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AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN

About

AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN 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) produces mucous or sputum.

AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN contains Dextromethorphan, Chlorpheniramine, Guaiphenesin and Ammonium chloride. Dextromethorphan works 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 blocks the action of histamine, which is responsible for causing allergic reactions. Guaiphenesin and Ammonium chloride increase the volume of fluid in the airways, reduce the stickiness of mucus and help to remove it from the airways. Together, AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN helps provides relief from cough.

Your doctor will recommend the dose and duration of AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN based on your medical condition. Some people may experience dry mouth, dry throat or nose, nausea, stomach upset, vomiting, drowsiness, headache, blurred vision, constipation, dizziness, restlessness or nervousness. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Consult your doctor if you are pregnant or breastfeeding. AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN is not recommended for children below 12 years of age. AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN may cause drowsiness, so drive or operate machinery only if you are alert. Avoid alcohol consumption as it may lead to increased drowsiness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Uses of AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN

Cough

Medicinal Benefits

AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN is a combination of four drugs, namely: Dextromethorphan, Chlorpheniramine, Guaiphenesin and Ammonium chloride. Dextromethorphan belongs to the class of cough suppressants; it helps decrease the urge to cough. Chlorpheniramine is an antihistamine (antiallergic 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 belongs to the class of irritants and expectorants that work by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helps to remove it from the airways. Together, AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN provides relief from cough.

Directions for Use

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 AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN

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

In-Depth Precautions and Warning

Drug Warnings

Do not take AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN if you are allergic to any of its components. Inform your doctor if you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis or emphysema (a lung condition causing shortness of breath), chronic obstructive pulmonary disease (COPD), blockage in the 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. 

Drug Interactions

Drug-Drug Interaction: AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN may interact with antiallergic 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: No interactions found/established.

Drug-Disease Interaction: Inform your doctor if you have high blood pressure, fits, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, emphysema (a lung condition causing shortness of breath), or chronic obstructive pulmonary disease (COPD).

Drug-Drug Interactions Checker List:

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

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN as it may increase adverse effects. Please consult a doctor before consuming alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN.

    • Safety Warning

      Pregnancy

      caution

      The safety of AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      Please consult your doctor. AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN is given to breastfeeding mothers only if the doctor thinks the benefits are greater than the risks.

    • Safety Warning

      Driving

      caution

      AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN 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+GUAIPHENESIN.

    • Safety Warning

      Liver

      caution

      Take AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN 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+GUAIPHENESIN with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required in severe kidney disease.

    • Safety Warning

      Children

      caution

      AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN 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.
    • Avoid processed or refined foods. 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 a dry throat. 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

    • You are recommended to inform the doctor that you are taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN if you are undergoing any medical tests or surgery.
    • It is advised to stop using AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN if your cough persists for more than 1 week and it reoccurs or is accompanied by hay fever, skin rash or persistent fever. 

    Patients Concern

    Disease/Condition Glossary

    Cough: Coughing is the 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. A dry cough does not produce sputum. 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.

    FAQs

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN contains Dextromethorphan, Chlorpheniramine, Guaiphenesin and Ammonium chloride. Dextromethorphan blocks 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 works by blocking the action of histamine, a substance responsible for causing allergic reactions and helps to provide relief from symptoms of allergy. Guaiphenesin and Ammonium chloride work by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helps to remove it from the airways.

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN to experience this side effect. However, to avoid dry mouth, 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+GUAIPHENESIN if you have high blood pressure, low blood pressure, breathing difficulty, heart problems (like tachycardia), liver disease, kidney disease and coronary artery diseases. If you have these conditions, contact a doctor before using AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN.

    Available Medicines for

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE+DEXTROMETHORPHAN+GUAIPHENESIN

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