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: hydrocodone, chlorpheniramine và pseudoephedrine (Đường uống)

hye-droe-KOE-by by-TAR-trate, klor-fen-IR-a-meen MAL-ee-ate, soo-doe-e-Fed-rin hye-droe-KLOR-ide

Đường uống (Giải pháp)

Cảnh báo: Nghiện, lạm dụng và lạm dụng; suy hô hấp đe dọa tính mạng; nuốt phải vô tình; lỗi thuốc; tương tác cytochrom P450 3A4; sử dụng đồng thời với các thuốc nhóm benzodiazepin hoặc thuốc ức chế thần kinh trung ương khác; tương tác với rượu; Hội chứng cai nghiện opioid ở trẻ sơ sinh Nghiện, lạm dụng và sử dụng sai cách Dự trữ hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride để sử dụng ở những bệnh nhân trưởng thành mà những lợi ích của việc giảm ho được dự kiến sẽ lớn hơn những rủi ro, và trong đó đánh giá đầy đủ về nguyên nhân của ho đã được thực hiện. Đánh giá nguy cơ của từng bệnh nhân trước khi kê toa hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride, kê toa hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride trong thời gian ngắn nhất phù hợp với từng bệnh nhân, theo dõi bệnh nhân. và chỉ nạp lại sau khi đánh giá lại nhu cầu tiếp tục điều trị. Suy hô hấp đe dọa trầm cảm Có thể xảy ra trầm cảm, đe dọa tính mạng hoặc gây tử vong khi sử dụng hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride. Theo dõi tình trạng suy hô hấp, đặc biệt là khi bắt đầu sử dụng hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride hoặc khi sử dụng ở những bệnh nhân có nguy cơ cao hơn. Nuốt phải vô tình Việc nuốt phải một liều hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride, đặc biệt là ở trẻ em, có thể dẫn đến việc sử dụng quá liều hydrocodone. . Lỗi liều có thể dẫn đến quá liều và tử vong do tai nạn. Luôn luôn sử dụng một thiết bị đo mililit chính xác khi đo và sử dụng hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride.Cytochrom P45034 , có thể làm tăng hoặc kéo dài tác dụng phụ của thuốc và có thể gây ức chế hô hấp có thể gây tử vong. Ngoài ra, việc ngừng sử dụng thuốc cảm ứng cytochrom P450 3A4 được sử dụng đồng thời có thể dẫn đến sự gia tăng nồng độ trong huyết tương hydrocodone. Tránh sử dụng hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride ở những bệnh nhân sử dụng thuốc ức chế CYP3A4 hoặc thuốc gây cảm ứng. suy hô hấp, hôn mê và tử vong. Tránh sử dụng hydrocodone bitartrate / chlorpheniramine maleate / pseudoephedrine hydrochloride ở những bệnh nhân dùng thuốc benzodiazepin, thuốc ức chế thần kinh trung ương khác hoặc rượu.

  • Rizatriptan
  • Saquinavir
  • Scopolamine
  • Secobarbital
  • Secretin Human
  • Selegiline
  • Sertindole
  • Sertraline
  • Sibutramine
  • Sodium Oxybate
  • St John’s Wort
  • Sufentanil
  • Sulpiride
  • Sumatriptan
  • Suvorexant
  • Tapentadol
  • Telaprevir
  • Telithromycin
  • Temazepam
  • Thiethylperazine
  • Thiopental
  • Thiopropazate
  • Thioridazine
  • Tianeptine
  • Tilidine
  • Tiotropium
  • Tizanidine
  • Tolonium Chloride
  • Topiramate
  • Tramadol
  • Tranylcypromine
  • Trazodone
  • Triazolam
    • Trifluoperazine
    • Trifluperidol
    • Triflupromazine
    • Trimeprazine
    • Trimipramine
    • Tryptophan
    • Venlafaxine
    • Verapamil
    • Vilazodone
    • Voriconazole
    • Vortioxetine
    • Zaleplon
    • 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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

