Tusnel Diabetic

Tusnel Diabetic is part of the drug classes:

• Opium alkaloids and derivatives

• Expectorants

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.

Dextromethorphan and guaifenesin is a combination medicine used to treat cough and chest congestion caused by the common cold, infections, or allergies.

Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

There are many brands and forms of this medication available and not all brands are listed on this leaflet.

Dextromethorphan and guaifenesin may also be used for purposes not listed in this medication guide.

Do not use this medicine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, and tranylcypromine.

Ask a doctor or pharmacist if it is safe for you to take this medication if you have emphysema or chronic bronchitis.

It is not known whether dextromethorphan and guaifenesin will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

It is not known whether dextromethorphan and guaifenesin passes into breast milk or if it could harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Artificially sweetened liquid medicine may contain phenylalanine. Check the medication label if you have phenylketonuria (PKU).

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase certain side effects of this medicine.

Ask a doctor or pharmacist before using any cough, cold, or allergy medicine. Many medicines available over the counter contain dextromethorphan or guaifenesin. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains an antitussive or expectorant.

Ask a doctor or pharmacist before using this medicine if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide.

Taking this medicine with other drugs that make you sleepy or slow your breathing can worsen these effects. Ask your doctor before taking dextromethorphan and guaifenesin with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Applies to dextromethorphan / guaifenesin: oral capsule, oral capsule extended release, oral elixir, oral granule, oral liquid, oral suspension extended release, oral tablet, oral tablet extended release

Nervous system

Nervous system side effects of dextromethorphan have included drowsiness and dizziness. Adverse effects, which have occurred at higher doses, include excitation, mental confusion, and opioid like respiratory depression. In some cases of abuse, patients have experienced euphoria, hyperactivity, mania, and auditory and visual hallucinations.[Ref]

Gastrointestinal

Gastrointestinal side effects have included nausea, vomiting and constipation.[Ref]

Dermatologic

Dermatologic side effects have included pruritus and rash.[Ref]

Hypersensitivity

Hypersensitivity side effects of dextromethorphan have included fixed-drug eruptions.[Ref]

Some side effects of Tusnel Diabetic may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.