easypharm Easybronchial Stop Forte syrup 180 ml

easybronchial stop forte is a cough suppressant.
easybronchial stop forte is recommended for the treatment of a troublesome, dry (non-productive) cough.
If you do not feel better or if you feel worse after 3 days, contact your doctor.

Contraindications

easybronchial stop forte must not be used,

• if you are allergic to dextromethorphan hydrobromide, methyl parahydroxybenzoate, propyl parahydroxybenzoate or any of the other ingredients of this medicine (listed in section 6);
• in case of serious breathing disorders;
• by children under 6 years of age;
• if you are taking certain medicines for depression (e.g. monoamine oxidase inhibitors or selective serotonin reuptake inhibitors);
• if you are taking certain medicines that inhibit the enzyme CYP2D6 (see the section “Other medicines and easybronchial stop forte”);
• at the same time as alcohol (see section “Taking easybronchial stop forte with food and drink”);
• during the first trimester of pregnancy and breast-feeding (see section “Pregnancy and breast-feeding”).

interactions

Please talk to your pharmacist before taking easybronchial stop forte, especially if any of the following warnings apply to you.

• Cough suppressants should not be used for cough with sputum, as this is an important defense mechanism of the airways.
• Caution is advised in the elderly and people with liver and/or kidney dysfunction.
• Caution is advised in patients with asthma, bronchitis or emphysema (a type of lung disease causing shortness of breath and reduced elasticity of the lungs).
• This medicine can lead to dependency. Therefore, treatment should be short-lived.
• Cases of abuse of dextromethorphan have been reported. Caution is particularly advised in adolescents and young adults and in patients with a history of drug abuse or use of psychoactive substances.
• Treatment with easybronchial stop forte is therefore only advisable for short periods and under the strictest medical supervision for patients who tend to abuse or depend on medicines.

Talk to your doctor or pharmacist before taking easybronchial stop forte:

• If you are taking medicines such as certain antidepressants or antipsychotics, easybronchial stop forte may interact with these medicines and you may experience mental status changes (e.g. agitation, hallucinations, coma) and other effects such as body temperature above 38°C, increase heart rate, unstable blood pressure and hyperreflexia, muscle stiffness, lack of coordination and/or gastrointestinal symptoms (e.g. nausea, vomiting, diarrhoea).

If the symptoms persist or the treatment does not show the expected success, a medical consultation is required as soon as possible, at the latest after 3 days.

Other medicines and easybronchial stop forte Tell
your doctor or pharmacist if you are taking/using, have recently taken/used or might take/use other medicines.

• Under no circumstances should you take easybronchial stop forte together with certain medications for depression (monoamine oxidase inhibitors or selective serotonin reuptake inhibitors);
• Concomitant use with drugs that inhibit a specific enzyme system in the liver and thus the breakdown of dextromethorphan can lead to an increase in the concentration and increased risk of side effects of dextromethorphan, such as
  • fluoxetine and paroxetine (these are selective serotonin reuptake inhibitors used for depression);
  • sertraline, bupropion (medicines for depression);
  • amiodarone, quinidine, flecainide and propafenone (medicines for irregular heartbeat);
  • haloperidol, perphenazine and thioridazine (medicines for psychosis);
  • methadone (strong pain reliever);
  • cinacalcet (medicine used to treat overactive parathyroid glands);
  • cimetidine (medicine against too much stomach acid);
  • terbinafine (medicine used to treat fungal infections).
• Concomitant use of easybronchial stop forte and sedatives such as benzodiazepines or related drugs increases the risk of drowsiness, difficulty breathing (respiratory depression), coma and can be life-threatening. For this reason, concomitant use should only be considered when there are no other treatment options.
  • However, if your doctor prescribes easybronchial stop forte together with sedative medicines, the dose and duration of the concomitant treatment should be limited by your doctor.
  • Please tell your doctor about all sedative medicines you are taking and follow your doctor's dose recommendation closely. It might be helpful to inform friends or relatives to watch out for the above signs and symptoms. Contact your doctor if you experience such symptoms.

Taking easybronchial stop forte with food, drink and alcohol

• Concomitant use with alcohol should be avoided. This combination can
• increase the calming effect.
• Grapefruit juice and bitter orange juice can increase the effects of dextromethorphan.
• pregnancy and breast feeding period

If you are pregnant or breast-feeding, think you may be pregnant or are planning
to have a baby, ask your doctor or pharmacist for
advice before taking this medicine.

Pregnancy
Although there is no evidence of a teratogenic effect when used on humans, the drug must not be taken in the first trimester of pregnancy for reasons of drug safety.
In the 2nd and 3rd trimester of pregnancy, the drug may only be taken after a strict medical benefit-risk assessment.

Breastfeeding
Use during breastfeeding is not permitted since it is not known to what extent dextromethorphan passes into breast milk.

Driving and using machines
Warning: This medicine may impair your ability to react and drive.

easybronchial stop forte can impair alertness, which can reduce the ability to react. If you experience this side effect, it may affect your ability to drive and use machines. Simultaneous intake of alcohol increases this effect.

application

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.

Dosage:
The recommended dosage is
adolescents over 12 years and adults
5 ml 4 to a maximum of 8 times daily (max. 120 mg dextromethorphan hydrobromide per day).

easybronchial stop junior 1.5 mg/ml syrup is available for children from the age of 6 years.

Elderly and people with impaired liver and/or kidney function
Half the recommended dose for adults.

Diabetics
easybronchial stop forte is sugar-free and therefore suitable for diabetics.

This medicine should be used for as short a time as possible. If the symptoms do not improve within 3 days, a doctor must be consulted.

Method of administration:
For oral use.
The enclosed 30 ml measuring cup with a 5 ml scale is used for dosing. The bottle is closed with a child-resistant cap. To open, push the latch down while turning it counterclockwise (see drawing).

side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Very common: affects more than 1 in 10
Common: affects 1 to 10 in 100
Uncommon: affects 1 to 10 in 1,000
Rare: affects 1 to 10 in 10,000
Very rare: affects less than 1 in 10,000
Not known: frequency based on available data data cannot be estimated

Immune system disorders
Not known: hypersensitivity reactions, anaphylactic shock (a serious allergic reaction).

Nervous system disorders
Uncommon: drowsiness, dizziness, agitation, confusion, headache.

Respiratory and thoracic disorders
Not known: Dextromethorphan has no effect on respiration at usual doses. In very high doses, breathing may be affected.

Gastrointestinal disorders
Not known: constipation, nausea, loss of appetite.
Methyl 4-hydroxybenzoate and propyl 4-parahydroxybenzoate can cause hypersensitivity reactions, including delayed reactions.

composition

The active substance is dextromethorphan hydrobromide.
1 ml syrup contains 3 mg dextromethorphan hydrobromide.

The other ingredients are: sorbitol solution 70%, methyl parahydroxybenzoate, propyl parahydroxybenzoate, sodium saccharin, propylene glycol, peach flavor (contains alcohol), sodium cyclamate, purified water.