ZEROTUSS D SYRUP SUGAR FREE 100 ML

Name

• Brand Name: ZEROTUSS D SYRUP SUGAR FREE 100 ML
• Manufacturer: Aristo Pharmaceuticals Private Limited

Composition

ZEROTUSS D SYRUP SUGAR FREE contains a combination of two active ingredients:

• Dextromethorphan Hydrobromide (10 mg/5ml): A cough suppressant that works by reducing the activity of the cough center in the brain, thereby decreasing the urge to cough.
• Chlorpheniramine Maleate (2 mg/5ml): An antihistamine that blocks the effects of histamine, a chemical messenger responsible for allergic reactions. This helps alleviate symptoms like sneezing, runny nose, watery eyes, itching, and throat irritation.

Uses

ZEROTUSS D SYRUP SUGAR FREE is primarily used for the treatment and relief of symptoms associated with dry cough. It is prescribed for:

• Dry, irritating, and non-productive coughs.
• Cough caused by allergies, common cold, or flu.
• Allergic symptoms such as sneezing, runny nose, watery eyes, and throat irritation.
• Post-operative cough and night-time cough for improved sleep.

Dosage and Administration

Administer ZEROTUSS D SYRUP SUGAR FREE as directed by a healthcare professional.

• General Guidance: Shake the bottle well before each use. Use a calibrated measuring device or cup provided with the syrup to ensure accurate dosing. Do not use household spoons.
• Adults and Children over 12 years: Typically 10 ml (two teaspoonfuls) every 4 to 6 hours as needed, not to exceed 40 ml in 24 hours.
• Children between 2 to 6 years: Typically 2.5 ml (half a teaspoonful) every 4 to 6 hours as needed, not exceeding 10 ml in 24 hours.
• Children under 2 years: Not recommended. Some sources suggest consulting a doctor for children below 6 or 12 years.
• The syrup can be taken with or without food. Taking it with food may help reduce stomach upset.
• Maintain a consistent dosing schedule. If a dose is missed, take it as soon as remembered, but skip it if it's almost time for the next dose; do not double the dose.
• Complete the full course of treatment as advised by the doctor.

Side Effects

Common side effects may include:

• Drowsiness, dizziness, headache
• Nausea, vomiting, stomach upset, constipation
• Dry mouth, nose, or throat
• Blurred vision
• Excitability or nervousness (especially in children)
• Irritation, inability to concentrate, rash Most common side effects are temporary and usually resolve over time.

Serious side effects, though less common, require immediate medical attention:

• Allergic reactions (rash, itching, swelling, difficulty breathing)
• Fast/irregular heartbeat
• Confusion, seizures, hallucinations
• Difficulty or discomfort when urinating, urinary retention, polyuria
• High blood pressure, tremors, decreased appetite, increased heart rate
• Respiratory disorder

Precautions

• Driving and Operating Machinery: Avoid activities requiring mental alertness, such as driving or operating heavy machinery, as this syrup can cause dizziness and drowsiness.
• Alcohol Consumption: Avoid consuming alcohol while taking this medicine, as it can intensify dizziness and drowsiness.
• Drug Interactions: Inform your doctor about all other medications (prescription, non-prescription, herbal, supplements) being taken to prevent potential interactions. Specific interactions include Monoamine Oxidase Inhibitors (MAOIs), Central Nervous System depressants, and Anticholinergics.
• Pregnancy and Breastfeeding: Consult a doctor before use if pregnant or breastfeeding. Limited information is available for use during pregnancy, and it is likely unsafe during breastfeeding.
• Pre-existing Conditions: Inform your doctor if you have liver disease (unsafe for severe liver disease), kidney problems, high blood pressure, or a history of respiratory issues like asthma or pneumonia.
• Diabetic Patients: While sugar-free, caution is advised, and consultation with a doctor is recommended for diabetic patients.
• Children and Elderly: Special care should be taken in pediatric and elderly patients due to potential nervous system-related side effects.
• When to Consult a Doctor: If symptoms worsen, do not improve after a few days (e.g., 7 days), or if accompanied by fever, rash, or persistent headache. Do not exceed the prescribed dose.

