains diphenhydramine, which may pass into the breast milk and may harm the baby. Therefore, inform your doctor if you are breastfeeding before taking AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE.

    Store AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE at room temperature away from excessive heat and direct sunlight. Do not freeze. Keep it out of reach of children.

    No, do not use AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE with other cough medicines unless advised by your doctor.

    If you have asthma or other respiratory conditions, consult your doctor before using AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE as it can thicken mucus secretions.

    If cough lasts for more than a week, returns, or coexists with a rash, fever, or persistent headache, consult a doctor.

    No, do not use AMMONIUM CHLORIDE+DIPHENHYDRAMINE HYDROCHLORIDE+ETHANOL+SODIUM CITRATE after its expiration date as the ingredients may become less effective and lose their potency.

    Available Medicines for

    DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL

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