Thuốc Notuss-Forte (Oral)

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Thuốc Notuss-Forte (Oral)
Thuốc Notuss-Forte (Oral)

Holevn Health chia sẻ các bài viết về: Thuốc Notuss-Forte (Thuốc uống), tác dụng phụ – liều lượng, Thuốc Notuss-Forte (Thuốc uống) điều trị bệnh gì. Các vấn đề lưu ý khác. Vui lòng tham khảo các chi tiết dưới đây.

Tên chung: ho và cảm lạnh (đường uống)

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Các dạng bào chế có sẵn:

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  • Phim ảnh
  • Lozenge / Troche

Sử dụng cho Notuss-Forte

Kết hợp ho / cảm lạnh được sử dụng chủ yếu để giảm ho do cảm lạnh, cúm hoặc sốt cỏ khô. Chúng không được sử dụng cho ho mãn tính xảy ra khi hút thuốc, hen suyễn hoặc khí phế thũng hoặc khi có một lượng lớn chất nhầy hoặc đờm bất thường (phát âm) với ho.

Các sản phẩm kết hợp ho / lạnh chứa nhiều hơn một thành phần. Ví dụ, một số sản phẩm có thể chứa thuốc kháng histamine, thuốc thông mũi và thuốc giảm đau, ngoài ra còn có thuốc trị ho. Nếu bạn đang tự điều trị, điều quan trọng là chọn một sản phẩm tốt nhất cho các triệu chứng của bạn. Ngoài ra, nói chung, tốt nhất là mua một sản phẩm chỉ bao gồm những loại thuốc bạn thực sự cần. Nếu bạn có thắc mắc về việc mua sản phẩm nào, hãy kiểm tra với dược sĩ của bạn.

Vì các sản phẩm khác nhau có chứa các thành phần sẽ có các biện pháp phòng ngừa và tác dụng phụ khác nhau, điều quan trọng là bạn phải biết các thành phần của thuốc bạn đang dùng. Các loại thành phần khác nhau có thể được tìm thấy trong các kết hợp ho / cảm lạnh bao gồm:

Thuốc kháng histamine Nntihistamines được sử dụng để làm giảm hoặc ngăn ngừa các triệu chứng sốt cỏ khô và các loại dị ứng khác. Chúng cũng giúp làm giảm một số triệu chứng của cảm lạnh thông thường, chẳng hạn như hắt hơi và sổ mũi. Chúng hoạt động bằng cách ngăn chặn tác động của một chất gọi là histamine, được sản xuất bởi cơ thể. Một số ví dụ về thuốc kháng histamine có trong các kết hợp này là:

  • Bromodiphenhydramin
  • Brompheniramine
  • Carbinoxamine
  • Clorpheniramine
  • Dexchlorpheniramine
  • Diphenhydramin
  • Doxylamine
  • Phenindamine
  • Pheniramine
  • Phenyltoloxamine
  • Pyrilamine
  • Promethazine
  • Triprolidin

Thuốc thông mũi, thuốc giảm đau gây hẹp mạch máu. Điều này dẫn đến việc làm sạch nghẹt mũi. Tuy nhiên, tác dụng này cũng có thể làm tăng huyết áp ở những bệnh nhân bị huyết áp cao. Bao gồm các:

  • Ma hoàng
  • Phenylephrine
  • Pseudoephedrine

Thuốc chống ho gà giúp giảm ho và một số có chứa chất gây nghiện. Những thuốc chống ho này tác động trực tiếp lên trung tâm ho trong não. Ma túy có thể trở thành thói quen, gây ra sự lệ thuộc về tinh thần hoặc thể chất, nếu sử dụng trong một thời gian dài. Sự phụ thuộc về thể chất có thể dẫn đến tác dụng phụ khi bạn ngừng dùng thuốc.

    Thuốc chống ho gà

  • Codein
  • Dihydrocodeine
  • Hydrocodone
  • Điện thoại
    Thuốc chống ho không gây nghiện

  • Carbetapentane
  • Caramiphen
  • Dextromethorphan

Expectorants -Expectorants công việc bằng cách nới lỏng các chất nhầy hoặc đờm trong phổi. Thuốc trừ sâu chính được sử dụng trong thuốc ho và cảm lạnh là guaifenesin . Các thành phần khác được thêm vào như là thuốc trừ sâu (ví dụ, amoni clorua, canxi iodua, glycerol iốt, ipecac, kali guaiacolsulfonate, kali iodide và natri citrate) chưa được chứng minh là có hiệu quả. Nói chung, điều tốt nhất bạn có thể làm để nới lỏng chất nhầy hoặc đờm là uống nhiều nước.

Thuốc giảm đau Hướng dẫn sử dụng trong các loại thuốc kết hợp này để giúp giảm đau và đau có thể xảy ra với cảm lạnh thông thường. Bao gồm các:

  • Acetaminophen
  • Aspirin
  • Các salicylat khác như salicylamide và natri salicylate

Việc sử dụng quá nhiều acetaminophen và salicylat cùng một lúc có thể gây tổn thương thận hoặc ung thư thận hoặc bàng quang tiết niệu. Điều này có thể xảy ra nếu một lượng lớn cả hai loại thuốc được dùng cùng nhau trong một thời gian dài. Tuy nhiên, dùng một lượng thuốc kết hợp được đề nghị có chứa cả acetaminophen và salicylate trong thời gian ngắn chưa được chứng minh là gây ra những tác dụng không mong muốn này.

Thuốc kháng cholinergic, thuốc giảm đau, như homatropine có thể giúp tạo hiệu ứng làm khô ở mũi và ngực.

Những kết hợp ho và cảm lạnh này có sẵn cả thuốc không kê đơn (OTC) và với đơn thuốc của bác sĩ.

Không dùng bất kỳ loại thuốc ho và cảm lạnh không kê đơn (OTC) nào cho trẻ nhỏ hoặc trẻ dưới 4 tuổi. Sử dụng các loại thuốc này ở trẻ nhỏ có thể gây ra tác dụng phụ nghiêm trọng hoặc có thể đe dọa tính mạng.

Trước khi sử dụng Notuss-Forte

Dị ứng

Hãy cho bác sĩ của bạn nếu bạn đã từng có bất kỳ phản ứng bất thường hoặc dị ứng với các loại thuốc trong nhóm này hoặc bất kỳ loại thuốc nào khác. Cũng nói với chuyên gia chăm sóc sức khỏe của bạn nếu bạn có bất kỳ loại dị ứng nào khác, chẳng hạn như thực phẩm thuốc nhuộm, chất bảo quản hoặc động vật. Đối với các sản phẩm không kê đơn, đọc nhãn hoặc thành phần gói cẩn thận.

Nhi khoa

Trẻ nhỏ thường rất nhạy cảm với tác dụng của thuốc này. Trước khi cho bất kỳ loại thuốc kết hợp nào cho trẻ, hãy kiểm tra nhãn gói thật cẩn thận. Một số loại thuốc này quá mạnh để sử dụng ở trẻ em . Nếu bạn không chắc chắn liệu một sản phẩm cụ thể có thể được cung cấp cho trẻ em hay không, nếu bạn có bất kỳ câu hỏi nào về số tiền cần cung cấp, hãy kiểm tra với chuyên gia chăm sóc sức khỏe của bạn, đặc biệt nếu nó có chứa:

