INTRODUCTION

CONTUS PLUS PAEDIATRIC SUSPENSION is a combination of Chlorpheniramine, Paracetamol and Phenylephrine which belongs to the group of medicines called Antihistamines, Analgesics and Nasal decongestants respectively. It is used to relieve the symptoms of allergic rhinitis (hay fever), common cold, other upper respiratory allergies, like headache, facial congestion and pressure, nasal congestion, runny nose, sneezing, minor aches and pains, itching of the nose, throat, or eyes, and watery eyes. It can also be used as an adjunct with antibiotics in sinusitis (inflammation of cavities around your nose), tonsillitis (inflammation of tonsils), and otitis media (inflammation inside the middle ear). Hay fever is a seasonal allergy that occurs in response to specific allergens like pollens, present at certain times of the year (spring or fall) and causes more short-term symptoms.

CONTUS PLUS PAEDIATRIC SUSPENSION is not recommended for use in children (aged less than 2 months). Consult your doctor for advice. Before taking CONTUS PLUS PAEDIATRIC SUSPENSION, inform your doctor if you have any kidney, liver, heart, thyroid, or lung problems, diabetes, or glaucoma. Consult your doctor for advice. CONTUS PLUS PAEDIATRIC SUSPENSION should be used with caution in pregnant and breastfeeding women, so consult your doctor before taking it.

The most common side effects of taking CONTUS PLUS PAEDIATRIC SUSPENSION are vomiting, nausea, allergic reaction, sleepiness, and headache. Contact your doctor if any of the above side effects worsen.

USES OF CONTUS PLUS PAEDIATRIC SUSPENSION

It is used:

• to relieve the symptoms of allergic rhinitis, common cold, or other upper respiratory allergies
• as an adjunct with antibiotics in sinusitis, tonsillitis and otitis media

HOW CONTUS PLUS PAEDIATRIC SUSPENSION WORKS

CONTUS PLUS PAEDIATRIC SUSPENSION relieves upper respiratory symptoms where Chlorpheniramine binds to the histamine H1 receptor and blocks its action, resulting in temporary relief of the negative symptoms (runny nose, sneezing, watery and itchy eyes) brought on by histamine. Paracetamol relieves pain by elevation of the pain threshold and reduces fever by acting on the on the heat-regulating centre in your brain. Phenylephrine constricts blood vessels and reduces the blood flow to certain areas, thus decreasing swelling and allowing nasal and respiratory passages to open up.

DIRECTIONS FOR USE

Take CONTUS PLUS PAEDIATRIC SUSPENSION as advised by your physician. Shake well before use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF CONTUS PLUS PAEDIATRIC SUSPENSION

HOW TO MANAGE SIDE EFFECTS

Dizziness Or Drowsiness

Lie down until dizziness is gone, then get up slowly. Move slowly and carefully, do not hurry. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes and alcohol.

Nausea And Vomiting

Take regular sips of a cold drink. Have ginger or peppermint tea. Stick to simple meals. Avoid eating oily or spicy foods. Get adequate rest. Drink lots of fluids, especially water. Do not take any medicine without asking your doctor.

Headache

Drink ample amount of water. Get adequate rest. Try to be relaxed and stress free. Ask your doctor before taking any medicine for headache.

WARNING & PRECAUTIONS

PREGNANCY

Monitoring required

CONTUS PLUS PAEDIATRIC SUSPENSION should be used in pregnant women only if considered clearly necessary by your doctor. Consult your doctor before taking it.

BREASTFEEDING

Monitoring required

CONTUS PLUS PAEDIATRIC SUSPENSION should be used in breastfeeding women only if considered clearly necessary by your doctor. Consult your doctor before taking it.

DRIVING AND USING MACHINES

Use with Caution

Do not drive or use any machines during treatment with CONTUS PLUS PAEDIATRIC SUSPENSION. Consult your doctor for advice.

ALCOHOL

Consult your doctor

Avoid consumption of alcohol with CONTUS PLUS PAEDIATRIC SUSPENSION. It should be used with caution in patients with alcohol dependence. Consult your doctor before taking CONTUS PLUS PAEDIATRIC SUSPENSION.

KIDNEY

Use with Caution

CONTUS PLUS PAEDIATRIC SUSPENSION should be used with caution in patients having kidney dysfunction and urinary retention. Consult your doctor before taking it.

LIVER

Consult your doctor

CONTUS PLUS PAEDIATRIC SUSPENSION is not recommended for use in patients with liver insufficiency, failure or active liver disease. CONTUS PLUS PAEDIATRIC SUSPENSION should be used with caution in patients with liver dysfunction. Consult your doctor before taking it.

ALLERGY

Contraindicated

Do not take CONTUS PLUS PAEDIATRIC SUSPENSION if you are allergic to Chlorpheniramine, Paracetamol, Phenylephrine, or any other ingredients of this medicine.

LUNGS

Use with Caution

CONTUS PLUS PAEDIATRIC SUSPENSION should be used with caution in patients with chronic bronchitis, asthma, bronchiectasis, and cough that lasts long, or that occurs with too much phlegm. Consult your doctor before taking it.

HEART DISEASE

Contraindicated

CONTUS PLUS PAEDIATRIC SUSPENSION is not recommended in patients with severely high blood pressure or any other cardiovascular problems. Consult your doctor before taking it.

USE IN PEDIATRICS

Consult your doctor

CONTUS PLUS PAEDIATRIC SUSPENSION is not recommended for use in children (aged less than 2 years). Your doctor will prescribe the right dose depends on your child’s age, body weight and disease condition. Consult your doctor before taking it.

