Components:
Medically reviewed by Oliinyk Elizabeth Ivanovna, PharmD. Last updated on 26.06.2023
Attention! Information on this page is intended only for medical professionals! Information is collected in open sources and may contain significant errors! Be careful and double-check all the information on this page!
Each sustained-release film-coated tablet contains 50 mg of Tamiral citrate. Each teaspoonful (5 mL) syrup contains 7.5 mg of Tamiral citrate.
Oral
Cough suppression
Adult: For dry non-productive cough: As 50 mg tab: 2 or 3 tabs 8-12 hrly. As 7.5 mg/5 mL syr: 15 mL 4 times daily.
Child: As 50 mg tab:
The maximum duration of treatment without doctor's prescription is one week.
Tablet: Adolescents Over 12 Years of Age: 1 or 2 tablets daily.
Adults: 2 or 3 tablets daily at 8 or 12 hour intervals. To be swallowed whole.
Syrup: Children 3 to 6 Years of Age: One teaspoonful (5 mL) 3 times daily.
Children 6 to 12 Years of Age: Two (2) teaspoonfuls (10 mL) 3 times daily.
Adolescents Over 12 Years of Age: One tablespoonful (15 mL) 3 times daily.
Adults: 15 mL 4 times daily.
Wash and dry the graduated cup after each use and between different users.
You should not take tolbutamide if you have had an allergic reaction to it. Tamiral should not be taken if you are suffering from diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, pain below the breastbone, and fruity breath). In addition, Tamiral should not be used as the sole therapy in treating type 1 (insulin-dependent) diabetes.
Sulphinpyrazone, a drug used as an antithrombotic agent and inhibitor of platelet aggregation has a potent side effect as a uricosuric agent. The uricosuric side effect increases the urinary excretion of uric acid effectively blocking hepatic conjugation. Tests show that Sulphinpyrazone’s effect on Tamiral is a reduction of liver function to 60% of normal without interfering with protein binding. Taking alpha-lipoic acid or chromium with tolbutamide may require a change in the drugs dosage. Use ephedra with caution when taking tolbutamide; ephedra can raise blood sugar levels.
Applies to chlorpheniramine / hydrocodone / pseudoephedrine: oral capsule, oral liquid, oral solution, oral suspension, oral syrup, oral tablet
As well as its needed effects, chlorpheniramine / hydrocodone / pseudoephedrine may cause unwanted side effects that require medical attention.
Major Side Effects
If any of the following side effects occur while taking chlorpheniramine / hydrocodone / pseudoephedrine, check with your doctor immediately:
More common:
- Fainting
- lightheadedness
- shakiness in the legs, arms, hands, or feet
- trembling or shaking of the hands or feet
- Abdominal or stomach cramps or pain
- bloating
- blurred vision
- bulging soft spot on the head of an infant
- change in the ability to see colors, especially blue or yellow
- confusion
- constipation
- convulsions
- decrease in the frequency of urination
- decrease in the urine volume
- diarrhea
- difficult or troubled breathing
- difficulty in passing urine (dribbling)
- dizziness
- dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
- drowsiness
- fainting
- fast, slow, or irregular heartbeat
- headache
- irregular, fast or slow, or shallow breathing
- loss of appetite
- nervousness
- painful urination
- pale or blue lips, fingernails, or skin
- pounding in the ears
- shortness of breath
- sore throat
- spasm of the throat
- sweating
- tightness of the chest
- unusual tiredness or weakness
- vomiting
Minor Side Effects
Some chlorpheniramine / hydrocodone / pseudoephedrine side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:
More common:
- Disturbed color perception
- double vision
- dry mouth
- false or unusual sense of well-being
- fear or nervousness
- halos around lights
- hyperventilation
- nausea
- night blindness
- overbright appearance of lights
- relaxed and calm
- restlessness
- sleepiness or unusual drowsiness
- sleeplessness
- trouble sleeping
- tunnel vision
- unable to sleep
- unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness
- Acid or sour stomach
- belching
- bigger, dilated, or enlarged pupils (black part of the eye)
- bloating
- change in color vision
- chills
- cold sweats
- coma
- continuing ringing or buzzing or other unexplained noise in the ears
- cool, pale skin
- darkened urine
- depression
- difficulty seeing at night
- feeling of constant movement of self or surroundings
- fever
- flushing or redness of the skin
- full feeling
- hearing loss
- heartburn
- hives or welts
- increased appetite
- increased hunger
- increased in sexual ability, desire, drive, or performance
- increased interest in sexual intercourse
- increased sensitivity of the eyes to sunlight
- increased sweating
- indigestion
- itching skin
- loss of appetite
- nightmares
- pains in the stomach, side, or abdomen, possibly radiating to the back
- pressure in the stomach
- seizures
- sensation of spinning
- skin rash
- slurred speech
- stomach discomfort or upset
- sugar in the urine
- swelling of the abdominal or stomach area
- swelling of the breasts or breast soreness in both females and males
- unusually warm skin
- watering of the eyes
- yellow eyes or skin