Dextromethorphan, Ambroxol, Cetirizine

A combination medication containing Dextromethorphan (a cough suppressant), Ambroxol (a mucolytic agent), and Cetirizine (an antihistamine). This medication is used to relieve symptoms of cough, mucus build-up, and allergic reactions such as runny nose and sneezing.

Indications

-Relief of symptoms associated with respiratory tract infections. -Treatment of cough due to bronchitis, laryngitis, and tracheitis. -Management of allergic symptoms like rhinitis and urticaria.

Dosage

Adults: Typically, 1 tablet or 10 ml of syrup 2-3 times a day. Children: Dosage varies based on age and weight; consult a pediatrician. Note: Dosage may vary depending on the specific formulation and patient needs. Always follow the prescribing doctor's instructions.

Contra-Indications

-Hypersensitivity to Dextromethorphan, Ambroxol, Cetirizine, or any of the excipients. -Severe liver or kidney impairment. -Patients with respiratory failure or at risk of developing respiratory insufficiency. -Use in patients taking monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping such treatment.

Special Precautions

-Use with caution in patients with a history of bronchial asthma. -Monitor patients with a history of severe hepatic or renal impairment. -Avoid alcohol consumption as it may enhance drowsiness and dizziness. -Use with caution in elderly patients due to potential increased sensitivity.

Side Effects

-Dextromethorphan: Dizziness, nausea, drowsiness, gastrointestinal disturbances. -Ambroxol: Gastrointestinal discomfort, dry mouth, skin rash, hypersensitivity reactions. -Cetirizine: Drowsiness, dry mouth, fatigue, dizziness, headache.

Drug Interactions

-Dextromethorphan: May interact with MAOIs, SSRIs, and other CNS depressants. -Ambroxol: No significant drug interactions reported, but caution is advised when combined with other cough and cold medications. -Cetirizine: May interact with alcohol, CNS depressants, and other antihistamines.