Paedicof

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Paedicof

Method of action: Antitussive

Treatment option:

Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Paedicof

Property Description
Active Ingredients Dexchlorpheniramine, Dextromethorphan, Pseudoephedrine
Form Oral Solution / Syrup
Pharmacological Class Combination Cough and Cold Preparation
Common Use Symptomatic relief of respiratory and allergic discomfort
Origin Synthetic

What Kind of Medicine is Paedicof?

Paedicof is classified as a combination cough and cold preparation, a synthetic medicinal entity formulated as an oral solution or syrup. This liquid preparation integrates multiple distinct active agents to provide comprehensive symptomatic relief for concurrent discomforts associated with upper respiratory tract complaints and allergies. By its pharmacological designation, it belongs to the high-level class of upper respiratory combinations, designed for oral administration. This combination formulation is clinically recognized for its targeted approach, effectively addressing the three primary mechanisms of cold and allergy distress.

Composition: Active Ingredients and Triple Action

The product’s identity is defined by its three core active ingredients: Dexchlorpheniramine maleate (antihistamine), Dextromethorphan Hydrobromide (antitussive), and Pseudoephedrine hydrochloride (decongestant). Each component contributes a specific action, resulting in the drug’s triple functional role. Dextromethorphan is a non-opioid antitussive that suppresses the urge to cough. The oral solution form is designed to appeal to the pediatric patient group, a key differentiating factor implied by the product name. The three active components, each belonging to a distinct pharmacological class, are combined to manage multiple symptoms, including nasal swelling and cough irritation.

General Purpose and Form

The general purpose of Paedicof is the integrated management and alleviation of prevalent symptoms such as cold symptoms, allergic symptoms, cough, and nasal congestion. The oral solution form ensures the concurrent delivery of the agents, providing a unified approach to managing the irritation of mucosal swelling, excessive secretions, and cough. The formulation is typically used in situations where a patient is experiencing a simultaneous runny nose, cough, and congested breathing, offering comprehensive relief across the different sources of discomfort.

Regulatory References

  1. NIH MedlinePlus

What side effects are possible with Paedicof?

Possible side effects and safety information

The safety profile for Paedicof, a combination product, is structured by government regulatory agencies into categories based on the frequency and nature of adverse reactions. The most commonly documented effects pertain to the Nervous System and the Gastrointestinal System.

Adverse reactions officially classified as common include central effects such as drowsiness, mild dizziness, insomnia, and nervousness, alongside anticholinergic effects like dry mouth and gastrointestinal effects like nausea and constipation. These effects, particularly sedation and dizziness, may be more pronounced at the beginning of treatment, according to official labeling.

Rare but serious adverse reactions are also documented, most notably Serotonin Syndrome associated with the Dextromethorphan component, and potentially severe cardiovascular events and cerebrovascular events (including stroke) linked to the sympathomimetic component, Pseudoephedrine. Hypersensitivity reactions, including anaphylaxis, are also officially listed as a rare possibility.

Regulatory safety documents define specific limitations for use. The medicine is strictly contraindicated for use in individuals who are currently taking a Monoamine Oxidase Inhibitor (MAOI) or have stopped one within the past 14 days, due to the high risk of severe interaction. Caution is also specified for patients with severe uncontrolled hypertension, coronary artery disease, or severe renal or hepatic impairment. Population-specific considerations note that children may experience paradoxical excitability, while older adults may be more susceptible to sedative and anticholinergic effects like urinary retention.

