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Dextromethorphan / phenylephrine / pyrilamine Pregnancy and Breastfeeding Warnings

Dextromethorphan / phenylephrine / pyrilamine is also known as: Aldex DM, Codal-DM Syrup, Codimal DM, Codituss DM, Deconsal DM, Deconsal DM Tannate, MyHist-DM, Pyril DM, Reme Hist DM, Ru-Hist Plus, Tannate V DM, Triplex DM, V-Tan DM, Viratan-DM, Viravan-DM, Zotex-12

Dextromethorphan / phenylephrine / pyrilamine Pregnancy Warnings

Dextromethorphan/phenylephrine/pyrilamine has been assigned to pregnancy category C by the FDA. Animal studies on the combination product dextromethorphan/phenylephrine/pyrilamine have not been conducted. Animal studies on dextromethorphan have revealed evidence of teratogenicity. There are no controlled data in human pregnancy. Dextromethorphan/phenylephrine/pyrilamine should only be given during pregnancy when benefits outweigh risks.

Dextromethorphan / phenylephrine / pyrilamine Breastfeeding Warnings

There are no data on the excretion of the combination product dextromethorphan/phenylephrine/pyrilamine into human milk. Small amounts of phenylephrine are secreted in breast milk. Dextromethorphan/phenylephrine/pyrilamine is considered contraindicated during breast-feeding by the manufacturer.

Based on the low molecular weight of dextromethorphan, some passage into breast milk probably occurs. However, maternal use of dextromethorphan products that do not contain alcohol are probably safe to use during breast-feeding.

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