Tuzalos Pregnancy

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Consists of chlorpheniramine maleate, dextromethorphan HBr, Paracetamol, phenylpropanolamine HCl

Pregnancy of Chlorpheniramine maleate (Tuzalos) in details

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Category B: Either animal-reproduction studies have not demonstrated a foetal risk but there are no controlled studies in pregnant women or animal-reproduction studies have shown an adverse effect (other than a decrease in fertility) that was not confirmed in controlled studies in women in the 1st trimester (and there is no evidence of a risk in later trimesters).

Chlorpheniramine maleate (Tuzalos) breastfeeding

There are no data on the excretion of Chlorpheniramine maleate (Tuzalos) into human milk. However, because other antihistamines are excreted into human milk in low concentrations, the manufacturer recommends that caution be used when administering Chlorpheniramine maleate (Tuzalos) to nursing women.

See references

References for pregnancy information

  1. "Product Information. Chlortrimeton (Chlorpheniramine maleate (Tuzalos))." Schering-Plough, Liberty Corner, NJ.
  2. Black RA, Hill DA "Over-the-counter medications in pregnancy." Am Fam Physician 67 (2003): 2517-24
  3. Heinonen O, Slone D, Shapiro S; Kaufman DW ed. "Birth Defects and Drugs in Pregnancy." Littleton, MA: Publishing Sciences Group, Inc. (1977): 297
  4. Nelson MA, Forfar JO "Associations between drugs administered during pregnancy and congenital abnormalities of the fetus." Br Med J 1 (1971): 523-7

References for breastfeeding information

  1. "Product Information. Chlortrimeton (Chlorpheniramine maleate (Tuzalos))." Schering-Plough, Liberty Corner, NJ.

Pregnancy of Dextromethorphan HBr (Tuzalos) in details

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During pregnancy (especially in the I trimester) and lactation (breastfeeding) Dextromethorphan HBr (Tuzalos) prescribed with caution, only in cases where the expected therapeutic effect for the mother outweighs the potential risk to the fetus or child.

Dextromethorphan HBr (Tuzalos) breastfeeding

There are no data on the excretion of Dextromethorphan HBr (Tuzalos) into human milk.

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

See references

References for pregnancy information

  1. Debus O, Kurlemann G, Gehrmann J, Krasemann T "Dextromethorphan HBr (Tuzalos) in pregnancy." Chest 120 (2001): 1038-40
  2. Andaloro VJ, Monaghan DT, Rosenquist TH "Dextromethorphan HBr (Tuzalos) and other N-methyl-D-aspartate receptor antagonists are teratogenic in the avian embryo model." Pediatr Res 43 (1998): 1-7
  3. Einarson A, Lyszkiewicz D, Koren G "The safety of Dextromethorphan HBr (Tuzalos) in pregnancy - Results of a controlled study." Chest 119 (2001): 466-9
  4. "Product Information. Benylin DM (Dextromethorphan HBr (Tuzalos))." Warner Lambert Laboratories, Morris Plains, NJ.
  5. Briggs GG, Freeman RK, Yaffe SJ.. "Drugs in Pregnancy and Lactation. 5th ed." Baltimore, MD: Williams & Wilkins (1998):

References for breastfeeding information

  1. Briggs GG, Freeman RK, Yaffe SJ.. "Drugs in Pregnancy and Lactation. 5th ed." Baltimore, MD: Williams & Wilkins (1998):
  2. "Product Information. Benylin DM (Dextromethorphan HBr (Tuzalos))." Warner Lambert Laboratories, Morris Plains, NJ.

Pregnancy of Paracetamol (Tuzalos) in details

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During pregnancy patients should avoid prolonged use of Paracetamol (Tuzalos) Zodley Pharmaceuticals because the risk of addiction in the fetus and the occurrence of withdrawal in the neonatal period.

If necessary using in lactation (breastfeeding) should be aware that tramadol in small amounts excreted in breast milk. In the case of long-term treatment can not been excluded the possibility of drug dependence.

Paracetamol (Tuzalos) Zodley Pharmaceuticals is not recommended for treatment of withdrawal syndrome drugs.

Patients need to avoid combination with MAO inhibitors.

During the period of treatment with Paracetamol (Tuzalos) Zodley Pharmaceuticals you should avoid to take alcohol.

Tramadol in the form of long-acting formulations should not be used in children under the age of 14 years.

During the period of tramadol using is not recommended to engage in activities that require special attention, speed of psychomotor reactions.

Pregnancy of Phenylpropanolamine HCl (Tuzalos) in details

In a review of deliveries to Michigan Medicaid patients during 1980 to 1983, 1489 exposures to Phenylpropanolamine HCl (Tuzalos) any time during pregnancy were recorded. A total of 128 birth defects were reported (91 expected). An association was seen between Phenylpropanolamine HCl (Tuzalos) and laryngotracheal anomalies, pyloric stenosis, intestinal fixation anomalies, upper limb defects, skull/face anomalies, and musculoskeletal defects. The statistical significance of these associations is not known. (written communication, Franz Rosa, MD, Food and Drug Administration, 1994). The Collaborative Perinatal Project monitored 50,282 mother-child pairs and recorded 726 first-trimester exposures and 2489 exposures to Phenylpropanolamine HCl (Tuzalos) anytime during pregnancy. Possible associations between Phenylpropanolamine HCl (Tuzalos) and first trimester use and Phenylpropanolamine HCl (Tuzalos) include hypospadias (4), eye and ear abnormalities (7, statistically significant), polydactyly (6), cataract (3), and pectus excavatum (7). For use anytime during pregnancy a possible association was noted between Phenylpropanolamine HCl (Tuzalos) use and congenital dislocation of hip (12).

Phenylpropanolamine HCl (Tuzalos) has been assigned to pregnancy category C. There are no controlled data in human pregnancy. Phenylpropanolamine HCl (Tuzalos) should only be used during pregnancy when benefit outweighs the risk to the fetus.

See references

Phenylpropanolamine HCl (Tuzalos) breastfeeding

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There are no data on the excretion of Phenylpropanolamine HCl (Tuzalos) into human milk.

See references

References for pregnancy information

  1. Heinonen O, Slone D, Shapiro S; Kaufman DW ed. "Birth Defects and Drugs in Pregnancy." Littleton, MA: Publishing Sciences Group, Inc. (1977): 297

References for breastfeeding information

  1. "Product Information. Dexatrim (Phenylpropanolamine HCl (Tuzalos))." Thompson Medical Company Inc, West Palm Beach, FL.
  2. "Product Information. Propagest (Phenylpropanolamine HCl (Tuzalos))." Carnrick Laboratories Inc, Cedar Knolls, NJ.
  3. "Product Information. Rhindecon (Phenylpropanolamine HCl (Tuzalos))." McGregor Pharmaceuticals Inc, Largo, FL.

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References

  1. DailyMed. "CHLORPHENIRAMINE POLISTIREX; HYDROCODONE POLISTIREX: 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).
  2. DailyMed. "DEXTROMETHORPHAN HYDROBROMIDE: 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).
  3. PubMed Health. "Vicks 44 Cough Relief: This section provide the link out information of drugs collectetd in PubMed Health. ". http://www.ncbi.nlm.nih.gov/pubmedhe... (accessed September 17, 2018).

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