Consists of Chlorphenamine, Ibuprofen, Pseudoephedrine
Overdose of Chlorphenamine (Aseptobron Antigripal Forte) in details
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: large pupils, flushing, fever, hallucinations, weakness, shaking (tremor), muscle twitching, loss of consciousness, seizures. In children, excitement may occur first, and may be followed by loss of coordination, drowsiness, loss of consciousness, seizures.
Notes
If your doctor has prescribed this medication, do not share it with others.
Keep all regular medical and laboratory appointments.
Do not take for several days before allergy testing because test results can be affected.
Missed Dose
If you miss a dose, take it as soon as you remember. If it is near the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Storage
Store at room temperature between 59-86 degrees F (between 15-30 degrees C) away from moisture and light. Store in a tightly closed container. Do not store in the bathroom. Do not freeze liquid forms of this medication. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Chlorphenamine (Aseptobron Antigripal Forte) warnings
Chlorphenamine (Aseptobron Antigripal Forte) hydrochloride is used to treat allergic symptoms, to prevent nausea and vomiting, with other medicines to treat pain, prevent motion sickness. The major side reaction of this drug is sedation. Chlorphenamine (Aseptobron Antigripal Forte) can cause significant sedation. It is advised that you not drink alcohol or take other medications that may make you drowsy or uncoordinated. Care should be taken while driving until it is known that the drug effects will not interfere. This medication can be taken with food to prevent stomach irritation. If this drug is taken to prevent motion sickness it should be taken 30 minutes prior to the event.
Syrup, Tablets and Suppositories:
Phenergan Tablets and Suppositories may cause marked drowsiness or impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery. The use of alcohol or other central-nervous-system depressants such as sedatives/hypnotics (including barbiturates), narcotics, narcotic analgesics, general anesthetics, tricyclic antidepressants, and tranquilizers, may enhance impairment. Pediatric patients should be supervised to avoid potential harm in bike riding or in other hazardous activities.
Patients should be advised to report any involuntary muscle movements.
Avoid prolonged exposure to the sun.
Chlorphenamine (Aseptobron Antigripal Forte) precautions
Before taking chlorpheniramine, tell your doctor or pharmacist if you are allergic to it; or to dexchlorpheniramine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: breathing problems (e.g., asthma, emphysema), a certain eye problem (glaucoma), heart problems, high blood pressure, liver disease, seizures, stomach problems (e.g., ulcers, blockage), overactive thyroid (hyperthyroidism), urination problems (e.g., trouble urinating due to enlarged prostate, urinary retention).
This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit the use of alcohol and certain other medications that cause drowsiness.
To minimize dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Liquid products may contain aspartame, sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.
Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, low blood pressure, confusion, constipation, or trouble urinating. Drowsiness, dizziness, and confusion can increase the risk of falling.
Children may be more sensitive to the effects of antihistamines. In young children, this medication may cause agitation/excitement instead of drowsiness.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
Based on information from related drugs, this medication may pass into breast milk. Consult your doctor before breast-feeding.
What happens if I overdose Ibuprofen (Aseptobron Antigripal Forte)?
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include decreased urination; loss of consciousness; seizures; severe dizziness or drowsiness; severe nausea or stomach pain; slow or troubled breathing; unusual bleeding or bruising; vomit that looks like coffee grounds.
Proper storage of Ibuprofen (Aseptobron Antigripal Forte):
Store Ibuprofen (Aseptobron Antigripal Forte) at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Avoid temperatures above 104 degrees F (40 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ibuprofen (Aseptobron Antigripal Forte) out of the reach of children and away from pets.
Overdose of Ibuprofen (Aseptobron Antigripal Forte) in details
The toxicity of Ibuprofen (Aseptobron Antigripal Forte) overdose is dependent upon the amount of drug ingested and the time elapsed since ingestion, though individual response may vary, which makes it necessary to evaluate each case individually. Although uncommon, serious toxicity and death have been reported in the medical literature with Ibuprofen (Aseptobron Antigripal Forte) overdosage. The most frequently reported symptoms of Ibuprofen (Aseptobron Antigripal Forte) overdose include abdominal pain, nausea, vomiting, lethargy and drowsiness. Other central nervous system symptoms include headache, tinnitus, CNS depression and seizures. Metabolic acidosis, coma, acute renal failure and apnea (primarily in very young children) may rarely occur. Cardiovascular toxicity, including hypotension, bradycardia, tachycardia and atrial fibrillation, also have been reported.
