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Pholtrate

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Indications:

*Pholcodine is used to help stop coughing. * It is a member of a group of drugs called anti-tussives, sometimes known as cough suppressants. * In general this drug is used to relieve dry and tickly coughs that do not produce any mucus (phlegm). * Benefits of being on this drug can include decreasing or stopping you coughing. Listed below are the typical uses of Pholcodine: * Relief of dry, tickly cough (does not produce any mucus (phlegm)) which is linked to an infection in your nose, sinuses or windpipe (upper respiratory tract).

Contraindications:

This medication is not recommended cons in the following situations: - Hypersensitivity to any component of the syrup, - Respiratory failure, - Cough in asthmatic - Breastfeeding: pholcodine passes into breast milk with codeine, some cases of hypotonia and respiratory pauses were described in infants after ingestion by mothers of supratherapeutic doses of codeine. If breastfeeding, and by extrapolation of codeine, this medication is given cons- Due to the presence of sucrose, this drug is cons-indicated in cases of fructose intolerance, malabsorption of glucose and galactose or sucrase-isomaltase.

Adverse reactions:

* Nausea (feeling sick) * Vomiting * Constipation * Drowsiness * Dizziness * Excitation * Confusion * Generalised rash * Excess mucus (phlegm) * Congestion (too much mucus / sputum staying in your airways) If any of these persist or you consider them severe then inform your doctor or pharmacist. Tell your doctor immediately if you develop any of the following symptoms: sudden wheeziness; difficulty in breathing. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

Interactions:

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first. This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: Monoamine Oxidase Inhibitors (MAOIs). If you are currently using any such medicine, tell your doctor or pharmacist before starting Pholcodine. Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of: * CNS depressants e.g. hypnotics (sleeping tablets including barbiturates) * Minor tranquillisers (drugs used to relax muscles or decrease anxiety) * Opioid analgesics (drugs used to relieve pain e.g. codeine, tramadol, morphine) * Tricyclic antidepressants (drugs to treat mood disorders) * Phenothiazine (drug used to treat mood disorders) * Diuretics (water pills used for high blood pressure) * Antihypertensives (drugs used to treat high blood pressure and other conditions) * Neuromuscular blocking agents (anaesthetics used during surgery) * Any other cough or cold medicines

Warnings:

Before taking Pholcodine, tell your doctor or pharmacist if you are allergic to it; or to other anti-tussives; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist in case of: long term lung/ breathing problems; bronchitis (inflammation of the airways), bronchiectasis (abnormal widening of one or more airways) or damaged/ inflamed lungs caused by a build up of too much mucus (phlegm). Before using this medication tell your doctor or pharmacist your medical history, especially any of the following: kidney problems; liver problems; a history of drug abuse; long-term cough or asthma; a cough which produces lots of mucus (phlegm); an intolerance to some sugars. Before having surgery, tell your doctor or dentist that you are taking this medication. Does alcohol intake affect this drug? * Limit the amount of alcohol you drink, as it may increase the drug side effects, such as dizziness and drowsiness. The elderly: there is no need to alter the adult dose of Pholcodine for the elderly. Pregnancy and breastfeeding - please ensure you read the detailed information below PREGNANCY The safety of Pholcodine has not been established during pregnancy. Ask your doctor or pharmacist if you have any doubts or questions about this. It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation. If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist. BREAST FEEDING It is not known whether Pholcodine passes into breast-milk. The manufacturer therefore states that it should not be taken if you are breastfeeding. It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

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