      Using this medicine 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 this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

      • Ethanol
      • Grapefruit Juice

      Other medical problems

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

      • Addison’s disease (adrenal gland problem) or
      • Alcohol abuse, history of or
      • Brain tumor or
      • Chronic obstructive pulmonary disease (COPD) or
      • Diabetes or
      • Drug dependence, especially narcotic abuse or dependence, or history of or
      • Enlarged prostate (eg, BPH, prostatic hypertrophy) or
      • Gallbladder disease or
      • Head injury, history of or
      • Increased pressure in the head or
      • Pancreatitis, acute (swelling of the pancreas) or
      • Seizures, history of or
      • Thyroid disease—Use with caution. May increase risk for more serious side effects.
      • Asthma, acute or severe or
      • Heart disease (eg, coronary artery disease), severe or
      • Hypertension (high blood pressure), severe or
      • Narrow-angle glaucoma or
      • Respiratory depression (very slow breathing) or
      • Stomach or bowel problems (eg, paralytic ileus), known or suspected or
      • Urinary retention (problems with passing urine)—Should not be used in patients with these conditions.
      • Hypotension (low blood pressure)—Use with caution. May make this condition worse.
      • Kidney disease, severe or
      • Liver disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

      Proper use of Notuss-Forte

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

      Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

      This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

      Measure the oral liquid correctly using the marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Ask your pharmacist for instructions for measuring the correct dose of this medicine.

      Dosing

      The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

      The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

      • For oral dosage form (solution):
        • For relief of cough, sneezing, or runny or stuffy nose:
          • Adults—5 milliliters (mL) every 4 to 6 hours as needed. However, the dose is usually not more than 4 doses (20 mL) in 24 hours.
          • Children—Use is not recommended.

      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

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

      Keep out of the reach of children.

      Do not keep outdated medicine or medicine no longer needed.

      Ask your healthcare professional how you should dispose of any medicine you do not use.

      Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

      Precautions while using Notuss-Forte

      It is very important that your doctor check your progress while you are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If your cough does not improve or if it gets worse within 5 days, call your doctor.

      Do not use this medicine if you have used an MAO inhibitor (MAOI) such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days.

      If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Symptoms of an overdose include: extreme dizziness or weakness, trouble breathing, slow heartbeat or breathing, seizures, and cold, clammy skin. In case of an overdose, call your doctor right away.

      This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

      This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

      This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines while you are using this medicine.

      Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.

      Using this medicine while you are pregnant may cause serious unwanted effects, including neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.

      Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness.

      This medicine may cause adrenal insufficiency. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

      If you are especially sensitive to the effects of this medicine, do not suddenly stop using it without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help reduce the possibility of withdrawal symptoms, such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble sleeping.

      Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children.

      Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.

      Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

      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.

      Check with your doctor immediately if any of the following side effects occur:

      More common

      • Fainting
      • lightheadedness
      • shakiness in the legs, arms, hands, or feet
      • trembling or shaking of the hands or feet
      • unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

      Incidence not known

      • Bloating
      • blurred vision
      • bulging soft spot on the head of an infant
      • change in the ability to see colors, especially blue or yellow
      • confusion
      • constipation
      • decrease in the frequency of urination
      • decrease in the urine volume
      • diarrhea
      • difficult or troubled breathing
      • difficulty in passing urine (dribbling)
      • dizziness
      • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
      • drowsiness
      • fast, slow, or irregular heartbeat
      • headache
      • hives or welts, itching, skin rash
      • irregular, fast or slow, or shallow breathing
      • loss of appetite
      • loss of consciousness
      • nervousness
      • painful urination
      • pale or blue lips, fingernails, or skin
      • pounding in the ears
      • seizures
      • sore throat
      • spasm of the throat
      • stomach cramps or pain
      • sweating
      • tightness of the chest
      • vomiting
      • 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:

