About DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL
DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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.
DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL as prescribed by your doctor. You are advised to take DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL or any other medicines, please tell your doctor. DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL. DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL should be used with caution in elderly patients due to the increased risk of side effects. Drive only if you are alert as DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may cause dizziness. You are recommended to avoid alcohol consumption with DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL as it may increase drowsiness or dizziness.
Uses of DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL
Cough
Medicinal Benefits
DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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
Storage
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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL or any other medicines, please tell your doctor. DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL. DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL should be used with caution in elderly patients due to increased risk of side effects. Avoid using DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL. Drive only if you are alert as DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may cause dizziness. You are recommended to avoid alcohol consumption with DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL as it may increase drowsiness or dizziness.
Drug Interactions
Drug-Drug Interaction: DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may interact with a blood thinner (warfarin), antibiotic (chloramphenicol), medicines containing propantheline or metoclopramide, and anticonvulsants (pregabalin).
Drug-Food Interaction: DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may interact with alcohol. Therefore, avoid the consumption of alcohol with DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid consumption of alcohol with DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL as it may increase drowsiness or dizziness.
Pregnancy
cautionDIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL is given to pregnant women only if the doctor thinks the benefits outweigh the risks. Please consult a doctor if you are pregnant.
Breast Feeding
cautionDIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may be excreted in human milk. Therefore, DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.
Driving
cautionDIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL may cause dizziness in some people. Therefore, drive only if you are alert after taking DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL.
Liver
cautionTake DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL with caution, especially if you have a history of liver diseases/conditions. The dose may be adjusted by your doctor as required.
Kidney
cautionTake DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL with caution, especially if you have a history of kidney diseases/conditions. The dose may be adjusted by your doctor as required.
Children
cautionDIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL is not recommended for children below 2 years of age unless advised by a doctor.
Habit Forming
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 DIPHENHYDRAMINE HYDROCHLORIDE+AMMONIUM CHLORIDE+SODIUM CITRATE+ETHANOL 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.
