Conquer Cold and Cough with Dextromethorphan Hydrobromide, Chlorpheniramine Maleate and Phenylephrine Hydrochloride!
1. Oh S, Agrawal S, Sabir S, Taylor A. Dextromethorphan.
2. Eccles, R., Fietze, I. and Rose, U.-B. (2014) Rationale for Treatment of Common Cold and Flu with Multi-Ingredient Combination Products for Multi-Symptom Relief in Adults. Open Journal of Respiratory Diseases, 4, 73-82. http://dx.doi.org/10.4236/ojrd.2014.43011.
3. Zedex plus PI 2024
Where to use?
- Dextromethorphan, Chlorpheniramine, and Phenylephrine are commonly used in combination to treat symptoms associated with the common cold and upper respiratory tract infections.
- They are typically used to relieve:
Cough: Dextromethorphan acts as a cough suppressant.
Nasal Congestion: Phenylephrine helps to reduce nasal congestion by constricting blood vessels.
Runny Nose and Sneezing:
Chlorpheniramine alleviates symptoms such as runny nose and sneezing by blocking histamine receptors.
1. Oh S, Agrawal S, Sabir S, Taylor A. Dextromethorphan.
2. Livier Castillo J, et al. The Use and Efficacy of Oral Phenylephrine Versus Placebo Treating Nasal Congestion Over the Years on Adults: A Systematic Review. Cureus. 2023 Nov 19;15(11):e49074.
3. Zedex plus PI 2024
How to use?
- Shake the syrup bottle well before use to ensure that the ingredients are evenly distributed
- Measure the dose with a measuring cap and ensure correct oral doses.
- Check the instructions on the label thoroughly before use.
- For Adults and children >12 years -10ml 2-3 times a day.
- ZEDEX PLUS can be taken with or without food, but taken as per physicians direction.
1. Zedex plus PI 2024
Possible Side effects
- Dizziness
- Dry mouth
- Headache
- Sleep disturbances
- Palpitations
- Rashes or itching
- Blurred Vision
- GI disturbance
(Nausea-vomiting, constipation, heartburn or anorexia)
1. Zedex plus PI 2024
Safety Advises
Alcohol:
Caution is advised when consuming alcohol with ZEDEX PLUSRx. Please consult your doctor.
Pregnancy and Lactation:
Please consult your doctor if you are pregnant, breastfeeding, or planning to conceive during the treatment. This medication may cause fetal harm or be secreted in breast milk. Your doctor will weigh the benefits and potential risks before prescribing it to you.
Caution:
Caution should be maintained in patients with history of cardiac disorders, diabetes or peripheral vascular disease.
Driving:
Please drive with caution while on the medication and drive only if necessary. ZEDEX PLUSRx may cause your vision to blur and may cause dizziness, which involves risk in driving.
1. Zedex plus PI 2024
Why this combination?
CHLORPHENIRAMINE; DEXTROMETHORPHAN; PHENYLEPHRINE is a combination of an antihistamine, a cough suppressant, and a decongestant. When combined, these medications provide a multi-symptom approach to treating cold and allergy symptoms.1
Here’s how they complement each other:2,3,4
Cough Suppression:
Dextromethorphan helps manage coughs, which can be particularly bothersome during colds.
Allergy Relief:
Chlorpheniramine addresses the histamine-related symptoms, reducing sneezing, itching, and runny nose.
Nasal Congestion Relief:
Phenylephrine helps clear nasal congestion, making it easier to breathe.
1. Chlorpheniramine; Dextromethorphan; Phenylephrine oral solution or syrup. Available at: https://my.clevelandclinic.org/health/drugs/ 19488-chlorpheniramine-dextromethorphan-phenylephrine-oral-solution-or-syrup. Accessed on 15th July 2024.
2. Oh S, Agrawal S, Sabir S, Taylor A. Dextromethorphan.
3. Livier Castillo J, et al. The Use and Efficacy of Oral Phenylephrine Versus Placebo Treating Nasal Congestion Over the Years on Adults: A Systematic Review. Cureus. 2023 Nov 19;15(11):e49074.
