It is a medicine which is used to help relieve dry, irritating coughs. The liquid contains dextromethorphan hydrobromide which is an antitussive to help stop persistent coughing.

Do not use dextromethorphan

• If you have ever had a bad reaction to dextromethorphan or any of the other ingredients of this medicine

• If you suffer from lung disease

• If you are taking, or have taken in the last two weeks, drugs for depression known as Monoamine Oxidase Inhibitors (MAOIs)

• If you are taking selective serotonin re-uptake inhibitors (used to treat depression and anxiety such as fluoxetine, paroxetine and sertraline)

• For children under 12 years old

Warnings and precautions

• If you suffer from liver problems.

• If you have chronic bronchitis, emphysema or asthma or have had a cough for a few weeks or a cough with a lot of mucus (phlegm).

• If you are taking any other cough and cold medicines.

• If your child is prone to developing certain allergic reactions (e.g. atopic reactions).

• If you are or have ever been addicted to opioids, alcohol, prescription medicines, or illegal drugs.

• If you have previously suffered from withdrawal symptoms such as agitation, anxiety, shaking or sweating, when you have stopped taking alcohol or drugs.

• If you have been told by your doctor that you are a slow metabolizer of CYP2D6.

Possible side effects

Stop using the product and seek immediate medical attention if you develop throat tightness or swelling of the eyes, face, lips or tongue, feel faint, or have difficulty breathing. Stop using the product if you develop hives or itching of the face or body.

Other medicines and dextromethorphan

If you are taking any other medicines, including:

• Certain drugs for depression such as norepinephrine-dopamine reuptake inhibitors (NDRI), which include bupropion

• Antipsychotics (drugs used to treat mood disorders such as haloperidol, thioridazine, perphenazine)

• Anti-arrhythmic agents (drugs used to treat irregular heartbeats such as amiodarone, propafenone, quinidine and flecainide)

• Calcimimetic agents (drugs used to treat secondary hyperparathyroidism, elevated parathyroid hormone levels such as cinacalcet)

• Anti-fungal (terbinafine)

• Opioid analgesics

How to use dextromethorphan

Adults and children aged 12 years and over: take one 5 ml spoonfuls four times a day.

How to store dextromethorphan

Do not store above 30ºC.