Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Zytrec-D For adults and children 12 years old and above: • Drowsiness (for Actifed and • Hypertension Pharmacy only Fedac) • Hyperthyroidism (contains Take 1 tablet twice a day • Dry mouth • Coronary heart pseudoephredrine & • Nervousness disease cetirizine) • Insomnia • Diabetes • Increase in heart rate • Glaucoma • Enlarged prostate gland Clarinase Clarinase repetab: Pharmacy only Contraindications • (contains loratidine & For adults and children 12 years old and above: Severe hypertension or contrary disease pseudoephredrine) Take 1 tablet twice a day • Uncontrolled hyperthyroidism Clarinase 24 hour tablet: • Urinary retention • Use of MAOI (includes Parkinson and antidepressant For adults and children 12 years old and above: medicines) within last 14 days Take 1 tablet once a day Clarinase syrup: For children aged 6 to 12 years old: Above 30kg: 5 ml twice a day Under 30kg: 2.5 ml twice a day 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Promethazine For adults: • Drowsiness May cause drowsiness Pharmacy only (nausea and 12.5-25 mg every 4-6 hours as needed • Dry mouth vomiting) • Constipation For children > 2 years old: • Urinary retention 0.25-1 mg/kg 4-6 times/day as needed, max 25mg/dose For children < 2 years old: Contraindicated Bromhexine For adults and children > 12 years: • Nauseous Caution use in: Pharmacy only 8 mg tablet 8 mg three times a day • Gastric discomfort • Headache • Pregnancy Bromhexine For children 6 to 12 years: • Lactation 4 mg/5 ml Elixir 4 mg three times a day For children 2 to 5 years: 2 mg three times a day Ambroxol HCl For adult and children >12 years: • Nauseous / vomiting Caution use in: Pharmacy only 30mg/5 ml Elixir or 30 mg three times a day • Gastric discomfort 30 mg tablet • Possible allergic reactions • Pregnancy (Mucosolvan) For children 6 to 12 years: like rashes, itchiness • Lactation 15mg two to three times a day. • Renal or liver impairment For children 2 to 5 years: 7.5mg two to three times a day To take after food 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Acetylcysteine 600 For adult: • Nausea, vomiting Contraindications: Pharmacy only mh effervescent 600mg effervescent tablet once a day • Rarely allergic reactions tablet/100 mg • Known granules Granules hypersensitivity to acetylcysteine (Fluimucil) For Adult: • Phenylketonuria 200 mg three times a day For Children 2 to 6 years: 100 mg to 200 mg two times a day Diphenhydramine For adults and children > 12 years: • Sedation Caution use in: Pharmacy only 10 mg/5ml 5-10 ml three times a day • Gastrointestinal disturbances • Glaucoma (Include ammonium For children from 6 to 12 years: • Headache • Epilepsy chloride 125mg, Na 5-7.5 ml three times a day • Blurred vision • Children > 2 years citrate 50 mg) • Tinnitus old Diphenhydramine For children from 6 to 12 years: Pharmacy only 5 mg/5ml 7.5 to 10 ml three times a day (Include ammonium For children from 2 to 5 years: chloride 62.5 mg, 2.5 to 5 ml three times a day Na citrate 50 mg) 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Rhinathiol 2% syrup For children > 5 years: • Nauseous Contraindications: Pharmacy only (Carbocisteine) 5ml three times a day • Gastric discomfort • Risk of allergy • Allergy to paraben For children 2 to 5 years: Caution use: 2.5ml two times a day • Presence of stomach or duodenum ulcer • Diabetes mellitus • Pregnancy Do not prolong treatment beyond 8 to 10 days without first consulting your doctor Rhinathiol For adults: • Drowsiness Contraindications: Pharmacy only Promethazine syrup 15ml three to four times a day • Dizziness • Dry mouth • Allergy to paraben or antihistamine (per 5ml syrup contain: For children 12 to 15 years: • Constipation • Former or recent marked fall in white 100mg carbocisteine and 10 to 15ml three times a day • Urinary retention blood cells 2.5mg promethazine) • Urination difficulties For children 6 to 12 years: • Glaucoma 7.5 to 12.5ml three times a day • Children < 2 years Caution use For children 2 to 5 years: 2.5 to 5ml three to four times a day • Presence of stomach or duodenum ulcer • Severe heart disease • Epilepsy • Diabetes mellitus • Elderly • Pregnancy 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Actifed ® For adult and children > 12 years: • Sedation Contraindications: Pharmacy only 10ml three times a day • Sleep disturbance (per 5ml syrup contain : • Skin rashes • Patients receiving MAOIs therapy or 1.25mg triprolidine HCl For children 6 to 12 years: • Dryness of nose within 14 days of discontinuing such and 30mg 5ml three times a day treatment pseudoephedrine) • Severe hypertension For children 2 to 5 years: 2.5ml three times a day Caution use in: • Hypertension • Heart disease • ® Hyperthyroidism Actifed Tablets For adult and children > 12 years: • Diabetes mellitus 1 tablet three times a day • Elevated eye pressure (per tablet • Prostatic enlargement contain:2.5mg • Severe liver / renal impairment triprolodine HCl and • Pregnancy 60mg pseudoephedrine) • Not recommended during lactation Actifed DM linctus For adult and children > 12 years: • Sedation 10 ml three times a day • Sleep disturbance (per 5 ml syrup contain: • Skin rashes 1.25mg triprolidine, For children 6 to 12 years: • Dryness of nose 30mg pseudoephedrine 5 ml three times a day and 10mg dextromethorphan) For children 2 to 5 years: 2.5 ml three times a day 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Pharmacy Only Medicine Actifed ® Expectorant For adult and children > 12 years: • Sedation Contraindications: Pharmacy only (per 5ml syrup contain: 10 ml three times a day • Sleep disturbance 1.25mg triprolidine HCl, • Skin rashes • Patients receiving MAOIs 30mg pseudoephedrine For children 6 to 12 years: • Dryness of nose therapy or within 14 days and 100mg 5 ml three times a day of discontinuing such guaiphenesin) treatment For children 2 to 5 years: • Severe hypertension 2.5 ml three times a day Caution use in: • Hypertension • Heart disease • Hyperthyroidism • Diabetes mellitus • Elevated eye pressure • Prostatic enlargement • Severe liver / renal impairment • Pregnancy/Lactation 23 March 2012 Medicines to Treat Cough & Cold Generic name Dosage Common side effects Special precautions Legal status (Active ingredient) Over the Counter Medicine Guaifenesin For adult and children >12 years: • Gastric discomfort Not recommended for children Over the (100mg/5ml) 10 to 15ml three times a day < 2 years counter For children 6 to 12 years: 5 to 10ml three times a day For children 2 to 5 years: 2.5 to 5ml three times a day 23 March 2012 .