4. Zedex plus PI 2024.
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Increase Defecation Frequency Now: PEG vs. LactuloseInsights from the RHINESSA Study suggest Chronic Cough to be Heritable Across Generations
Insights from the RHINESSA Study suggest Chronic Cough to be Heritable Across Generations
This study investigated the heritability of chronic cough, examining whether individuals with chronic cough are more likely to have offspring who also develop cough, and whether this association varies by cough type (productive vs. nonproductive).
The RHINESSA Generation Study included 7,155 parents aged 30-54 who completed detailed questionnaires in 2000 and 2010, and 8,176 offspring aged ≥20 who completed similar questionnaires between 2012-2019. Chronic cough was classified as either productive or nonproductive. Mixed-effects logistic regression analyses were conducted to assess the associations between parental and offspring cough, adjusting for multiple factors including offspring age, sex, body mass index, smoking history, asthma, rhinitis, gastroesophageal reflux, and parental smoking.
Results indicated that offspring of parents with nonproductive cough had a higher prevalence of nonproductive cough (11%) compared to those with parents without nonproductive cough (7%), with an adjusted odds ratio (aOR) of 1.59 (95% CI: 1.20-2.10). Similarly, offspring of parents with productive cough had a higher prevalence of productive cough (14%) compared to those with non-productive cough parents (11%), with an aOR of 1.34 (95% CI: 1.07-1.67). No significant associations were found between mismatched cough types.
These findings suggest that chronic cough, independent of asthma, may be a distinct heritable trait with type-specific transmission patterns.
Insights from the RHINESSA Study suggest Chronic Cough to be Heritable Across Generations
Insights from the RHINESSA Study suggest Chronic Cough to be Heritable Across Generations
This study investigated the heritability of chronic cough, examining whether individuals with chronic cough are more likely to have offspring who also develop cough, and whether this association varies by cough type (productive vs. nonproductive).
The RHINESSA Generation Study included 7,155 parents aged 30-54 who completed detailed questionnaires in 2000 and 2010, and 8,176 offspring aged ≥20 who completed similar questionnaires between 2012-2019. Chronic cough was classified as either productive or nonproductive. Mixed-effects logistic regression analyses were conducted to assess the associations between parental and offspring cough, adjusting for multiple factors including offspring age, sex, body mass index, smoking history, asthma, rhinitis, gastroesophageal reflux, and parental smoking.
Results indicated that offspring of parents with nonproductive cough had a higher prevalence of nonproductive cough (11%) compared to those with parents without nonproductive cough (7%), with an adjusted odds ratio (aOR) of 1.59 (95% CI: 1.20-2.10). Similarly, offspring of parents with productive cough had a higher prevalence of productive cough (14%) compared to those with non-productive cough parents (11%), with an aOR of 1.34 (95% CI: 1.07-1.67). No significant associations were found between mismatched cough types.
These findings suggest that chronic cough, independent of asthma, may be a distinct heritable trait with type-specific transmission patterns.
Recent medical technologies in the management of cough
Recent medical technologies in the management of cough
Recent research indicated that Eladis® exhibited overall effectiveness and a statistically significant superiority compared to the placebo. The data from this study were presented in the journal Terapevticheskii arkhiv.
This phase III clinical trial enrolled 250 individuals aged 18 to 65 years suffering from acute respiratory viral infections with acute bronchitis or upper respiratory tract involvement. Participants were randomly assigned into two groups of 125: one group received Eladis® (40 mg tablets), while the other group received a placebo. The study drugs were administered as one tablet twice daily for a duration of seven to fourteen days. Following the treatment, patients were followed up (on day 7±2) to evaluate the therapy effects on the frequency and intensity of daytime and nighttime cough, the frequency of coughing episodes, the severity of cough, the duration until clinical resolution of cough, and the effect on the severity of the main symptoms associated with acute respiratory viral infections.
Significant differences were observed among the study groups in the percentage of patients who achieved a reduction in coughing attack frequency by 50% or more by day five (p value <0.0001). Additionally, the Eladis® group demonstrated clinical resolution of cough two days earlier, with a median time of six days compared to eight days in the placebo group. By day five of treatment, there was a substantial decrease in both the frequency and severity of cough attacks, exceeding 3.5 points. All these effects were correlated with the drug's high safety profile.
Therefore, Eladis® demonstrated overall efficacy and a statistically significant benefit in comparison to the placebo.
