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   Xpect-HC

Xpect-HC
Oral


This medication is used for temporary relief of coughs that are caused by certain infections of the air passages (e.g., bronchitis, sinusitis, common cold). Controlling your cough may help decrease time lost from work or school. This product is usually not used for an ongoing cough from smoking or long-term breathing problems (e.g., chronic bronchitis, emphysema) unless directed by your doctor. This product contains 2 medicines, guaifenesin and hydrocodone. Guaifenesin is an expectorant. It works by thinning and loosening phlegm in the airways. This helps the cough to clear phlegm better and make breathing easier. Hydrocodone is a narcotic cough suppressant that works by decreasing the urge to cough.

 
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 Xpect-HC images:

OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions
Xpect-HC

Uses
This medication is used for temporary relief of coughs that are caused by certain infections of the air passages (e.g., bronchitis, sinusitis, common cold). Controlling your cough may help decrease time lost from work or school. This product is usually not used for an ongoing cough from smoking or long-term breathing problems (e.g., chronic bronchitis, emphysema) unless directed by your doctor. This product contains 2 medicines, guaifenesin and hydrocodone. Guaifenesin is an expectorant. It works by thinning and loosening phlegm in the airways. This helps the cough to clear phlegm better and make breathing easier. Hydrocodone is a narcotic cough suppressant that works by decreasing the urge to cough.
Notes
  • Do not share this medication with others.
  • It is against the law.This medication has been prescribed for your current condition only.
  • Do not use it later for another condition unless told to do so by your doctor.
  • A different medication may be necessary in those cases.

Storage
  • Store at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.

Overdose
  • Symptoms of overdose may include: vomiting, slow/shallow breathing, slow heartbeat, inability to wake up, weakness, cold/clammy skin.

How To Use
  • Take this medication by mouth with or without food, usually twice daily (12 hours apart) or as directed by your doctor.
  • For best results, take with a full glass of water.
  • The dosage is based on your age, medical condition, and response to treatment.
  • Swallow this medication whole.
  • Do not crush or chew the tablets.
  • Doing so can destroy the long action of the drug and may increase side effects.
  • Some sustained-release tablets may be carefully split in half as directed by your doctor.
  • However, do not crush or chew the split tablet.
  • Do not take more than the maximum daily dose for your age group unless instructed to do so by your doctor.Drink plenty of fluids while taking this medication unless your doctor instructs you otherwise.
  • This may help to relieve congestion.Use this medication regularly in order to get the most benefit from it.
  • To help you remember, take it at the same times each day.This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses.
  • In such cases, if you suddenly stop this drug, withdrawal reactions may occur.
  • Such reactions can include runny nose, sweating, restlessness, widened pupils, loss of appetite, "goose bumps," irritability, shakiness, fast heartbeat, and muscle/bone pain.
  • Report any such reactions to your doctor immediately.
  • When stopping extended, regular treatment with this drug, gradually reducing the dosage as directed will help prevent withdrawal reactions.
  • Consult your doctor or pharmacist for more details.Though it is very unlikely to occur, this medication can result in abnormal drug-seeking behavior (addiction/habit-forming).
  • Do not increase your dose, take it more frequently, or use it for a longer time than prescribed.
  • Properly stop the medication when so directed.When used for an extended period, this medication may not work as well and may require different dosing.
  • Talk with your doctor if this medication stops working well.Tell your doctor if your cough persists or worsens after more than 1 week or if you also have fever, headache, or rash because these may be signs of a more serious medical problem.

Side Effects
  • Nausea, vomiting, constipation, dizziness, drowsiness, loss of appetite, nervousness, dry mouth, or blurred vision may occur.
  • If any of these effects persist or worsen, tell your doctor or pharmacist promptly.To prevent constipation, maintain a diet adequate in fiber and drink plenty of water.
  • If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative (e.g., stimulant-type with stool softener).Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: difficulty staying awake, confusion, slow/shallow breathing, difficult/painful urination, irregular heartbeat, mental/mood changes (e.g., depression, hallucinations).Tell your doctor immediately if any of these rare but very serious side effects occur: severe stomach/abdominal pain, change in the amount of urine, seizures.A very serious allergic reaction to this drug is rare.
  • However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking guaifenesin/hydrocodone, tell your doctor or pharmacist if you are allergic to it; or to other narcotics (e.g., codeine); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: severe breathing problems (e.g., severe chronic obstructive pulmonary disease-COPD, advanced emphysema), increased pressure in the brain (intracranial hypertension), certain bowel diseases (paralytic ileus), intoxication with medications that cause sleepiness or slow/shallow breathing (CNS/respiratory depressants such as alcohol or tranquilizers/sedatives).Before using this medication, tell your doctor or pharmacist your medical history, especially of: difficulty urinating (e.g., due to enlarged prostate, urethral stricture), personal or family history of regular use/abuse of drugs/alcohol, breathing problems (e.g., asthma, mild chronic obstructive pulmonary disease-COPD, moderate/severe sleep apnea), smoking, cough with large amounts of phlegm, kidney disease, liver disease, heart disease, low blood pressure, gallbladder/biliary tract problems, swollen pancreas (pancreatitis), other brain problems (e.g., brain tumor, lesions), head injury, seizures, slow/irregular heartbeat, adrenal gland problems (e.g., Addison's disease), mental/mood disorders (e.g., toxic psychosis), a certain spine problem (kyphoscoliosis), recent surgery, underactive thyroid (hypothyroidism), a severe loss of body water (dehydration), severe obesity, stomach pain of unknown cause.This drug may make you dizzy or drowsy or cause blurred vision.
  • Use caution while driving, using machinery, or doing any activity that requires alertness or clear vision.
  • Avoid alcoholic beverages because they may increase the risk of side effects.To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially slow/shallow breathing, drowsiness, and dizziness.This medication is not recommended in children younger than 6 years.
  • Caution is advised when using this drug in children because they may be more sensitive to the effects of the drug, especially slow/shallow breathing, drowsiness, and dizziness.During pregnancy, this medication should be used only when clearly needed.
  • It is not recommended for long periods or in high doses near the expected delivery date because it may harm the unborn baby.
  • Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk.
  • Breast-feeding while using this drug is not recommended.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you miss a dose, take it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
  • Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medications because very serious interactions may occur: buprenorphine, butorphanol, nalbuphine, pentazocine, naltrexone.Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) within 2 weeks before, during, or after treatment with this medication because a serious, possibly fatal drug interaction may occur.If you are currently using any of these medications, tell your doctor or pharmacist before starting this product.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: amphetamines (e.g., methylphenidate, mixed amphetamine salts), "water pills" (diuretics such as furosemide), drugs affecting liver enzymes that remove hydrocodone from your system (e.g., cimetidine, rifamycins including rifampin).Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, other narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness.
  • Ask your pharmacist about using those products safely.Guaifenesin is available in both prescription and nonprescription products.
  • Check the labels of all your medications carefully to make sure you are not taking more than 1 product that contains guaifenesin.This product can affect the results of certain lab tests (e.g., uric acid levels).
  • Make sure laboratory personnel and all your doctors know you use this drug.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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