  • Thuốc kháng histamine Cơn ác mộng, hưng phấn bất thường, hồi hộp, bồn chồn hoặc khó chịu có thể xảy ra ở trẻ em dùng thuốc kháng histamine.
  • Thuốc thông mũi (ví dụ, ephedrine, phenylephrine, pseudoephedrine, Tăng huyết áp có thể xảy ra ở trẻ em đang dùng thuốc thông mũi.
  • Iốt (ví dụ, canxi iodide và glycerol iốt) Các loại thuốc này truyền vào sữa mẹ và có thể gây ra tác dụng không mong muốn, chẳng hạn như tuyến giáp hoạt động kém, ở trẻ.
  • Thuốc chống nôn ma túy (ví dụ codein, dihydrocodeine, hydrocodone và hydromorphone) Vấn đề về đường hô hấp có thể đặc biệt xảy ra ở trẻ em dưới 2 tuổi dùng thuốc chống nôn. Ngoài ra, hưng phấn bất thường hoặc bồn chồn có thể có nhiều khả năng xảy ra ở trẻ em nhận được các loại thuốc này.
  • Salicylates (ví dụ: aspirin) Không nên cho thuốc có chứa aspirin hoặc salicylate khác cho trẻ em hoặc thiếu niên bị sốt hoặc các triệu chứng khác của nhiễm vi-rút, đặc biệt là cúm hoặc thủy đậu, mà không thảo luận trước với bác sĩ của con bạn. Điều này rất quan trọng vì salicylate có thể gây ra một căn bệnh nghiêm trọng gọi là hội chứng Reye ở trẻ bị sốt do nhiễm virus, đặc biệt là cúm hoặc thủy đậu. Ngoài ra, trẻ em có thể nhạy cảm hơn với aspirin hoặc các salicylat khác có trong một số loại thuốc này, đặc biệt là nếu chúng bị sốt hoặc mất một lượng lớn chất lỏng cơ thể vì nôn mửa, tiêu chảy hoặc đổ mồ hôi.

Không dùng bất kỳ loại thuốc ho và cảm lạnh không kê đơn (OTC) nào cho trẻ nhỏ hoặc trẻ dưới 4 tuổi. Sử dụng các loại thuốc này ở trẻ nhỏ có thể gây ra tác dụng phụ nghiêm trọng hoặc có thể đe dọa tính mạng.

Lão

Người cao tuổi thường nhạy cảm hơn với tác dụng của thuốc này, đặc biệt nếu nó có chứa:

  • Thuốc kháng histamine Nhầm lẫn, đi tiểu khó hoặc đau, chóng mặt, buồn ngủ, cảm thấy ngất xỉu, hoặc khô miệng, mũi hoặc cổ họng có thể xảy ra ở bệnh nhân cao tuổi. Ngoài ra, ác mộng hoặc hưng phấn bất thường, hồi hộp, bồn chồn hoặc khó chịu có thể xảy ra ở những người cao tuổi dùng thuốc kháng histamine.
  • Thuốc thông mũi (ví dụ, ephedrine, phenylephrine, pseudoephedrine, Nhầm lẫn, ảo giác, buồn ngủ hoặc co giật (co giật) có thể xảy ra ở người cao tuổi, những người thường nhạy cảm hơn với tác dụng của thuốc này. có nhiều khả năng xảy ra ở người cao tuổi dùng thuốc thông mũi.

Thai kỳ

Việc sử dụng kết hợp ho / cảm lạnh thường xuyên không có khả năng gây ra vấn đề ở thai nhi hoặc trẻ sơ sinh. Tuy nhiên, khi các loại thuốc này được sử dụng với liều cao hơn và / hoặc trong một thời gian dài, khả năng các vấn đề có thể xảy ra có thể tăng lên. Đối với các thành phần riêng lẻ của các kết hợp này, cần xem xét các thông tin sau đây trước khi bạn quyết định sử dụng kết hợp ho / cảm lạnh cụ thể:

  • Các nghiên cứu về Acetaminophen về dị tật bẩm sinh chưa được thực hiện ở người. Tuy nhiên, acetaminophen chưa được chứng minh là gây ra dị tật bẩm sinh hoặc các vấn đề khác ở người.
  • Rượu bia Một số loại thuốc kết hợp này có chứa một lượng lớn rượu. Sử dụng quá nhiều rượu trong khi mang thai có thể gây ra dị tật bẩm sinh.
  • Thuốc kháng histamine Thuốc kháng histamine chưa được chứng minh là gây ra vấn đề ở người.
  • Các nghiên cứu về Caffeine ở người đã không chỉ ra rằng caffeine gây ra dị tật bẩm sinh. Tuy nhiên, các nghiên cứu trên động vật đã chỉ ra rằng caffeine gây ra dị tật bẩm sinh khi được dùng với liều lượng rất lớn (lượng bằng lượng caffeine có trong 12 đến 24 tách cà phê mỗi ngày).
  • Codeine, Mặc dù các nghiên cứu về dị tật bẩm sinh với codeine chưa được thực hiện ở người, nhưng nó đã không được báo cáo là gây ra dị tật bẩm sinh ở người. Codeine đã không được chứng minh là gây ra dị tật bẩm sinh trong các nghiên cứu trên động vật, nhưng nó gây ra các tác dụng không mong muốn khác. Ngoài ra, sử dụng ma túy thường xuyên trong thai kỳ có thể khiến em bé bị lệ thuộc vào thuốc. Điều này có thể dẫn đến tác dụng phụ rút sau khi sinh. Ngoài ra, ma túy có thể gây khó thở ở trẻ sơ sinh nếu được mẹ uống ngay trước khi sinh.
  • Hydrocodone mỏ Mặc dù các nghiên cứu về dị tật bẩm sinh với hydrocodone chưa được thực hiện ở người, nhưng nó đã không được báo cáo là gây ra dị tật bẩm sinh ở người. Tuy nhiên, hydrocodone đã được chứng minh là gây ra dị tật bẩm sinh ở động vật khi được dùng với liều lượng rất lớn. Ngoài ra, sử dụng ma túy thường xuyên trong thai kỳ có thể khiến em bé bị lệ thuộc vào thuốc. Điều này có thể dẫn đến tác dụng phụ rút sau khi sinh. Ngoài ra, ma túy có thể gây khó thở ở trẻ sơ sinh nếu được mẹ uống ngay trước khi sinh.
  • Iốt (ví dụ, canxi iodide và glycerol iốt) khuyên dùng trong khi mang thai. Iốt đã gây ra sự mở rộng của tuyến giáp ở thai nhi và dẫn đến các vấn đề về hô hấp ở trẻ sơ sinh có mẹ dùng iốt với liều lượng lớn trong một thời gian dài.
  • Các nghiên cứu về phenylephrine về dị tật bẩm sinh với phenylephrine chưa được thực hiện ở cả người và động vật.
  • Pseudoephedrine Các nghiên cứu về dị tật bẩm sinh với pseudoephedrine chưa được thực hiện ở người. Trong các nghiên cứu trên động vật, pseudoephedrine không gây dị tật bẩm sinh nhưng lại làm giảm trọng lượng trung bình, chiều dài và tốc độ hình thành xương ở thai nhi khi dùng liều cao.
  • Salicylates (ví dụ: aspirin). Các nghiên cứu về dị tật bẩm sinh ở người đã được thực hiện với aspirin, nhưng không phải với salicylamide hoặc natri salicylate. Salicylates chưa được chứng minh là gây dị tật bẩm sinh ở người. Tuy nhiên, salicylat đã được chứng minh là gây dị tật bẩm sinh ở động vật.

Một số báo cáo cho rằng sử dụng quá nhiều aspirin vào cuối thai kỳ có thể làm giảm cân nặng của trẻ sơ sinh và có thể gây tử vong cho thai nhi hoặc trẻ sơ sinh. Tuy nhiên, các bà mẹ trong các báo cáo này đã dùng một lượng aspirin lớn hơn nhiều so với khuyến cáo. Các nghiên cứu về các bà mẹ dùng aspirin với liều thường được khuyến cáo không cho thấy những tác dụng không mong muốn này. Tuy nhiên, có khả năng sử dụng salicylat thường xuyên vào cuối thai kỳ có thể gây ra những tác dụng không mong muốn đối với tim hoặc lưu lượng máu ở thai nhi hoặc trẻ sơ sinh.

