Acetaminophen/ dextromethorphan syrup

Generic Name: acetaminophen/dextromethorphan (a-SEET-a-MIN-oh-fen/DEX-troe-meth-OR-fan)
Brand Name: Children's Triaminic Cough and Sore Throat

Acetaminophen/ dextromethorphan syrup is used for:

Temporarily relieving aches, pain, fever, headache, sore throat pain, and cough caused by the common cold. It may also be used for other conditions as determined by your doctor.

Acetaminophen/dextromethorphan syrup is an analgesic and cough suppressant combination. It works in the brain to decrease pain and fever, and to reduce a dry cough.

Do NOT use acetaminophen/ dextromethorphan syrup if:

  • you are allergic to any ingredient in acetaminophen/dextromethorphan syrup
  • you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

Before using acetaminophen/ dextromethorphan syrup:

Some medical conditions may interact with acetaminophen/dextromethorphan syrup. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of asthma, chronic cough, chronic obstructive pulmonary disease (COPD), or other lung problems (eg, chronic bronchitis, emphysema), or if your cough produces large amounts of mucus
  • if you have a history of liver problems (eg, hepatitis), kidney problems, or alcohol abuse
  • if you drink more than 3 alcohol-containing drinks per day

Some MEDICINES MAY INTERACT with acetaminophen/dextromethorphan syrup. Tell your health care provider if you are taking any other medicines, especially any of the following

  • Furazolidone or MAOIs (eg, phenelzine) because a severe toxic reaction may occur
  • Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
  • Isoniazid because the risk of liver damage may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if acetaminophen/dextromethorphan syrup may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use acetaminophen/ dextromethorphan syrup:

Use acetaminophen/dextromethorphan syrup as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take acetaminophen/dextromethorphan syrup by mouth with or without food.
  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
  • Do not take more than 5 doses of acetaminophen/dextromethorphan syrup within 24 hours unless your doctor tells you otherwise.
  • If you miss a dose of acetaminophen/dextromethorphan syrup, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use acetaminophen/dextromethorphan syrup.

Important safety information:

  • Acetaminophen/dextromethorphan syrup may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use acetaminophen/dextromethorphan syrup with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Acetaminophen/dextromethorphan syrup has acetaminophen and dextromethorphan in it. Before you begin taking any new prescription or nonprescription medicine, check the label to see if it has acetaminophen or dextromethorphan in it too. If it does or if you are not sure, check with your doctor or pharmacist.
  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Contact your doctor if pain or cough lasts for more than 5 days, goes away and then comes back, or occurs with fever, rash, or persistent headache. These could be signs of a serious condition.
  • Contact your doctor if you have a sore throat that is severe, lasts more than 2 days, or occurs with fever, rash, headache, nausea, or vomiting.
  • Contact your doctor if you have a fever that gets worse or lasts for more than 3 days.
  • Acetaminophen/dextromethorphan syrup may harm your liver. Your risk may be greater if you drink alcohol while you are using acetaminophen/dextromethorphan syrup. Talk to your doctor before you take acetaminophen/dextromethorphan syrup or other fever reducers if you drink more than 3 drinks with alcohol per day.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
  • Do not use acetaminophen/dextromethorphan syrup for a cough with a lot of mucus. Do not use it for a long-term cough (eg, caused by asthma, emphysema, smoking). However, you may use it for these conditions if your doctor tells you to.
  • Acetaminophen/dextromethorphan syrup may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking acetaminophen/dextromethorphan syrup.
  • Tell your doctor or dentist that you take acetaminophen/dextromethorphan syrup before you receive any medical or dental care, emergency care, or surgery.
  • Use acetaminophen/dextromethorphan syrup with caution in the ELDERLY; they may be more sensitive to its effects.
  • Acetaminophen/dextromethorphan syrup should not be used in CHILDREN younger than 4 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using acetaminophen/dextromethorphan syrup while you are pregnant. Acetaminophen/dextromethorphan syrup is found in breast milk. Do not breast-feed while taking acetaminophen/dextromethorphan syrup.

Possible side effects of acetaminophen/ dextromethorphan syrup:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); dark urine; severe or persistent stomach pain; severe or persistent tiredness; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; dark urine; excessive sweating; extreme fatigue; hallucinations; nausea and vomiting; yellowing of the skin or eyes.

Proper storage of acetaminophen/dextromethorphan syrup:

Store acetaminophen/dextromethorphan syrup at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep acetaminophen/dextromethorphan syrup out of the reach of children and away from pets.

General information:

  • If you have any questions about acetaminophen/dextromethorphan syrup, please talk with your doctor, pharmacist, or other health care provider.
  • Acetaminophen/dextromethorphan syrup is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take acetaminophen/dextromethorphan syrup or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about acetaminophen/dextromethorphan syrup. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to acetaminophen/dextromethorphan syrup. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using acetaminophen/dextromethorphan syrup.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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