Sometimes when the weather changes, or when a small virus enters the body, we suddenly get a cold, right? Our nose runs like water, we sneeze, we start coughing at the same time, our nose is blocked and it is difficult to breathe. So, at times like these, many of us just drink the same "coffee syrup" that is good for all these symptoms. But are we really aware of these types of medicines? Let's talk about these types of medicines today.
What is this medicine?
Simply put, this is a combination of three medications. That means that the same syrup contains three medications that can treat several of your symptoms.
1. Brompheniramine: This is a type of medicine called a 'histamine blocker'. Just like the pyrithione we all know. It is used to control allergy symptoms in the body. That is, it reduces things like sneezing, runny nose, itchy eyes, and watery eyes.
2. Dextromethorphan: This is a cough suppressant. It helps control a persistent, painful, dry cough.
3. Phenylephrine: This is a type of decongestant. It works by reducing nasal congestion. It constricts the blood vessels inside the nose, reducing swelling and making it easier for you to breathe.
But remember this: This medicine only helps control the symptoms you see on the surface. That means things like cough, runny nose, and stuffy nose. It doesn't cure an infection like a virus that's in your body.
Things to tell your doctor before taking this medicine
Before you use this medicine, you should definitely tell your doctor if you have any of the following medical conditions or problems:
| Illness or condition | Description |
|---|---|
| Asthma or other chronic diseases | This medicine can be effective if you have respiratory system diseases. |
| Diabetes | Some syrups may contain sugar. |
| High blood pressure or heart disease | Phenylephrine can further increase blood pressure. |
| Glaucoma | There is a risk of increased eye pressure. |
| Thyroid problems (Thyroid disease) | Interactions may occur with this medication. |
| Difficulty urinating | It can especially affect those with prostate problems. |
| Use of MAOI medications | It is not recommended to use this if you have taken an MAOI medication for depression within the past 14 days. |
| Being pregnant or breastfeeding | If you are pregnant, trying to get pregnant, or breastfeeding, do not use these without consulting your doctor. |
| Other allergies | Please inform us if you have any allergies to this medication or any other medications, foods, or dyes. |
How exactly do I use this medicine?
Okay, now let's see how to use this exactly.
- Use it exactly as your doctor tells you: take the right dose, at the right time. Never take more than the prescribed amount.
- Measure correctly: Use only the specially marked cup, spoon, or dropper that comes with the medicine. Do not use teaspoons or tablespoons from your kitchen , as they are not accurate.
- Shake well: If you are using a 'suspension', meaning the medicine settles to the bottom of the bottle, you should shake it well before using it.
- Drink with a glass of water: Drink a full glass of water after taking the medicine. If you feel like you're having an upset stomach, drink it with food or a glass of milk.
For young children and the elderly
You should definitely consult your pediatrician before giving these medications to children under the age of 2. Even if they are prescribed under certain circumstances, you should be very careful about it. Also, people over the age of 60 may feel the effects of these medications more. Therefore, they may need a lower dose.
What if I take too much medicine? (Overdose)
If you think you have taken too much medicine, immediately go to the nearest hospital Emergency Department (ETU) or call the National Poisons Information Centre at the Colombo National Hospital .
Other things that may interact with this medicine (Interactions)
Some medications may interact with this syrup, so it is very important to tell your doctor about all medications you are taking.
| Reaction type | Examples |
|---|---|
| Do not take these with anything. | |
| MAOI type medication | Medications for mental illness such as Carbex, Eldepryl, Marplan, Nardil, Parnate. |
| These may react with each other (inform your doctor) | |
| Alcohol | Drowsiness and dizziness may be very severe. |
| Other medications that cause drowsiness | Sleeping pills, painkillers, and other allergy medications. |
| Medications for mental health problems | Medications for conditions such as depression and anxiety. |
| Medications for heart disease or blood pressure | These may affect their performance. |
Be careful of these things when taking medicine.
- Drowsiness: This medicine may make you feel drowsy or dizzy . Therefore, do not drive or operate machinery while taking this medicine.
- No alcohol: Avoid drinking alcohol while taking this medication. It can make you more drowsy and potentially dangerous.
- Dry mouth: Your mouth may feel dry. You can relieve this by chewing sugarless gum, sucking on sugarless candy, or sipping water.
- Dry eyes: Your eyes may feel dry and your vision may be a little blurry. If you wear contact lenses, you may experience discomfort. Using lubricating drops may provide relief.
Possible side effects
Like all medications, this one can have side effects. Some are serious, some are common.
| Side effect | Description |
|---|---|
| If any of these occur, see a doctor immediately. | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips or tongue. |
| Difficulty breathing | Shortness of breath, rapid breathing. |
| Heart palpitations | Feeling like your heart is beating fast. |
| Severe dizziness or loss of consciousness | Feeling so dizzy that you can't stand. |
| Seizures | A fit-like condition. |
| If these persist or become bothersome, tell your doctor. | |
| Anxiety | Feeling restless. |
| Headache, nausea | General headache or nausea. |
| Appetite | Loss of appetite. |
Take-Home Message
- These types of medications only control the symptoms of the common cold (cough, runny nose), not the disease itself.
- Always tell your doctor about any other medical conditions you have and any other medications you are taking.
- Use the correct measuring device that comes with the medicine to measure it. Do not use household spoons.
- This medicine may cause drowsiness. Therefore, avoid driving and performing hazardous activities.
- If your symptoms do not improve within a few days, or if they worsen, seek medical advice immediately.
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