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Phenylephrine

Prescription vs.OTC: Prescription by Doctor required

Phenylephrine is used to gain temporary relief from stuffy nose, sinus, and ear symptoms caused by the allergies, common cold, flu, or other breathing illnesses such as sinusitis and bronchitis. This medication works by decreasing swelling in the nose and ears which makes breathing easier and lessens any discomfort.

Mild upset stomach, lightheadedness, seizures, mood changes, trouble sleeping, dizziness, shaking, headache, nervousness or fast and irregular heartbeat may occur as side effects to this medicine. It may also reduce blood flow to hands or feet, causing them to feel cold. Smoking may worsen this effect. So you are advised to dress warmly and avoid tobacco use.

To ensure complete safety, before starting the medicine tell your doctor if you suffer from blood vessel problems, diabetes, overactive thyroid, high blood pressure, mood disorders, glaucoma, heart disease, seizure disorder, difficulty sleeping or trouble urinating. This medication is recommended for use in younger children.

The dosage is based on your age. Without your doctor’s approval, do not increase your dose or frequency of this medication. Improper use of this drug can cause you serious harm.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Pulmonologist before using this medicine.

dry cough

In addition to its intended effect, Phenylephrine may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.

Is It safe with alcohol?

Niltuss-dc syrup may cause excessive drowsiness and calmness with alcohol.

Are there any pregnancy warnings?

Niltuss-dc syrup may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

Are there any breast-feeding warnings?

Unknown. Human and animal studies are not available. Please consult your doctor.

Is it safe to drive while on this medicine?

Caution is advised when driving or operating machinery.

Does this affect kidney function?

Caution to be advised in patients with severe impaired renal function.
contraindicated in patients with moderate to severe renal impairment

Does this affect liver function?

There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which contains Phenylephrine as ingredient
Mankind Pharma Ltd
Leeford Healthcare Ltd
Alkem Laboratories Ltd
Tablets India Limited
Wanbury Ltd
Glenmark Pharmaceuticals Ltd
Fourrts India Laboratories Pvt Ltd
Unison Pharmaceuticals Pvt Ltd
Dr Reddy s Laboratories Ltd
Wings Biotech Ltd
Centaur Pharmaceuticals Pvt Ltd
Alpic Biotech Ltd
Rapross Pharmaceuticals Pvt Ltd
Unichem Laboratories Ltd
Glaxo SmithKline Pharmaceuticals Ltd
Walter Bushnell
Sun Pharmaceutical Industries Ltd
Wockhardt Ltd
Blue Cross Laboratories Ltd
Glenmark Pharmaceuticals Ltd
Alkem Laboratories Ltd
Phenylephrine is an alpha-1 adrenergic receptor agonist belonging to the penethylamine class, which acts as a nasal decongestant. It works by narrowing the swelling of blood vessels in the ear and nose, thereby providing great relief from discomfort.
What are you using Phenylephrine for?
stuffy nose
Other
sinus
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
Within 2 hours
Within a day
Within 6 hours
Within 2 days
More than 2 days
How frequently did you take this medicine?
Twice a day
Once a day
Not taking on daily level
Thrice a day
Four times A Day
How did you take this medicine?
With Food
With or without food
Empty stomach
What were the side effects of this medicine?
Sleepiness
Light Headedness
Sedation
Fatigue
Dehydration
Vomiting
Dizziness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Please suggest. Can I give paracetamol phenylephrine hydrochloride and chlorpheniramine maleate syrup to 2 year old baby.

DCH, MBBS
Pediatrician, Pune
Please suggest. Can I give paracetamol phenylephrine hydrochloride and chlorpheniramine maleate syrup to 2 year old b...
Hello, Yes, you can give but please consult a nearby Pediatrician for other co conditions to your baby. Regards.
1 person found this helpful