      More common

      • Deep or fast breathing with dizziness
      • disturbed color perception
      • double vision
      • dry mouth
      • false or unusual sense of well-being
      • fear or nervousness
      • halos around lights
      • nausea
      • night blindness
      • numbness of the feet, hands, and around the mouth
      • overbright appearance of lights
      • relaxed and calm feeling
      • restlessness
      • sleepiness or unusual drowsiness
      • trouble sleeping
      • tunnel vision

      Incidence not known

      • Belching
      • bigger, dilated, or enlarged pupils (black part of the eye)
      • bloating
      • change in color vision
      • chills
      • cold sweats
      • continuing ringing or buzzing or other unexplained noise in the ears
      • cool, pale skin
      • darkened urine
      • depression
      • difficulty seeing at night
      • feeling of constant movement of self or surroundings
      • fever
      • flushing or redness of the skin
      • full feeling
      • hearing loss
      • heartburn
      • increased appetite
      • increased hunger
      • increased in sexual ability, desire, drive, or performance
      • increased interest in sexual intercourse
      • increased sensitivity of the eyes to sunlight
      • increased sweating
      • indigestion
      • nightmares
      • pains in the stomach, side, or abdomen, possibly radiating to the back
      • pressure in the stomach
      • sensation of spinning
      • slurred speech
      • stomach discomfort or upset
      • sugar in the urine
      • swelling of the abdominal or stomach area
      • swelling of the breasts or breast soreness in both females and males
      • unusually warm skin
      • watering of the eyes

      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.html

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    • Phenobarbital
    • Phenytoin
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    • Quazepam
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    • Ramelteon
    • Ranitidine
    • Ranolazine
    • Rasagiline
    • Remifentanil
    • Remoxipride
    • Revefenacin
    • Rifabutin
    • Rifampin
    • Rifapentine
    • Ritonavir
    • Rizatriptan
    • Saquinavir
    • Scopolamine
    • Secobarbital
    • Secretin Human
    • Selegiline
    • Sertindole
    • Sertraline
    • Sibutramine
    • Sodium Oxybate
    • St John’s Wort
    • Sufentanil
    • Sulpiride
    • Sumatriptan
    • Suvorexant
    • Tapentadol
    • Telaprevir
    • Telithromycin
    • Temazepam
    • Thiethylperazine
    • Thiopental
    • Thiopropazate
    • Thioridazine
    • Tianeptine
    • Tilidine
    • Tiotropium
    • Tizanidine
    • Tolonium Chloride
    • Topiramate
    • Tramadol
    • Tranylcypromine
    • Trazodone
    • Triazolam
    • Trifluoperazine
    • Trifluperidol
    • Triflupromazine
    • Trimeprazine
    • Trimipramine
    • Tryptophan
    • Venlafaxine
    • Verapamil
    • Vilazodone
    • Voriconazole
    • Vortioxetine
    • Zaleplon
    • 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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

      Using this medicine 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 this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

      • Ethanol
      • Grapefruit Juice

      Other medical problems

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

      • Addison’s disease (adrenal gland problem) or
      • Alcohol abuse, history of or
      • Brain tumor or
      • Chronic obstructive pulmonary disease (COPD) or
      • Diabetes or
      • Drug dependence, especially narcotic abuse or dependence, or history of or
      • Enlarged prostate (eg, BPH, prostatic hypertrophy) or
      • Gallbladder disease or
      • Head injury, history of or
      • Increased pressure in the head or
      • Pancreatitis, acute (swelling of the pancreas) or
      • Seizures, history of or
      • Thyroid disease—Use with caution. May increase risk for more serious side effects.
      • Asthma, acute or severe or
      • Heart disease (eg, coronary artery disease), severe or
      • Hypertension (high blood pressure), severe or
      • Narrow-angle glaucoma or
      • Respiratory depression (very slow breathing) or
      • Stomach or bowel problems (eg, paralytic ileus), known or suspected or
      • Urinary retention (problems with passing urine)—Should not be used in patients with these conditions.
      • Hypotension (low blood pressure)—Use with caution. May make this condition worse.
      • Kidney disease, severe or
      • Liver disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

      Proper use of Notuss-Forte

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

      Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

      This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

      Measure the oral liquid correctly using the marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Ask your pharmacist for instructions for measuring the correct dose of this medicine.