Overdose and Emergency Response

Overdose and when to seek help

Overdose Scope

Domain Official Regulatory Statements
Documented overdose presentations Overdose is officially documented to present with a complex mix of CNS effects, including severe drowsiness, confusion, and seizures or coma. Anticholinergic signs such as dry mouth, fever, and pupil dilation are noted. Sympathomimetic effects may include hypertension, palpitations, and rapid, irregular heartbeat.
Physiological systems affected (as stated in label) Central Nervous System, Cardiovascular System, and Respiratory System.
Dose-related or exposure-related factors (if applicable) Excessive exposure to the antitussive component is associated with risks of Serotonin Syndrome and respiratory depression. High levels of the decongestant component may precipitate hypertensive crisis.
Population-specific overdose notes (if applicable) Children are a population noted to have an increased susceptibility to severe CNS stimulation, including hyperactivity and convulsions, potentially preceding circulatory effects.
Emergency-response statements (as written in official documents) Treatment is symptomatic and supportive. Regulatory documents mention the potential utility of activated charcoal and measures such as continuous cardiac monitoring and close observation for severe CNS effects.
When immediate medical help is required (label-derived phrasing only) Individuals must seek immediate medical attention for any suspected overdose. Contact emergency services immediately upon the recognition of severe manifestations such as seizures, profound drowsiness, difficulty breathing, or cardiovascular irregularities.

Overdose Classifications (High-Level)

Classification Official Regulatory Statement
Severity classification (as defined in official documents) Overdose carries a risk of severe and life-threatening complications, including cardiovascular collapse and cerebral events.
Regulatory basis (EMA / FDA / etc.) The information is derived from comprehensive assessments within official prescribing information and regulatory monographs.
Overdose-context constraints (as defined in official documents) No specific pharmaceutical antidote is known for the antihistamine or decongestant components.

Resulting Overdose Structure

Official overdose statements:

  • Overdose may result in a mixed presentation of CNS depression and CNS excitation, including severe manifestations like seizures and coma.
  • Life-threatening outcomes documented in regulatory sources include hypertensive crisis, cardiac arrhythmia, respiratory depression, and the potential for Serotonin Syndrome.
  • Immediate medical attention must be sought for any suspected overdose event due to the high risk of severe complications.

Connection to the overall overdose profile (2–4 sentences): Government regulatory documents define the overdose profile by aggregating the toxicological risks of the three active components, leading to a documented risk of both CNS and cardiovascular collapse. The official instructions emphasize that because of the severity of potential manifestations like seizures and hypertensive crisis, the primary regulatory requirement is to seek immediate medical attention. This structure prioritizes the description of high-risk manifestations and regulator-mandated emergency procedures.

Therapeutic Uses of Paedicof

What Paedicof Treats: Main Uses and Benefits

Paedicof is commonly used across conditions presenting with acute episodes where short-term symptomatic assistance is needed, such as those associated with the common cold or seasonal allergies. This class of medication may assist with easing the overall symptom burden. It is relevant for managing a combination of symptoms related to physical discomfort, including a dry, irritating cough and a productive cough with chest congestion, as well as associated allergic manifestations like sneezing and runny nose.

The primary therapeutic goal is to support the patient during difficult episodes by easing distress. The product is applied in scenarios where additional management of discomfort is required, and is relevant for managing symptoms that interfere with daily comfort. It contributes to helping maintain a sense of stability when symptoms are more noticeable.

“This medication is applied across domains where additional symptomatic support is needed, particularly for symptoms related to physical discomfort.”

Quick Fact: Support for Managing Disruptive Coughing and Thick Mucus

Regulatory References

  1. Health Canada Guidance document

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Paedicof

This information is based strictly on official government regulatory documents detailing who may and may not use this medicine.

Absolute Non-Eligibility (Contraindicated Groups)

Use of Paedicof is contraindicated and must be avoided in the following groups and conditions:

  • Patients with hypersensitivity to any of its ingredients.
  • Newborns and premature infants.
  • Nursing mothers.
  • Patients with severe hypertension or severe coronary artery disease.
  • Patients who are receiving Monoamine Oxidase (MAO) inhibitors or have taken them within the last 10 days.
  • Individuals with lower respiratory tract conditions, including asthma, chronic persistent cough, or cough associated with excessive secretions.

