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guaifenesin, hydrocodone, and pseudoephedrine
Pronunciation: gwye FEN e sin, HYE droe KOE done, SOO doe ee FED rin
Brand: Drituss HD, Entex HC, Hycofenix, Nalex Expectorant, Su-Tuss HD Elixir,
Vanacon
What is the most important information I should know
about guaifenesin, hydrocodone, and
pseudoephedrine?
Do not use this medicine if you have used an MAO inhibitor in the past 14 days. A
dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid,
methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
What is guaifenesin, hydrocodone, and
pseudoephedrine?
Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat,
making it easier to cough out through your mouth.
Hydrocodone is a narcotic cough suppressant. It affects the signals in the brain that
trigger cough reflex.
Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages.
Dilated blood vessels can cause nasal congestion (stuffy nose).
Guaifenesin, hydrocodone, and pseudoephedrine is a combination medicine used to treat
cough, stuffy nose, and sinus congestion caused by allergies or the common cold.
This medicine will not treat a cough that is caused by smoking, asthma, or emphysema.
Guaifenesin, hydrocodone, and pseudoephedrine may also be used for other purposes
not listed in this medication guide.
What should I discuss with my healthcare provider
before taking guaifenesin, hydrocodone, and
pseudoephedrine?
Do not use this medicine if you have used an MAO inhibitor in the past 14 days. A
dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid,
methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
You should not use this medicine if you are allergic to guaifenesin, hydrocodone, or
pseudoephedrine.
To make sure this medicine is safe for you, tell your doctor if you have:
• heart disease or high blood pressure;
• asthma, chronic obstructive pulmonary disease (COPD), or other breathing
disorder;
• diabetes;
• cough with mucus, or cough caused by emphysema or chronic bronchitis;
• thyroid disorder;
• enlarged prostate or urination problems; or
• blockage in your intestines.
Hydrocodone may be habit-forming. Never share this medicine with another person,
especially someone with a history of drug abuse or addiction. Keep the medication
in a place where others cannot get to it.
It is not known whether this medicine will harm an unborn baby. If you use
hydrocodone while you are pregnant, your baby could become dependent on the
drug. This can cause life-threatening withdrawal symptoms in the baby after it is born.
Babies born dependent on habit-forming medicine may need medical treatment for
several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Hydrocodone can pass into breast milk and may harm a nursing baby. Decongestants
may also slow breast milk production. Do not use this medicine without telling your
doctor if you are breast-feeding a baby.
How should I take guaifenesin, hydrocodone, and
pseudoephedrine?
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. Cough or cold medicine is usually
taken only for a short time until your symptoms clear up.
Always ask a doctor before giving cough or cold medicine to a child. Death can
occur from the misuse of cough or cold medicine in very young children.
Measure liquid medicine with the dosing syringe provided, or with a special dosemeasuring spoon or medicine cup. If you do not have a dose-measuring device, ask your
pharmacist for one.
Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have
a fever with a headache, cough, or skin rash.
Store at room temperature away from moisture and heat.
Keep track of the amount of medicine used from each new bottle. Hydrocodone is a drug
of abuse and you should be aware if anyone is using your medicine improperly or without
a prescription.
What happens if I miss a dose?
Since guaifenesin, hydrocodone, and pseudoephedrine is used when needed, you may
not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as
you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do
not use 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 hydrocodone can be fatal.
Overdose symptoms may include confusion, extreme weakness, pinpoint pupils, cold and
clammy skin, weak pulse, slow breathing, fainting, or breathing that stops.
What should I avoid while taking guaifenesin,
hydrocodone, and pseudoephedrine?
This medicine may cause blurred vision or impair your thinking or reactions. Avoid driving
or operating machinery until you know how guaifenesin, hydrocodone, and
pseudoephedrine will affect you.
Avoid drinking alcohol while you are taking this medication.
Ask a doctor or pharmacist before using any other cold, cough, allergy, or sleep
medicine. Guaifenesin and pseudoephedrine are contained in many combination
medicines. Taking certain products together can cause you to get too much of a certain
drug. Check the label to see if a medicine contains a decongestant or expectorant.
What are the possible side effects of guaifenesin,
hydrocodone, and pseudoephedrine?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult
breathing; swelling of your face, lips, tongue, or throat.
Stop using this medicine and call your doctor at once if you have:
• severe dizziness or drowsiness;
• weak or shallow breathing;
• severe restlessness or nervousness;
• severe constipation;
• pounding heartbeats or fluttering in your chest;
• painful or difficult urination; or
• little or no urinating.
Common side effects may include:
• mild drowsiness;
• dryness of your eyes, nose, and mouth;
• blurred vision; or
• nausea, vomiting, diarrhea, constipation.
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 guaifenesin,
hydrocodone, and pseudoephedrine?
Taking this medicine with other drugs that make you sleepy or slow your breathing
can cause dangerous or life-threatening side effects. Ask your doctor before taking
guaifenesin, hydrocodone, and pseudoephedrine with a sleeping pill, narcotic pain
medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Other drugs may interact with guaifenesin, hydrocodone, and pseudoephedrine, including
prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of
your health care providers about all medicines you use now and any medicine you start
or stop using.
Where can I get more information?
Your pharmacist can provide more information about guaifenesin, hydrocodone, and
pseudoephedrine.
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, upto-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time
sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United
States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless
specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend
therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in
caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for,
the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug
or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or
appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare
administered with the aid of information Multum provides. The information contained herein is not intended to cover
all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you
have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2015 Cerner Multum, Inc. Version: 2.02. Revision date: 9/21/2015.
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