Chlorpheniramine, Pseudoephedrine, and Dextromethorphan

(klor fen IR a meen, soo doe e FED rin, & deks troe meth OR fan)

Brand Names: U.S.

  • Dicel® DM Chewables [OTC]
  • Kidkare Children's Cough/Cold [OTC]
  • M-END DM [OTC]
  • Maxichlor PSE DM [OTC] [DSC]
  • Neutrahist PDX [OTC]
  • Pedia Relief™ Cough-Cold [OTC]
  • Pediatric Cough & Cold [OTC]
  • Rescon DM [OTC]

What key warnings do I need to know about before giving this drug to my child?

  • Talk with the doctor before giving this drug to a child. Check all of your child's drugs, including OTC, with doctor.
  • Sometimes drugs are not safe when your child takes them with other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to chlorpheniramine, pseudoephedrine, dextromethorphan, or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Why does my child need this drug?

  • It is used to stop coughing.
  • It is used to ease allergy signs.
  • It is used to treat nose stuffiness.

How is this drug given?

  • Give this drug with or without food. Give with food if it causes an upset stomach.
  • Children who have feeding tubes may also use the liquid. Flush the feeding tube before and after this drug is given.
  • Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, get an oral syringe, a dropper, a spoon, or a cup (only for older children) from your pharmacist.

How long does this drug take to work?

  • Your child may start feeling better soon after starting this drug.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child's next dose, skip the missed dose and go back to your child's normal time.
  • Do not give 2 doses or extra doses.
  • Many times this drug is given on an as needed basis.

What safety measures do I need to take when my child is using this drug?

  • If your child has high blood sugar (diabetes), talk with the doctor.
  • If your child has glaucoma, talk with the doctor.
  • If your child has heart disease, talk with the doctor.
  • If your child has high blood pressure, talk with the doctor.
  • If your child has a bowel block, talk with the doctor.
  • If your child has lung disease, talk with the doctor.
  • If your child has thyroid disease, talk with the doctor.
  • If your child has trouble passing urine, talk with the doctor.
  • Check all drugs your child is taking with your child's doctor. This drug may not mix well with some other drugs.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • This drug may cause your child to be less alert. Have your child avoid tasks or actions that call for alertness. These include playing (for example, riding a bicycle, rollerblading, sports) or using items that call for your child to have focus or coordination (for example, scissors, lawnmower, electric scooters, or toy cars). Your child's actions will be closely watched until you see how this drug affects him/her. School work may be hard for your child to focus on and get done.
  • Talk with your doctor before you use other drugs and natural products that slow your actions.
  • Limit your child's use of caffeine and chocolate. Use with this drug may cause nervousness, shakiness, and a fast heartbeat.
  • If your child drinks grapefruit juice or eats grapefruit often, talk with your child's doctor.

What are some side effects of this drug?

  • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Have your child avoid tasks or actions that call for him/her to be alert or have clear eyesight until you see how this drug works.
  • Feeling dizzy. Have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
  • Nervous and excitable.
  • Upset stomach or throwing up. Many small meals and good mouth care may help. Older children may suck hard, sugar-free candy.
  • Not able to sleep.
  • Dry mouth. Good mouth care may help. Older children may suck hard, sugar-free candy. Have your child see a dentist often.

When do I need to call my child's doctor?

  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
  • If your child shows signs of a very bad reaction, call your child's doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child has chest pain or pressure or a fast heartbeat.
  • If your child shows signs of very bad dizziness or passes out.
  • If your child has a bad headache.
  • If your child has a cough that does not go away.
  • If your child is feeling very tired or weak.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you believe your child’s health problem is worse.

How do I store and/or throw out this drug?

  • Store at room temperature.

General drug facts

  • If your child has a very bad allergy, he/she needs to wear an allergy ID at all times.
  • Your child may only get some products of this drug by drug order. If there are refills, call your pharmacy. If no refills are left, you may need to call your child's doctor.
  • Get rid of this drug when your child no longer needs it or if the drug is outdated.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
  • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
  • Do not share your child's drug with others and do not give anyone else's drug to your child.
  • Keep all drugs out of the reach of children and pets.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
  • Talk with the doctor before giving your child any new drug, including OTC, natural products, or vitamins.
  • If you do not use a drug the right way, it may not be safe. Follow what your child’s doctor tells you.