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Zuventus Healthcare Ltd

MAXTRA Oral Drops 15ml

Cough And Cold
Revised GST MRP ₹64.09 17.5% OFF 17.5% OFF (Inclusive of all taxes)
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    Introduction About MAXTRA ORAL DROPS

    MAXTRA ORAL DROPS is a combination of Phenylephrine and Chlorpheniramine which belongs to the group of medicines called Nasal decongestants and Antihistamines respectively. It is used to relieve nasal and sinus congestion, allergic symptoms of the nose or throat due to upper respiratory tract allergies, sinus pain and headache. Also, it is used adjunctly with antibacterials to manage sinusitis (inflammation of the tissue lining the sinuses), tonsillitis (inflammation of the tonsils) and otitis media (middle ear infection).

    Before giving MAXTRA ORAL DROPS to your child, inform child’s doctor if your child has kidney, liver or heart problems, diabetes, fits or severely raised blood pressure. MAXTRA ORAL DROPS is not recommended for use in pregnant or breast-feeding women and elderly patients as it is used only in children.

    The most common side effects of MAXTRA ORAL DROPS are nausea, vomiting, dry mouth, dizziness and tiredness. Consult your child’s doctor if any of the side effects worsen.

    Uses Of MAXTRA ORAL DROPS

    It is used:

    • to relieve nasal and sinus congestion
    • to relieve allergic symptoms of the nose or throat due to upper respiratory tract allergies
    • to relieve sinus pain and headache
    • adjunctly with antibacterials to manage sinusitis, tonsillitis and otitis media

    How MAXTRA ORAL DROPS Works

    MAXTRA ORAL DROPS relieves cold symptoms where Phenylephrine decreases nasal congestion by acting on α1-adrenergic receptors in the small vessels of the nasal mucosa to produce constriction, resulting in decreased swelling and increased drainage of the sinus cavities and 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.

    How to use MAXTRA ORAL DROPS

    Give MAXTRA ORAL DROPS to your child as advised by the physician. Shake well before use. Use a measuring cup to properly measure the dose. Your child’s doctor will decide the correct dose and duration of MAXTRA ORAL DROPS for your child depending upon child’s age, body weight and disease condition.

    Side Effects Of MAXTRA ORAL DROPS

    Common

    • drowsiness
    • sedation
    • disturbance in concentrating, un-coordination, dizziness, headache
    • blurred vision
    • nausea or vomiting
    • dry mouth
    • tiredness

    Rare

    • tremor, weakness
    • painful urination

    Stop giving MAXTRA ORAL DROPS to your child and contact doctor immediately if your child experiences any of the following side effects:

    • develop rash, hives, itching, red or swollen or blistered or peeling skin; wheezing, tightness in the chest or throat, trouble breathing, swallowing or talking, unusual hoarseness or swelling of the mouth, face lips, tongue or throat

    How To Manage Side Effects

    Dry Mouth

    Tell your child to sip water regularly and other sugar free liquids. Tell your child not to use mouthwashes that contain alcohol because they can make your mouth dry, use mouthwash that is used only for dry mouth. Limit your caffeine intake. Consult child’s doctor if the symptom does not improve.

    Headache

    Apply hot or cold-water bag on your child’s head. Advise your child to take rest in a quiet room. Massage child’s scalp or head with mild pressure for relieving effect. Consult child’s doctor if the symptom does not improve.

    Nausea And Vomiting

    Follow simple meal plan for your child while administering MAXTRA ORAL DROPS. Avoid giving foods that are oily, fried or spicy foods. Do not let your child to lie down or sleep immediately after eating. Consult child’s doctor if the symptom does not improve.

    Warning & Precautions

    Pregnancy

    Contraindicated

    MAXTRA ORAL DROPS is not recommended for use in pregnant women as it is used only in children. Consult your doctor for advice.

    Breastfeeding

    Contraindicated

    MAXTRA ORAL DROPS is not recommended for use in breast-feeding women as it is used only in children. Consult your doctor for advice.

    Driving and Using Machines

    Use with Caution

    Do not let your child ride bicycles or drive other vehicles or operate any tools if your child experiences dizziness, drowsiness and sedation after taking MAXTRA ORAL DROPS.

    Kidney

    Use with Caution

    MAXTRA ORAL DROPS should be used with caution in children with kidney failure. Consult your child’s doctor for advice before administration of MAXTRA ORAL DROPS to your child.

    Liver

    Use with Caution

    MAXTRA ORAL DROPS should be used with caution in children with liver impairment. Consult your child’s doctor for advice before administration of MAXTRA ORAL DROPS to your child.