Recent medical technologies in the management of cough
Recent medical technologies in the management of cough
Recent research indicated that Eladis® exhibited overall effectiveness and a statistically significant superiority compared to the placebo. The data from this study were presented in the journal Terapevticheskii arkhiv.
This phase III clinical trial enrolled 250 individuals aged 18 to 65 years suffering from acute respiratory viral infections with acute bronchitis or upper respiratory tract involvement. Participants were randomly assigned into two groups of 125: one group received Eladis® (40 mg tablets), while the other group received a placebo. The study drugs were administered as one tablet twice daily for a duration of seven to fourteen days. Following the treatment, patients were followed up (on day 7±2) to evaluate the therapy effects on the frequency and intensity of daytime and nighttime cough, the frequency of coughing episodes, the severity of cough, the duration until clinical resolution of cough, and the effect on the severity of the main symptoms associated with acute respiratory viral infections.
Significant differences were observed among the study groups in the percentage of patients who achieved a reduction in coughing attack frequency by 50% or more by day five (p value <0.0001). Additionally, the Eladis® group demonstrated clinical resolution of cough two days earlier, with a median time of six days compared to eight days in the placebo group. By day five of treatment, there was a substantial decrease in both the frequency and severity of cough attacks, exceeding 3.5 points. All these effects were correlated with the drug's high safety profile.
Therefore, Eladis® demonstrated overall efficacy and a statistically significant benefit in comparison to the placebo.
Recent medical technologies in the management of cough
Recent medical technologies in the management of cough
Recent research indicated that Eladis® exhibited overall effectiveness and a statistically significant superiority compared to the placebo. The data from this study were presented in the journal Terapevticheskii arkhiv.
This phase III clinical trial enrolled 250 individuals aged 18 to 65 years suffering from acute respiratory viral infections with acute bronchitis or upper respiratory tract involvement. Participants were randomly assigned into two groups of 125: one group received Eladis® (40 mg tablets), while the other group received a placebo. The study drugs were administered as one tablet twice daily for a duration of seven to fourteen days. Following the treatment, patients were followed up (on day 7±2) to evaluate the therapy effects on the frequency and intensity of daytime and nighttime cough, the frequency of coughing episodes, the severity of cough, the duration until clinical resolution of cough, and the effect on the severity of the main symptoms associated with acute respiratory viral infections.
Significant differences were observed among the study groups in the percentage of patients who achieved a reduction in coughing attack frequency by 50% or more by day five (p value <0.0001). Additionally, the Eladis® group demonstrated clinical resolution of cough two days earlier, with a median time of six days compared to eight days in the placebo group. By day five of treatment, there was a substantial decrease in both the frequency and severity of cough attacks, exceeding 3.5 points. All these effects were correlated with the drug's high safety profile.
Therefore, Eladis® demonstrated overall efficacy and a statistically significant benefit in comparison to the placebo.
Recent medical technologies in the management of cough
Recent medical technologies in the management of cough
Recent research indicated that Eladis® exhibited overall effectiveness and a statistically significant superiority compared to the placebo. The data from this study were presented in the journal Terapevticheskii arkhiv.
This phase III clinical trial enrolled 250 individuals aged 18 to 65 years suffering from acute respiratory viral infections with acute bronchitis or upper respiratory tract involvement. Participants were randomly assigned into two groups of 125: one group received Eladis® (40 mg tablets), while the other group received a placebo. The study drugs were administered as one tablet twice daily for a duration of seven to fourteen days. Following the treatment, patients were followed up (on day 7±2) to evaluate the therapy effects on the frequency and intensity of daytime and nighttime cough, the frequency of coughing episodes, the severity of cough, the duration until clinical resolution of cough, and the effect on the severity of the main symptoms associated with acute respiratory viral infections.
Significant differences were observed among the study groups in the percentage of patients who achieved a reduction in coughing attack frequency by 50% or more by day five (p value <0.0001). Additionally, the Eladis® group demonstrated clinical resolution of cough two days earlier, with a median time of six days compared to eight days in the placebo group. By day five of treatment, there was a substantial decrease in both the frequency and severity of cough attacks, exceeding 3.5 points. All these effects were correlated with the drug's high safety profile.
Therefore, Eladis® demonstrated overall efficacy and a statistically significant benefit in comparison to the placebo.
