|
Pronunciation |
|
(hye
droe KOE done & gwye FEN e
sin) |
|
|
U.S. Brand
Names |
|
Codiclear® DH; HycoClear Tuss®;
Hycotuss® Expectorant Liquid; Kwelcof® |
|
|
Generic
Available |
|
Yes |
|
|
Synonyms |
|
Guaifenesin and Hydrocodone |
|
|
Pharmacological Index |
|
Antitussive/Expectorant |
|
|
Use |
|
Symptomatic relief of nonproductive coughs associated with upper and lower
respiratory tract congestion |
|
|
Restrictions |
|
C-III |
|
|
Pregnancy Risk
Factor |
|
C |
|
|
Contraindications |
|
Hypersensitivity to hydrocodone, guaifenesin, or any component; increased
intracranial pressure; depressed ventilation |
|
|
Warnings/Precautions |
|
Can produce drug dependence and therefore has potential for abuse. Patients
with chronic obstructive pulmonary disease. |
|
|
Adverse
Reactions |
|
Cardiovascular: Hypertension, postural hypotension, palpitations
Central nervous system: Drowsiness, sedation, mental clouding, mental and
physical impairment, anxiety, fear, dysphoria, dizziness, psychotic dependence,
mood changes
Gastrointestinal: Nausea, vomiting, constipation with prolonged use
Genitourinary: Ureteral spasm, urinary retention
Ocular: Blurred vision
Respiratory: Respiratory depression (dose related) |
|
|
Overdosage/Toxicology |
|
Symptoms of overdose include respiratory depression, Cheyne-Stokes
respiration and cyanosis, extreme somnolence progressing to stupor or coma,
skeletal muscle flaccidity, cold clammy skin, sometimes bradycardia and
hypotension. Naloxone, 2 mg I.V. with repeat administration as necessary up to a
total of 10 mg, can also be used to reverse toxic effects of the
opiate. |
|
|
Pharmacodynamics/Kinetics |
|
Duration: Hydrocodone: 4-6 hours |
|
|
Usual Dosage |
|
Oral:
<2 years: 0.3 mg/kg/day (hydrocodone) in 4 divided doses
2-12 years: 2.5 mL every 4 hours, after meals and at bedtime
>12 years: 5 mL every 4 hours, after meals and at bedtime
Adults: 5 mL every 4 hours, after meals and at bedtime, not to exceed 30 mL
in a 24-hour period |
|
|
Dietary
Considerations |
|
Should be administered after meals |
|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |
|
|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
|
|
Patient
Information |
|
Take only as prescribed; do not exceed prescribed dose or frequency. May be
habit-forming. Maintain adequate hydration (2-3 L/day of fluids unless
instructed to restrict fluid intake). Avoid use of other depressants, alcohol,
or sleep-inducing medications, or tranquilizers or pain medications unless
approved by prescriber. You may experience orthostatic hypotension (change
position slowly when rising from sitting or lying or when climbing stairs);
drowsiness, impaired coordination, or blurred vision (use caution when driving
or engaging in tasks requiring alertness until response to drug is known);
nausea or vomiting (frequent small meals, frequent mouth care, chewing gum, or
sucking hard candy may help); or constipation (increased exercise, fluids, or
dietary fruit and fiber may help). Report persistent CNS changes (dizziness,
sedation, tremor, or agitation), difficulty breathing, persistent abdominal
cramping, visual changes, or lack of improvement or worsening or condition.
Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend
to be pregnant. Do not breast-feed. |
|
|
Dosage Forms |
|
Liquid: Hydrocodone bitartrate 5 mg and guaifenesin 100 mg per 5 mL (120 mL,
480 mL) |
|
Copyright © 1978-2000 Lexi-Comp Inc. All Rights Reserved
|