Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin

Uses	Cough and cold
Therapy	Cough Cold Preparation
Side Effects	Drowsiness, dizziness, fatigue, nausea, vomiting, thicker phlegm, skin rashes, itching, dry mouth, constipation

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Molecule Description

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin is a cough medicine that combines four ingredients: diphenhydramine, sodium citrate, ammonium chloride and terpin. It's primarily used to relieve coughs that produce thick mucus. Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin can also help alleviate symptoms like runny nose, stuffy nose, sneezing, watery eyes, and congestion. This medication should not be used in combination with other anti-allergy medications or medications for psychiatric conditions. Do not use Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin if you have glaucoma or prostate problems. Use it with caution if you have liver or kidney problems. It's crucial to consult a doctor before using Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin in children under two years of age. Side effects of Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin may include drowsiness, dry mouth, constipation, and upset stomach. Avoid breastfeeding while using this medication. Refrain from driving or operating heavy machinery if you experience drowsiness. Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin can be taken with or without food. However, it's essential to adhere to the exact dosage and duration prescribed by your doctor. According to the advisory issued by the Union Health Ministry, cough and cold medications should not be prescribed or dispensed to children under two years of age. These medications are generally not recommended for children under five years old. For children above that age, use should be based on thorough clinical evaluation and close supervision.

Uses

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin is used to treat cough and cold, especially associated with phlegm. It is also used to relieve symptoms like sneezing, a runny nose, watery eyes and a stuffy nose.

Contraindications

When should one not use Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin

If you are allergic to diphenhydramine, ammonium chloride, sodium citrate or any other ingredients of Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin.
If you are taking medicines like MAO inhibitors (Selegiline, Phenelzine, etc.) which are used for a psychiatric illness.
If you have glaucoma (increased pressure in the eyes which produces painful, red eyes and gradual vision loss).
If you have ulcers in the stomach and intestine (symptoms like vomiting, acidity, indigestion, bleeding, black stool) or any problems related to your stomach.
If you have prostate problems (conditions like benign prostatic hyperplasia which are characterised by difficulty in urination, frequent urge to go to urination and dribbling of urine).
If you have an asthma attack.
If you are breastfeeding.
If you are taking other sedating antihistamines medicines like Promethazine and Chlorphenamine.

Side effects

Common side effects of this drug are:

Drowsiness
Dizziness
Fatigue
Nausea
Vomiting
Thicker phlegm
Skin rashes and itching
Dry mouth
Constipation

Precautions and Warnings

Pregnancy

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin should be avoided during pregnancy as it may cause harm to the unborn baby. If you are pregnant or think you may be or are planning for a baby, you should consult your doctor before starting this medicine.

Breast Feeding

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin should not be used during breastfeeding as it passes into the breastmilk and could harm the breastfed baby. Consult your doctor before using it while breastfeeding.

Driving

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin may cause blurring of vision and drowsiness as a side effect. It is advisable to avoid driving, operate heavy machinery or any activity that needs alertness or clear vision during the treatment.

Alcohol

You should not consume alcohol while taking Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin as it may worsen the side effects of this medicine.

Other General Warnings

Talk to your doctor if

You have any breathing problems, pneumonia, asthma or any other diseases.
You have glaucoma or fits.
You have any problems with your liver or kidney.
You consume alcohol regularly.
You are above 65 years of age and older individuals should be cautious while using this medicine as they are more prone to develop dizziness and urination problems with this medicine.
Do not use this medicine to make a child sleepy.
In young children, this medicine may produce excitement instead of drowsiness. So, be cautious while using it.
Stop using this medicine and ask a doctor if the cough lasts more than 7 days, comes back or is accompanied by fever, rash or persistent headache. These could be the signs of a serious condition.
Do not share this medicine with anyone even if they have similar symptoms.

Mode of Action

How Does It Work?

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin helps in reducing cough with phlegm.
Diphenhydramine blocks the effects of allergic chemicals and provides relief from allergic symptoms such as a runny nose and watery eyes.
Terpin is an expectorant that helps loosen phlegm.
Ammonium chloride is an expectorant agent which increases the water content in the windpipe. Therefore, a cough associated with thick mucous (phlegm) is relieved by making the mucous easy to expel.
Sodium citrate is a mucolytic agent which decreases the consistency of this mucous and makes it thin. Thus, these agents help to remove this mucous from the windpipe and lungs and improve the patient's condition.

Interactions

Interactions with other medicines

Other anti-allergic or sedating antihistamine medicines (such as promethazine, chlorphenamine) may increase the side effects.
MAO inhibitors (such as selegiline, phenelzine) used for psychiatric illness should not be used with this medicine.

Interactions with food items

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin can be taken with or without food. However, taking it with food may help reduce gastrointestinal discomfort.

Dosage

Overdose

If you think you have taken too much Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you have missed taking any dose of Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of this medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin already contains anti-allergic medicines in it. If you use it with other anti-allergic medicines, it will increase the side effects of this medicine which can be serious and needs emergency treatment, so always avoid using other medicines with it or inform your doctor about that.

No, this medicine should not be used for anxiety. Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin is used to treat cough, cold and relieve symptoms like sneezing, a runny and stuffy nose, watery eyes, etc.

You should take Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin in the correct doses and for the exact duration as recommended by your doctor. You should not take more than 4 doses in a day.

No, you should not, as different underlying conditions produce similar symptoms which the doctor will decide after careful clinical examinations. So, this medicine should be used only if prescribed by a doctor. Self-medication should be avoided.

Elderly patients are more prone to the side effects of this medicine. Also, conditions like glaucoma, prostate problem, liver and kidney diseases are more prevalent in the elderly population which aggravates the side effects of this medicine. So, always consult a doctor before using it in elderly patients.

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin approximately acts within 15 to 30 minutes after taking it but it may differ from person to person.

Dizziness, drowsiness, headache, loss of appetite, constipation, nausea or anxiety, etc., are a few common side effects that an individual might experience. Usually, these symptoms resolve with time.

The doctor will decide the dose of Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin on the basis of the severity of the infection. You should take this medicine in the correct doses and for the exact duration as recommended by your doctor. You should not take more than 4 doses in a day.

Please check the product label for the alcohol content, or ask your doctor or pharmacist.

Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin should not be used in children below 2 years of age, and is generally not recommended in children under 5 years of age, without proper medical consultation. The doctor will prescribe it in appropriate doses based on the child's age and body weight.

Yes, Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin may make you feel drowsy and sleepy. It is an anti-allergic medicine. It acts by blocking the action of a chemical called histamine. Histamine is also involved in the regulation of sleep and wakefulness. Blocking the action of it can lead to sleepiness or dizziness. However, this may not be experienced by everyone taking this medicine. If you experience such symptoms after taking the medicine, take a rest. Do not perform activities that need mental alertness like driving or operating complex machinery. Always consult a doctor before using any medicine.

Yes, Diphenhydramine+Sodium Citrate+Ammonium Chloride+Terpin is effective in wet cough. It decreases the consistency of the mucous and makes it thin and relieves it by making the mucous easy to expel. However, it is advised to take this medicine only after the doctor's advice.

Dose and directions to use will be prescribed by the physician depending upon the type of cough the person is suffering from. Do not exceed the maximum daily doses and treatment durations recommended.

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