      Dosing

      The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

      The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

      • For oral dosage form (solution):
        • For relief of cough, sneezing, or runny or stuffy nose:
          • Adults—5 milliliters (mL) every 4 to 6 hours as needed. However, the dose is usually not more than 4 doses (20 mL) in 24 hours.
          • Children—Use is not recommended.

      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

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

      Keep out of the reach of children.

      Do not keep outdated medicine or medicine no longer needed.

      Ask your healthcare professional how you should dispose of any medicine you do not use.

      Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

      Precautions while using Notuss-Forte

      It is very important that your doctor check your progress while you are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If your cough does not improve or if it gets worse within 5 days, call your doctor.

      Do not use this medicine if you have used an MAO inhibitor (MAOI) such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days.

      If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Symptoms of an overdose include: extreme dizziness or weakness, trouble breathing, slow heartbeat or breathing, seizures, and cold, clammy skin. In case of an overdose, call your doctor right away.

      This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

      This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

      This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines while you are using this medicine.

      Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.

      Using this medicine while you are pregnant may cause serious unwanted effects, including neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.

      Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness.

      This medicine may cause adrenal insufficiency. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

      If you are especially sensitive to the effects of this medicine, do not suddenly stop using it without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help reduce the possibility of withdrawal symptoms, such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble sleeping.

      Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children.

      Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.

      Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

      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.

      Check with your doctor immediately if any of the following side effects occur:

      More common

      • Fainting
      • lightheadedness
      • shakiness in the legs, arms, hands, or feet
      • trembling or shaking of the hands or feet
      • unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

      Incidence not known

      • Bloating
      • blurred vision
      • bulging soft spot on the head of an infant
      • change in the ability to see colors, especially blue or yellow
      • confusion
      • constipation
      • decrease in the frequency of urination
      • decrease in the urine volume
      • diarrhea
      • difficult or troubled breathing
      • difficulty in passing urine (dribbling)
      • dizziness
      • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
      • drowsiness
      • fast, slow, or irregular heartbeat
      • headache
      • hives or welts, itching, skin rash
      • irregular, fast or slow, or shallow breathing
      • loss of appetite
      • loss of consciousness
      • nervousness
      • painful urination
      • pale or blue lips, fingernails, or skin
      • pounding in the ears
      • seizures
      • sore throat
      • spasm of the throat
      • stomach cramps or pain
      • sweating
      • tightness of the chest
      • vomiting
      • 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:

      More common

      • Deep or fast breathing with dizziness
      • disturbed color perception
      • double vision
      • dry mouth
      • false or unusual sense of well-being
      • fear or nervousness
      • halos around lights
      • nausea
      • night blindness
      • numbness of the feet, hands, and around the mouth
      • overbright appearance of lights
      • relaxed and calm feeling
      • restlessness
      • sleepiness or unusual drowsiness
      • trouble sleeping
      • tunnel vision

