Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local, or emergency room right away. Symptoms may include confusion; hallucinations; irregular or unusually slow or rapid heartbeat; rapid breathing; seizures.
Proper storage of Ricobid D orally disintegrating strips:
Store Ricobid D orally disintegrating strips 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 Ricobid D orally disintegrating strips out of the reach of children and away from pets.
Overdose of Ricobid D in details
When a dose is taken in higher dose than the recommended doses, it is called Overdose. Overdose always needs a clinical supervision. Any medicine or drug when consumed in Overdose produces untoward side effects on one or various organs in the body. A medicine is excreted in the kidney or metabolized in the liver most of the times. This process goes without any hurdles when taken in normal dose, but when taken in an overdose, the body is not able to metabolize it or send it out properly which causes the effects of anoverdose.
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Overdose of Ricobid D (Ricobid D hydrochloride) can cause a rapid rise in blood pressure. Symptoms of overdose include headache, vomiting, hypertension, reflex bradycardia, a sensation of fullness in the head, tingling of the extremities, and cardiac arrhythmias including ventricular extrasystoles and ventricular tachycardia.
What should I avoid while taking Ricobid D?
Do not take Ricobid D rectal rectal suppository by mouth. It is for use only in your rectum.
Ask a doctor or pharmacist before taking any cough, cold, or allergy medicine. Ricobid D is contained in many combination medicines. Taking certain products together can cause you to get too much Ricobid D. Check the label to see if a medicine contains Phenylephrine, or a decongestant.
Ricobid D warnings
Warnings are a mix of Precautions. Contraindications and interactions and serious harmful effects associated with the medicine intake. A diabetic or Hypertensive patient need to be warned about few drug interactions. A known hypersensitivity patient needs to be careful about the reactions or anaphylactic shock. A pregnant woman or a breastfeeding woman should be warned of certain medications. A Hepatitis [liver disease] patient or a cardiac patient should avoid few drugs.
Exacerbation of Angina, Heart Failure, or Pulmonary Arterial Hypertension
Because of its increasing blood pressure effects, Ricobid D can precipitate angina in patients with severe arteriosclerosis or history of angina, exacerbate underlying heart failure, and increase pulmonary arterial pressure.
Peripheral and Visceral Ischemia
Ricobid D can cause excessive peripheral and visceral vasoconstriction and ischemia to vital organs, particularly in patients with extensive peripheral vascular disease.
Skin and Subcutaneous Necrosis
Extravasation of Ricobid D can cause necrosis or sloughing of tissue. Avoid extravasation by checking infusion site for free flow.
Bradycardia
Ricobid D can cause severe bradycardia and decreased cardiac output.
Renal Toxicity
Ricobid D can increase the need for renal replacement therapy in patients with septic shock. Monitor renal function.
Risk of Augmented Pressor Affect in Patients with Autonomic Dysfunction
The increasing blood pressure response to adrenergic drugs, including Ricobid D, can be increased in patients with autonomic dysfunction, as may occur with spinal cord injuries.
Pressor Effect with Concomitant Oxytocic Drugs
Oxytocic drugs potentiate the increasing blood pressure effect of sympathomimetic pressor amines including Ricobid D, with the potential for hemorrhagic stroke.
What should I discuss with my healthcare provider before taking Ricobid D?
If you have an allergy to dextromethorphan and Ricobid D syrp with diphenhydramine and Ricobid D syrp or any part of dextromethorphan and Ricobid D syrp with diphenhydramine and Ricobid D syrp.
If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson's disease like selegiline or rasagiline in the last 14 days. Taking dextromethorphan and Ricobid D syrp with diphenhydramine and Ricobid D syrp within 14 days of those drugs can cause very bad high blood pressure.
If you are taking any of these drugs: Linezolid or methylene blue.
If you have a cough with a lot of mucous.
If you have a long-term cough caused by smoking or being around smoke, or lung problems like asthma or emphysema.
This is not a list of all drugs or health problems that interact with dextromethorphan and Ricobid D syrp with diphenhydramine and Ricobid D syrp.
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 dextromethorphan and Ricobid D syrp with diphenhydramine and Ricobid D syrp with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
Ricobid D precautions
Certain people who are very sick or very old or who are sensitive show an exacerbation of side effect of the drug which can turn dangerous at times. So, it is very important to remember the precautions while taking the medicine. Pregnancy and Breastfeeding are also special categories wherein extra care or precaution is needed when taking a drug. Few patients may have a hypersensitivity reaction to few medications, and that can be life-threatening rarely. Penicillin hypersensitivity is one example. Diarrhea, rashes are few other symptoms which need a watch. A patient with other co-existing diseases like liver disease, heart disease, kidney disease should take special precautions.
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Exacerbation of Angina, Heart Failure, or Pulmonary Arterial Hypertension
Because of its increasing blood pressure effects, Ricobid D can precipitate angina in patients with severe arteriosclerosis or history of angina, exacerbate underlying heart failure, and increase pulmonary arterial pressure.
Peripheral and Visceral Ischemia
Ricobid D can cause excessive peripheral and visceral vasoconstriction and ischemia to vital organs, particularly in patients with extensive peripheral vascular disease.
Skin and Subcutaneous Necrosis
Extravasation of Ricobid D can cause necrosis or sloughing of tissue. Avoid extravasation by checking infusion site for free flow.
Bradycardia
Ricobid D can cause severe bradycardia and decreased cardiac output.
Renal Toxicity
Ricobid D can increase the need for renal replacement therapy in patients with septic shock. Monitor renal function.
Risk of Augmented Pressor Affect in Patients with Autonomic Dysfunction
The increasing blood pressure response to adrenergic drugs, including Ricobid D, can be increased in patients with autonomic dysfunction, as may occur with spinal cord injuries.
Pressor Effect with Concomitant Oxytocic Drugs
Oxytocic drugs potentiate the increasing blood pressure effect of sympathomimetic pressor amines including Ricobid D, with the potential for hemorrhagic stroke.
What happens if I miss a dose of Ricobid D?
When you miss a dose, you should take it as soon as you remember, but you should take care that it should be well spaced from the next dose. You should not take an extra dose at the time of the second dose as it will become a double dose. The double dose can give unwanted side effects, so be careful. In chronic conditions or when you have a serious health issue, if you miss a dose, you should inform your health care provider and ask his suggestion.
Since Ricobid D rectal is used on an as needed basis, you are not likely to miss a dose. Do not use Ricobid D rectal more than 4 times per day.
EPA Chemicals under the TSCA. "Benzenemethanol, 3-hydroxy-.alpha.-[(methylamino)methyl]- , hydrochloride (1:1), (.alpha.R)-: The Chemical Data Reporting under the Toxic Substances Control Act (TSCA) contains chemical physical description and chemical use categories.". http://www.epa.gov/chemical-data-rep... (accessed September 17, 2018).
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