Pannaz

What is the most important information I should know about Pannaz?

· Use caution when driving, operating machinery, or performing other hazardous activities. Pannaz may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

· Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Pannaz.

· Pannaz may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.

· Do not take more of this medication than is recommended. If your symptoms do not improve, or if they worsen, talk to your doctor.

 

What is Pannaz?

· Carbinoxamine is an antihistamine. It blocks the effects of the naturally occurring chemical histamine in the body. Carbinoxamine prevents sneezing; itchy, watery eyes and nose; and other symptoms of allergies and hay fever.

· Methscopolamine is an antisecretory agent. It reduces secretions in the nose that may cause sneezing, runny nose, and postnasal drip.

· Pseudoephedrine is a decongestant. It constricts (shrinks) blood vessels (veins and arteries). This reduces the blood flow and allows nasal passages to open up.

· Pannaz is used to treat nasal congestion; runny nose; postnasal drip; itchy, watery eyes; and other symptoms associated with allergies, hay fever, and the common cold.

· Pannaz may also be used for purposes other than those listed in this medication guide.

 

Who should not take Pannaz?

· Do not take Pannaz if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), or selegiline (Eldepryl) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

· Before taking this medication, tell your doctor if you have     ·kidney disease;     ·liver disease;     ·diabetes;     ·glaucoma;     ·heart disease or high blood pressure;     ·thyroid problems;     ·asthma, emphysema or chronic bronchitis; or     ·difficulty urinating or have an enlarged prostate.

· You may not be able to take Pannaz, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

· Pannaz is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.

· Pannaz pass into breast milk and may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

· If you are over 65 years of age, you may be more likely to experience side effects from Pannaz. Your doctor may prescribe a lower dose of the medication.

 

How should I take Pannaz?

· Take Pannaz exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

· Pannaz can be taken with or without food.

· Swallow the tablets with a full glass of water.

· Do not crush or chew the tablets. Swallow them whole. If swallowing the tablets is difficult, they can be broken in half where scored, but should not be crushed or chewed. A liquid form of this medication is also available.

· To ensure that you get a correct dose, measure the liquid form of Pannaz with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

· Do not take more of this medication than is recommended. If your symptoms do not improve, or if they worsen, talk to your doctor.

· Store Pannaz at room temperature away from moisture and heat.

 

What happens if I miss a dose?

· Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

 

What happens if I overdose?

· Seek emergency medical attention if an overdose is suspected.

· Symptoms of a Pannaz overdose may include dry mouth, large pupils, flushing, nausea, vomiting, hyperactivity, or hallucinations.

 

What should I avoid while taking Pannaz?

· Use caution when driving, operating machinery, or performing other hazardous activities. Pannaz may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

· Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking Pannaz.

· Pannaz may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.

· Do not take other over-the-counter cough, cold, allergy, diet, or sleep aids while taking Pannaz without first talking to your doctor or pharmacist. Other medications may also contain carbinoxamine, methscopolamine, pseudoephedrine, or other similar drugs. You may accidentally take too much of these medicines.

 

What are the possible side effects of Pannaz?

· Serious side effects are unlikely to occur. Stop taking Pannaz and seek emergency medical attention if you experience a rare but serious allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).

· Other, less serious side effects may be more likely to occur. Continue to take Pannaz and talk to your doctor if you experience     ·dryness of the eyes, nose, or mouth;     ·drowsiness or dizziness;     ·blurred vision; or     ·difficulty urinating.

· Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

 

What other drugs will affect Pannaz?

· Do not take Pannaz if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), or selegiline (Eldepryl) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

· Before taking Pannaz, tell your doctor if you are taking digoxin (Lanoxin, Lanoxicaps). Methscopolamine may increase the level of digoxin in the blood.

· Pannaz may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.

· Do not take other over-the-counter cough, cold, allergy, diet, or sleep aids while taking Pannaz without first talking to your doctor or pharmacist. Other medications may also contain carbinoxamine, methscopolamine, pseudoephedrine, or other similar drugs. You may accidentally take too much of these medicines.

· Drugs other than those listed here may also interact with Pannaz. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

 

Where can I get more information?

· Your pharmacist has additional information about Pannaz written for health professionals that you may read.