Dextromethorphan/ acetaminophen/ diphenhydramine liquid
Generic Name: dextromethorphan/acetaminophen/diphenhydramine (DEX-troe-meth-OR-fan/a-SEET-a-MIN-oh-fen/DYE-fen-HYE-dra-meen)
Brand Name: Diabetic Tussin
Dextromethorphan/ acetaminophen/ diphenhydramine liquid is used for:
Relieving cold and flu symptoms such as cough caused by throat irritation, minor aches and pains, fever, headache, sore throat, muscle aches, sneezing, and runny nose. It may also be used for other conditions as determined by your doctor.
Dextromethorphan/acetaminophen/diphenhydramine liquid is a cough suppressant, antihistamine, and analgesic combination. The cough suppressant works in the brain to help decrease the cough reflex to reduce a dry cough. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The analgesic works in certain areas of the brain and nervous system to decrease pain.
Do NOT use dextromethorphan/ acetaminophen/ diphenhydramine liquid if:
- you are allergic to any ingredient in dextromethorphan/acetaminophen/diphenhydramine liquid
- you are taking sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days
- you are taking another medicine that contains acetaminophen or diphenhydramine
Contact your doctor or health care provider right away if any of these apply to you.
Before using dextromethorphan/ acetaminophen/ diphenhydramine liquid:
Some medical conditions may interact with dextromethorphan/acetaminophen/diphenhydramine liquid. 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 alcoholism or if you consume 3 or more alcohol-containing drinks every day
- if you have a fast, slow, or irregular heartbeat; liver problems (eg, hepatitis); the blood disease porphyria; breathing problems when you sleep (eg, sleep apnea); or kidney problems
- if you have a history of asthma; lung or breathing problems (eg, chronic bronchitis, emphysema); heart problems; high blood pressure; diabetes; heart blood vessel problems; a stroke; glaucoma; a blockage of your stomach, bladder, or intestines; ulcers; trouble urinating; an enlarged prostate; phenylketonuria; seizures; or an overactive thyroid
- if you have a persistent cough, a cough caused by a certain condition (eg, smoking cigarettes, asthma), or if your cough occurs with mucus
Some MEDICINES MAY INTERACT with dextromethorphan/acetaminophen/diphenhydramine liquid. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Furazolidone, isoniazid, MAOIs (eg, phenelzine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of dextromethorphan/acetaminophen/diphenhydramine liquid's side effects
- Anticoagulants (eg, warfarin) because they may increase the risk of dextromethorphan/acetaminophen/diphenhydramine liquid's side effects, such as bleeding
- Beta-blockers (eg, propranolol) or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by dextromethorphan/acetaminophen/diphenhydramine liquid
This may not be a complete list of all interactions that may occur. Ask your health care provider if dextromethorphan/acetaminophen/diphenhydramine liquid 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 dextromethorphan/ acetaminophen/ diphenhydramine liquid:
Use dextromethorphan/acetaminophen/diphenhydramine liquid as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take dextromethorphan/acetaminophen/diphenhydramine liquid by mouth with or without food.
- Use the dosing cup or measuring device that comes with dextromethorphan/acetaminophen/diphenhydramine liquid to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.
- If you miss a dose of dextromethorphan/acetaminophen/diphenhydramine liquid and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use dextromethorphan/acetaminophen/diphenhydramine liquid.
Important safety information:
- Dextromethorphan/acetaminophen/diphenhydramine liquid may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use dextromethorphan/acetaminophen/diphenhydramine liquid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Avoid alcohol while you are using dextromethorphan/acetaminophen/diphenhydramine liquid. Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using dextromethorphan/acetaminophen/diphenhydramine liquid; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Do NOT take more than the recommended dose or use for longer than directed without checking with your doctor.
- If your symptoms do not get better within 5 to 7 days, if they come back or get worse, or if new symptoms appear, check with your doctor.
- If you have a sore throat that lasts more than 2 days, is severe, or is accompanied with headache, fever, rash, nausea, or vomiting, check with your doctor.
- Contact your doctor if you have a fever that lasts more than 3 days or you have a cough that is accompanied by a persistent headache, fever, or rash.
- Dextromethorphan/acetaminophen/diphenhydramine liquid contains acetaminophen. Adults should not take more than a total of 4 grams (4,000 mg) of acetaminophen in a 24-hour period (3 grams [3,000 mg] per day if you have liver disease). Check with your doctor before taking other pain relievers, cough and cold medicines, or allergy medicines because they may also contain acetaminophen. Acetaminophen may cause liver damage. If you drink alcohol on a daily basis, do not take dextromethorphan/acetaminophen/diphenhydramine liquid without first discussing it with your doctor. Alcohol use combined with acetaminophen may increase your risk of liver damage (symptoms include yellowing of the skin or eyes, stomach pain, dark urine).
- 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.
- Dextromethorphan/acetaminophen/diphenhydramine liquid has dextromethorphan, acetaminophen, and diphenhydramine in it. Before you start any new prescription or nonprescription medicine, check the label to see if it has dextromethorphan, acetaminophen, or diphenhydramine in it too. If it does or if you are not sure, contact your doctor or pharmacist.
- Dextromethorphan/acetaminophen/diphenhydramine liquid may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to dextromethorphan/acetaminophen/diphenhydramine liquid. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Dextromethorphan/acetaminophen/diphenhydramine liquid may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking dextromethorphan/acetaminophen/diphenhydramine liquid for a few days before the tests.
- Tell your doctor or dentist that you take dextromethorphan/acetaminophen/diphenhydramine liquid before you receive any medical or dental care, emergency care, or surgery.
- Use dextromethorphan/acetaminophen/diphenhydramine liquid with caution in the ELDERLY; they may be more sensitive to its effects.
- Dextromethorphan/acetaminophen/diphenhydramine liquid should not be used in CHILDREN younger than 6 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 dextromethorphan/acetaminophen/diphenhydramine liquid while you are pregnant. If you are or will be breast-feeding while you use dextromethorphan/acetaminophen/diphenhydramine liquid, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of dextromethorphan/ acetaminophen/ diphenhydramine liquid:
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:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability (especially in children); headache; loss of appetite; nausea; nervousness or anxiety; upset stomach; vomiting; weakness.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); dark urine or pale stools; difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, drowsiness, lightheadedness, or headache; severe or persistent loss of appetite; stomach pain; tremor; trouble sleeping; unusual fatigue; vision changes; 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 blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.Proper storage of dextromethorphan/acetaminophen/diphenhydramine liquid:
Store dextromethorphan/acetaminophen/diphenhydramine liquid 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 dextromethorphan/acetaminophen/diphenhydramine liquid out of the reach of children and away from pets.
- If you have any questions about dextromethorphan/acetaminophen/diphenhydramine liquid, please talk with your doctor, pharmacist, or other health care provider.
- Dextromethorphan/acetaminophen/diphenhydramine liquid 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 dextromethorphan/acetaminophen/diphenhydramine liquid 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 dextromethorphan/acetaminophen/diphenhydramine liquid. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to dextromethorphan/acetaminophen/diphenhydramine liquid. 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 dextromethorphan/acetaminophen/diphenhydramine liquid.
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.
More about acetaminophen/dextromethorphan/diphenhydramine
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- Drug class: upper respiratory combinations
Other brands: Diabetic Tussin Night Time Formula