      Incidence not known

      • Belching
      • bigger, dilated, or enlarged pupils (black part of the eye)
      • bloating
      • change in color vision
      • chills
      • cold sweats
      • continuing ringing or buzzing or other unexplained noise in the ears
      • cool, pale skin
      • darkened urine
      • depression
      • difficulty seeing at night
      • feeling of constant movement of self or surroundings
      • fever
      • flushing or redness of the skin
      • full feeling
      • hearing loss
      • heartburn
      • increased appetite
      • increased hunger
      • increased in sexual ability, desire, drive, or performance
      • increased interest in sexual intercourse
      • increased sensitivity of the eyes to sunlight
      • increased sweating
      • indigestion
      • nightmares
      • pains in the stomach, side, or abdomen, possibly radiating to the back
      • pressure in the stomach
      • sensation of spinning
      • slurred speech
      • stomach discomfort or upset
      • sugar in the urine
      • swelling of the abdominal or stomach area
      • swelling of the breasts or breast soreness in both females and males
      • unusually warm skin
      • watering of the eyes

      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.html

    • Perampanel
    • Perazine
    • Periciazine
    • Perphenazine
    • Phenelzine
    • Phenobarbital
    • Phenytoin
    • Piperacetazine
    • Pipotiazine
    • Piritramide
    • Pitolisant
    • Posaconazole
    • Prazepam
    • Prednisone
    • Pregabalin
    • Primidone
    • Procarbazine
    • Prochlorperazine
    • Promazine
    • Promethazine
    • Propofol
    • Protriptyline
    • Quazepam
    • Quetiapine
    • Ramelteon
    • Ranitidine
    • Ranolazine
    • Rasagiline
    • Remifentanil
    • Remoxipride
    • Revefenacin
    • Rifabutin
    • Rifampin
    • Rifapentine
    • Ritonavir
    • Rizatriptan
    • Saquinavir
    • Scopolamine
    • Secobarbital
    • Secretin Human
    • Selegiline
    • Sertindole
    • Sertraline
    • Sibutramine
    • Sodium Oxybate
    • St John’s Wort
    • Sufentanil
    • Sulpiride
    • Sumatriptan
    • Suvorexant
    • Tapentadol
    • Telaprevir
    • Telithromycin
    • Temazepam
    • Thiethylperazine
    • Thiopental
    • Thiopropazate
    • Thioridazine
    • Tianeptine
    • Tilidine
    • Tiotropium
    • Tizanidine
    • Tolonium Chloride
    • Topiramate
    • Tramadol
    • Tranylcypromine
    • Trazodone
    • Triazolam
    • Trifluoperazine
    • Trifluperidol
    • Triflupromazine
    • Trimeprazine
    • Trimipramine
    • Tryptophan
    • Venlafaxine
    • Verapamil
    • Vilazodone
    • Voriconazole
    • Vortioxetine
    • Zaleplon
    • 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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

    Using this medicine 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 this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

    • Ethanol
    • Grapefruit Juice

    Other medical problems

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

    • Addison’s disease (adrenal gland problem) or
    • Alcohol abuse, history of or
    • Brain tumor or
    • Chronic obstructive pulmonary disease (COPD) or
    • Diabetes or
    • Drug dependence, especially narcotic abuse or dependence, or history of or
    • Enlarged prostate (eg, BPH, prostatic hypertrophy) or
    • Gallbladder disease or
    • Head injury, history of or
    • Increased pressure in the head or
    • Pancreatitis, acute (swelling of the pancreas) or
    • Seizures, history of or
    • Thyroid disease—Use with caution. May increase risk for more serious side effects.
    • Asthma, acute or severe or
    • Heart disease (eg, coronary artery disease), severe or
    • Hypertension (high blood pressure), severe or
    • Narrow-angle glaucoma or
    • Respiratory depression (very slow breathing) or
    • Stomach or bowel problems (eg, paralytic ileus), known or suspected or
    • Urinary retention (problems with passing urine)—Should not be used in patients with these conditions.
    • Hypotension (low blood pressure)—Use with caution. May make this condition worse.
    • Kidney disease, severe or
    • Liver disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

    Proper use of Notuss-Forte

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

    Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

    This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

    Measure the oral liquid correctly using the marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Ask your pharmacist for instructions for measuring the correct dose of this medicine.