The treatment of acute Ibuprofen (Aseptobron Antigripal Forte) overdose is primarily supportive. Management of hypotension, acidosis and gastrointestinal bleeding may be necessary. In cases of acute overdose, the stomach should be emptied through ipecac-induced emesis or lavage. Emesis is most effective if initiated within 30 minutes of ingestion.
Orally administered activated charcoal may help in reducing the absorption and reabsorption of Ibuprofen (Aseptobron Antigripal Forte).
In children, the estimated amount of Ibuprofen (Aseptobron Antigripal Forte) ingested per body weight may be helpful to predict the potential for development of toxicity although each case must be evaluated. Ingestion of less than 100 mg/kg is unlikely to produce toxicity. Children ingesting 100 to 200 mg/kg may be managed with induced emesis and a minimal observation time of four hours. Children ingesting 200 to 400 mg/kg of Ibuprofen (Aseptobron Antigripal Forte) should have immediate gastric emptying and at least four hours observation in a health care facility. Children ingesting greater than 400 mg/kg require immediate medical referral, careful observation and appropriate supportive therapy. Ipecac-induced emesis is not recommended in overdoses greater than 400 mg/kg because of the risk for convulsions and the potential for aspiration of gastric contents.
In adult patients the history of the dose reportedly ingested does not appear to be predictive of toxicity. The need for referral and follow-up must be judged by the circumstances at the time of the overdose ingestion. Symptomatic adults should be carefully evaluated, observed and supported.
What should I avoid while taking Ibuprofen (Aseptobron Antigripal Forte)?
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Avoid taking aspirin while you are taking Ibuprofen (Aseptobron Antigripal Forte).
Avoid taking Ibuprofen (Aseptobron Antigripal Forte) if you are taking aspirin to prevent stroke or heart attack. Ibuprofen (Aseptobron Antigripal Forte) can make aspirin less effective in protecting your heart and blood vessels. If you must use both medications, take the Ibuprofen (Aseptobron Antigripal Forte) at least 8 hours before or 30 minutes after you take the aspirin (non-enteric coated form).
Ask a doctor or pharmacist before using any cold, allergy, or pain medicine. Many medicines available over the counter contain aspirin or other medicines similar to Ibuprofen (Aseptobron Antigripal Forte). Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, Ibuprofen (Aseptobron Antigripal Forte), ketoprofen, or naproxen.
Ibuprofen (Aseptobron Antigripal Forte) warnings
Ibuprofen (Aseptobron Antigripal Forte) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation, reduce fever, and treat osteoarthritis, rheumatoid arthritis, and menstrual cramps. Inform your physician if you are pregnant or nursing. Ibuprofen (Aseptobron Antigripal Forte) should not be taken during the last three months of pregnancy. Inform your physician if you use alcohol chronically. Ibuprofen (Aseptobron Antigripal Forte) should not be taken with aspirin products. This medication should be taken with food, milk or antacids if stomach upset occurs. Ibuprofen (Aseptobron Antigripal Forte) may cause dizziness and drowsiness; use caution while driving or operating hazardous machinery. Ibuprofen (Aseptobron Antigripal Forte) may cause increased sensitivity to sunlight. Use sunscreens and wear protective clothing until degree of sensitivity is determined. Notify your physician if you develop stomach pain, bloody vomit, bloody or black tarry stools, cloudy urine, trouble breathing, rash or hives.
What should I discuss with my healthcare provider before taking Ibuprofen (Aseptobron Antigripal Forte)?
- If you are allergic to Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension); any part of Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
- If you have an allergy to aspirin or NSAIDs.
- If you have ever had asthma caused by a salicylate drug like aspirin or a drug like this one like NSAIDs.
- If you have any of these health problems: GI (gastrointestinal) bleeding or kidney problems.
- If you have heart failure (weak heart).
- If you have had a recent heart attack.
- If you are taking any other NSAID, a salicylate drug like aspirin, or pemetrexed.
- If you are having trouble getting pregnant or you are having your fertility checked.
- If you are pregnant or may be pregnant. Do not take Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension) if you are in the third trimester of pregnancy. You may also need to avoid Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension) at other times during pregnancy. Talk with your doctor to see when you need to avoid taking Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension) during pregnancy.
This is not a list of all drugs or health problems that interact with Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension).