I am suffering from Anal Fissure due to tighten of Anal Sphincter, Doctor Prescribe Ruticool Cream (containing Lidocaine Topical (3% w/w, Calcium Dobesilate Topical (0.025% w/w, Hydrocortisone Topical (0.025% w/w, Phenylephrine (0.1% w/w, Zinc Oxide (5% w/w)), But after use of cream I feel my anus is tighten more then relax, Is this Cream is Ok for this condition? Thanks.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Some dietary restrictions and Homeopathic Medicines will certainly help you. Edibles To Avoid :- Amchoor Amchur, Ajwain, Elaichi Cardamom, Imli Tamarind, Laung Cloves, Teekha-Mirch (Red-Green), Fig, millet, Cluster Beans, Brinjal-Eggplant, sesame, peanuts, pickle, Buckwheat Flour,  Pain killar Medicines, >>>To eat more :- Guava, Orange, Pear, Mosambi (Sweet orange), Curd, Salad >>>To continue as usual :- Cumin Seeds, coriander, turmeric, Salt, Aniseed-Fennel, Kashmeeri Lal-hari mirch and all other food items not mentioned above, unless not forbidden due to other ailments If you have faith in homeopathic medicine, you can take following medication: (1) Alpha Liv (2) R 13 Take medicine under supervision of homeopathic consultant only You can consult me in person through Lybrate online for more information.

I am getting cough with phlegm and some times dry cough for 10 days. It is very high. I used the drugs containing guaifenesin, phenylephrine, chlorpheniramine, and antibiotics azithromycin and levofloxacin and also amoxicillin. But I didn't get any result. I am 50 years old and I am a diabetic patient. Due to this cough my BP level increasing and urine leakage also occur at the time of coughing. Please suggest any other treatment please please.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear It is essential for you to improve your immunity and lung health to protect you from the conditions leading to this situation. Allergic reactions to dust or air borne mites (in AC environment is common) or some foods also leads to accumulation of kappha leading to this. It may not be infection at all. So no type of antibiotic helps. Please take capsule Reimmugen (healthsolutions. Net.in) that will modulate and strengthen immunity. If medicines are not helping, please do not take as they will only increase the toxic/side effects that are difficult for anyone, especially diabetics. Regards.

What is the ideal dose of syrup TANCET-COLD {i e each 5 ml contains*cetrizine 1 mg, phenylephrine 2.5 mg,paracetamol mg) for male baby 18 month old. Weight 10 kg.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
What is the ideal dose of syrup TANCET-COLD {i e each 5 ml contains*cetrizine 1 mg, phenylephrine 2.5 mg,paracetamol ...
I never preferred FDC medicines that too cough syrup. Though you missed quantity of paracetamol even then there is no rational combination.

My brother is 24 year old he ill by the nose infection please give me any advice.

BHMS
Sexologist, Noida
My brother is 24 year old he ill by the nose infection please give me any advice.
Treatment. Using a nasal decongestant spray, such as phenylephrine or oxymetazoline, can help relieve sinus infection symptoms short-term. But continuous use over 10 to 14 days can cause a rebound effect in nasal congestion.

Popular Health Tips

Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology , DM - Endocrinology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

Sinusitis: Management and Prevention

Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which

Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:

New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● headache
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.

Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● cough
bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● fever
facial pain or pressure
● headache
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria

A. Multiplication of bacteria
B. Secondary bacterial infection

Other predisposing factors
tumors
● polyps
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● allergies
asthma
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● rhinovirus
● coronavirus
● adenovirus
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).

Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis

Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● anaerobes

Differential diagnosis
migraine headache
cluster headache
● dental infection
trigeminal neuralgia

Workup
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
 

Guide therapy:
● transillumination
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
endoscopy
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.

Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%

● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,

Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.

Antimicrobial therapy
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of

Bacterial sinusitis.

antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the

Costlier second-line agents.

Surgery
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis

16 people found this helpful

7 Hidden Atrial Fibrillation Dangers

PGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBS
General Physician, Narnaul
7 Hidden Atrial Fibrillation Dangers

When you are diagnosed with atrial fibrillation, or afib, the most common type of irregular heartbeat, putting your heart back in its proper rhythm is only half the goal. Stroke prevention is the other.

Both objectives require rethinking certain foods and medications that once seemed innocuous and now could be a danger to your health. From common over-the-counter drugs to some of the healthiest vegetables on the planet, here's a list of atrial fibrillation dangers to sidestep.