Sử dụng salicylat, đặc biệt là aspirin, trong 2 tuần cuối của thai kỳ có thể gây ra các vấn đề chảy máu ở thai nhi trước hoặc trong khi sinh, hoặc ở trẻ sơ sinh. Ngoài ra, sử dụng quá nhiều salicylat trong 3 tháng cuối của thai kỳ có thể làm tăng thời gian mang thai, kéo dài thời gian chuyển dạ, gây ra các vấn đề khác trong khi sinh hoặc gây chảy máu nghiêm trọng ở người mẹ trước, trong hoặc sau khi sinh. Không dùng aspirin trong 3 tháng cuối của thai kỳ trừ khi được bác sĩ yêu cầu .

Cho con bú

Nếu bạn đang cho con bú, khả năng các vấn đề có thể xảy ra phụ thuộc vào các thành phần của sự kết hợp. Đối với các thành phần riêng lẻ của các kết hợp này, áp dụng như sau:

  • Acetaminophen tại chỗ Acetaminophen truyền vào sữa mẹ. Tuy nhiên, nó đã không được báo cáo là gây ra vấn đề ở trẻ bú mẹ.
  • Rượu cồn Rượu cồn đi vào sữa mẹ. Tuy nhiên, lượng cồn trong liều khuyến cáo của thuốc này thường không gây ra vấn đề ở trẻ bú mẹ.
  • Thuốc kháng histamine Một lượng nhỏ thuốc kháng histamine truyền vào sữa mẹ. Thuốc không chứa chất kháng histamine không được khuyến cáo sử dụng khi cho con bú vì hầu hết các thuốc kháng histamine đặc biệt có khả năng gây ra tác dụng phụ, chẳng hạn như hưng phấn hoặc khó chịu bất thường ở trẻ. Ngoài ra, vì thuốc kháng histamine có xu hướng làm giảm sự bài tiết của cơ thể, dòng chảy của sữa mẹ có thể bị giảm ở một số bệnh nhân.
  • Một lượng nhỏ caffeine truyền vào sữa mẹ và có thể tích tụ ở trẻ bú. Tuy nhiên, lượng caffeine trong liều khuyến cáo của thuốc này thường không gây ra vấn đề ở trẻ bú mẹ.
  • Codeine và các loại thuốc ho gây nghiện khác (ví dụ, dihydrocodeine, hydrocodone và hydromorphone) .Codeine được đổi thành morphin trong cơ thể. Một số người thay đổi codein thành morphin nhanh hơn những người khác. Những cá nhân này được gọi là “chất chuyển hóa cực nhanh của codein”. Nếu một bà mẹ cho con bú là một chất chuyển hóa cực nhanh của codein, nó có thể dẫn đến quá liều morphin ở trẻ bú và gây ra tác dụng phụ rất nghiêm trọng. Một bà mẹ cho con bú nên nói chuyện với bác sĩ của mình nếu cô ấy có bất kỳ câu hỏi nào về việc dùng codein hoặc về cách thuốc này có thể ảnh hưởng đến em bé của cô ấy.
  • Thuốc thông mũi (ví dụ, ephedrine, phenylephrine, pseudoephedrine, Phen Phenphphrine đã không được báo cáo là gây ra vấn đề ở trẻ bú mẹ.
  • Iốt (ví dụ, canxi iodide và glycerol iốt) Các loại thuốc này truyền vào sữa mẹ và có thể gây ra tác dụng không mong muốn, chẳng hạn như tuyến giáp hoạt động kém, ở trẻ.
  • Salicylates (ví dụ, aspirin) xôngSalicylates truyền vào sữa mẹ. Mặc dù salicylate chưa được báo cáo là gây ra vấn đề ở trẻ bú mẹ, nhưng có thể vấn đề có thể xảy ra nếu dùng một lượng lớn thường xuyên.

Tương tác với thuốc

  • Tenofovir Disoproxil Fumarate
  • Tenoxicam
    • Terbinafine
    • Terfenadine
    • Tertatolol
    • Thiabendazole
    • Thiethylperazine
    • Sibutramine
    • Simeprevir
    • Siponimod
    • Sirolimus
    • Sodium Oxybate
    • Sodium Picosulfate
    • Sodium Salicylate
    • Sonidegib
    • Sotalol
    • Spironolactone
    • St John’s Wort
    • Sufentanil
    • Sulfasalazine
    • Sulindac
    • Sulpiride
    • Sumatriptan
    • Sunitinib
    • Suvorexant
    • Tacrolimus
    • Tapentadol
    • Telaprevir
    • Telithromycin
    • Temazepam
    • Teniposide
    • Tenofovir Disoproxil Fumarate
    • Tenoxicam
    • Terbinafine
    • Terfenadine
    • Tertatolol
    • Thiabendazole
    • Thiethylperazine
    • Thiopental
    • Thiopropazate
    • Thioproperazine
    • Thioridazine
    • Tianeptine
    • Tiaprofenic Acid
    • Ticagrelor
    • Ticlopidine
    • Tilidine
    • Timolol
    • Tinzaparin
    • Tiotropium
    • Tirofiban
    • Tizanidine
    • Tolazamide
    • Tolbutamide
    • Tolfenamic Acid
    • Tolmetin
    • Tolonium Chloride
    • Tolvaptan
    • Topiramate
    • Torsemide
    • Tramadol
    • Tranylcypromine
    • Trazodone
    • Treprostinil
    • Triamterene
    • Triazolam
    • Trichlormethiazide
    • Trifluoperazine
    • Trifluperidol
    • Triflupromazine
    • Trimeprazine
    • Trimipramine
    • Trolamine Salicylate
    • Troleandomycin
    • Tryptophan
    • Ulipristal
    • Valdecoxib
    • Varicella Virus Vaccine, Live
    • Velpatasvir
    • Vemurafenib
    • Venetoclax
    • Venlafaxine
    • Verapamil
    • Vilazodone
    • Vorapaxar
    • Voriconazole
    • Vortioxetine
    • Voxelotor
    • Voxilaprevir
    • Warfarin
    • Xipamide
    • Zaleplon
    • Zanubrutinib
    • Zileuton
    • Ziprasidone
    • Zolmitriptan
    • Zolpidem
    • Zopiclone
    • Zotepine
    • Interactions with food/tobacco/alcohol

      Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

      Using medicines in this class with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use your medicine, or give you special instructions about the use of food, alcohol, or tobacco.

      • Ethanol
      • Grapefruit Juice
      • Tobacco

      Other medical problems

      The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

      • Alcohol abuse (or history of)—Acetaminophen-containing medicines increase the chance of liver damage; also, some of the liquid medicines contain a large amount of alcohol.
      • Anemia or
      • Gout or
      • Hemophilia or other bleeding problems or
      • Stomach ulcer or other stomach problems—These conditions may become worse if you are taking a combination medicine containing aspirin or another salicylate.
      • Brain disease or injury or
      • Colitis or
      • Convulsions (seizures) (history of) or
      • Diarrhea or
      • Gallbladder disease or gallstones—These conditions may become worse if you are taking a combination medicine containing codeine, dihydrocodeine, hydrocodone, or hydromorphone
      • Cystic fibrosis (in children)—Side effects of iodinated glycerol may be more likely in children with cystic fibrosis.
      • Diabetes mellitus (sugar diabetes)—Decongestants may put diabetic patients at greater risk of having heart or blood vessel disease.
      • Emphysema, asthma, or chronic lung disease (especially in children)—Salicylate-containing medicine may cause an allergic reaction in which breathing becomes difficult.
      • Enlarged prostate or
      • Urinary tract blockage or difficult urination—Some of the effects of anticholinergics (e.g., homatropine) or antihistamines may make urinary problems worse.
      • Glaucoma—A slight increase in inner eye pressure may occur with the use of anticholinergics (e.g., homatropine) or antihistamines, which may make the condition worse.
      • Heart or blood vessel disease or
      • High blood pressure—Decongestant-containing medicine may increase the blood pressure and speed up the heart rate; also, caffeine-containing medicine, if taken in large amounts, may speed up the heart rate.
      • Kidney disease—This condition may increase the chance of side effects of this medicine because the medicine may build up in the body.
      • Liver disease—Liver disease increases the chance of side effects because the medicine may build up in the body; also, if liver disease is severe, there is a greater chance that aspirin-containing medicine may cause bleeding.
      • Thyroid disease—If an overactive thyroid has caused a fast heart rate, the decongestant in this medicine may cause the heart rate to speed up further; also, if the medicine contains narcotic antitussives (e.g., codeine), iodides (e.g., iodinated glycerol), or salicylates, the thyroid problem may become worse.