    Allergy

    Contraindicated

    Do not give MAXTRA ORAL DROPS if your child is allergic to Phenylephrine, Chlorpheniramine or any other ingredients of this medicine.

    Heart Disease

    Consult your doctor

    MAXTRA ORAL DROPS is not recommended for use in children with severely high blood pressure. MAXTRA ORAL DROPS should be used with caution in patients with any other cardiovascular problems. Consult your child’s doctor for advice before administration of MAXTRA ORAL DROPS to your child.

    Use In Pediatrics

    Use with Caution

    MAXTRA ORAL DROPS should be used with caution in children from 1 month to 12 years of age. Consult your child’s doctor for advice before administration of MAXTRA ORAL DROPS.

    Use In Geriatrics

    Contraindicated

    MAXTRA ORAL DROPS is not recommended for use in elderly patients as it is used only in children. Consult your doctor for advice.

    Others

    MAXTRA ORAL DROPS is not recommended for use if your child:

    • has phaeochromocytoma (rare tumours that start in the inner part of the adrenal gland)
    • has peripheral or mesenteric vascular thrombosis (blood clots usually in legs or major veins (one or more) that drain blood from the intestine

    Before giving MAXTRA ORAL DROPS to your child, inform your physician if your child:

    • has diabetes
    • has overactive thyroid
    • has closed angle glaucoma
    • has history of fits

    Interactions

    A. Drug-Drug interactions:

    Before giving MAXTRA ORAL DROPS to your child, inform your child’s doctor if your child is taking or receiving any of the following medicines:

    • ephedrine (used to manage low blood pressure)
    • phenytoin (used to manage epilepsy)
    • digoxin (used to manage irregular heartbeat)

    Overdosage:

    If your child accidentally takes too much of MAXTRA ORAL DROPS, contact your doctor immediately or visit a nearby hospital. Overdosage symptoms of MAXTRA ORAL DROPS includes extreme sleepiness, confusion, weakness, ringing in the ears, blurred vision, large pupils, dry mouth, flushing, fever and possibly seizures.

    Synopsis

    Drug :   Phenylephrine, Chlorpheniramine
    Pharmacological Category :   Nasal decongestant, Antihistamines
    Therapeutic Indication :   Relieves nasal and sinus congestion, allergic symptoms, sinus pain, sinusitis, tonsillitis, otitis media           
    Dosage Forms :   Capsule, Tablet, Syrup, Oral drops

    More Information

    Storage

    • Keep MAXTRA ORAL DROPS out of reach of children
    • Store at room temperature

    FAQs About MAXTRA ORAL DROPS

    Q: What is the use of MAXTRA ORAL DROPS?

    A: MAXTRA ORAL DROPS is used to relieve nasal and sinus congestion, allergic symptoms of the nose or throat due to upper respiratory tract allergies, sinus pain and headache. Also, it is used adjunctly with antibacterials to manage sinusitis (inflammation of the tissue lining the sinuses), tonsillitis (inflammation of the tonsils) and otitis media (middle ear infection).

    Q: How does MAXTRA ORAL DROPS work?

    A: MAXTRA ORAL DROPS relieves cold symptoms where phenylephrine decreases nasal congestion by acting on a1-adrenergic receptors in the small vessels of the nasal mucosa to produce constriction, resulting in decreased swelling and increased drainage of the sinus cavities, and 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.

    Q: What are the common side effects of MAXTRA ORAL DROPS?

    A: The most common side effects of taking MAXTRA ORAL DROPS are drowsiness or sedation, disturbance in concentrating, dizziness, headache, blurred vision, nausea or vomiting, and tiredness. Consult your doctor if any of the side effects worsen.

    Q: What if I forget to take a dose of MAXTRA ORAL DROPS?

    A: If you forget to take a dose of MAXTRA ORAL DROPS, take it as soon as you remember. However, omit the missed dose if it is almost time for the next one. Do not take medicine two times to make up for the forgotten dose.

    Q: Can I stop taking MAXTRA ORAL DROPS on my own if my symptoms subside?

    A: Continue taking MAXTRA ORAL DROPS until your doctor tells you to stop, unless you experience any unwanted effects, worsening of your condition, or any new symptoms. In such cases, contact your doctor right away.

    Q: What precautions do I need to follow while taking MAXTRA ORAL DROPS?