Storage

• Store at room temperature.
• Keep in a cool and dry place, away from direct sunlight and moisture.
• Keep the bottle tightly closed and out of reach of children.

ZEROTUSS D SYRUP SUGAR FREE 100 ML contains a combination of active ingredients designed to alleviate cold and allergy symptoms. These typically include a cough suppressant, a decongestant, and an antihistamine. The common active ingredients in such formulations are Dextromethorphan, Phenylephrine, and Chlorpheniramine.

Here are some frequently asked questions about ZEROTUSS D SYRUP SUGAR FREE 100 ML:

What is ZEROTUSS D SYRUP used for?

ZEROTUSS D SYRUP is typically used to relieve symptoms associated with the common cold, allergies, and other upper respiratory tract conditions. This includes a dry cough, nasal congestion, sneezing, runny nose, and watery eyes.

How does ZEROTUSS D SYRUP work?

The syrup usually contains three main active ingredients:

• Dextromethorphan: A cough suppressant that works by acting on the brain to reduce the urge to cough.
• Phenylephrine: A decongestant that narrows the blood vessels in the nasal passages, reducing swelling and congestion.
• Chlorpheniramine: An antihistamine that blocks histamine, a substance released during allergic reactions, thereby relieving sneezing, itching, and runny nose.

What is the usual dosage for ZEROTUSS D SYRUP?

While specific dosages for ZEROTUSS D SYRUP SUGAR FREE are not available, general recommendations for similar combination syrups containing these ingredients often suggest that adults and children 12 years and older typically take 10 mL every 4-6 hours, not exceeding a certain maximum daily dose. For children aged 6 to 11 years, a reduced dose of 5 mL every 4-6 hours may be recommended, while for children 4 to 5 years, it could be around 2.5 mL every 4-6 hours. It is crucial to always follow the specific dosing instructions on the product label or as advised by a healthcare professional, as dosages can vary. Do not use in children under 4 years of age unless directed by a doctor.

What are the possible side effects of ZEROTUSS D SYRUP?

Common side effects can include drowsiness, dizziness, dry mouth, nausea, vomiting, headache, nervousness, restlessness, and stomach pain. More serious, but rare, side effects can include allergic reactions (rash, itching, swelling), vision problems, difficulty urinating, and increased blood pressure or heart rate. If any severe or persistent side effects occur, medical attention should be sought immediately.

Is ZEROTUSS D SYRUP safe during pregnancy or breastfeeding?

Phenylephrine is pregnancy category C, and it is unclear whether its use is safe during pregnancy and breastfeeding. Dextromethorphan's safety during pregnancy and breastfeeding is also usually advised to be discussed with a doctor. Chlorpheniramine should be discussed with a healthcare provider if pregnant or breastfeeding. Generally, this medication should be used during pregnancy only when clearly needed, and it may pass into breast milk. It's best to consult a doctor before using this syrup if you are pregnant or breastfeeding.

Can ZEROTUSS D SYRUP be taken with other medications?

This syrup can interact with various medications. It should not be taken with monoamine oxidase inhibitors (MAOIs) due to the risk of severe drug interactions. Caution is advised when taken with other adrenergic drugs, beta-blockers, certain antidepressants (SSRIs and tricyclic antidepressants), and other medications that cause drowsiness. Always inform your doctor or pharmacist about all prescription, over-the-counter, vitamins, nutritional supplements, and herbal products you are taking to avoid potential interactions.

What precautions should be taken when using ZEROTUSS D SYRUP?

Individuals with conditions such as high blood pressure, heart disease, diabetes, thyroid disease, glaucoma, or prostate problems (which can cause difficulty urinating due to an enlarged prostate gland) should use this medication with caution and consult a doctor. This medicine may cause drowsiness, so avoid driving or operating machinery until you know how it affects you. Alcohol can worsen these side effects and should be limited or avoided. Long-term use of decongestants like phenylephrine can worsen nasal stuffiness. Do not give this medicine to children younger than 4 years old without a doctor's recommendation, and exercise caution with children aged 4-11, following package directions carefully.

What happens if a dose is missed?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take only that dose. Do not take double or extra doses to make up for a missed one.

How should ZEROTUSS D SYRUP be stored?

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep all medicine out of the reach of children.