Covangesic

Generic Name: APAP/CPM/phenylephrine/PPA/pyrilamine
Other Brand Names: APAP/CPM/phenylephrine/PPA/pyrilamine

What is acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Acetaminophen is a pain reliever and a fever reducer. It is used to treat many conditions, such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers.

Chlorpheniramine and pyrilamine are antihistamines. They work against the naturally occurring chemical histamine in the body. Chlorpheniramine and pyrilamine prevent sneezing; itchy, watery eyes and nose; and other symptoms of allergies and hay fever.

Phenylephrine and phenylpropanolamine are decongestants. They constrict blood vessels (veins and arteries). This reduces the blood flow to certain areas allowing nasal and respiratory (breathing) passages to open up.

Acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine is used to treat nasal congestion; itchy, watery eyes; itchy throat; sneezing; headache; fever; and other symptoms associated with allergies, hay fever, and the common cold.

Acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine may also be used for purposes other than those listed in this medication guide.

Uses Side Effects Precautions Interactions Overdose
What should I discuss with my healthcare provider before taking acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Do not take this medication without first talking to your doctor if you drink more than three alcoholic beverages per day or if you have had alcoholic liver disease. You may not be able to take acetaminophen if you have these conditions.

Do not take this medication if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A serious drug interaction could occur, leading to side effects.

Before taking this medication, tell your doctor if you have

  • kidney disease,

  • liver disease,

  • diabetes,

  • glaucoma,

  • any type of heart disease or high blood pressure,

  • thyroid disease,

  • emphysema or chronic bronchitis, or

  • difficulty urinating or an enlarged prostate.

You may not be able to take acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

It is not known whether acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.

This medication passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

If you are over 60 years of age, you may be more likely to experience side effects from acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine.

Read the package label for directions or consult your doctor or pharmacist before treating a child with this medication. Children are more susceptible than adults to the effects of medicines and may have unusual reactions.

How should I take acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Take acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Do not crush, chew, or break the long-acting or sustained-release tablets or capsules. Swallow them whole. If you are unsure about the formulation of your medicine, ask your pharmacist for help. If you have difficulty swallowing tablets or capsules, look for a liquid form of the medication.

To ensure that you get a correct dose, measure the liquid form of acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Never take more acetaminophen than is directed. The maximum amount of acetaminophen for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. Taking more acetaminophen could damage your liver. If you drink more than three alcoholic beverages per day, talk to your doctor before taking acetaminophen and never take more than 2 grams (2000 mg) per day.

Do not take acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine for longer than 7 to 10 days in a row. If your symptoms do not improve, if they get worse or if you have a fever, see your doctor.

Store acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine at room temperature away from moisture and heat.

What happens if I miss a dose of acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

Where can I get more information about acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?
Your pharmacist has information about acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine written for health professionals that you may read.
What are the possible side effects of acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

If you experience any of the following serious side effects, stop taking acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine and seek emergency medical attention:

  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

  • liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, or severe fatigue);

  • blood problems (easy or unusual bleeding or bruising); or

  • low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting).

Other, less serious side effects may be more likely to occur including:

  • dryness of the eyes, nose, and mouth;

  • drowsiness or dizziness;

  • blurred vision;

  • difficulty urinating; or

  • excitation in children.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What is the most important information I should know about acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Use caution when driving, operating machinery, or performing other hazardous activities. Acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine. Alcohol may also cause damage to your liver when taken with acetaminophen.

What should I avoid while taking acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Use caution when driving, operating machinery, or performing other hazardous activities. Acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine may cause dizziness. If you experience dizziness, avoid these activities.

Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine. Alcohol may also cause damage to your liver when taken with acetaminophen.

Acetaminophen and chlorpheniramine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine is taken with any of these medications.

What other drugs will affect acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Do not take acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A serious drug interaction could occur, leading to side effects.

Urine glucose tests may produce false results while you are taking acetaminophen. Talk to your doctor if you are diabetic and you notice changes in your glucose levels during therapy with acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine.

Do not take other over-the-counter cough, cold, allergy, diet, pain, or sleep medicines while taking acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine without first talking to your doctor. Other medications may also contain chlorpheniramine, pyrilamine, phenylephrine, phenylpropanolamine, acetaminophen, or other similar drugs, and you may accidentally take too much of these medicines.

Acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine is taken with any of these medications.

Drugs other than those listed here may also interact with acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/phenylpropanolamine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

What happens if I have an overdose of acetaminophen/ chlorpheniramine/ pyrilamine/ phenylephrine/ phenylpropanolamine?

Seek emergency medical attention.

Symptoms of an acetaminophen/chlorpheniramine/pyrilamine/phenylephrine/ phenylpropanolamine overdose include a dry mouth, large pupils, flushing, nausea, vomiting, abdominal pain, diarrhea, seizures, confusion, sweating, and an irregular heartbeat.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Content provided by Multum - Last Updated 2/11/2008