Forte Kidkare Cough and Cold

Chlorpheniramine/dextromethorphan/pseudoephedrine is an over-the-counter (OTC) product used for the relief of cold and flu symptoms.

Chlorpheniramine/dextromethorphan/pseudoephedrine is available under the following different brand names: Forte Kidkare Cough and Cold, Rescon DM, and Pedia Relief.

Dosages of Chlorpheniramine/Dextromethorphan/Pseudoephedrine:

Dosage Forms and Strengths

Liquid

• (1mg/5mg/15mg)/5mL
• (4mg/20mg/20mg)/5mL
• (2mg/15mg/15mg)/5mL
• (2mg/10mg/30mg)/5mL

Oral Drops

• (0.8mg/3mg/8mg)/1mL

Tablet

• 4mg/60mg/20mg

Tablet Chewable

• 2mg/10mg/30mg

Dosage Considerations – Should be Given as Follows:

Relief of Cold and Flu Symptoms

Adults and Children 12 Years and Older

• 10 mL [(2mg/15mg/15mg)/5mL] orally every 6 hours; not to exceed 40 mL/day
• 10 mL [(2mg/10mg/30mg)/5mL] orally every 4-6 hours; not to exceed 40 mL/day
• 5 mL [(4mg/20mg/20mg)/5mL] orally every 4-6 hours; not to exceed 30 mL/day
• 2 tabs [(2mg/10mg/30mg)/tab] orally every 4-6 hours; not to exceed 8 tabs/day
• 1 tab [(4mg/60mg/20mg)/tab] orally every 4-6 hours; not to exceed 4 tabs/day

Children 6-12 Years Old

• 2 mL [(0.8mg/3mg/8mg)/1mL] orally every 4-6 hours; not to exceed 8 mL/24 hours
• 10 mL [(1mg/5mg/15mg)/5mL] orally every 4-6 hours; not to exceed 40 mL/24 hours
• 5 mL [(2mg/15mg/15mg)/5mL] orally every 4-6 hours; not to exceed 20 mL/24 hours
• 2.5 mL [(4mg/20mg/20mg)/5mL] orally every 4-6 hours; not to exceed 15 mL/24 hours
• 1 tab [(2mg/10mg/30mg/tab)] orally every 4-6 hours; not to exceed 4 tabs/24 hours
• ½ tab [(4mg/60mg/20mg/tab)] orally every 4-6 hours; not to exceed 2 tabs/24 hours

Children under 6 Years Old

• Ask a pediatrician

Side effects of chlorpheniramine/dextromethorphan/pseudoephedrine include:

• Irregular heartbeats (arrhythmia)
• Low blood pressure (hypotension)
• Palpitations
• Fast heart rate
• Confusion
• Convulsion
• Depression
• Distress
• Dizziness
• Drowsiness
• Euphoria
• Excitability
• Fatigue
• Headache
• Insomnia
• Irritability
• Sedation
• Tremors
• Weakness
• Loss of appetite
• Gastrointestinal disturbances
• Agranulocytosis
• Hemolytic anemia
• Low blood platelets (thrombocytopenia)
• Thickening of bronchial secretions
• Wheezing

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Severe interactions of chlorpheniramine/dextromethorphan/pseudoephedrine include:

• iobenguane I 123
• isocarboxazid
• linezolid
• phenelzine
• phenelzine
• procarbazine
• rasagiline
• safinamide
• selegiline
• selegiline
• selegiline transdermal
• tranylcypromine

Chlorpheniramine/dextromethorphan/pseudoephedrine has serious interactions with at least 58 different drugs.

Chlorpheniramine/dextromethorphan/pseudoephedrine has moderate interactions with at least 283 different drugs.

Mild interactions of chlorpheniramine/dextromethorphan/pseudoephedrine include:

• amiodarone
• asenapine
• ashwagandha
• brimonidine
• celecoxib
• chloroquine
• cimetidine
• darifenacin
• desmopressin
• diphenhydramine
• dronedarone
• eucalyptus
• haloperidol

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions or concerns.

Warnings
 

This medication contains chlorpheniramine/dextromethorphan/pseudoephedrine. Do not take Forte Kidkare Cough and Cold, Rescon DM, or Pedia Relief if you are allergic to chlorpheniramine/dextromethorphan/pseudoephedrine or any ingredients contained in this drug.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.

Contraindications

• Contraindicated in documented hypersensitivity to the drugs or within 14 days of monoamine oxidase inhibitor (MAOI) therapy; asthma attacks, narrow-angle glaucoma, symptomatic prostate hypertrophy, bladder neck obstruction, and stenosing peptic ulcer

Effects of Drug Abuse

• No information available

Short-Term Effects

• See "What Are Side Effects Associated with Using Chlorpheniramine/Dextromethorphan/Pseudoephedrine?”

Long-Term Effects

• See "What Are Side Effects Associated with Using Chlorpheniramine/Dextromethorphan/Pseudoephedrine?”

Cautions

• Caution in cardiovascular disease, diabetes mellitus, prostatic hypertrophy and increased intraocular pressure when taking pseudoephedrine
• Do not take dextromethorphan for persistent or chronic cough associated with smoking, asthma, or emphysema, or if it is accompanied by excessive phlegm unless directed by a healthcare provider; may decrease respiration rate
• Chlorpheniramine may cause significant confusional symptoms; not for administration to premature or full-term neonates

Pregnancy and Lactation

Use chlorpheniramine/dextromethorphan/pseudoephedrine with caution during pregnancy if the benefits outweigh the risks. Animal studies show risk and human studies are not available or neither animal nor human studies were done.

It is unknown if chlorpheniramine/dextromethorphan/pseudoephedrine is excreted into breast milk. Chlorpheniramine/dextromethorphan/pseudoephedrine is not recommended for use while breastfeeding.