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Ibuprofen (Aseptobron Antigripal Forte) (Ibuprofen (Aseptobron Antigripal Forte) suspension) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
Ibuprofen (Aseptobron Antigripal Forte) precautions
5.1 General
There are no long-term evaluations of the infants treated with Ibuprofen (Aseptobron Antigripal Forte) at durations greater than the 36 weeks post-conceptual age observation period. Ibuprofen (Aseptobron Antigripal Forte)’s effects on neurodevelopmental outcome and growth as well as disease processes associated with prematurity (such as retinopathy of prematurity and chronic lung disease) have not been assessed.
5.2 Infection
Ibuprofen (Aseptobron Antigripal Forte) Lysine may alter the usual signs of infection. The physician must be continually on the alert and should use the drug with extra care in the presence of controlled infection and in infants at risk of infection.
5.3 Platelet Aggregation
Ibuprofen (Aseptobron Antigripal Forte) Lysine, like other non-steroidal anti-inflammatory agents, can inhibit platelet aggregation. Preterm infants should be observed for signs of bleeding. Ibuprofen (Aseptobron Antigripal Forte) has been shown to prolong bleeding time (but within the normal range) in normal adult subjects. This effect may be exaggerated in patients with underlying hemostatic defects.
5.4 Bilirubin Displacement
Ibuprofen (Aseptobron Antigripal Forte) has been shown to displace bilirubin from albumin binding-sites; therefore, it should be used with caution in patients with elevated total bilirubin.
5.5 Administration
Ibuprofen (Aseptobron Antigripal Forte) Lysine should be administered carefully to avoid extravascular injection or leakage, as solution may be irritating to tissue.
What happens if I miss a dose of Ibuprofen (Aseptobron Antigripal Forte)?
Since Ibuprofen (Aseptobron Antigripal Forte) is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose Pseudoephedrine (Aseptobron Antigripal Forte)?
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; hallucinations; irregular or unusually slow or rapid heartbeat; rapid breathing; seizures.
Proper storage of Pseudoephedrine (Aseptobron Antigripal Forte) (24 hour):
Store Pseudoephedrine (Aseptobron Antigripal Forte) (24 hour) at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Pseudoephedrine (Aseptobron Antigripal Forte) (24 hour) out of the reach of children and away from pets.
Overdose of Pseudoephedrine (Aseptobron Antigripal Forte) in details
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: irregular heartbeat, hallucinations, fainting, seizures.
Notes
If your doctor has prescribed this medication, do not share it with others.
Keep all regular medical and laboratory appointments.
Do not take this product for several days before allergy testing because test results can be affected.
Missed Dose
If you are taking this product on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Storage
Store at room temperature away from light and moisture. Do not store in the bathroom. Do not freeze liquid forms of this medication. Different brands of this medication have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
What should I avoid while taking Pseudoephedrine (Aseptobron Antigripal Forte)?
Avoid taking Pseudoephedrine (Aseptobron Antigripal Forte) if you also take diet pills, caffeine pills, or other stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.
Ask a doctor or pharmacist before using any other cough or cold medicine. Pseudoephedrine (Aseptobron Antigripal Forte) or other decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains Pseudoephedrine (Aseptobron Antigripal Forte) or a decongestant.
Pseudoephedrine (Aseptobron Antigripal Forte) warnings
Pseudoephedrine (Aseptobron Antigripal Forte) - ORAL
IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.
Pseudoephedrine (Aseptobron Antigripal Forte) - ORA
(sue-doh-eff-ED-rin)
COMMON BRAND NAME(S): Afrin, Afrinol, Chlor-Trimeton, Novafed, Sudafed
USES Pseudoephedrine (Aseptobron Antigripal Forte) is used to provide relief from the nasal or sinus congestion caused by allergies or the common cold, or ear congestion caused by inflammation or infection.
HOW TO USE It is recommended to drink plenty of fluids while taking this medication, unless your doctor instructs you to do otherwise.
Sustained-release or long acting tablets and capsules must be swallowed whole. Chewing or crushing them will destroy the long action and may increase side effects.
If symptoms do not improve after 7 days or are accompanied by a high fever, notify your doctor. Do not increase the dose or take this more frequently than recommended.
SIDE EFFECTS Mild stomach upset, trouble sleeping, dizziness, headache, nervousness, or loss of appetite may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Tell your doctor immediately if any of these unlikely but serious side effects occur: fast/irregular heartbeat, difficulty urinating, uncontrolled shaking or tremor.
Tell your doctor immediately if any of these rare, but very serious side effects occur: seizures, chest pain, mental/mood changes.