      Proper use of Notuss-Forte

      This section provides information on the proper use of a number of products that contain cough and cold combinations. It may not be specific to Notuss-Forte. Please read with care.

      To help loosen mucus or phlegm in the lungs, drink a glass of water after each dose of this medicine, unless otherwise directed by your doctor.

      Take this medicine only as directed. Do not take more of it and do not take it more often than recommended on the label, unless otherwise directed by your doctor. To do so may increase the chance of side effects.

      Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .

      For patients taking the extended-release capsule or tablet form of this medicine:

      • Swallow the capsule or tablet whole.
      • Do not crush, break, or chew before swallowing.
      • If the capsule is too large to swallow, you may mix the contents of the capsule with applesauce, jelly, honey, or syrup and swallow without chewing.

      For patients taking the extended-release oral solution or oral suspension form of this medicine:

      • Do not dilute with fluids or mix with other drugs.

      For patients taking a combination medicine containing an antihistamine and/or aspirin or other salicylate:

      • Take with food or a glass of water or milk to lessen stomach irritation, if necessary.

      If a combination medicine containing aspirin has a strong vinegar-like odor, do not use it. This odor means the medicine is breaking down. If you have any questions about this, check with your pharmacist.

      Missed dose

      If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

      Storage

      Keep out of the reach of children.

      Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

      Do not keep outdated medicine or medicine no longer needed.

      Keep the liquid form of this medicine from freezing. Do not refrigerate the syrup.

      Precautions while using Notuss-Forte

      If your cough has not improved after 7 days or if you have a high fever, skin rash, continuing headache, or sore throat with the cough, check with your doctor. These signs may mean that you have other medical problems.

      For patients taking a codeine-containing medicine or any other narcotic analgesics (e.g., dihydrocodeine, hydrocodone, oxycodone, and pentazocine):

      • Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These symptoms may indicate that you are an “ultra-rapid metabolizer of codeine”. Ultra-rapid metabolizers change codeine to morphine more quickly and completely than other people. As a result, there is too much morphine in the body and more side effects of morphine than usual

      For nursing mothers taking a codeine-containing medicine or any other narcotic cough medicine (dihydrocodeine, hydrocodone, or hydromorphone):

      • Call your doctor if you become extremely tired and have difficulty caring for your baby.
      • Your baby should generally nurse every two to three hours and should not sleep more than four hours at a time.
      • Check with your doctor or hospital emergency room immediately if your baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, difficulty breathing, or limpness. These may be symptoms of an overdose and need immediate medical attention .

      For patients taking antihistamine-containing medicine:

      • Before you have any skin tests for allergies, tell the doctor in charge that you are taking this medicine. The results of the test may be affected by the antihistamine in this medicine.
      • This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
      • This medicine may cause some people to become drowsy, dizzy, or less alert than they are normally.
      • Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.
      • When taking antihistamines on a regular basis, make sure your doctor knows if you are taking large amounts of aspirin at the same time (as in arthritis or rheumatism). Effects of too much aspirin, such as ringing in the ears, may be covered up by the antihistamine.
      • Antihistamines may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

      For patients taking decongestant-containing medicine:

      • This medicine may add to the central nervous system (CNS) stimulant effects of diet aids. Do not use medicines for diet or appetite control while taking this medicine unless you have checked with your doctor.
      • This medicine may cause some people to be nervous or restless or to have trouble in sleeping. If you have trouble in sleeping, take the last dose of this medicine for each day a few hours before bedtime. If you have any questions about this, check with your doctor.
      • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

      For patients taking narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing medicine:

      • This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
      • This medicine may cause some people to become drowsy, dizzy, less alert than they are normally, or to feel a false sense of well-being. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded.
      • Nausea or vomiting may occur after taking a narcotic antitussive. This effect may go away if you lie down for a while. However, if nausea or vomiting continues, check with your doctor.
      • Dizziness, lightheadedness, or fainting may be especially likely to occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem.
      • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

      For patients taking iodide (calcium iodide, iodinated glycerol, or potassium iodide)-containing medicine:

      • Make sure your doctor knows if you are planning to have any future thyroid tests. The results of the thyroid test may be affected by the iodine in this medicine.

      For patients taking analgesic-containing medicine:

      • Check the label of all nonprescription (over-the-counter [OTC]), and prescription medicines you now take. If any contain acetaminophen or aspirin or other salicylates, including diflunisal or bismuth subsalicylate, be especially careful. Taking them while taking a cough/cold combination medicine that already contains them may lead to overdose. If you have any questions about this, check with your health care professional.
      • Do not take aspirin-containing medicine for 5 days before any surgery, including dental surgery, unless otherwise directed by your medical doctor or dentist. Taking aspirin during this time may cause bleeding problems.

      For diabetic patients taking aspirin- or sodium salicylate-containing medicine:

      • False urine sugar test results may occur:
        • If you take 8 or more 325-mg doses of aspirin every day for several days in a row.
        • If you take 8 or more 325-mg or 4 or more 500-mg doses of sodium salicylate.
      • Smaller doses or occasional use of aspirin or sodium salicylate usually will not affect urine sugar tests. If you have any questions about this, check with your health care professional, especially if your diabetes is not well controlled.

      For patients taking homatropine-containing medicine:

      • This medicine may make you sweat less, causing your body temperature to increase. Use extra care not to become overheated during exercise or hot weather while you are taking this medicine since overheating may result in heat stroke. Also, hot baths or saunas may make you feel dizzy or faint while you are taking this medicine.

      Notuss-Forte side effects

      Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

      Although serious side effects occur rarely when this medicine is taken as recommended, they may be more likely to occur if: too much medicine is taken, it is taken in large doses, or it is taken for a long period of time.

      Get emergency help immediately if any of the following symptoms of overdose occur:

      For narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing

      If you are a nursing mother and you notice any of the following symptoms of overdose in your baby, get emergency help immediately:

      • Cold, clammy skin
      • confusion (severe)
      • convulsions (seizures)
      • drowsiness or dizziness (severe)
      • nervousness or restlessness (severe)
      • pinpoint pupils of eyes
      • slow heartbeat
      • slow or troubled breathing
      • Difficulty breathing
      • difficulty nursing
      • increased sleepiness (more than usual)
      • limpness

      For acetaminophen-containing

      • Diarrhea
      • increased sweating
      • loss of appetite
      • nausea or vomiting
      • stomach cramps or pain
      • swelling or tenderness in the upper abdomen or stomach area

      For salicylate-containing

      • Any loss of hearing
      • bloody urine
      • confusion
      • convulsions (seizures)
      • dizziness or lightheadedness
      • drowsiness (severe)
      • excitement or nervousness (severe)
      • fast or deep breathing
      • fever
      • hallucinations (seeing, hearing, or feeling things that are not there)
      • increased sweating
      • nausea or vomiting (severe or continuing)
      • shortness of breath or troubled breathing (for salicylamide only)
      • stomach pain (severe or continuing)
      • uncontrollable flapping movements of the hands, especially in elderly patients
      • unusual thirst
      • vision problems

