Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate

When should one not use Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate

• If your child is allergic to paracetamol, phenylephrine, chlorpheniramine, sodium citrate or any other ingredients of Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate.
• If your child is taking medicines called MAO inhibitors. If you are not sure what these medicines are, please confirm with your doctor.
• If your child has severe high blood pressure.
• If your child has liver or kidney disorders.
• If your child has increased pressure in the eyes (closed-angle glaucoma).

Common side effects of this drug are:

• Headache
• Dizziness
• Dry mouth
• Sleepiness
• Stomach upset

Other General Warnings

• If your child has thyroid disorders, heart disease, high blood pressure or deposits of fat/cholesterol in the blood vessels that supply blood to the heart.
• If your child has lung disorders like asthma, bronchitis or chronic obstructive pulmonary disorder (COPD).
• If your child has difficulty urinating due to blockage in the bladder or neck.
• If your child has a blockage in the digestive tract.
• If your child has increased pressure in the eyes (glaucoma) or diabetes.
• If your child has kidney or liver disorders.
• If your child is malnourished.
• If your child is taking medicines that slow down the central nervous system.
• If your child has low fluid volume due to severe vomiting/diarrhoea, excessive heat exposure or less than normal fluid intake.
• If your child develops redness of the skin, blisters and rash after taking this medicine.
• If your child has a condition called Raynaud's phenomenon.
• If your child has an enlarged prostate.
• If your child experiences fit/seizures.
• If your child is taking other medicines for cold and cough or other medicines containing paracetamol.

How Does It Work?

• Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate contains a combination of paracetamol, chlorpheniramine, phenylephrine and sodium citrate as active substances.
• Paracetamol is a non-steroidal anti-inflammatory medicine (NSAID) that blocks the action of a chemical called cyclooxygenase. Cyclooxygenase is responsible for the formation of certain substances in the body called prostaglandins that cause fever, pain and inflammation.
• Chlorpheniramine is an anti-allergic medicine that blocks certain proteins in the body that are responsible for causing itching, headache, redness of the skin, low blood pressure and pain.
• Phenylephrine is a nasal decongestant. It works by reducing the swelling of blood vessels of nasal passage by constricting the blood vessels and thereby relieving nasal congestion or blockage.
• Sodium citrate liquifies the mucous and helps in its expulsion thereby clearing congestion.

Interactions with other medicines

• Some medicines can affect the way Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Inform your doctor about all the medicines, supplements or herbals your child is currently taking or might take to avoid any possible interaction.
• Particular care should be taken if your child is taking medicines for treating blood clots (warfarin), heartburn and gastro-oesophageal reflux disease (metoclopramide), ulcers (propantheline), depression (amitriptyline), pain (fentanyl), gout (probenecid), abnormal/high cholesterol (cholestyramine) and Parkinson's disease/depression (MAO inhibitors).
• The risk of toxicity may be increased when Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate is given with other medicines that may damage the liver or with medicines used for the management of fits/seizures.

Overdose

Missed a Dose

• If you missed giving any dose of Paracetamol / Acetaminophen+Phenylephrine Hydrochloride+Chlorpheniramine Maleate+Sodium Citrate to your child, give it as soon as you remember.
• If it's time for the next dose, then skip the missed dose and continue with the regular dosing schedule.
• Do not give a double dose to compensate for the missed one