A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.
If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS Before taking Pseudoephedrine (Aseptobron Antigripal Forte), tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: pre-existing heart problems, kidney or liver disease, lung disease, emphysema, high blood pressure, overactive thyroid, diabetes mellitus, glaucoma, difficulty urinating or an enlarged prostate, history of seizures.
This drug should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor.
Pseudoephedrine (Aseptobron Antigripal Forte) passes into breast milk and may have undesirable effects on a nursing infant. Using this drug while breast-feeding is not recommended.
DRUG INTERACTIONS Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: sleeping pills, sedatives, tranquilizers, muscle relaxants, medication for depression, high blood pressure drugs.
Tell your doctor if you have taken any MAO inhibitors (e.g., furazolidone, phenelzine, selegiline, tranylcypromine) within the last two weeks.
OVERDOSE If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include irregular or unusually slow or rapid heartbeat, unusual nervousness or excitement, rapid breathing, confusion, hallucinations, and seizures.
NOTES Talk with your doctor, pharmacist or nurse about diseases you have and drugs you are already taking before using any new medication.
MISSED DOSE If you miss a dose, take it as soon as remembered if within an hour. If you do not remember until later, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the doses.
STORAGE Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Keep all medicines away from children and pets.
What should I discuss with my healthcare provider before taking Pseudoephedrine (Aseptobron Antigripal Forte)?
Some medical conditions may interact with Pseudoephedrine (Aseptobron Antigripal Forte). 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 heart problems, diabetes, glaucoma, an enlarged prostate or other prostate problems, adrenal gland problems, high blood pressure, seizures, stroke, blood vessel problems, or an overactive thyroid
Some MEDICINES MAY INTERACT with Pseudoephedrine (Aseptobron Antigripal Forte). Tell your health care provider if you are taking any other medicines, especially any of the following:
- Rauwolfia derivatives (eg, reserpine) because they may decrease Pseudoephedrine (Aseptobron Antigripal Forte)'s effectiveness
- Beta-blockers (eg, propranolol), cocaine, furazolidone, indomethacin, MAOIs (eg, phenelzine), methyldopa, oxytocic medicines (eg, oxytocin), rauwolfia derivatives (eg, reserpine), or tricyclic antidepressants (eg, amitriptyline) because the risk of Pseudoephedrine (Aseptobron Antigripal Forte)'s side effects may be increased
- Bromocriptine, catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), digoxin, or droxidopa because the the risk of their side effects may be increased by Pseudoephedrine (Aseptobron Antigripal Forte)
- Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Pseudoephedrine (Aseptobron Antigripal Forte)
This may not be a complete list of all interactions that may occur. Ask your health care provider if Pseudoephedrine (Aseptobron Antigripal Forte) 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.
Pseudoephedrine (Aseptobron Antigripal Forte) precautions
Before taking Pseudoephedrine (Aseptobron Antigripal Forte), tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Also tell your doctor if you have had negative reactions to other sympathomimetics (such as ephedrine, phenylephrine). This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
If you have any of the following health problems, consult your doctor or pharmacist before using this product: diabetes, a certain eye condition (glaucoma), heart problems (such as heart attack, chest pain, heart failure), fast/irregular heart beat, high blood pressure, kidney disease, overactive thyroid (hyperthyroidism), difficulty urinating (such as due to enlarged prostate).
This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.
Liquid products may contain sugar, alcohol, or aspartame. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.
If you have a severe narrowing of the esophagus, stomach, or intestine, you should not use the 240-milligram sustained-release Pseudoephedrine (Aseptobron Antigripal Forte) products due to the risk of blockage.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older adults may be more sensitive to the effects of this medication, especially fast/irregular heartbeat, dizziness, problems urinating, trouble sleeping, or confusion.
Children may be more sensitive to the effects of this medication, especially restlessness.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
Pseudoephedrine (Aseptobron Antigripal Forte) passes into breast milk. Discuss the risks and benefits with your doctor before breast-feeding.
What happens if I miss a dose of Pseudoephedrine (Aseptobron Antigripal Forte)?
Since Pseudoephedrine (Aseptobron Antigripal Forte) is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
References
- DailyMed. "PSEUDOEPHEDRINE SULFATE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DailyMed. "IBUPROFEN: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DrugBank. "ibuprofen". http://www.drugbank.ca/drugs/DB01050 (accessed September 17, 2018).
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Information checked by Dr. Sachin Kumar, MD Pharmacology
