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BROMPHENIRAMINE; GUAIFENESIN; HYDROCODONE (Tusnel® HC) is used to decrease symptoms caused by colds or allergies. Brompheniramine is an antihistamine that relieves runny nose, sneezing, and watery eyes. Hydrocodone helps to stop coughing. Guaifenesin is an expectorant that helps loosen phlegm or mucus in the lungs. This product is not intended to treat chronic cough caused by smoking, asthma, emphysema, heart failure, or problems in which there is a large amount of phlegm. Federal law prohibits transfer to any person other than the patient for whom it was prescribed. Do not share this medicine with anyone else. Generic brompheniramine; guaifenesin; hydrocodone products are not available.
They need to know if you have any of these conditions:
asthma or lung disease
high blood pressure or heart disease
kidney or liver disease
systemic lupus erythematosus
pain or difficulty passing urine
an unusual or allergic reaction to brompheniramine, codeine, guaifenesin, hydrocodone, morphine, other pain medicines, foods, dyes or preservatives
pregnant or trying to get pregnant
Take brompheniramine; guaifenesin; hydrocodone elixir by mouth. Follow the directions on the prescription label. Use a specially marked spoon or container to measure your medicine. Ask your pharmacist if you do not have one; household spoons are not always accurate. Take with food or milk if this medicine upsets your stomach. Take your doses at regular intervals. Do not take your medicine more often than directed.
Do not share this medicine with anyone.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
If it is almost time for your next dose, take only that dose. Do not take double doses. Each dose of this cough medicine should be taken at least 4 hours apart from the previous dose. Do not take more frequently than how it was prescribed by your health care professional.
medicines for diarrhea
medicines for mental depression
medicines for mental problems and psychotic disturbances
medicines for movement abnormalities as in Parkinson's disease, or for gastrointestinal problems
Because this product can cause drowsiness, other medicines that also cause drowsiness may increase this effect. Some medicines that cause drowsiness are:
alcohol and alcohol-containing medicines
barbiturates such as phenobarbital
certain antidepressants or tranquilizers
certain antihistamines used in cold medicines
medicines for anxiety or sleeping problems, such as diazepam or temazepam
Tell your prescriber or health care professional about all other medicines that you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Tell your prescriber or health care professional if your symptoms do not improve in 1 to 2 days or if you have a high fever.
Brompheniramine; guaifenesin; hydrocodone can cause constipation. Make sure to take a laxative and/or a stool softener. Try to have a bowel movement at least every 2—3 days. If you do not have a bowel movement for 3 days or more call your prescriber or health care professional. They may recommend using an enema or suppository to help you move your bowels.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Be careful taking other medicines that may also make you tired; they can increase drowsiness or dizziness. To reduce the risk of dizzy or fainting spells, do not stand or sit up quickly, especially if you are an older patient. Alcohol can increase drowsiness, dizziness, confusion and affect your breathing. Avoid alcoholic drinks while taking this cough medicine.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your ophthalmologist if the problem does not go away or is severe.
Use exactly as directed by your prescriber or health care professional. Do not take more than the recommended dose.
Side effects that you should report to your prescriber or health care professional as soon as possible:
agitation, nervousness, excitability, not able to sleep (these are more likely in children)
difficulty breathing, wheezing, shortness of breath
irregular heartbeat, palpitations, or chest pain
swelling of the face, tongue, throat, hands or feet
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature, between 15 and 30 degrees C (59 and 86 degrees F); do not freeze. Keep container tightly closed. Keep away from heat and light. Throw away any unused medicine after the expiration date.