Caffeine can trigger atrial fibrillation

Chugging cup after cup of coffee may help you stay awake, but too much caffeine can be an atrial fibrillation trigger, causing more frequent episodes of the irregular heartbeat. The same goes for caffeine pills, energy drinks, and other caffeine-containing substances.

" they [energy drinks] have the capacity to make afib worse or more frequent, even in people who have never had afib before" says larry chinitz, md, a cardiologist and professor of medicine at nyu langone medical center in new york city. But, Dr. Chinitz notes, when you have afib, only excessive caffeine intake is a problem, so you can sip a latte here or there without any trouble.

Alcohol can be toxic to your heart

Think twice before you order that next round alcohol and atrial fibrillation can be a dangerous combination. Alcohol in excessive amounts is a depressant to the brain, but a stimulant to the heart. This stimulation can worsen or instigate afib episodes.

" it's also a direct toxin to the heart muscle" chinitz says. Sometimes, heavy drinking over a short period of time can cause episodes of atrial fibrillation in people who have not been previously diagnosed with it, a condition known as holiday heart syndrome.

Cold and allergy medications can trigger afib

For most people, nonprescription medications for stuffy and runny noses are fine, but cold/allergy medicine and atrial fibrillation don't mix well. Use caution when taking these remedies because they could cause more frequent episodes of an irregular heartbeat.

" all medications that are trying to decrease secretions or dilate the airways or lungs are all direct stimulants to the heart" chinitz explains. A few common stimulating over-the-counter (otc) medications to watch out for include actifed (chlorpheniramine and phenylephrine), sudafed (pseudoephedrine), and contac (acetaminophen, chlorpheniramine, and phenylephrine), though others may present the same atrial fibrillation dangers. Talk to your doctor before taking any of these medications if you have afib.

Leafy green vegetables affect blood clotting

Whoever thought that veggies could be bad for you? but as it turns out, some of them can be dangerous if you have atrial fibrillation. If you're on a blood thinner such as warfarin (coumadin, jantoven) for atrial fibrillation to prevent stroke, you should carefully monitor your intake of green leafy vegetables like spinach and kale, which contain high amounts of vitamin k.

Vitamin k can counteract the blood-thinning effects of warfarin, making some veggies atrial fibrillation dangers. But you don't have to give up vitamin k for afib management; the key is to eat about the same amount of k-rich foods every day" you shouldn't have none for a month and then huge amounts over the course of a few days" chinitz says.

Vitamins and herbal supplement cautions

Though otc supplements are often thought of as harmless, some of them can affect atrial fibrillation. Vitamin e, for example, has a blood-thinning effect so if you're on a blood thinner, talk to your doctor before taking it. The same goes for herbal medications that have a stimulant effect, like ma huang (chinese ephedra) and st. John's wort.

Extreme exercise puts a strain on your heart

For most people with atrial fibrillation, moderate exercise isn't a problem and can be beneficial by helping you control your weight and improve your mood. But a few people with afib find that particularly difficult workouts can launch a fibrillation episode" we do caution those people against excessive amounts [of exercise]" chinitz says" but most people's exercise routines are not affected"

If you notice irregular heart rhythms during or just after a workout, talk with your doctor about the best way to proceed so that healthy workouts don't turn into atrial fibrillation dangers.

Stress, anxiety, and depression weigh on the heart

Emotions can play a role in bringing on an atrial fibrillation episode. People with afib who have more severe anxiety and depression symptoms may have more afib episodes than people with less-severe anxiety and depression. To help reduce stress and lower your risk of an afib episode, pay close attention to your emotions and schedule relaxing activities that you enjoy.

If your stress, anxiety, or depression becomes overwhelming, talk to a healthcare professional about ways to lighten your emotional load.

Understanding Retrograde Ejaculation

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Understanding Retrograde Ejaculation

A very uncommon and rare condition, which can occur in case a person is diabetic or has undergone a surgery, a medical disorder known as retrograde ejaculation. It is a condition in which semen enters the bladder rather than going out of the penis after orgasm. This causes a problem as very little or no semen is ejaculated.

That is why this is sometimes also called as 'Dry orgasm'. The only treatment for retrograde ejaculation is to make the male fertile again because retrograde ejaculation is not particularly harmful to the individual. It has the following symptoms:

There are only three main symptoms associated with retrograde ejaculation.