Management of the breathlessness-cough-fatigue symptom cluster in lung cancer through respiratory distress symptom intervention
Management of the breathlessness-cough-fatigue symptom cluster in lung cancer through respiratory distress symptom intervention
A recent study showed that the use of respiratory distress symptom intervention (RDSI) has shown to be an effective and low-risk intervention in aiding the management of the respiratory distress symptom cluster in individuals diagnosed with lung cancer. This study’s findings were published in the journal, BMJ Supportive & Palliative Care.
A total of 263 patients diagnosed with lung cancer were enrolled in this clinical trial, with 132 patients assigned to receive RDSI and 131 patients assigned to receive standard care. To be eligible for the trial, participants had to self-report experiencing adverse effects in their daily lives from at least two out of the three symptoms, in any combination. The outcomes measured were the changes in each symptom within the cluster, namely Dyspnoea-12 (D-12), Functional Assessment of Chronic Illness-Fatigue, and Manchester Cough in Lung Cancer (MCLC) at the 12-week mark.
Nearly 60% of the participants reported experiencing all three symptoms at the baseline. By the end of the trial, there was a total attrition of 109 participants (41.4%). When compared to the control group, the RDSI group demonstrated a statistically significant improvement in D-12 (p=0.007) and MCLC (p<0.001). Each outcome reached the minimal clinically important difference (MCID): MCLC -5.49 (MCID >3), D-12 -4.13 (MCID >3), and FACIT-F 4.91 (MCID >4).
Thus, RDSI has proven its effectiveness and safety in supporting the management of the respiratory distress symptom cluster in patients with lung cancer. However, it is important to consider the significant attrition observed in the study while interpreting these findings.
Management of the breathlessness-cough-fatigue symptom cluster in lung cancer through respiratory distress symptom intervention
Management of the breathlessness-cough-fatigue symptom cluster in lung cancer through respiratory distress symptom intervention
A recent study showed that the use of respiratory distress symptom intervention (RDSI) has shown to be an effective and low-risk intervention in aiding the management of the respiratory distress symptom cluster in individuals diagnosed with lung cancer. This study’s findings were published in the journal, BMJ Supportive & Palliative Care.
A total of 263 patients diagnosed with lung cancer were enrolled in this clinical trial, with 132 patients assigned to receive RDSI and 131 patients assigned to receive standard care. To be eligible for the trial, participants had to self-report experiencing adverse effects in their daily lives from at least two out of the three symptoms, in any combination. The outcomes measured were the changes in each symptom within the cluster, namely Dyspnoea-12 (D-12), Functional Assessment of Chronic Illness-Fatigue, and Manchester Cough in Lung Cancer (MCLC) at the 12-week mark.
Nearly 60% of the participants reported experiencing all three symptoms at the baseline. By the end of the trial, there was a total attrition of 109 participants (41.4%). When compared to the control group, the RDSI group demonstrated a statistically significant improvement in D-12 (p=0.007) and MCLC (p<0.001). Each outcome reached the minimal clinically important difference (MCID): MCLC -5.49 (MCID >3), D-12 -4.13 (MCID >3), and FACIT-F 4.91 (MCID >4).
Thus, RDSI has proven its effectiveness and safety in supporting the management of the respiratory distress symptom cluster in patients with lung cancer. However, it is important to consider the significant attrition observed in the study while interpreting these findings.
Thymus vulgaris effectively alleviates cough symptoms in children experiencing asthma exacerbation
Thymus vulgaris effectively alleviates cough symptoms in children experiencing asthma exacerbation
According to a recent study, thymus vulgaris (TV) syrup may be an effective adjunctive therapy in the management of asthma exacerbations in children. This study’s results were published in the journal, Allergologia et Immunopathologia.
In this triple blinded, randomized clinical trial, a total of 60 children aged between 5 and 12, who were experiencing asthma exacerbations, were divided into two groups. The intervention group, consisting of 30 children, received TV powder in syrup form at a dosage of 20 mg/kg every 8 hours, in addition to their regular medical treatment, for a duration of one week. On the other hand, the control group, also comprising 30 children, received a placebo syrup along with their regular medical treatment. At the end of the week, clinical and laboratory symptoms, as well as spirometry data, were recorded again for both groups.
Following the intervention, there was a decrease in activity-induced cough, with a statistically significant difference observed between the two groups (p = 0.042). Analysis of spirometry data revealed a significant variance in forced expiratory volume in 1 second (FEV1) between the two groups post-intervention (p = 0.048).
