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Organidin Warnings, Precautions, Pregnancy, Nursing, Abuse - Guaifenesin (oral)
WARNINGS
Not for persistent cough such as occurs with smoking,asthma, chronic bronchitis, or emphysema or cough accompanied by excessive secretions. When used for self medication(OTC), contact healthcare provider if needed for more than 7 days or for cough with a fever, rash, or persistent headache.
PRECAUTIONS
Carcinogenesis, Mutagenesis, Impairment of Fertility
Animal studies to assess the long-term carcinogenic and mutagenic potential or the effect on fertility in animals or humans have not been performed.
Pregnancy
Teratogenic Effects: Pregnancy Category C: Animal reproduction studies have not been conducted. Safe use in pregnancy has not been established relative to possible adverse effects on fetal development. Therefore, these products should not be used in pregnant patients unless, in the judgment of the physician, the potential benefits outweigh possible hazards.
Nursing Mothers
It is not known whether guaifenesin or dextromethorphan is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when these products are administered to a nursing woman and a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
TUSSI-ORGANIDIN® NR* (* Newly Reformulated): Because the hepatic enzyme system, which acts to conjugate codeine to an inactive glucuronide (an important inactivation pathway), is not fully developed in infants less than 6 months of age, the use of codeine is contraindicated in nursing mothers.
Laboratory Test Interactions
Guaifenesin or its metabolites may cause color interference with the VMA (vanillylmandelic acid) test for catechols. It may also falsely elevate the level of urinary 5-HIAA (5-hydroxyindoleacetic acid) in certain serotonin metabolite chemical tests because of color interference.
Information for Patients See PATIENT INFORMATION section.
Drug Interactions See DRUG INTERACTIONS section.
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