Duraganidin NR

Codeine is a narcotic cough suppressant. It works on the brain to reduce the urge to cough.

Guaifenesin is an expectorant. It helps to loosen mucus in your chest and throat, making it easier to cough it out.

Duraganidin NR is a combination medicine used to treat cough and chest congestion due to allergies, the common cold, or the flu.

Duraganidin NR will not treat a cough caused by smoking, asthma, or emphysema.

Duraganidin NR may also be used for other purposes not mentioned in this medication guide.

Follow all instructions on your prescription label. Codeine can slow or stop your breathing. Never use Duraganidin NR in larger amounts or for longer than prescribed. Cough or cold medicine is usually taken only for a short time until your symptoms improve.

Codeine may be habit-forming, even at regular doses. Never share Duraganidin NR with anyone else, especially someone who has a history of drug abuse or addiction. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or anyone else using the medicine without a prescription. Selling or giving away codeine is illegal.

Measure liquid medicine using the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever along with a headache or skin rash.

Store at room temperature away from moisture and heat. Do not freeze. Keep track of how much medicine you have used from each new bottle. Codeine is a drug of abuse, and you should be aware if anyone is using your medicine improperly or without a prescription.

Codeine can slow or stop your breathing and may lead to addiction. MISUSE OF Duraganidin NR CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or anyone else using the medicine without a prescription.

Do not give this medicine to anyone under 18.

You should not take this medicine if you are allergic to codeine or guaifenesin.

In some people, codeine breaks down quickly in the liver and can reach higher than normal levels in the body. This may lead to dangerously slow breathing and could be fatal, especially in a child.

Do not give this medicine to anyone under 18.

To ensure Duraganidin NR is safe for you, inform your doctor if you have ever had:

• a cough with mucus;
• asthma, COPD, or another breathing disorder;
• a blockage in your digestive tract (stomach or intestines);
• a head injury or brain tumor;
• low blood pressure; or
• drug or alcohol addiction.

If you use codeine while you are pregnant, your baby could become dependent on the drug. This may lead to life-threatening withdrawal symptoms in the baby after birth. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Inform your doctor if you are pregnant or plan to become pregnant.

Do not breast-feed. Codeine can pass into breast milk and may cause drowsiness, breathing problems, or death in a nursing baby. Do not breast-feed.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Like other narcotic medications, codeine can slow your breathing. Death may occur if breathing becomes too weak.

A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue-colored lips, or if you are hard to wake up.

This medicine may cause serious side effects. Stop using this medicine and call your doctor right away if you have:

• noisy breathing, sighing, shallow breathing;
• a slow heart rate or weak pulse;
• severe dizziness or drowsiness;
• confusion, hallucinations, unusual thoughts or behavior;
• little or no urinating;
• severe constipation; or
• slow heart rate, weak or shallow breathing.

Serious side effects may be more likely in older adults and those who are overweight, malnourished, or weakened.

Common side effects of Duraganidin NR may include:

• constipation; or
• mild drowsiness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Since Duraganidin NR is taken as needed, you might not have a set schedule for taking it. If you do have a schedule and miss a dose, take it as soon as you remember. If it is nearly time for your next scheduled dose, skip the missed dose. Do not take extra medicine to make up for the missed dose.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. A codeine overdose can be deadly, especially in a child or anyone using the medicine without a prescription. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting.

Duraganidin NR may affect your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can lead to falls or other accidents.

Do not drink alcohol. Serious side effects or death could happen.

Ask a doctor or pharmacist before using any other cough or cold medicine. Many combination medicines contain guaifenesin. Taking certain products together can lead to getting too much of this medicine.

Taking Duraganidin NR with other medications that can make you sleepy or slow your breathing can lead to serious side effects or even death. Consult your doctor before using a sleeping pill, narcotic pain medicine, prescription cough medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Other medications may interact with codeine and guaifenesin, including both prescription and over-the-counter medicines, vitamins, and herbal products. Inform your doctor about all the medications you are currently taking and any new medicines you start or stop.