USE IN GERIATRICS

Use with Caution

CONTUS PLUS PAEDIATRIC SUSPENSION should be used with caution in elderly patients as they may be at a greater risk of getting side effects. Consult your doctor before taking it.

INTERACTIONS

A. Drug - Drug interactions:

Before taking CONTUS PLUS PAEDIATRIC SUSPENSION, inform your doctor if you are taking any of the following medicine:

• medicines used to treat depression (Ex. isocarboxazid, phenelzine, tranylcypromine)
• cholestyramine (used to lower blood cholesterol levels)
• medicines used to prevent nausea and vomiting (Ex. metoclopramide, domperidone)
• medicines used to induce sleep or treat anxiety (Ex. zolpidem, diazepam, alprazolam)
• warfarin (used for blood clot)
• medicines used in high blood pressure (reserpine, veratrum alkaloids, methyldopa, mecamylamines)
• medicines used to relax muscles (Ex. salbutamol, terbutaline)

Overdosage:

If you or anyone else accidentally took too much of CONTUS PLUS PAEDIATRIC SUSPENSION, contact your doctor immediately or visit nearby hospital.

SYNOPSIS

MORE INFORMATION

• Keep CONTUS PLUS PAEDIATRIC SUSPENSION out of reach of children
• Store below 30°C

FAQs ABOUT CONTUS PLUS PAEDIATRIC SUSPENSION

Q: Can CONTUS PLUS PAEDIATRIC SUSPENSION be used on infants?

A: CONTUS PLUS PAEDIATRIC SUSPENSION is not recommended for use in children (aged less than 2 years). Your doctor will prescribe the right dose depends on your child’s age, body weight and disease condition. Consult your doctor before taking it.

Q: What if I forget to take a dose of CONTUS PLUS PAEDIATRIC SUSPENSION?

A: If you forget to take a dose of CONTUS PLUS PAEDIATRIC SUSPENSION, take it as soon as you remember. However, omit the missed dose if it is almost time for the next dose. Do not take the medicine twice to make up for a forgotten dose.

Q: Can I stop taking CONTUS PLUS PAEDIATRIC SUSPENSION?

A: Do not stop taking CONTUS PLUS PAEDIATRIC SUSPENSION without consulting your doctor. You can do it if you experience any serious side effects with your doctor’s consultation. If you have any more doubts regarding the use of CONTUS PLUS PAEDIATRIC SUSPENSION, ask your doctor.

Q: Can CONTUS PLUS PAEDIATRIC SUSPENSION cause dizziness?

A: Dizziness is a common side effect of CONTUS PLUS PAEDIATRIC SUSPENSION. In such case, lie down until dizziness is gone, then get up slowly. Move slowly and carefully, do not hurry. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol and tell your doctor if your dizziness does not improve.

Q: What precautions do I need to follow while taking CONTUS PLUS PAEDIATRIC SUSPENSION?

A: Patients taking CONTUS PLUS PAEDIATRIC SUSPENSION must inform their doctor about their pre-existing disease conditions like kidney, liver, heart, thyroid, or lung problems, diabetes, or glaucoma.

Q: Can CONTUS PLUS PAEDIATRIC SUSPENSION be taken during pregnancy?

A: CONTUS PLUS PAEDIATRIC SUSPENSION should be used in pregnancy only if considered clearly necessary by your doctor. If you are pregnant, think you may be pregnant or are planning to get pregnant, consult your doctor before taking this medicine.

REFERENCES

1. Barbara G. Wells, Joseph T. DiPiro, Terry L. Shwinghammer, Cecily V. DiPiro. Allergic Rhinitis. Pharmacotherapy Handbook. Ninth edition. Page- 813.

2. Kiran, M., Vakharia, M., Pawaskar, L., & Sheikh, S. Efficacy and safety of a fixed dose combination of paracetamol, chlorpheniramine maleate and phenylephrine in treatment of common cold: a phase IV, open-labelled, multi-centric study. International Journal of Basic & Clinical Pharmacology. 2018. [Accessed on 21st June 2022] https://www.ijbcp.com/index.php/ijbcp/article/view/3076

3. PubChem Compound Summary for CID 2725, Chlorpheniramine. National Center for Biotechnology Information. June 2022. [Accessed on 21st June 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Chlorpheniramine#section=Mechanism-of-Action

4. Centaur Pharma. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://www.centaurpharma.com/downloads/Sinarest-Oral-Drops2018.pdf

5. Pharmasynth Formulation Ltd. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://pharmasynth.in/product/sedoril-kid/

6. Zuventus Healthcare Ltd. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] http://www.zuventus.co.in/patient_wise_products_selected.aspx?Medi_Id=219

7. Ticoma Pharmacia. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://www.jabsbiotech.com/product/paracetamol-phenylephrine-hydrochloride-chlorpheniramine-maleate-syrup#tab-additional_information

8. Wellona Pharma. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://wellonapharma.com/product/finished/paracetamol-phenyephrine-chlorpheniramine-suspension

9. Comed Chemicals. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://comedchemicals.com/product?id=22

10. Franco Indian Pharmaceuticals Pvt. Ltd. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] http://www.francoindian.com/products/grilinctus-paediatric-syrup.htm

11. Kepler healthcare Pvt. Ltd. Chlorpheniramine + Paracetamol + Phenylephrine. [Accessed on 22nd June 2022] https://keplerhealthcare.com/product/nosier-syrup/