Conditional and Age-Related Eligibility

Classification Rules and Restrictions
Pediatric Use Safety and effectiveness have not been established for children below 2 years of age. Use in children 2 to 6 years requires caution.
Pregnancy Status Safety during pregnancy has not been established; use is not recommended.
Comorbidities Use requires caution and medical supervision in patients with non-severe hypertension, diabetes mellitus, hyperthyroidism, cardiovascular disease, renal failure, narrow angle glaucoma, or prostatic hypertrophy.

Eligibility is defined by regulatory bodies through these classifications, which specify absolute exclusions and conditions that require careful evaluation prior to use.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory documents define the interaction profile of this combination medicine based on its three active ingredients. These statements strictly address prohibited combinations and pharmacologic effects.

Classification Interacting Substances & Constraints
Prohibited Combinations Monoamine Oxidase Inhibitors (MAOIs), including linezolid and isocarboxazid, are strictly contraindicated due to the risk of severe reactions like hypertensive crisis and Serotonin syndrome. Ergot Alkaloids are also prohibited.
Timing Restriction The product must not be administered if an MAOI was taken within the previous 14 days of starting treatment.
Exposure Alteration Potent CYP2D6 Inhibitors (e.g., Quinidine) are documented to substantially increase Dextromethorphan's plasma concentration. Alkalinizing Agents (e.g., Sodium Bicarbonate) may increase Pseudoephedrine levels by reducing its elimination.
Pharmacodynamic Risks Central Nervous System (CNS) Depressants (including alcohol) have an officially documented additive sedative effect. The combination with Serotonergic Agents (e.g., SSRIs) carries a risk of Serotonin syndrome.
Other Significant Interactions The Pseudoephedrine component may reduce or reverse the effect of Antihypertensive Drugs. Oral Anticoagulants may have their action inhibited by the antihistamine component.

This structure delineates absolute prohibitions and lists pharmacodynamic and pharmacokinetic constraints to define the conditions for co-administration as documented by official governmental authorities.

Mechanism of Action

Paedicof is a fixed-dose combination product containing Dextromethorphan, Dexchlorpheniramine, and Pseudoephedrine, modulating three distinct biological targets.

Dextromethorphan primarily acts in the central nervous system, localizing to the medulla oblongata, where it functions as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist and a sigma-1 (sigma -1) receptor agonist. Antagonism of NMDA receptors and agonism of sigma-1 receptors within the cough center elevate the afferent sensory threshold required to initiate the cough reflex, suppressing central cough impulse transmission.

Dexchlorpheniramine is a first-generation histamine H1 receptor antagonist. It competitively binds to H1 receptors on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract, thereby preventing histamine-mediated receptor activation. This interference modulates the downstream signaling cascades normally associated with H1 receptor engagement.

Pseudoephedrine acts as a sympathomimetic agent, functioning as a direct agonist on alpha -adrenergic receptors and, to a lesser extent, beta -adrenergic receptors, particularly in the nasal mucosa. alpha -adrenergic receptor agonism stimulates vasoconstriction in dilated nasal arterioles. This system-level physiological consequence results in reduction of local tissue hyperemia and oedema.

Dosage and Administration Information

The administration of Paedicof Oral Solution is strictly via the oral route, adhering to specific volume and time-interval guidelines. The medicine integrates multiple active components, and its usage is intended for short-term symptomatic use, with administration patterns strictly tied to the perceived need for relief.


Labeled Dosing and Frequency

Population Single Dose Volume Maximum Frequency Maximum Daily Dose
Adults and Children 12+ 10 mL Every 6 hours 40 mL (8 tsp) in 24 hours
Children 6 to 11 Years 5 mL to 10 mL Every 4 to 6 hours

Administration Procedures and Conditions

For accurate intake, the bottle must be shaken well immediately prior to dispensing. The prescribed volume must be measured using a calibrated dosing device to ensure volumetric precision, as utilizing a standard household spoon may lead to inaccurate dosing.

The usage regimen for Paedicof is structured as fixed, divided doses over the 24-hour period, and the stated dosage and frequency must not be exceeded. Administration may occur with or without food; however, taking the dose with food or milk may be useful if the medicine causes minor stomach irritation.

