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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

p-Tuss D Cophene-S, Pro-Cof D, Hydro Pro D, Protuss-D, Protex D Uses This combination medication is used to treat dry cough and nasal congestion caused by the common cold, flu, or other respiratory illness as determined by your doctor. An expectorant loosens mucus in the lungs, while the decongestant works to relieve nasal congestion. A low dose of narcotic cough suppressant works directly on the brain to decrease the urge to cough. Storage Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from heat and light. Do not store in the bathroom. Keep all medicines away from children and pets. Overdose If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: extreme tiredness, deep sleep, slowed breathing, fast/irregular heartbeat, cold or clammy skin, loss of consciousness. How To Use Use P-Tuss D exactly as prescribed. Do not increase your dose, take it more frequently or use it for a longer period of time than prescribed because P-Tuss D can be habit-forming. If using P-Tuss D for an extended period of time, do not suddenly stop using P-Tuss D without consulting your doctor. Unless otherwise directed by your doctor, drink plenty of fluids when you use P-Tuss D. The fluid will help loosen phlegm/mucous in your breathing passages. If your condition persists or worsens, be sure to contact your doctor or pharmacist. Side Effects Nausea, nervousness or anxiety, headache, dizziness, drowsiness or trouble sleeping, vomiting, or constipation may may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these serious side effects occur: chest pain, rapid or pounding heartbeat, painful or difficult urination, tremors, mental/mood changes, slow or difficult breathing, seizure. An allergic reaction to P-Tuss D is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. Precautions P-Tuss D should not be used if you have certain medical conditions. Before using P-Tuss D, consult your doctor or pharmacist if you have: uncontrolled severe high blood pressure, severe heart blood vessel disease (severe coronary artery disease), previous allergic reaction to codeine, hydrocodone or a related drug. Before using P-Tuss D, tell your doctor or pharmacist your medical history, especially of: heart problems (e.g., cardiac arrhythmias), kidney disease, liver disease, lung problems (e.g., emphysema, asthma), high blood pressure, thyroid disease (e.g., hyperthyroidism), diabetes, glaucoma, prostate problems, recent head injury, depression, seizures, history of drug abuse or dependency, any allergies. P-Tuss D may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages. Caution is advised when using P-Tuss D in the elderly because they may be more sensitive to the effects of P-Tuss D, especially drowsiness and the effect on the heart. P-Tuss D should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. At least one ingredient in this product is known to be excreted in breast milk. Breast-feeding is not recommended while taking P-Tuss D. Missed Dose If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. Drug Interactions Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) while using P-Tuss D or within 2 weeks (before or after) of treatment with P-Tuss D. In some cases a serious, possibly fatal, drug interaction may occur. If you are currently using any of these medications, tell your doctor or pharmacist before starting P-Tuss D. Before using P-Tuss D, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: blood pressure medications (e.g., diuretics, veratrum alkaloids), antidepressants (e.g., tricyclics such as amitriptyline, nortriptyline), beta blockers (e.g., propranolol), methyldopa, mecamylamine, reserpine, cimetidine, bromocriptine, guanethidine, guanadrel. Drugs that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Check the labels on all your medicines (e.g., cough-and-cold products, or diet aids) because they may contain ingredients which can cause drowsiness, or increases in your blood pressure or heart rate. Ask your pharmacist about the safe use of those products. Do not start or stop any medicine without doctor or pharmacist approval.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.