Riaphan syrup 100 ml

What dextromethorphan is used for:

• 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.
• Keep this medicine out of the sight and reach of children.
• Do not use this medicine after the expiry date which is stated on the carton after EXP.
• The expiry date refers to the last day of that month.
• Do not throw away any medicines via wastewater or household waste.