This medicine is used to help relieve dry, irritating coughs. The liquid contains diphenhydramine hydrochloride which is an antihistamine that helps relieve coughing and dry secretions in the nose and chest, dextromethorphan hydrobromide which is an antitussive to help stop coughing and levomenthol which helps you breathe more easily by relieving congestion.
cough expectorants, Combined cough suppressants
Dextromethorphan Hydrobromide is a non-opioid antitussive drug. It exerts its antitussive activity by acting on the cough center in the medulla oblongata, raising the threshold for the cough reflex. Levomenthol has mild local anesthetic and decongestant properties. Diphenhydramine Hydrochloride possesses antitussive, antihistaminic, anticholinergic properties.
Adults and children aged 12 years and over: Take two 5 ml spoonfuls four times a day.
Do not take more than 4 doses in 24 hours. If symptoms persist, talk to your doctor
This syrup contains Diphenhydramine Hydrochloride and therefore may potentiate the effects of alcohol, and other CNS depressants. As Diphenhydramine Hydrochloride possess some anticholinergic activity, the effects of anticholinergics (e.g. some psychotrophic drugs and atropine) may be potentiated by Pires-D. This may result in tachycardia, mouth dryness, gastrointestinal disturbances (e.g. colic), urinary retention and headache. The concomitant use of a Dextromethorphan Hydrobromide containing product and monoamine oxidase inhibitors can occasionally result in symptoms such as hyperpyrexia, hallucinations, gross excitation or coma.
Do not use this medicine…
- If you have ever had a bad reaction to any of the ingredients.
- If you suffer from lung disease.
- If you have prostate problems. (Difficulty with passing water or needing to pass water often).
- If you have narrow-angle glaucoma (increased pressure in the eye).
- If you are taking, or have taken in the last two weeks, drugs for depression known as
- Monoamine Oxidase Inhibitors (MAOIs).
- For children under 12 years old.
Mild effects which may occur include:
- Drowsiness, dizziness, blurred vision.
- Dry mouth, nose and throat.
- Upset stomach.
- Vomiting.
- Nausea.
- Problems with passing water.
Ask your doctor for advice before taking this medicine if you are pregnant or breast-feeding.
With higher doses, and particularly in children, hallucinations and convulsions may appear; with massive doses, coma or cardiovascular collapse may follow. Treatment of overdose should be symptomatic and supportive. Measures to promote rapid gastric emptying and in cases of acute poisoning the use of activated charcoal may be useful. Naloxone has been used successfully as a specific antagonist to dextromethorphan toxicity in children. Convulsions may be controlled with diazepam and thiopental sodium.
Do not store this product above 30ºC. Store in the original container. Keep the product out of the reach and sight of children.
Diphenhydramine + Dextromethorphan + Levomenthol
(14 mg+6.5 mg+2 mg)/5 ml
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