      For decongestant-containing

      • Fast, pounding, or irregular heartbeat
      • headache (continuing and severe)
      • nausea or vomiting (severe)
      • nervousness or restlessness (severe)
      • shortness of breath or troubled breathing (severe or continuing)

      Check with your doctor as soon as possible if any of the following side effects occur:

      For all combinations

      • Skin rash, hives, and/or itching

      For antihistamine- or anticholinergic-containing

      • Clumsiness or unsteadiness
      • convulsions (seizures
      • drowsiness (severe)
      • dryness of mouth, nose, or throat (severe)
      • flushing or redness of face
      • hallucinations (seeing, hearing, or feeling things that are not there)
      • restlessness (severe)
      • shortness of breath or troubled breathing
      • slow or fast heartbeat

      For iodine-containing

      • Headache (continuing)
      • increased watering of mouth
      • loss of appetite
      • metallic taste
      • skin rash, hives, or redness
      • sore throat
      • swelling of face, lips, or eyelids

      For acetaminophen-containing

      • Unexplained sore throat and fever
      • unusual tiredness or weakness
      • yellow eyes or skin

      Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

      • Constipation
      • decreased sweating
      • difficult or painful urination
      • dizziness or lightheadedness
      • drowsiness
      • dryness of mouth, nose, or throat
      • false sense of well-being
      • increased sensitivity of skin to sun
      • nausea or vomiting
      • nightmares
      • stomach pain
      • thickening of mucus
      • trouble in sleeping
      • unusual excitement, nervousness, restlessness, or irritability
      • unusual tiredness or weakness

      Not all of the side effects listed above have been reported for each of these medicines, but they have been reported for at least one of them. There are some similarities among these combination medicines, so many of the above side effects may occur with any of these medicines.

      Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

      Seek emergency medical attention or call 115

      Further information

      The content of Holevn is solely for the purpose of providing information about Thuốc Notuss-Forte (Oral)  and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Please contact your nearest doctor or clinic, hospital for advice. We do not accept liability if the patient arbitrarily uses the drug without following a doctor’s prescription.

      Reference from: https://www.drugs.com/cons/notuss-forte-oral.html

    • Mefenamic Acid
    • Melitracen
    • Meloxicam
    • Melperone
    • Memantine
    • Meperidine
    • Mephenesin
    • Mephobarbital
    • Meprobamate
    • Meptazinol
    • Mesalamine
    • Mesoridazine
    • Mestranol
    • Metaxalone
    • Metformin
    • Methacholine
    • Methadone
    • Methamphetamine
    • Methdilazine
    • Methocarbamol
    • Methohexital
    • Methotrexate
    • Methotrimeprazine
    • Methoxyflurane
    • Methyclothiazide
    • Methyldopa
    • Methylene Blue
    • Methylergonovine
    • Methylprednisolone
    • Metildigoxin
    • Metipranolol
    • Metoclopramide
    • Metolazone
    • Metopimazine
    • Mexiletine
    • Mibefradil
  • Midazolam
    • Midodrine
    • Mifepristone
    • Milnacipran
    • Mirabegron
    • Mirtazapine
    • Mitotane
    • Moclobemide
    • Modafinil
    • Molindone
    • Moricizine
    • Morniflumate
    • Morphine
    • Morphine Sulfate Liposome
    • Nabumetone
    • Nadolol
    • Nadroparin
    • Nafcillin
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    • Naproxen
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    • Nateglinide
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    • Nelfinavir
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    • Neratinib
    • Netupitant
    • Nevirapine
    • Nialamide
    • Nicomorphine
    • Nicorandil
    • Nifedipine
    • Niflumic Acid
    • Nilotinib
    • Nimesulide
    • Nimesulide Beta Cyclodextrin
    • Nimodipine
    • Nitrazepam
    • Nitrous Oxide
    • Norelgestromin
    • Norethindrone
    • Norgestimate
    • Norgestrel
    • Nortriptyline
    • Olanzapine
    • Olaparib
    • Olsalazine
    • Ombitasvir
    • Ondansetron
    • Opipramol
    • Opium
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    • Orlistat
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    • Oxcarbazepine
    • Oxprenolol
    • Oxycodone
    • Oxymorphone
    • Oxyphenbutazone
    • Oxytocin
    • Paclitaxel
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    • Piketoprofen
    • Pimozide
    • Pindolol
    • Pipamperone
    • Piperacetazine
    • Piperaquine
    • Pipotiazine
    • Piracetam
    • Piritramide
    • Piroxicam
    • Pitolisant
    • Pixantrone
    • Pneumococcal 13-Valent Vaccine, Diphtheria Conjugate
    • Polythiazide
    • Posaconazole
    • Practolol
    • Pralatrexate
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    • Prasugrel
    • Prazepam
    • Prednisolone
    • Prednisone
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    • Quinine
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    • Interactions with food/tobacco/alcohol

      Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

      Using medicines in this class with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use your medicine, or give you special instructions about the use of food, alcohol, or tobacco.

      • Ethanol
      • Grapefruit Juice
      • Tobacco

      Other medical problems

      The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

      • Alcohol abuse (or history of)—Acetaminophen-containing medicines increase the chance of liver damage; also, some of the liquid medicines contain a large amount of alcohol.
      • Anemia or
      • Gout or
      • Hemophilia or other bleeding problems or
      • Stomach ulcer or other stomach problems—These conditions may become worse if you are taking a combination medicine containing aspirin or another salicylate.
      • Brain disease or injury or
      • Colitis or
      • Convulsions (seizures) (history of) or
      • Diarrhea or
      • Gallbladder disease or gallstones—These conditions may become worse if you are taking a combination medicine containing codeine, dihydrocodeine, hydrocodone, or hydromorphone
      • Cystic fibrosis (in children)—Side effects of iodinated glycerol may be more likely in children with cystic fibrosis.
      • Diabetes mellitus (sugar diabetes)—Decongestants may put diabetic patients at greater risk of having heart or blood vessel disease.
      • Emphysema, asthma, or chronic lung disease (especially in children)—Salicylate-containing medicine may cause an allergic reaction in which breathing becomes difficult.
      • Enlarged prostate or
      • Urinary tract blockage or difficult urination—Some of the effects of anticholinergics (e.g., homatropine) or antihistamines may make urinary problems worse.
      • Glaucoma—A slight increase in inner eye pressure may occur with the use of anticholinergics (e.g., homatropine) or antihistamines, which may make the condition worse.
      • Heart or blood vessel disease or
      • High blood pressure—Decongestant-containing medicine may increase the blood pressure and speed up the heart rate; also, caffeine-containing medicine, if taken in large amounts, may speed up the heart rate.
      • Kidney disease—This condition may increase the chance of side effects of this medicine because the medicine may build up in the body.
      • Liver disease—Liver disease increases the chance of side effects because the medicine may build up in the body; also, if liver disease is severe, there is a greater chance that aspirin-containing medicine may cause bleeding.
      • Thyroid disease—If an overactive thyroid has caused a fast heart rate, the decongestant in this medicine may cause the heart rate to speed up further; also, if the medicine contains narcotic antitussives (e.g., codeine), iodides (e.g., iodinated glycerol), or salicylates, the thyroid problem may become worse.

      Proper use of Notuss-Forte

      This section provides information on the proper use of a number of products that contain cough and cold combinations. It may not be specific to Notuss-Forte. Please read with care.

      To help loosen mucus or phlegm in the lungs, drink a glass of water after each dose of this medicine, unless otherwise directed by your doctor.

      Take this medicine only as directed. Do not take more of it and do not take it more often than recommended on the label, unless otherwise directed by your doctor. To do so may increase the chance of side effects.

      Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .

      For patients taking the extended-release capsule or tablet form of this medicine:

      • Swallow the capsule or tablet whole.
      • Do not crush, break, or chew before swallowing.
      • If the capsule is too large to swallow, you may mix the contents of the capsule with applesauce, jelly, honey, or syrup and swallow without chewing.