Use is generally not recommended for children under two years of age without explicit guidance. For older adults, administration may appropriately involve the lower end of the dosing range or less frequent dosing intervals due to potential age-related changes in drug clearance.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Paedicof

Evidence for Use in Acute Cough

Paedicof was studied in populations with conditions associated with acute or disruptive episodes, such as acute cough, in various research settings. Paedicof was evaluated in randomized controlled trials. These trials provide insight into the observed symptom patterns. Research examined outcomes related to physical discomfort and patient-reported outcomes describing perceived discomfort. Findings describe patterns observed in the studies related to changes measured during the research period. These findings suggest patterns related to how symptoms evolved in the observed populations over defined time intervals.

However, certainty remains low for some measures, and some findings were mixed. Evidence quality varies across studies, and comparative evidence is lacking against all currently available non-prescription options. These results apply only to the specific populations studied in the trials.

Evidence for Symptomatic Relief of URTI

Research also explored outcomes related to Upper Respiratory Tract Infection (URTI), which is a condition involving periods of heightened symptoms. The studies were conducted during periods of increased symptom activity and evaluated outcomes reflecting daily functioning or activity level. Studies focused on episodes where URTI symptoms were being monitored. Research highlights changes measured during the study period, and findings describe patterns related to how symptoms evolved. While research provides insight into short-term changes, data for certain groups remain insufficient, and comparative evidence is lacking.

Long-term Studies and Follow-up

Existing research primarily describes patterns observed in the studies over a short duration. Evidence remains limited when examining outcomes over extended time frames. The follow-up durations were limited in most existing research, and as a result, long-term effects are not fully established. Research is ongoing, but evidence does not currently describe outcomes related to durability of response or extended-duration observation past the initial treatment phase.

Key Studies & References

  1. Efficacy and Safety of Paedicof in Acute Cough: A Randomized, Double-Blind, Placebo-Controlled Trial

Frequently Asked Questions (FAQ)

Common questions about Paedicof (FAQ)

Q: Does Paedicof carry a warning about potential effects on driving or operating machinery?

Official labeling indicates that this medicine may cause common side effects such as drowsiness and dizziness. Because of these potential central nervous system effects, official product information states that operating hazardous machinery or driving should be avoided until the user understands how the medicine affects their alertness. This is a standard caution found in regulatory documentation.

Q: What signs of an allergic reaction to Paedicof are described in the official documents?

Regulatory documents list several signs that may indicate a serious allergic reaction, which include skin changes like itching or hives, and swelling in the face or hands. More severe signs noted are swelling or tingling in the mouth or throat, chest tightness, and trouble breathing. The official documentation emphasizes the importance of seeking immediate help if any of these serious signs are observed.

Q: How is Paedicof generally different from other cough suppressants on the market?

According to the official product information, Paedicof is defined as a fixed-dose combination product. It contains an antitussive (cough suppressant), an antihistamine, and a decongestant, allowing it to address three distinct symptoms simultaneously. This composition is the primary factor that differentiates it from single-ingredient cough remedies on the market.

Q: Why do some users online report that Paedicof is 'stronger' than other cough remedies?

The perceived difference in symptomatic relief, as sometimes reported by users, may be related to the medicine's triple action formula. Official documents confirm that the medicine contains three active components—a cough suppressant, a decongestant, and an antihistamine—all working together to target multiple symptoms at once.

Q: Is Paedicof available in multiple strengths or different dosage forms?

Regulatory documentation consistently describes Paedicof as an Oral Solution or Syrup. The product is provided in a fixed strength, meaning the concentration of the active ingredients per volume is standardized. There is no information in the core labeling that describes multiple available strengths or alternative dosage forms.

Q: Is Paedicof approved for use in respiratory conditions other than the common cold?

Official regulatory documents specify that this medicine is indicated for the short-term relief of symptoms associated with the common cold or allergy. Use for other lower respiratory tract conditions, such as asthma or chronic bronchitis, is generally cautioned against or listed as a contraindication. The medicine is not indicated for such conditions.

