Active ingredient: Dextromethorphan Hydrobromide

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Dextromethorphan Hydrobromide uses


Pharmacological action

Dextromethorphan Hydrobromide is an antitussive medication. Inhibiting the excitability of the cough center this medicine suppresses the cough of any origin. Dextromethorphan Hydrobromide has not addiction effects and it has no analgesic and hypnotic action. Dextromethorphan Hydrobromide starts to act after 10-30 minutes after oral administration, the duration of therapeutic action: 5-6 hours for adults and 6-9 hours for children. Dextromethorphan Hydrobromide is an optical isomer of levomethorphan which is similar to morphine. Due to optical isomerism this drug has no opioid effects. Dextromethorphan Hydrobromide used mainly for replacement of codeine as a cough suppressant. In addition to the cough suppressant this medication is used in medicine for diagnostic purposes and may be useful in various cases - from seizures to heroin addiction treatment, some chronic neurodegenerative diseases. These include amyotrophic lateral sclerosis (Charcot's disease), disease of "mad cow and other prion diseases. Dextromethorphan Hydrobromide has also been used for the treatment of mental retardation, Parkinson's disease, in the treatment of lung and other cancers and to prevent tissue rejection in transplantation because of the (poorly known) effects of sigma ligands on tumor cells and immune system.

Pharmacokinetics

After oral administration Dextromethorphan Hydrobromide is completely absorbed from the gastrointestinal tract. Cmax of Dextromethorphan Hydrobromide in plasma is reached after 2 h. This medication biotransformes in the liver. Up to 45% of this drug is excreted by kidneys and there was considerable individual variation in rates of excretion of individual metabolites.

Why is Dextromethorphan Hydrobromide prescribed?

Dry cough of different etiology.

Dosage and administration

For adults and children over 12 years Dextromethorphan Hydrobromide prescribed on 15 mg 4 times / day, children aged 6 years - 7.5 mg 4 times / day.

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Dextromethorphan Hydrobromide side effects, adverse reactions

Drowsiness, nausea, dizziness.

Dextromethorphan Hydrobromide contraindications

Bronchial asthma, bronchitis, simultaneous reception of mucolytic.

Using during pregnancy and breastfeeding

During pregnancy and lactation (breastfeeding) Dextromethorphan Hydrobromide prescribed with caution, only in cases where the expected therapeutic effect for the mother outweighs the potential risk to the fetus or child.

Special instructions

With carefully administered Dextromethorphan Hydrobromide with impaired liver function.

Dextromethorphan Hydrobromide drug interactions

MAO inhibitors when administered simultaneous with Dextromethorphan Hydrobromide may cause adrenergic crisis, collapse, coma, dizziness, agitation, increased blood pressure, hyperpyrexia, intracranial hemorrhage, lethargy, nausea, cramps, tremor. In combination with tricyclic antidepressants (amitriptyline, etc.) Dextromethorphan Hydrobromide may appeal serotonin syndrome and possible subsequent death. Amiodarone, fluoxetine, quinidine, inhibiting system cytochrome P450, may increase the drug concentration in the blood. Tobacco smoke can lead to increased secretion of glands in the background of inhibition of cough reflex. Some inhibitors of CYP450 (such as quinidine) increase and extended effects of this medicine.

Dextromethorphan Hydrobromide in case of emergency / overdose

Symptoms: excitement, dizziness, respiratory depression, impaired consciousness, decreased blood pressure, tachycardia, muscle hypertonicity, ataxia.

Treatment: mechanical ventilation, symptomatic agents.

Dextromethorphan Hydrobromide available forms, composition, doses:


Indications and Usages:

ATC codes:


ICD-10 codes:


Dextromethorphan Hydrobromide destination | category:


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Drugs with same active ingredients (Pharmaceutical companies):


References

  1. Dailymed."ADULT WAL TUSSIN COUGH LONG ACTING (DEXTROMETHORPHAN HYDROBROMIDE) SOLUTION [WALGREEN COMPANY]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  2. Dailymed."DEXTROMETHORPHAN HYDROBROMIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  3. "dextromethorphan". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Dextromethorphan Hydrobromide?

Depending on the reaction of the Dextromethorphan Hydrobromide after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Dextromethorphan Hydrobromide not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Dextromethorphan Hydrobromide addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

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Review

sdrugs.com conducted a study on Dextromethorphan Hydrobromide, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Dextromethorphan Hydrobromide consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.

Visitor reports

Visitor reported useful

No survey data has been collected yet

One visitor reported side effects

Did you get side effects while taking the Dextromethorphan Hydrobromide drug, or were there no side effects?
According to the survey conducted by website sdrugs.com users, the below-mentioned percentages indicate the number of people experiencing the side effects and the number of people not experiencing the side effects when taking Dextromethorphan Hydrobromide medicine. Every drug produces minimal side effects, and they are negligible most times, when compared to the desired effect [use] of the medicine. Side effects depend on the dose you are taking, any drug interactions that happen when you are on other medications, if the patient is sensitive, and other associated conditions. If you cannot tolerate the side effects, consult your doctor immediately, so he can either adjust the dose or change the medication.
Visitors%
It has side effects1
100.0%

Visitor reported price estimates

No survey data has been collected yet

Two visitors reported frequency of use

How often in a day do you take the medicine?
Are you taking the Dextromethorphan Hydrobromide drug as prescribed by the doctor?

Few medications can be taken 4 times in a day more than prescribed when the doctor's advice mentions the medicine can be taken according to frequency or severity of symptoms. Most times, be very careful and clear about the number of times you are taking the medication. The report of sdrugs.com website users about the frequency of taking the drug Dextromethorphan Hydrobromide is mentioned below.
Visitors%
4 times in a day1
50.0%
Twice in a day1
50.0%

Two visitors reported doses

What is the dose of Dextromethorphan Hydrobromide drug you are taking?
According to the survey conducted among sdrugs.com website users, the maximum number of people are using the following dose 11-50mg. Few medications come in only one or two doses. Few are specific for adult dose and child dose. The dose of the medicine given to the patient depends on the severity of the symptom/disease. There can be dose adjustments made by the doctor, based on the progression of the disease. Follow-up is important.
Visitors%
11-50mg1
50.0%
1-5mg1
50.0%

One visitor reported time for results

What is the time duration Dextromethorphan Hydrobromide drug must be taken for it to be effective or for it to reduce the symptoms?
Most chronic conditions need at least some time so the dose and the drug action gets adjusted to the body to get the desired effect. The stastistics say sdrugs.com website users needed 1 day to notice the result from using Dextromethorphan Hydrobromide drug. The time needed to show improvement in health condition after using the medicine Dextromethorphan Hydrobromide need not be same for all the users. It varies based on other factors.
Visitors%
1 day1
100.0%

Visitor reported administration

No survey data has been collected yet

Three visitors reported age

Visitors%
30-451
33.3%
< 11
33.3%
1-51
33.3%

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The information was verified by Dr. Rachana Salvi, MD Pharmacology

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