      For patients taking the extended-release oral solution or oral suspension form of this medicine:

      • Do not dilute with fluids or mix with other drugs.

      For patients taking a combination medicine containing an antihistamine and/or aspirin or other salicylate:

      • Take with food or a glass of water or milk to lessen stomach irritation, if necessary.

      If a combination medicine containing aspirin has a strong vinegar-like odor, do not use it. This odor means the medicine is breaking down. If you have any questions about this, check with your pharmacist.

      Missed dose

      If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

      Storage

      Keep out of the reach of children.

      Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

      Do not keep outdated medicine or medicine no longer needed.

      Keep the liquid form of this medicine from freezing. Do not refrigerate the syrup.

      Precautions while using Notuss-Forte

      If your cough has not improved after 7 days or if you have a high fever, skin rash, continuing headache, or sore throat with the cough, check with your doctor. These signs may mean that you have other medical problems.

      For patients taking a codeine-containing medicine or any other narcotic analgesics (e.g., dihydrocodeine, hydrocodone, oxycodone, and pentazocine):

      • Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These symptoms may indicate that you are an “ultra-rapid metabolizer of codeine”. Ultra-rapid metabolizers change codeine to morphine more quickly and completely than other people. As a result, there is too much morphine in the body and more side effects of morphine than usual

      For nursing mothers taking a codeine-containing medicine or any other narcotic cough medicine (dihydrocodeine, hydrocodone, or hydromorphone):

      • Call your doctor if you become extremely tired and have difficulty caring for your baby.
      • Your baby should generally nurse every two to three hours and should not sleep more than four hours at a time.
      • Check with your doctor or hospital emergency room immediately if your baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, difficulty breathing, or limpness. These may be symptoms of an overdose and need immediate medical attention .

      For patients taking antihistamine-containing medicine:

      • Before you have any skin tests for allergies, tell the doctor in charge that you are taking this medicine. The results of the test may be affected by the antihistamine in this medicine.
      • This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
      • This medicine may cause some people to become drowsy, dizzy, or less alert than they are normally.
      • Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.
      • When taking antihistamines on a regular basis, make sure your doctor knows if you are taking large amounts of aspirin at the same time (as in arthritis or rheumatism). Effects of too much aspirin, such as ringing in the ears, may be covered up by the antihistamine.
      • Antihistamines may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

      For patients taking decongestant-containing medicine:

      • This medicine may add to the central nervous system (CNS) stimulant effects of diet aids. Do not use medicines for diet or appetite control while taking this medicine unless you have checked with your doctor.
      • This medicine may cause some people to be nervous or restless or to have trouble in sleeping. If you have trouble in sleeping, take the last dose of this medicine for each day a few hours before bedtime. If you have any questions about this, check with your doctor.
      • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

      For patients taking narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing medicine:

      • This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
      • This medicine may cause some people to become drowsy, dizzy, less alert than they are normally, or to feel a false sense of well-being. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded.
      • Nausea or vomiting may occur after taking a narcotic antitussive. This effect may go away if you lie down for a while. However, if nausea or vomiting continues, check with your doctor.
      • Dizziness, lightheadedness, or fainting may be especially likely to occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem.
      • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

      For patients taking iodide (calcium iodide, iodinated glycerol, or potassium iodide)-containing medicine:

      • Make sure your doctor knows if you are planning to have any future thyroid tests. The results of the thyroid test may be affected by the iodine in this medicine.

      For patients taking analgesic-containing medicine:

      • Check the label of all nonprescription (over-the-counter [OTC]), and prescription medicines you now take. If any contain acetaminophen or aspirin or other salicylates, including diflunisal or bismuth subsalicylate, be especially careful. Taking them while taking a cough/cold combination medicine that already contains them may lead to overdose. If you have any questions about this, check with your health care professional.
      • Do not take aspirin-containing medicine for 5 days before any surgery, including dental surgery, unless otherwise directed by your medical doctor or dentist. Taking aspirin during this time may cause bleeding problems.

      For diabetic patients taking aspirin- or sodium salicylate-containing medicine:

      • False urine sugar test results may occur:
        • If you take 8 or more 325-mg doses of aspirin every day for several days in a row.
        • If you take 8 or more 325-mg or 4 or more 500-mg doses of sodium salicylate.
      • Smaller doses or occasional use of aspirin or sodium salicylate usually will not affect urine sugar tests. If you have any questions about this, check with your health care professional, especially if your diabetes is not well controlled.

      For patients taking homatropine-containing medicine:

      • This medicine may make you sweat less, causing your body temperature to increase. Use extra care not to become overheated during exercise or hot weather while you are taking this medicine since overheating may result in heat stroke. Also, hot baths or saunas may make you feel dizzy or faint while you are taking this medicine.

      Notuss-Forte side effects

      Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

      Although serious side effects occur rarely when this medicine is taken as recommended, they may be more likely to occur if: too much medicine is taken, it is taken in large doses, or it is taken for a long period of time.

      Get emergency help immediately if any of the following symptoms of overdose occur:

      For narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing

      If you are a nursing mother and you notice any of the following symptoms of overdose in your baby, get emergency help immediately:

      • Cold, clammy skin
      • confusion (severe)
      • convulsions (seizures)
      • drowsiness or dizziness (severe)
      • nervousness or restlessness (severe)
      • pinpoint pupils of eyes
      • slow heartbeat
      • slow or troubled breathing
      • Difficulty breathing
      • difficulty nursing
      • increased sleepiness (more than usual)
      • limpness

      For acetaminophen-containing

      • Diarrhea
      • increased sweating
      • loss of appetite
      • nausea or vomiting
      • stomach cramps or pain
      • swelling or tenderness in the upper abdomen or stomach area

      For salicylate-containing

      • Any loss of hearing
      • bloody urine
      • confusion
      • convulsions (seizures)
      • dizziness or lightheadedness
      • drowsiness (severe)
      • excitement or nervousness (severe)
      • fast or deep breathing
      • fever
      • hallucinations (seeing, hearing, or feeling things that are not there)
      • increased sweating
      • nausea or vomiting (severe or continuing)
      • shortness of breath or troubled breathing (for salicylamide only)
      • stomach pain (severe or continuing)
      • uncontrollable flapping movements of the hands, especially in elderly patients
      • unusual thirst
      • vision problems

      For decongestant-containing

      • Fast, pounding, or irregular heartbeat
      • headache (continuing and severe)
      • nausea or vomiting (severe)
      • nervousness or restlessness (severe)
      • shortness of breath or troubled breathing (severe or continuing)

      Check with your doctor as soon as possible if any of the following side effects occur:

      For all combinations

      • Skin rash, hives, and/or itching

      For antihistamine- or anticholinergic-containing

      • Clumsiness or unsteadiness
      • convulsions (seizures
      • drowsiness (severe)
      • dryness of mouth, nose, or throat (severe)
      • flushing or redness of face
      • hallucinations (seeing, hearing, or feeling things that are not there)
      • restlessness (severe)
      • shortness of breath or troubled breathing
      • slow or fast heartbeat

      For iodine-containing

      • Headache (continuing)
      • increased watering of mouth
      • loss of appetite
      • metallic taste
      • skin rash, hives, or redness
      • sore throat
      • swelling of face, lips, or eyelids

      For acetaminophen-containing

      • Unexplained sore throat and fever
      • unusual tiredness or weakness
      • yellow eyes or skin

      Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

      • Constipation
      • decreased sweating
      • difficult or painful urination
      • dizziness or lightheadedness
      • drowsiness
      • dryness of mouth, nose, or throat
      • false sense of well-being
      • increased sensitivity of skin to sun
      • nausea or vomiting
      • nightmares
      • stomach pain
      • thickening of mucus
      • trouble in sleeping
      • unusual excitement, nervousness, restlessness, or irritability
      • unusual tiredness or weakness

      Not all of the side effects listed above have been reported for each of these medicines, but they have been reported for at least one of them. There are some similarities among these combination medicines, so many of the above side effects may occur with any of these medicines.

      Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

      Seek emergency medical attention or call 115

      Further information

      The content of Holevn is solely for the purpose of providing information about Thuốc Notuss-Forte (Oral)  and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Please contact your nearest doctor or clinic, hospital for advice. We do not accept liability if the patient arbitrarily uses the drug without following a doctor’s prescription.

      Reference from: https://www.drugs.com/cons/notuss-forte-oral.html

    • Mefenamic Acid
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    • Pentoxifylline
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    • Phenobarbital
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    • Phenylbutazone
    • Phenyl Salicylate
    • Phenytoin
    • Piketoprofen
    • Pimozide
    • Pindolol
    • Pipamperone
    • Piperacetazine
    • Piperaquine
    • Pipotiazine
    • Piracetam
    • Piritramide
    • Piroxicam
    • Pitolisant
    • Pixantrone
    • Pneumococcal 13-Valent Vaccine, Diphtheria Conjugate
    • Polythiazide
    • Posaconazole
    • Practolol
    • Pralatrexate
    • Pranoprofen
    • Prasugrel
    • Prazepam
    • Prednisolone
    • Prednisone
    • Pregabalin
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    • Primidone
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    • Prochlorperazine
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    • Promazine
    • Promethazine
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    • Propyphenazone
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    • Protriptyline
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    • Quinine
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    • Rasagiline
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    • Repaglinide
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    • Revefenacin
    • Reviparin
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    • Rifampin
    • Rifapentine
    • Ritonavir
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    • Rizatriptan
    • Rofecoxib
    • Rolapitant
    • Salicylamide
    • Salicylic Acid
    • Salsalate
    • Saquinavir
    • Scopolamine
    • Secobarbital
    • Secretin Human
    • Selegiline
    • Senna
    • Sertindole
    • Sertraline
    • Sibutramine
    • Simeprevir
    • Siponimod
    • Sirolimus
    • Sodium Oxybate
    • Sodium Picosulfate
    • Sodium Salicylate
    • Sonidegib
    • Sotalol
    • Spironolactone
    • St John’s Wort
    • Sufentanil
    • Sulfasalazine
    • Sulindac
    • Sulpiride
    • Sumatriptan
    • Sunitinib
    • Suvorexant
    • Tacrolimus
    • Tapentadol
    • Telaprevir
    • Telithromycin
    • Temazepam
    • Teniposide
    • Tenofovir Disoproxil Fumarate
    • Tenoxicam
    • Terbinafine
    • Terfenadine
    • Tertatolol
    • Thiabendazole
    • Thiethylperazine
    • Thiopental
    • Thiopropazate
    • Thioproperazine
    • Thioridazine
    • Tianeptine
    • Tiaprofenic Acid
    • Ticagrelor
    • Ticlopidine
    • Tilidine
    • Timolol
    • Tinzaparin
    • Tiotropium
    • Tirofiban
    • Tizanidine
    • Tolazamide
    • Tolbutamide
    • Tolfenamic Acid
    • Tolmetin
    • Tolonium Chloride
    • Tolvaptan
    • Topiramate
    • Torsemide
    • Tramadol
    • Tranylcypromine
    • Trazodone
    • Treprostinil
    • Triamterene
    • Triazolam
    • Trichlormethiazide
    • Trifluoperazine
    • Trifluperidol
    • Triflupromazine
    • Trimeprazine
    • Trimipramine
    • Trolamine Salicylate
    • Troleandomycin
    • Tryptophan
    • Ulipristal
    • Valdecoxib
    • Varicella Virus Vaccine, Live
    • Velpatasvir
    • Vemurafenib
    • Venetoclax
    • Venlafaxine
    • Verapamil
    • Vilazodone
    • Vorapaxar
    • Voriconazole
    • Vortioxetine
    • Voxelotor
    • Voxilaprevir
    • Warfarin
    • Xipamide
    • Zaleplon
    • Zanubrutinib
    • Zileuton
    • Ziprasidone
    • Zolmitriptan
    • Zolpidem
    • Zopiclone
    • Zotepine

    Interactions with food/tobacco/alcohol

    Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

    Using medicines in this class with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use your medicine, or give you special instructions about the use of food, alcohol, or tobacco.

    • Ethanol
    • Grapefruit Juice
    • Tobacco

    Other medical problems

    The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

    • Alcohol abuse (or history of)—Acetaminophen-containing medicines increase the chance of liver damage; also, some of the liquid medicines contain a large amount of alcohol.
    • Anemia or
    • Gout or
    • Hemophilia or other bleeding problems or
    • Stomach ulcer or other stomach problems—These conditions may become worse if you are taking a combination medicine containing aspirin or another salicylate.
    • Brain disease or injury or
    • Colitis or
    • Convulsions (seizures) (history of) or
    • Diarrhea or
    • Gallbladder disease or gallstones—These conditions may become worse if you are taking a combination medicine containing codeine, dihydrocodeine, hydrocodone, or hydromorphone
    • Cystic fibrosis (in children)—Side effects of iodinated glycerol may be more likely in children with cystic fibrosis.
    • Diabetes mellitus (sugar diabetes)—Decongestants may put diabetic patients at greater risk of having heart or blood vessel disease.
    • Emphysema, asthma, or chronic lung disease (especially in children)—Salicylate-containing medicine may cause an allergic reaction in which breathing becomes difficult.
    • Enlarged prostate or
    • Urinary tract blockage or difficult urination—Some of the effects of anticholinergics (e.g., homatropine) or antihistamines may make urinary problems worse.
    • Glaucoma—A slight increase in inner eye pressure may occur with the use of anticholinergics (e.g., homatropine) or antihistamines, which may make the condition worse.
    • Heart or blood vessel disease or
    • High blood pressure—Decongestant-containing medicine may increase the blood pressure and speed up the heart rate; also, caffeine-containing medicine, if taken in large amounts, may speed up the heart rate.
    • Kidney disease—This condition may increase the chance of side effects of this medicine because the medicine may build up in the body.
    • Liver disease—Liver disease increases the chance of side effects because the medicine may build up in the body; also, if liver disease is severe, there is a greater chance that aspirin-containing medicine may cause bleeding.
    • Thyroid disease—If an overactive thyroid has caused a fast heart rate, the decongestant in this medicine may cause the heart rate to speed up further; also, if the medicine contains narcotic antitussives (e.g., codeine), iodides (e.g., iodinated glycerol), or salicylates, the thyroid problem may become worse.

    Proper use of Notuss-Forte

    This section provides information on the proper use of a number of products that contain cough and cold combinations. It may not be specific to Notuss-Forte. Please read with care.

    To help loosen mucus or phlegm in the lungs, drink a glass of water after each dose of this medicine, unless otherwise directed by your doctor.

    Take this medicine only as directed. Do not take more of it and do not take it more often than recommended on the label, unless otherwise directed by your doctor. To do so may increase the chance of side effects.

    Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .

    For patients taking the extended-release capsule or tablet form of this medicine:

    • Swallow the capsule or tablet whole.
    • Do not crush, break, or chew before swallowing.
    • If the capsule is too large to swallow, you may mix the contents of the capsule with applesauce, jelly, honey, or syrup and swallow without chewing.

    For patients taking the extended-release oral solution or oral suspension form of this medicine:

    • Do not dilute with fluids or mix with other drugs.

    For patients taking a combination medicine containing an antihistamine and/or aspirin or other salicylate:

    • Take with food or a glass of water or milk to lessen stomach irritation, if necessary.

    If a combination medicine containing aspirin has a strong vinegar-like odor, do not use it. This odor means the medicine is breaking down. If you have any questions about this, check with your pharmacist.

    Missed dose

    If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

    Storage

    Keep out of the reach of children.

    Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

    Do not keep outdated medicine or medicine no longer needed.

