Tuseran Forte (Reformulated)

Dextromethorphan HBr 15 mg, phenylpropanolamine HCl 25 mg, paracetamol 325 mg

Relief of cough, clogged nose, postnasal drip, headache, body aches & fever associated w/ common cold, allergic rhinitis, sinusitis, flu & other minor resp tract infections. Helps decongest sinus openings & passages.

Adult & childn ≥12 yr 1 cap every 6 hr.

Hypersensitivity. High BP or severe heart disease. Anemia, kidney or liver disease. Pregnancy & lactation.

Risk of resp failure (eg, chronic bronchitis, emphysema or during asthma attack), persistent or chronic cough lasting for >3 wk or cough accompanied by excessive secretions. High BP or heart problems, glaucoma, thyroid problems, diabetes, liver or kidney disease, enlarged prostate, bladder problems or difficulty in urinating. Discontinue use if fever gets worse or lasts >3 days or new symptoms occur. Concomitant use w/ warfarin. May impair ability to drive or operate machinery.

Hypersensitivity. Phenylpropanolamine: Sudden, severe headache, nervousness, restlessness, insomnia/sleep disturbance, dizziness, anxiety, confusion, high BP, palpitation, chest tightness, tremor, agitation, irritability, aggressiveness (particularly in young childn), nausea & blurred vision. Paracetamol: Skin rashes, hypersensitivity reactions, changes in the number of WBC & platelets; minor stomach & intestinal disturbances.

Increased toxicity w/ sympathomimetic agents (eg, epinephrine) & general anesth (eg, halothane). May result in hypertensive crisis w/ MAOIs (eg, selegeline, moclobemide) & antidepressants (eg, amitriptylline, imipramine). Phenylpropanolamine: May produce additive increase in BP in combination w/ caffeine. Dextrometorphan: CYP450 isoenzyme CYP2D6 inhibitors eg, amiodarone, haloperidol, quinidine, SSRIs & thioridazine. Symptoms of toxicity w/ amiodarone & quinidine. Additive CNS depression may occur w/ alcohol, antihistamines, psychotropics & other CNS depressants. Paracetamol: May increase INR w/ warfarin. May increase susceptibility to the harmful effects of liver w/ medicines for convulsions (eg, phenobarb, phenytoin). Absorption may be accelerated by metoclopramide or domperidone & reduced by cholestyramine. Other paracetamol-containing product.

Cough & Cold Preparations

N02BE51 - paracetamol, combinations excl. psycholeptics ; Belongs to the class of anilide preparations. Used to relieve pain and fever.

Non-Rx