Antihistamines, Decongestants and Analgesics - Systemic
Antihistamines, Decongestants and Analgesics *** Before Using *** How to Use *** Fore Safe Use *** Side Effects
Before Using
If you are taking this drug
without a prescription, carefully read and follow any precautions on the label.
For antihistamine, decongestant and analgesic combinations, the following
must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to any of the ingredients contained in this drug. If
this drug contains aspirin
or another salicylate
, before taking it, check with your family doctor if you
have any unusual or allergy to any of the following medication:
-
Diclofenac - Voltaren
-
Diflunisal - Dolobid
-
Etodolac - Lodine
-
Fenoprofen - Nalfon
-
Floctafenine
-
Flurbiprofen, by mouth - Ansaid
-
Ibuprofen - Motrin
-
Indomethacin - Indocin
-
Ketoprofen - Orudis
-
Meclofenamate - Meclomen
-
Mefenamic acid - Ponstel
-
Methyl salicylate - oil of wintergreen
-
Nabumetone - Relafen
-
Naproxen - Naprosyn
-
Oxaprozin - Daypro
-
Oxyphenbutazone - Tandearil
-
Phenylbutazone - Butazolidin
-
Piroxicam - Feldene
-
Sulindac - Clinoril
-
Suprofen - Suprol
-
Tenoxicam - Mobiflex
-
Tiaprofenic acid - Surgam
-
Tolmetin - Tolectin
-
Zomepirac - Zomax
Also tell your health care professional if you are allergic to any other
substances, such as foods, preservatives, or dyes.
Pregnancy care
The occasional use of antihistamine, decongestant,
and analgesic combinations is not likely to cause problems in the fetus or
in the newborn baby. However, when these medication are using at higher doses
andfor a long time, the risk that problems might occur may increase.
For the individual ingredients of these combinations, the following apply:
-
Acetaminophen
Acetaminophen has
not been shown to cause birth defects or other problems. However,
studies on birth defects have not been done.
-
Alcohol
Some of these combination
medication contain large amounts of alcohol. Too much use of alcohol during
pregnancy may cause birth defects.
-
Antihistamines
Antihistamines have
not been shown to cause problems.
-
Caffeine
Studies have
not shown that caffeine causes birth defects. However, studies in pets
have shown that caffeine causes birth defects when given in very large doses
- amounts equal to the amount of caffeine contained in 12 to 24 cups of coffee
a day.
-
Phenylephrine
Studies on birth defects
have not been done in either humans or pets with phenylephrine.
-
Pseudoephedrine
Studies on birth
defects with pseudoephedrine have not been done. In animal studies
pseudoephedrine did not cause birth defects but did cause a decrease in average
weight, length and rate of bone formation in the animal fetus when aplaying
in high doses.
-
Salicylates - aspirin
Salicylates
have not been shown to cause birth defects. Studies on birth defects
in humans have been done with aspirin. However, salicylates have been shown
to cause birth defects in pets.
Regular use of salicylates late in pregnancy may cause unwanted effects
on the heart or blood flow in the fetus or newborn baby. Use of salicylates
during the last 2 weeks of pregnancy may cause bleeding problems in the fetus
before or during delivery, or in the newborn baby. Always too much use of salicylates
during the last 3 months of pregnancy may increase the length of pregnancy,
prolong labor, cause other problems during delivery, or cause severe bleeding
in the mother before, during, or after delivery
Do not
take aspirin during the last 3 months of pregnancy unless it has been ordered
by your family doctor
.
Breast-feeding problem
If you are breast-feeding the risk that problems
might occur depends on the ingredients of the combination. For the individual
ingredients of these combinations, the following apply:
-
Acetaminophen
Acetaminophen passes
into the breast milk. However, it has not been shown to cause problems in
nursing babies.
-
Alcohol
Alcohol passes into the
breast milk. However, the amount of alcohol in recommended doses of this drug
does not usually cause problems in nursing babies.
-
Antihistamines
Use is not recommended
since the chance are greater for this drug to cause side effects, such
as unusual excitement or irritability, in the nursing baby. Always since antihistamines
tend to decrease the secretions of the body, it is possible that the flow
of breast milk may be reduced in some women.
-
Caffeine
Small amounts of caffeine
pass into the breast milk and may build up in the nursing baby. However, the
amount of caffeine in recommended doses of this drug does not usually
cause problems in nursing babies.
