Tuspress Cough Supressant

Dextromethorphan Hydrobromide A to Z Drug Facts Dextromethorphan Hydrobromide Action Indications Contraindications Route/Dosage Interactions Lab Test Interferences Adverse Reactions Precautions Patient Care Considerations Administration/Storage Assessment/Interventions Patient/Family Education (DEX-troe-meth-OR-fan HIGH-droe-BROE-mide) Benylin Adult Liquid 15 mg/5 mL Benylin DM Syrup 10 mg/5 mL Benylin Pediatric Liquid 7.5 mg/5 mL Children's Hold Lozenges 5 mg Creo-Terpin Liquid 10 mg/15 mL (3.33 mg/ 5 mL) Delsym Liquid, sustained-action Dextromethorphan polistirex equivalent to 30 mg dextromethorphan HBr/5 mL. Diabetes CF Syrup 10 mg/5 mL Drixoral Cough Liquid Caps Capsules 30 mg Hold DM Lozenges 5 mg Pediatric Vicks 44d Dry Hacking Cough and Head Congestion Syrup 15 mg/15 mL (1 mg/mL Pertussin CS Liquid 3.5 mg/5 mL Pertussin ES Liquid 15 mg/5 mL Robitussin Cough Calmers Lozenges 5 mg Robitussin Pediatric Liquid 7.5 mg/5 mL Scot-Tussin DM Cough Chasers Lozenges 2.5 mg Silphen DM Syrup 10 mg/5 mL St. Joseph Cough Suppressant Liquid 7.5 mg/5 mL Sucrets 4-hr Cough Lozenges 15 mg Sucrets Cough Control Lozenges 5 mg Suppress Lozenges 7.5 mg Trocal Lozenges 7.5 mg Vicks Dry Hacking Cough Liquid 15 mg/5 mL Balminil DM, Balminil DM Children, Benylin DM, Benylin DM for Children, Delsym, Koffex DM, Koffex DM Children, Robitussin Pediatric, Triaminic DM Class: Antitussive, Nonnarcotic Action Suppresses cough by central action on cough center in medulla. Indications Management of nonproductive cough. Contraindications Standard considerations. Route/Dosage Gelcaps Adults and children (at least 12 yr): PO 30 mg q 6 to 8 hr (max, 120 mg/day). Lozenges Adults and children (at least 12 yr) PO 5 to 15 mg q 1 to 4 hr (max, 120 mg/day). Children (6 to under 12 yr): PO 5 to 10 mg q 1 to 4 hr (max, 60 mg/day). Liquid and syrup Adults and children (at least 12 yr): PO 10 to 20 mg q 4 hr or 30 mg q 6 to 8 hr (max, 120 mg/day). Children (6 to under 12 yr): PO 15 mg q 6 to 8 hr (max, 60 mg/day). Children (2 to under 6 yr): PO 7.5 mg q 6 to 8 hr (max, 30 mg/day). Extended-release suspension Adults and children (at least 12 yr): PO 60 mg q 12 hr (max, 120 mg/day). Children (6 to under 12 yr): PO 30 mg q 12 hr (max, 60 mg/day). Children (2 to under 6 yr): PO 15 mg q 12 hr (max, 30 mg/day). Interactions MAO Inhibitors: Hypotension, hyperpyrexia, nausea, myoclonic jerks, and coma may develop after coadministration. Lab Test Interferences None well documented. Adverse Reactions Nausea, drowsiness, dizziness. Precautions Pregnancy: Category C. Lactation: Undetermined. Chronic cough: Do not use for persistent or chronic cough (eg, smoking, asthma, emphysema) or when cough is accompanied by excessive secretions. People with high fever, rash, persistent headache, nausea, or vomiting should use only under medical supervision. Drug abuse and dependence: Anecdotal reports of abuse have increased. However, abuse and dependency potential is undetermined. PATIENT CARE CONSIDERATIONS Administration/Storage Store liquids, lozenges, and syrups at room temperature and out of reach of children. Assessment/Interventions Obtain patient history, including drug history and any known allergies. Note any respiratory problems and smoking history. Assess type of cough (dry or productive), severity, and progression. Assess baseline vital signs including fever. Do not administer for persistent or chronic cough, longer than 7 days, or when cough is accompanied by excessive secretions. Monitor blood glucose levels in diabetic patients. OVERDOSAGE: SIGNS & SYMPTOMS Ataxia, respiratory depression, convulsions (children); altered sensory perception, dysphoria, slurred speech (adults) Patient/Family Education Alert patient that many products contain alcohol. Instruct patient to notify health care provider before taking medication with other prescriptions (eg, MAOIs). Inform diabetic patients that base may contain sucrose or other sugars. Encourage increased fluid intake to thin secretions. Teach patients how to cough and breathe deeply to maximize respiratory efforts. Explain to parents not to give lozenges to young children. Books@Ovid Copyright © 2003 Facts and Comparisons David S. Tatro A to Z Drug Facts