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Belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets

Generic Name: belladonna alkaloids/chlorpheniramine/pseudoephedrine (bell-a-DON-a AL-ka-loids/klor-fen-EER-a-meen/sue-do-eh-FED-rin)
Brand Name: Examples include Respa-AR and Ru-Tuss

Belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets is used for:

Relieving congestion, sneezing, runny nose, and itchy, watery eyes due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.

Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets is an antihistamine, decongestant, and anticholinergic combination. It works by blocking histamine, a substance in the body that causes sneezing, runny nose, and watery eyes. It also relieves nasal congestion by shrinking the nasal mucous membranes, which promotes nasal drainage, and dries the chest by decreasing lung secretions.

Do NOT use belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets if:

  • you are allergic to any ingredient in belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets
  • you are pregnant or breast-feeding
  • you take sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days
  • you have severe heart blood vessel disease, severe high blood pressure, narrow-angle glaucoma, severe bleeding, severe irritation of the esophagus or other serious problems with the esophagus (eg, esophageal achalasia), peptic ulcer, a blockage of your stomach or bowel, bowel motility problems, severe bowel inflammation (eg, ulcerative colitis), certain muscle problems (eg, myasthenia gravis), or uncontrolled bleeding
  • you are unable to urinate or are having an asthma attack

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

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Before using belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets:

Some medical conditions may interact with belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are planning to become pregnant
  • 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 diabetes, an enlarged prostate, bladder or kidney problems, high blood pressure, diarrhea, asthma, nerve problems, heart problems, blood clots, a hiatal hernia, an adrenal gland tumor, glaucoma, breathing problems during sleep, seizures, myasthenia gravis (muscle weakness), or an overactive thyroid

Some MEDICINES MAY INTERACT with belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Alpha-blockers (eg, prazosin, guanethidine, methyldopa), beta-blockers (eg, atenolol), diuretics (eg, furosemide, hydrochlorothiazide), furazolidone, MAO inhibitors (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline)
  • Alkalizers (eg, calcium or magnesium antacids), anticholinergics (eg, atropine, benztropine, dicyclomine), carbonic anhydrase inhibitors (eg, acetazolamide), ergotamine, or sodium bicarbonate because the side effects of belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may be increased
  • Bromocriptine, catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), certain stimulants (eg, doxapram, pseudoephedrine), cocaine, digoxin, droxidopa, potassium chloride, or sodium oxybate (GHB) because side effects may be increased by belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets
  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because effectiveness may be decreased by belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets 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 belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets:

Use belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Do not take belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets at the same time as an antacid, certain medicines for diarrhea (eg, kaolin, pectin, attapulgite, bismuth), or ketoconazole. Take these medicines 2 or 3 hours before or after taking belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.
  • Swallow whole. Do not crush or chew before swallowing. Some brands of belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may be broken in half before they are taken. If you have difficulty swallowing the whole tablet, ask your pharmacist if your brand may be broken in half.
  • If you miss a dose of belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.

Important safety information:

  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may cause drowsiness, dizziness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets. Using belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
  • If your symptoms do not improve within 7 days or if you develop a high fever or persistent headache, check with your doctor.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may cause dry mouth. To relieve dry mouth, suck on sugarless hard candy or ice chips, chew sugarless gum, drink water, or use a saliva substitute.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may cause your eyes to become sensitive to sunlight. Wearing sunglasses may help.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may reduce sweating. Do not become overheated in hot weather or during exercise or other activities; heatstroke may occur.
  • Do not take diet or appetite control medicines while you are taking belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets without checking with your doctor.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets contains pseudoephedrine. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains pseudoephedrine. If it does or if you are uncertain, contact your doctor or pharmacist.
  • If you have trouble sleeping, ask your doctor or pharmacist about the best time of the day to take belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may interfere with certain lab test results. Be sure your doctors and lab personnel know that you are taking belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.
  • Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.
  • Diabetes patients - Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.
  • Caution is advised when using belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets the ELDERLY because they may be more sensitive to its effects.
  • Caution is advised when using belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets in CHILDREN because they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: It is unknown if belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets can cause harm to the fetus. If you become pregnant while taking belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets, discuss with your doctor the benefits and risks of using belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets during pregnancy. Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets is excreted in breast milk. Do not breast-feed while taking belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.

Possible side effects of belladonna alkaloids/ chlorpheniramine/ pseudoephedrine sustained-release tablets:

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:

Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; mental or mood changes; seizures; severe dizziness, lightheadedness, or headache; tremor; vision changes.

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 deep sleep or loss of consciousness; hot or cool skin; irregular heartbeat; irritability, anxiety, or panic; large pupils; numbness or tingling in the arms or legs; seizures; slowed or shallow breathing.

Proper storage of belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets:

Store belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets 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 belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets 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 belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets. 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 belladonna alkaloids/chlorpheniramine/pseudoephedrine sustained-release tablets.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
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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