-
Decongestants - phenylephrine, pseudoephedrine
Decongestants may pass into the breast milk and may cause unwanted
effects in nursing babies of mothers taking this drug.
-
Salicylates - aspirin, sodium salicylate
Salicylates pass into the breast milk. Although salicylates
have not been reported to cause problems in nursing babies, it is possible
that problems may occur if large amounts are taken regularly.
Use for Children
Very young children are usually more sensitive to
the effects of this drug. Increases in blood pressure, nightmares, unusual
excitement, nervousness, restlessness, or irritability may be more likely
to occur in child. Always mental changes may be more likely to occur in
young children taking these combination medication.Before giving any of these combination medication to
a child, check the package label very carefully. Some of these medication are
too strong for use in child
. If you are not certain whether a specific
product can be given to a child, or if you have any questions about the amount
to give, check with your health care professional.
Do not give aspirin or other salicylates to a child
with a fever or other symptoms of a virus infection, especially flu or chickenpox,
without first discussing their use with your child's family doctor
. This is
very important because salicylates may cause a serious illness called Reye's
syndrome in child with fever causing by a virus infection, especially flu
or chickenpox. Always children may be more sensitive to the aspirin or other
salicylates contained in some of these medication, especially if they have
a fever or have lost large amounts of body fluid because of vomiting, diarrhea,
or sweating.
Adolescents Do not give aspirin or other
salicylates to a teenager with a fever or other symptoms of a virus infection,
especially flu or chickenpox, without first discussing their use with your
child's family doctor
. This is very important because salicylates may cause
a serious illness called Reye's syndrome in teenagers with fever causing by
a virus infection, especially flu or chickenpox.
Elderly care
The elderly are usually more sensitive to the effects
of this drug. Confusion, difficult or painful urination, dizziness, drowsiness,
feeling faint, or dryness of mouth, nose, or throat may be more likely to
occur in elderly diseaseds. Always nightmares or unusual excitement, nervousness,
restlessness, or irritability may be more likely to occur in the elderly.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
antihistamine, decongestant and analgesic combinations it is especially important
that your health care professional know if you are taking any
other prescription or nonprescription - over-the-counter "OTC "
drug, for example, aspirin or other drug for allergies. Some medication
may change the way this drug effects your body. Always the effect of other
medication may be increased or reduced by some of the ingredients in this drug.
Other Information for using
The presence of other medical
problems may effect the use of antihistamine, decongestant and analgesic
combinations. Make sure you tell your family doctor if you have any other medical
problems, especially:
-
Alcohol abuse Acetaminophen-containing medication increase the
risk of liver damage
-
Anemia Taking a salicylate-containing drug may make the
anemia worse
-
Asthma, allergies and nasal polyps, history of,
-
Asthma attacks Taking a salicylate-containing drug may
cause an allergy in which breathing becomes difficult; also, although
antihistamines open tightened bronchial passages, other effects of the antihistamines
may cause secretions to become thick so that during an asthma attack it might
be difficult to cough them up
-
Diabetes mellitus - sugar diabetes The decongestant in this
drug may put the patient with diabetes at a greater risk of having heart
or blood vessel disease
-
Enlarged prostate
-
Urinary tract blockage or difficult urination Some of the effects
of antihistamines may cause urinary problems to get worse
-
Glaucoma A slight increase in inner eye pressure may occur
-
Gout Aspirin- or sodium salicylate-containing drug may
make the gout worse and reduce the benefit of the medication using for gout
-
Hemophilia or other bleeding problems Aspirin- or sodium salicylate-containing
drug increases the risk of bleeding
-
Hepatitis or other liver disease There is a greater risk
of side effects because the drug is not broken down and may build up in
the body; also, if liver disease is severe there is a greater risk that
aspirin-containing drug may cause bleeding
-
Heart or blood vessel disease
-
High blood pressure The decongestant in this drug may cause
the blood pressure to increase and may also speed up the heart rate; also,
caffeine-containing drug, if taken in large amounts, may have a similar
effect on the heart
-
Kidney disease - severe The kidneys may be effected, especially
if too much of this drug is taken for a long time
-
Overactive thyroid If the overactive thyroid has causing a fast
heart rate, the decongestant in this drug may cause the heart rate to
speed up further
-
Stomach ulcer or other stomach problems Salicylate-containing
drug may make the ulcer worse or cause bleeding of the stomach
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