Thus, it can be concluded that TV syrup may be a beneficial supplementary treatment in the control of asthma exacerbations among children.
Thymus vulgaris effectively alleviates cough symptoms in children experiencing asthma exacerbation
Thymus vulgaris effectively alleviates cough symptoms in children experiencing asthma exacerbation
According to a recent study, thymus vulgaris (TV) syrup may be an effective adjunctive therapy in the management of asthma exacerbations in children. This study’s results were published in the journal, Allergologia et Immunopathologia.
In this triple blinded, randomized clinical trial, a total of 60 children aged between 5 and 12, who were experiencing asthma exacerbations, were divided into two groups. The intervention group, consisting of 30 children, received TV powder in syrup form at a dosage of 20 mg/kg every 8 hours, in addition to their regular medical treatment, for a duration of one week. On the other hand, the control group, also comprising 30 children, received a placebo syrup along with their regular medical treatment. At the end of the week, clinical and laboratory symptoms, as well as spirometry data, were recorded again for both groups.
Following the intervention, there was a decrease in activity-induced cough, with a statistically significant difference observed between the two groups (p = 0.042). Analysis of spirometry data revealed a significant variance in forced expiratory volume in 1 second (FEV1) between the two groups post-intervention (p = 0.048).
Thus, it can be concluded that TV syrup may be a beneficial supplementary treatment in the control of asthma exacerbations among children.
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Videos Speakers
Q1: What are the active ingredients in ZEDEX PLUS?
A: ZEDEX PLUS contains a blend of active ingredients, including a cough suppressant, a decongestant, and an antihistamine.
Q2: How does ZEDEX PLUS work?
A: ZEDEX PLUS works by suppressing the cough reflex, reducing nasal congestion, and relieving symptoms of allergy such as runny nose and sneezing.
Q3: Is ZEDEX PLUS available over the counter?
A: Yes, ZEDEX PLUS is available over the counter, but it is recommended to consult with a healthcare provider before use.
Q4: What symptoms does ZEDEX PLUS treat?
A: ZEDEX PLUS treats cough, nasal congestion, runny nose, and other symptoms associated with the common cold and allergies.
Q5: How should I take ZEDEX PLUS?
A: Take ZEDEX PLUS as directed on the package or by your healthcare provider, usually with or without food.
Q6: What is the recommended dosage for adults?
A: The recommended dosage for adults is specified on the packaging or by your healthcare provider. Do not exceed the recommended dose.
Q7: Can I take ZEDEX PLUS with food?
A: Yes, ZEDEX PLUS can be taken with or without food.
Q8: What should I do if I miss a dose?
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double up to make up for the missed dose.
Q9: How long can I take ZEDEX PLUS?
A: Do not take ZEDEX PLUS for more than 7 days without consulting your healthcare provider.
Q10: Who should not take ZEDEX PLUS?
A: Individuals allergic to any ingredients, or those with certain medical conditions such as high blood pressure or heart disease, should avoid ZEDEX PLUS. Consult your healthcare provider for more information.
Q11: Can I take ZEDEX PLUS with other medications?
A: Always consult your healthcare provider before combining ZEDEX PLUS with other medications to avoid potential interactions.
Q12: Can I drink alcohol while taking ZEDEX PLUS?
A: Avoid alcohol while taking ZEDEX PLUS, as it can increase the risk of drowsiness and dizziness.
Q13: Is ZEDEX PLUS safe for children?
A: ZEDEX PLUS should be used in children only under the supervision of a healthcare provider and according to the recommended dosage.
Q14: How should I store ZEDEX PLUS?
A: Store ZEDEX PLUS at room temperature, away from light and moisture. Keep it out of reach of children.
Q15: What should I do if I accidentally overdose?
A: In case of an overdose, seek medical attention immediately. Overdose symptoms may include severe drowsiness, confusion, and difficulty breathing.
Q16: Can I share ZEDEX PLUS with someone else?
A: Do not share ZEDEX PLUS with others, as it is prescribed based on individual health conditions and needs.
Q17: How long does it take for ZEDEX PLUS to work?
A: ZEDEX PLUS typically starts to relieve symptoms within 30 minutes to an hour.
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