Su-Tuss HD Elixir

Su-Tuss HD Elixir is a combination medicine used to relieve cough, stuffy nose, sinus congestion, and chest congestion caused by the common cold.

Su-Tuss HD Elixir will not treat a cough that produces mucus, or a cough caused by smoking, emphysema, or chronic bronchitis.

Su-Tuss HD Elixir contains a narcotic cough medicine and may lead to addiction.

Su-Tuss HD Elixir may also be used for other reasons not mentioned in this medication guide.

Follow the instructions on your prescription label and read all medication guides. Never use Su-Tuss HD Elixir in larger amounts or for longer than prescribed. Take this medicine only until your symptoms go away.

Never share opioid medicine with anyone else, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot reach it. Selling or giving away opioid medicine is illegal.

Measure liquid medicine carefully. Use the dosing syringe provided or a medicine dose-measuring device (not a kitchen spoon).

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

If you need surgery or medical tests, inform the surgeon or doctor in advance if you have taken a cough or cold medicine within the last few days.

Store at room temperature, away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Do not keep leftover medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Read and carefully follow the instructions that come with this medicine about how to safely dispose of any unused portion.

MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.

Fatal side effects can happen if you use Su-Tuss HD Elixir with alcohol, or with other drugs that cause drowsiness or slow your breathing.

Do not use this medicine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could happen. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

You should not use this medicine if you are allergic to guaifenesin, hydrocodone, or pseudoephedrine, or if you have:

• narrow-angle glaucoma;
• severe or uncontrolled high blood pressure;
• coronary artery disease (clogged arteries); or
• if you are unable to urinate.

This medicine is not approved for anyone younger than 18 years old.

Tell your doctor if you have ever had:

• asthma or other breathing problems;
• a head injury or increased pressure inside your skull;
• diabetes;
• thyroid disorder;
• Addison's disease (an adrenal gland disorder);
• liver or kidney disease;
• an enlarged prostate or problems urinating; or
• stomach problems.

If you use hydrocodone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after birth. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.

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

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

This medicine can slow or stop your breathing, and death may occur. 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 at once if you have:

• noisy breathing, sighing, shallow breathing;
• confusion, severe weakness or drowsiness;
• tremors, severe restlessness;
• a seizure;
• irregular heartbeats;
• severe headache, blurred vision, pounding in your neck or ears;
• a light-headed feeling, like you might pass out;
• severe constipation, stomach pain; or
• adrenal gland problems--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

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

Common side effects of Su-Tuss HD Elixir may include:

• dizziness, drowsiness;
• headache;
• sleep problems (insomnia);
• nausea; or
• low blood pressure.

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 this medicine is taken as needed, you might not have a regular dosing schedule. If you miss a dose and it's close to the time for your next dose, skip the missed dose. Do not take two doses at once.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. Taking too much hydrocodone can be deadly.

Signs of an overdose may include extreme sleepiness, feeling weak or limp, cold and sweaty skin, trouble breathing, fast or slow heartbeats, confusion, seeing things that are not there, slurred speech, blue lips, slow breathing, fainting, or breathing that stops.

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

Avoid driving or using machinery until you know how Su-Tuss HD Elixir will affect you. Dizziness or severe sleepiness can lead to falls or other accidents.

Ask a doctor or pharmacist before using other cough or cold medicines that may have similar ingredients.

Using this medicine with other drugs that slow your breathing can lead to serious side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Opioid medication can interact with many other drugs and cause serious side effects or death. Make sure your doctor knows if you also use:

• cold or allergy medicines, bronchodilator asthma/COPD medication, or a diuretic ("water pill");
• medicines for motion sickness, irritable bowel syndrome, or overactive bladder;
• other narcotic medications--opioid pain medicine or prescription cough medicine;
• a sedative like Valium--diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others; or
• drugs that make you sleepy or slow your breathing--a sleeping pill, muscle relaxer, or medicine to treat mood disorders or mental illness.

This list is not complete. Other drugs may affect Su-Tuss HD Elixir, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.