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Hydrocodone and Guaifenesin
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Restrictions
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Overdosage/Toxicology
Pharmacodynamics/Kinetics
Usual Dosage
Dietary Considerations
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Dosage Forms

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)


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