    A: Patients taking MAXTRA ORAL DROPS must inform their doctor about their pre-existing conditions like liver, kidney disease, lung disorders, high blood pressure and heart problems, fits, problems with blood circulation (including Raynaud’s phenomenon, which makes the toes and fingers numb and pale), or allergies to foods, preservatives, or dyes.

    Q: Who should not take MAXTRA ORAL DROPS?

    A: MAXTRA ORAL DROPS is not recommended for use if you have a condition in which there is increased pressure inside your eye, gastrointestinal obstruction, genitourinary obstruction, stomach or duodenal ulcer, bladder and prostate problems, diabetes, high blood pressure (particularly due to a tumour near the kidney), or have an overactive thyroid gland, Peripheral or mesenteric vascular thrombosis (blood clots, usually in the legs).

    Q: Can I take other medicines along with MAXTRA ORAL DROPS?

    A: Before taking MAXTRA ORAL DROPS, inform your doctor if you are taking, have taken, or might take any other medicine, including prescription, non-prescription, or any herbal medicines, as these might interact with each other and cause serious side effects.

    Q: Can I take MAXTRA ORAL DROPS if I am pregnant?

    A: MAXTRA ORAL DROPS is not recommended for use by pregnant women. If you are pregnant, think you may be pregnant, or are planning to get pregnant, consult your doctor before taking it. Inform your doctor immediately if you become pregnant during management with this medicine.

    Q: Is MAXTRA ORAL DROPS safe to use in patients with heart problems?

    A: MAXTRA ORAL DROPS is not recommended for use in patients with severely high blood pressure or coronary artery disease. MAXTRA ORAL DROPS should be used with caution in patients with high blood pressure and any other cardiovascular diseases. Consult your doctor before taking it.

    Q: Can MAXTRA ORAL DROPS cause dizziness?

    A: Dizziness is a common side effect of MAXTRA ORAL DROPS. In such cases, try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling dizzy. Do not consume too much alcohol, as it can aggravate your dizziness. Consult your doctor if the symptom does not improve.

    Q: Can MAXTRA ORAL DROPS cause nausea and vomiting?

    A: Yes. MAXTRA ORAL DROPS causes nausea and vomiting. Stick to simple meals while taking this medicine. Avoid eating oily, fried, or spicy foods. Do not lie down or go to sleep immediately after eating. Consult your doctor if the symptom does not improve.

    Q: Can I drink alcohol while taking MAXTRA ORAL DROPS?

    A: No, avoid consumption of alcohol while taking MAXTRA ORAL DROPS, as it might interfere with each other.

    References

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

    2. KD. Tripathi. Adrenergic System and Drugs. Essentials of Medical Pharmacology. Seventh edition. 2013. Page-135.

    3. Mayuresh Kiran and Lalit Pawaskar. Study of Safety and Efficacy for the Combination of Chlorpheniramine maleate and Phenylephrine in Infants suffering from Allergic Rhinitis and Associated Symptoms. International Research of Contemporary Medical Research. March 2019. [Accessed on 20th July 2022] https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_2406_v1.pdf

    4. PubChem Compound Summary for CID 2725, Chlorpheniramine. National Center for Biotechnology Information. June 2022. [Accessed on 20th July 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Chlorpheniramine#section=Mechanism-of-Action

    5. Centaur Pharmaceuticals Pvt. Ltd. and Lab Daffodil. Sinarest AF Drops (Phenylephrine + Chlorpheniramine). [Revised in January 2022] [Accessed on 20th July 2022] https://www.centaurpharma.com/downloads/2022/pediatrics/cold/Sinarest%20AF%20oral%20drops.pdf

    6. Centaur Pharmaceuticals Pvt. Ltd. and Lab Daffodil. Sinarest AF Drops/Syrups [Accessed on 20th July 2022] https://www.centaurpharma.com/downloads/Sinarest-AF-Syr-Drops2018.pdf

    7. Zuventus Healthcare Limited. Maxtra Syrup (Phenylephrine + Chlorpheniramine maleate). [Accessed on 20th July 2022] http://www.zuventus.co.in/doctor_wise_products_selected.aspx?Medi_Id=149

    8. GlaxoSmithKline Consumer Healthcare. Electronic Medicines Compendium (EMC). [Revised in March 2022] [Accessed on 20th July 2022] https://www.medicines.org.uk/emc/files/pil.3928.pdf

    Useful Diagnostic Tests

    • Nasal cytology

    Author Details

    Written By Dr. Janet.C - Pharm.D
    Reviewed For Accuracy By Dr. Rajnikant - MBBS, MD (Physiology)
    Last updated on 13 Aug 2024 | 10:06 AM(IST)
    Lab updated