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About AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN

AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN contains four medicines, namely: Ammonium chloride, Chlorpheniramine maleate, Dextromethorphan hydrobromide, and Guaifenesin. Ammonium chloride and Guaifenesin work by irritating the airways which increases the production of respiratory tract fluids and decrease the stickiness of mucus that can be coughed out easily. Chlorpheniramine maleate blocks the action of histamine which is responsible for causing allergic reactions. Dextromethorphan hydrobromide works by blocking the transmission of nerve signals from the cough center in the brain to the muscles that produce cough, thereby decreasing the urge to cough. Together, AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN helps to provide relief from cough.

Take AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN as advised by your doctor. Your doctor will recommend how often you need to take AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 pregnant or breastfeeding, it is advised to inform your doctor before using AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN. AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN is not recommended for children below 12 years of age. 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 (tumor in the adrenal glands), kidney, liver, lung, heart or urinary problems, inform your doctor before taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

Uses of AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN

Cough

Medicinal Benefits

AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN contains four medicines, namely: Ammonium chloride, Chlorpheniramine maleate, Dextromethorphan hydrobromide, and Guaifenesin. Ammonium chloride and Guaifenesin work by irritating the airways which increases the production of respiratory tract fluids and decrease the stickiness of mucus that can be coughed out easily. Chlorpheniramine maleate blocks the action of histamine which is responsible for causing allergic reactions. It also provides relief from symptoms of allergy such as sneezing, running nose, watery eyes, itching, swelling, and congestion or stiffness. Dextromethorphan hydrobromide works by blocking the transmission of nerve signals from the cough center in the brain to the muscles that produce cough, thereby decreasing the urge to cough. Together, AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN helps to provide relief from cough.

Directions for Use

Shake the bottle well before use. Check the label for directions and take AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN with or without food in doses prescribed by your doctor with the help of a measuring cup provided with the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN

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

In-Depth Precautions and Warning

Drug Warnings

If you are pregnant or breastfeeding, then it is advised to inform your doctor before using AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN. AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN. Avoid using AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 (tumor in the adrenal glands), kidney, liver, lung, heart or urinary problems, inform your doctor before taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN. 

Drug Interactions

Drug-Drug Interaction: AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN may have interaction 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: AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN may interact with alcohol. Therefore, avoid consumption of alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN as it may increase adverse effects. Please consult a doctor before consuming alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

    • Safety Warning

      Pregnancy

      caution

      The safety of AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN 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

      AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

    • Safety Warning

      Driving

      caution

      AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

    • Safety Warning

      Liver

      caution

      Take AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN with caution, especially if you have a history of liver disease. The dose may be adjusted by your doctor as required if you have severe liver disease.

    • Safety Warning

      Kidney

      caution

      Take AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN with caution, especially if you have a history of kidney disease. The dose may be adjusted by your doctor as required in severe kidney disease.

    • Safety Warning

      Children

      caution

      AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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. 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 a 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

    • You are recommended to inform your doctor that you are taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN before undergoing any medical tests or surgery.
    • It is advised to stop the use of AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN if your cough persists for more than 1 week, if it 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 minor infections in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

    FAQs

    How does AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN work?

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN contains Ammonium chloride, Chlorpheniramine maleate, Dextromethorphan hydrobromide and Guaifenesin. Ammonium chloride and Guaifenesin work by irritating the airways which increase the production of respiratory tract fluids and decrease the stickiness of mucus that can be coughed out easily. Chlorpheniramine maleate blocks the action of histamine which is responsible for causing allergic reactions. Dextromethorphan hydrobromide blocks the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough, thereby decreasing the urge to cough. Together, AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN helps to provide relief from cough.

    Can I drink alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN?

    No, you are not recommended to consume alcohol with AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

    Does AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN cause dry mouth?

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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.

    In which conditions should I avoid taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN?

    You should avoid taking AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+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 MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN.

    Available Medicines for

    AMMONIUM CHLORIDE+CHLORPHENIRAMINE MALEATE+DEXTROMETHORPHAN HYDROBROMIDE+GUAIFENESIN