  1. Dry orgasms
  2. Urine that is cloudy immediately after an orgasm
  3. Male infertility

The possible causes of retrograde ejaculation are:

  1. Surgery such as prostate surgery
  2. Certain medications which cause side effects. These medications are usually administered for high blood pressure, prostate enlargement and mood disorders.
  3. Nerve damage

It is worth noting that Dry orgasms have other causes as well, which includes:

  1. Prostatectomy, which is the removal of the prostate by surgery
  2. Cystectomy, which is the removal of the bladder by surgery
  3. Radiation therapy, which is especially used to treat cancer in the pelvic area

Here is how retrograde ejaculation may get more complications

There are only two main complications which occur due to retrograde ejaculation. These include:

  1. Male infertility
  2. Worries about retrograde ejaculation which may lead to less pleasurable orgasms

Treatment for retrograde ejaculation.

It is worth noting that certain medications, which are used to treat retrograde ejaculation can lead to serious complications and others may lead to a higher heart rate and blood pressure.

Medications which are usually used:

  1. Imipramine which is also called Tofranil
  2. Chlorpheniramine and Brompheniramine
  3. Ephedrine, Pseudoephedrine and Phenylephrine

It is also worth noting that the treatment for male infertility is different and more advanced.

Related Tip: "Stress and Premature Ejaculation"

3707 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

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Risk Factors for High Blood Pressure (Hypertension

MBBS
General Physician, Himatnagar
Risk Factors for High Blood Pressure (Hypertension
Risk factors for high blood pressure (hypertension)
The top 10 risk factors for high blood pressure include:
Being overweight or obese

The more you weigh the more blood flow you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the pressure inside your arteries.

Too much salt (sodium) in your diet

Too much sodium in your diet can cause your body to retain fluid, and also causes the arteries in your body to constrict. Both factors increase blood pressure.

Too little potassium in your diet

Potassium helps balance the amount of sodium in your cells. Potassium causes the smooth muscle cells in your arteries to relax, which lowers blood pressure.

Not being physically active

Exercise increases blood flow through all arteries of the body, which leads to release of natural hormones and cytokines that relax blood vessels, which in turn lowers blood pressure. Lack of physical activity also increases the risk of being overweight.

Drinking too much alcohol

Having more than two drinks per day can cause hypertension, probably by activating your adrenergic nervous system, causing constriction of blood vessels and simultaneous increase in blood flow and heart rate.

Stress

High levels of stress can lead to a temporary, but dramatic, increase in blood pressure. If you try to relax by eating more, using tobacco or drinking alcohol, you may only exacerbate problems with high blood pressure. Relaxation and meditation techniques effectively lower blood pressure.

Non-steroidal anti-inflammatory drugs (nsaids)

Ibuprofen (advil, motrin, ibuprofen) can cause marked worsening of existing hypertension or development of new high blood pressure. It can also cause damage to the kidneys, worsening of heart failure, and even heart attack or stroke. Ibuprofen is a member of the class of drugs called nsaids, which includes naproxen (aleve, naprosyn, and anaprox), sulindac (clinoril), diclofenac (voltaren), piroxicam (feldene), indomethacin (indocin), mobic, lodine and celecoxib (celebrex).

Cough and cold medications (sudafed and other brands that contain pseudoephedrine and phenylephrine)

Cough and cold medicines frequently contain decongestants such as pseudoephedrine and phenylephrine. These medications cause your blood pressure and heart rate to rise, by constricting all your arteries, not just those in you nose.

Certain chronic conditions

Certain chronic conditions also may increase your risk of high blood pressure, including diabetes, kidney disease and sleep apnea.

A diet low in vitamin d

It's uncertain if having too little vitamin d in your diet can lead to high blood pressure. Researchers think that vitamin d may affect an enzyme produced by your kidneys that affects your blood pressure. More studies are necessary to determine vitamin d's exact role in high blood pressure. However, talk to your doctor about whether you may benefit from taking a vitamin d supplement.
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Table of Content
About Phenylephrine
When is Phenylephrine prescribed?
What are the side effects of Phenylephrine ?
Key highlights of Phenylephrine
Medicines containing Phenylephrine
How does medicine works?