    Keep the liquid form of this medicine from freezing. Do not refrigerate the syrup.

    Precautions while using Notuss-Forte

    If your cough has not improved after 7 days or if you have a high fever, skin rash, continuing headache, or sore throat with the cough, check with your doctor. These signs may mean that you have other medical problems.

    For patients taking a codeine-containing medicine or any other narcotic analgesics (e.g., dihydrocodeine, hydrocodone, oxycodone, and pentazocine):

    • Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These symptoms may indicate that you are an “ultra-rapid metabolizer of codeine”. Ultra-rapid metabolizers change codeine to morphine more quickly and completely than other people. As a result, there is too much morphine in the body and more side effects of morphine than usual

    For nursing mothers taking a codeine-containing medicine or any other narcotic cough medicine (dihydrocodeine, hydrocodone, or hydromorphone):

    • Call your doctor if you become extremely tired and have difficulty caring for your baby.
    • Your baby should generally nurse every two to three hours and should not sleep more than four hours at a time.
    • Check with your doctor or hospital emergency room immediately if your baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, difficulty breathing, or limpness. These may be symptoms of an overdose and need immediate medical attention .

    For patients taking antihistamine-containing medicine:

    • Before you have any skin tests for allergies, tell the doctor in charge that you are taking this medicine. The results of the test may be affected by the antihistamine in this medicine.
    • This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
    • This medicine may cause some people to become drowsy, dizzy, or less alert than they are normally.
    • Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.
    • When taking antihistamines on a regular basis, make sure your doctor knows if you are taking large amounts of aspirin at the same time (as in arthritis or rheumatism). Effects of too much aspirin, such as ringing in the ears, may be covered up by the antihistamine.
    • Antihistamines may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

    For patients taking decongestant-containing medicine:

    • This medicine may add to the central nervous system (CNS) stimulant effects of diet aids. Do not use medicines for diet or appetite control while taking this medicine unless you have checked with your doctor.
    • This medicine may cause some people to be nervous or restless or to have trouble in sleeping. If you have trouble in sleeping, take the last dose of this medicine for each day a few hours before bedtime. If you have any questions about this, check with your doctor.
    • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

    For patients taking narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing medicine:

    • This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are taking this medicine.
    • This medicine may cause some people to become drowsy, dizzy, less alert than they are normally, or to feel a false sense of well-being. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded.
    • Nausea or vomiting may occur after taking a narcotic antitussive. This effect may go away if you lie down for a while. However, if nausea or vomiting continues, check with your doctor.
    • Dizziness, lightheadedness, or fainting may be especially likely to occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem.
    • Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

    For patients taking iodide (calcium iodide, iodinated glycerol, or potassium iodide)-containing medicine:

    • Make sure your doctor knows if you are planning to have any future thyroid tests. The results of the thyroid test may be affected by the iodine in this medicine.

    For patients taking analgesic-containing medicine:

    • Check the label of all nonprescription (over-the-counter [OTC]), and prescription medicines you now take. If any contain acetaminophen or aspirin or other salicylates, including diflunisal or bismuth subsalicylate, be especially careful. Taking them while taking a cough/cold combination medicine that already contains them may lead to overdose. If you have any questions about this, check with your health care professional.
    • Do not take aspirin-containing medicine for 5 days before any surgery, including dental surgery, unless otherwise directed by your medical doctor or dentist. Taking aspirin during this time may cause bleeding problems.

    For diabetic patients taking aspirin- or sodium salicylate-containing medicine:

    • False urine sugar test results may occur:
      • If you take 8 or more 325-mg doses of aspirin every day for several days in a row.
      • If you take 8 or more 325-mg or 4 or more 500-mg doses of sodium salicylate.
    • Smaller doses or occasional use of aspirin or sodium salicylate usually will not affect urine sugar tests. If you have any questions about this, check with your health care professional, especially if your diabetes is not well controlled.

    For patients taking homatropine-containing medicine:

    • This medicine may make you sweat less, causing your body temperature to increase. Use extra care not to become overheated during exercise or hot weather while you are taking this medicine since overheating may result in heat stroke. Also, hot baths or saunas may make you feel dizzy or faint while you are taking this medicine.

    Notuss-Forte side effects

    Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Although serious side effects occur rarely when this medicine is taken as recommended, they may be more likely to occur if: too much medicine is taken, it is taken in large doses, or it is taken for a long period of time.

    Get emergency help immediately if any of the following symptoms of overdose occur:

    For narcotic antitussive (codeine, dihydrocodeine, hydrocodone, or hydromorphone)-containing

    If you are a nursing mother and you notice any of the following symptoms of overdose in your baby, get emergency help immediately:

    • Cold, clammy skin
    • confusion (severe)
    • convulsions (seizures)
    • drowsiness or dizziness (severe)
    • nervousness or restlessness (severe)
    • pinpoint pupils of eyes
    • slow heartbeat
    • slow or troubled breathing
    • Difficulty breathing
    • difficulty nursing
    • increased sleepiness (more than usual)
    • limpness

    For acetaminophen-containing

    • Diarrhea
    • increased sweating
    • loss of appetite
    • nausea or vomiting
    • stomach cramps or pain
    • swelling or tenderness in the upper abdomen or stomach area

    For salicylate-containing

    • Any loss of hearing
    • bloody urine
    • confusion
    • convulsions (seizures)
    • dizziness or lightheadedness
    • drowsiness (severe)
    • excitement or nervousness (severe)
    • fast or deep breathing
    • fever
    • hallucinations (seeing, hearing, or feeling things that are not there)
    • increased sweating
    • nausea or vomiting (severe or continuing)
    • shortness of breath or troubled breathing (for salicylamide only)
    • stomach pain (severe or continuing)
    • uncontrollable flapping movements of the hands, especially in elderly patients
    • unusual thirst
    • vision problems

    For decongestant-containing

    • Fast, pounding, or irregular heartbeat
    • headache (continuing and severe)
    • nausea or vomiting (severe)
    • nervousness or restlessness (severe)
    • shortness of breath or troubled breathing (severe or continuing)

    Check with your doctor as soon as possible if any of the following side effects occur:

    For all combinations

    • Skin rash, hives, and/or itching

    For antihistamine- or anticholinergic-containing

    • Clumsiness or unsteadiness
    • convulsions (seizures
    • drowsiness (severe)
    • dryness of mouth, nose, or throat (severe)
    • flushing or redness of face
    • hallucinations (seeing, hearing, or feeling things that are not there)
    • restlessness (severe)
    • shortness of breath or troubled breathing
    • slow or fast heartbeat

    For iodine-containing

    • Headache (continuing)
    • increased watering of mouth
    • loss of appetite
    • metallic taste
    • skin rash, hives, or redness
    • sore throat
    • swelling of face, lips, or eyelids

    For acetaminophen-containing

    • Unexplained sore throat and fever
    • unusual tiredness or weakness
    • yellow eyes or skin

    Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

    • Constipation
    • decreased sweating
    • difficult or painful urination
    • dizziness or lightheadedness
    • drowsiness
    • dryness of mouth, nose, or throat
    • false sense of well-being
    • increased sensitivity of skin to sun
    • nausea or vomiting
    • nightmares
    • stomach pain
    • thickening of mucus
    • trouble in sleeping
    • unusual excitement, nervousness, restlessness, or irritability
    • unusual tiredness or weakness

    Not all of the side effects listed above have been reported for each of these medicines, but they have been reported for at least one of them. There are some similarities among these combination medicines, so many of the above side effects may occur with any of these medicines.

    Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

    Seek emergency medical attention or call 115

    Further information

    The content of Holevn is solely for the purpose of providing information about Thuốc Notuss-Forte (Oral)  and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Please contact your nearest doctor or clinic, hospital for advice. We do not accept liability if the patient arbitrarily uses the drug without following a doctor’s prescription.

    Reference from: https://www.drugs.com/cons/notuss-forte-oral.html

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