    Dosing

    The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

    The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

    • For oral dosage form (solution):
      • For relief of cough, sneezing, or runny or stuffy nose:
        • Adults—5 milliliters (mL) every 4 to 6 hours as needed. However, the dose is usually not more than 4 doses (20 mL) in 24 hours.
        • Children—Use is not recommended.

    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

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

    Keep out of the reach of children.

    Do not keep outdated medicine or medicine no longer needed.

    Ask your healthcare professional how you should dispose of any medicine you do not use.

    Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

    Precautions while using Notuss-Forte

    It is very important that your doctor check your progress while you are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If your cough does not improve or if it gets worse within 5 days, call your doctor.

    Do not use this medicine if you have used an MAO inhibitor (MAOI) such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days.

    If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Symptoms of an overdose include: extreme dizziness or weakness, trouble breathing, slow heartbeat or breathing, seizures, and cold, clammy skin. In case of an overdose, call your doctor right away.

    This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

    This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

    This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines while you are using this medicine.

    Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.

    Using this medicine while you are pregnant may cause serious unwanted effects, including neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.

    Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness.

    This medicine may cause adrenal insufficiency. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

    If you are especially sensitive to the effects of this medicine, do not suddenly stop using it without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help reduce the possibility of withdrawal symptoms, such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble sleeping.

    Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children.

    Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.

    Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

    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.

    Check with your doctor immediately if any of the following side effects occur:

    More common

    • Fainting
    • lightheadedness
    • shakiness in the legs, arms, hands, or feet
    • trembling or shaking of the hands or feet
    • unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

    Incidence not known

    • Bloating
    • blurred vision
    • bulging soft spot on the head of an infant
    • change in the ability to see colors, especially blue or yellow
    • confusion
    • constipation
    • decrease in the frequency of urination
    • decrease in the urine volume
    • diarrhea
    • difficult or troubled breathing
    • difficulty in passing urine (dribbling)
    • dizziness
    • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
    • drowsiness
    • fast, slow, or irregular heartbeat
    • headache
    • hives or welts, itching, skin rash
    • irregular, fast or slow, or shallow breathing
    • loss of appetite
    • loss of consciousness
    • nervousness
    • painful urination
    • pale or blue lips, fingernails, or skin
    • pounding in the ears
    • seizures
    • sore throat
    • spasm of the throat
    • stomach cramps or pain
    • sweating
    • tightness of the chest
    • vomiting
    • 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:

    More common

    • Deep or fast breathing with dizziness
    • disturbed color perception
    • double vision
    • dry mouth
    • false or unusual sense of well-being
    • fear or nervousness
    • halos around lights
    • nausea
    • night blindness
    • numbness of the feet, hands, and around the mouth
    • overbright appearance of lights
    • relaxed and calm feeling
    • restlessness
    • sleepiness or unusual drowsiness
    • trouble sleeping
    • tunnel vision

    Incidence not known

    • Belching
    • bigger, dilated, or enlarged pupils (black part of the eye)
    • bloating
    • change in color vision
    • chills
    • cold sweats
    • continuing ringing or buzzing or other unexplained noise in the ears
    • cool, pale skin
    • darkened urine
    • depression
    • difficulty seeing at night
    • feeling of constant movement of self or surroundings
    • fever
    • flushing or redness of the skin
    • full feeling
    • hearing loss
    • heartburn
    • increased appetite
    • increased hunger
    • increased in sexual ability, desire, drive, or performance
    • increased interest in sexual intercourse
    • increased sensitivity of the eyes to sunlight
    • increased sweating
    • indigestion
    • nightmares
    • pains in the stomach, side, or abdomen, possibly radiating to the back
    • pressure in the stomach
    • sensation of spinning
    • slurred speech
    • stomach discomfort or upset
    • sugar in the urine
    • swelling of the abdominal or stomach area
    • swelling of the breasts or breast soreness in both females and males
    • unusually warm skin
    • watering of the eyes

    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.html

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