Q: How quickly should I expect Paedicof to start providing relief?

Studies on the active ingredients suggest the decongestant component may begin to exhibit effects within 30 minutes following administration. Official product characteristics indicate the peak activity for this component typically occurs at approximately one hour after taking the medicine.

Q: What is the typical duration of effect for a single administration of Paedicof?

The effects of the active components, particularly the decongestant, are documented in official product characteristics. The effect of a single administration is typically described as persisting for a period of 4 to 6 hours. This duration is consistent with the established intervals for the medicine.

Q: What are the general guidelines for how many days Paedicof can be taken continuously?

Official labeling notes that this medication is intended for short-term symptomatic relief only. Official labeling contains an instruction that a healthcare professional should be contacted if symptoms do not improve within seven days or if the cough persists for more than a week. This suggests that treatment should generally not exceed seven days without medical review.

Q: What should be done if an amount of Paedicof is accidentally missed?

Official dosing instructions specify that if an amount is missed, taking it when remembered is suggested. If the next scheduled dose is near, skipping the missed amount and returning to the regular schedule is described. Patients are explicitly advised in the labeling against taking double or extra doses to make up for one that was missed.

Q: Does Paedicof have a potential for misuse or dependence?

The medicine contains Dextromethorphan and Pseudoephedrine, ingredients that are subject to specific legal requirements and warnings due to their potential for misuse. Regulatory documents include warnings related to exceeding the recommended dose as this is an action that is strictly advised against in the labeling.

Q: What warnings are in place regarding overdose or toxicity of Paedicof?

Official regulatory documents contain specific warnings regarding overdose or toxicity. Effects noted in these documents may include central nervous system changes, such as stimulation or depression, as well as cardiovascular effects like tachycardia (fast heart rate) and high blood pressure. Severe effects like cardiac arrhythmias and convulsive seizures are also listed in the overdosage section.

Q: Can Paedicof be taken with over-the-counter pain relievers like acetaminophen or ibuprofen?

Given the complexity of drug interactions, regulatory resources indicate that consulting a healthcare provider is necessary before combining the medicine with any other medications. This advisory includes common over-the-counter pain relievers such as acetaminophen or ibuprofen.

Q: What is the official guidance on combining Paedicof with herbal or vitamin supplements?

Official labeling contains an instruction that patients should ask a doctor or pharmacist before using any other medicine. This instruction includes all over-the-counter medicines, vitamins, and any herbal products or supplements.

Q: Does Paedicof interact with common cold or flu combination medicines?

Regulatory documents describe the constraint that taking other multi-ingredient medicines carries a risk of accidental double-dosing the same active ingredients, which is an action that is strictly advised against in the labeling. Patients are cautioned to tell their healthcare provider about all other cold, cough, or allergy medicines they are using.

Q: Where can I find the official regulatory review documents for Paedicof?

The official review documents supporting the medicine’s approval are public records available through government channels. These documents, such as the DailyMed Labeling (FDA) or the Summary of Product Characteristics (SmPC) in Europe, can be typically located on the regional regulatory agency's public website under the approved product section.

How should Paedicof be stored and disposed of?

How to Store and Dispose of Paedicof?

The storage and disposal of Paedicof, an oral solution, are governed by official regulatory requirements to ensure product stability and public safety. These instructions must be followed exactly as stated in the product labeling.


Storage Conditions

Requirement Official Regulatory Instruction
Temperature Store at controlled room temperature (e.g., 20 C to 25 C).
Environment Protect from excess heat and moisture, and do not freeze the liquid.
Container Keep in the original container and maintain it tightly closed when not in use.
Child Safety Keep out of the sight and reach of children at all times.

Disposal Rules

Official guidelines state that expired or unused Paedicof must not be poured down a sink or flushed down a toilet, as disposal in wastewater is prohibited. The proper method is to discard the product according to local guidelines, such as utilizing an authorized drug take-back program.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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