Ru-Tuss

What is the most important information I should know about Ru-Tuss?

· Use caution when driving, operating machinery, or performing other hazardous activities. Ru-Tuss 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 Ru-Tuss.

· 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 Ru-Tuss?

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

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

· Ru-Tuss is used to treat nasal congestion and sinusitis (inflammation of the sinuses) associated with allergies, hay fever, and the common cold.

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

 

What should I discuss with my healthcare provider before taking Ru-Tuss?

· Do not take Ru-Tuss if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) 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 disease;     ·emphysema or chronic bronchitis, or     ·difficulty urinating or an enlarged prostate.

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

· Ru-Tuss is in the FDA pregnancy category B. This means that it is not expected to 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.

· This medication may pass into breast milk and 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 60 years of age, you may be more likely to experience side effects from Ru-Tuss.

· Read the package label for directions or consult your doctor or pharmacist before treating a child with this medication. Children are more susceptible than adults to the effects of medicines and may have unusual reactions.

 

How should I take Ru-Tuss?

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

· Take each dose with a full glass of water.

· Do not crush, chew, or break the long-acting or sustained-release forms of this medication. Swallow them whole. If you are unsure of the formulation of the medicine, ask your pharmacist for help.

· If you cannot swallow the tablets or capsules, look for a liquid form of the medication.

· To ensure that you get a correct dose, measure the liquid forms of Ru-Tuss 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. An overdose of this medication can cause serious harm.

· Do not take Ru-Tuss for longer than 7 days in a row, without first talking to your doctor. If your symptoms do not improve, if they get worse, or if you have a fever, talk to your doctor.

· Store Ru-Tuss 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 Ru-Tuss overdose include a dry mouth, large pupils, flushing, nausea, and vomiting.

 

What should I avoid while taking Ru-Tuss?

· Use caution when driving, operating machinery, or performing other hazardous activities. Ru-Tuss 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 Ru-Tuss.

· Ru-Tuss may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Ru-Tuss is taken with any of these medications.

 

What are the possible side effects of Ru-Tuss?

· Serious side effects are unlikely to occur. Stop taking Ru-Tuss and seek emergency medical attention if you experience an 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 Ru-Tuss and talk to your doctor or try another similar medication if you experience     ·dryness of the eyes, nose, and mouth;     ·drowsiness or dizziness;     ·blurred vision;     ·difficulty urinating; or     ·excitation in children.

· 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 Ru-Tuss?

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

· Do not take other over-the-counter cough, cold, allergy, diet, pain, or sleep medications while taking Ru-Tuss without first talking to your pharmacist or doctor. Other medications may also contain chlorpheniramine, phenylephrine, or other similar drugs, and you may accidentally take too much of these medicines.

· Ru-Tuss may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Ru-Tuss is taken with any of these medications.

· Drugs other than those listed here may also interact with Ru-Tuss. 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 Ru-Tuss written for health professionals that you may read.