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Use and Dosing

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Temporary relief of symptoms of cold and cough

Children's Robitussin Cough & Cold CF

Adult Robitussin Cough & Cold CF

Robitussin Peak Cold Multi-Symptom Cold

Robitussin Peak Cold Maximum Strength Multi-Symptom Cold

Mucinex Fast-Max Severe Congestion & Cough

Note:

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Temporary relief of symptoms of cold and cough

Children's Mucinex Multi-Symptom Cold

Children's Robitussin Cough & Cold CF

Adult Robitussin Cough & Cold CF

Robitussin Peak Cold Multi-Symptom Cold

Robitussin Peak Cold Maximum Strength Multi-Symptom Cold

Mucinex Fast-Max Severe Congestion & Cough

Note:


[Outline]

Indications

Contraindications

Black Box Warnings

Dosing Adjustment

Renal Dose Adjustment

Hepatic Dose Adjustment

Warnings/Precautions

See Supplemental Patient Information

Cautions: Use cautiously in

Supplemental Patient Information

Pregnancy/Breast Feeding

Pregnancy Category:C (dextromethorphan), C (guaifenesin), C (phenylephrine)

Breastfeeding: No studies have been conducted on excretion of dextromethorphan and guaifenesin in milk or their effect on breastfed infants. However, these medications can be given to infants as young as 1-2 months of age. It is unlikely that with usual maternal doses amounts in milk are as large as those given directly to infants or that breastfed infants would be harmed by the drug in breastmilk, especially in infants over 1-2 months of age. Avoid the use of these products with high alcohol content while nursing. Phenylephrine is unlikely to reach the infant in large amounts, as the oral bioavailability of phenylephrine is only about 40%. However, oral administration of phenylephrine decreases milk production. As no information is available on the use of oral phenylephrine during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. This information is based on based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 31 Aug 2011). Manufacturer advises caution.

Adverse Reactions

Clinical Pharmacology

Dextromethorphan

Guaifenesin

Phenylephrine

Brands and Availability

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US Trade Name(s)

US Availability

Children's Mucinex Multi-Symptom Cold (dextromethorphan/guaifenesin/phenylephrine)

Children's Robitussin Cough & Cold CF (dextromethorphan/guaifenesin/phenylephrine)

Adult Robitussin Cough & Cold CF, Robitussin Peak Cold Multi-Symptom Cold (dextromethorphan/guaifenesin/phenylephrine)

Robitussin Peak Cold Maximum Strength Multi-Symptom Cold (dextromethorphan/guaifenesin/phenylephrine)

Mucinex Fast-Max Severe Congestion & Cough (dextromethorphan/guaifenesin/phenylephrine)

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Canadian Trade Name(s)

Canadian Availability

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UK Trade Name(s)

UK Availability

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Australian Trade Name(s)

Australian Availability


[Outline]

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Classification

Allergy/Cold

Cough/Cold Non-Narcotic Combinations

ENT

Cough/Cold Non-Narcotic Combinations