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Phenylephrine, Chlorpheniramine, and Pyrilamine

DESCRIPTION

R- TANNATE is an antihistaminic / decongestant combination available for oral administration as Tablets and as Pediatric Suspension.

Each tablet contains:

Phenylephrine Tannate 25 mg
Chlorpheniramine Tannate 8 mg
Pyrilamine Tannate 25 mg

Other ingredients: Cellulose, croscarmellose, guar gum, anhydrous lactose, magnesium stearate, microcrystalline cellulose.

Each 5 mL (teaspoonful) of the Pediatric Suspension contains:

Phenylephrine Tannate 5 mg
Chlorpheniramine Tannate 2 mg
Pyrilamine Tannate 12.5mg

Other ingredients: Citric acid, D&C Red #28, disodium edta, flavors, glycerin, magnesium aluminum silicate, methylparaben, purified water, sodium benzoate, sodium citrate, sodium saccharin, sorbitol, sucrose, xanthan gum.

CLINICAL PHARMACOLOGY

R-TANNATE combines the sympathomimetic decongestant effect of phenylephrine with the antihistaminic actions of chlorpheniramine and pyrilamine.

INDICATIONS

R-TANNATE is indicated for symptomatic relief of the coryza and nasal congestion associated with the common cold, sinusitis, allergic rhinitis and other upper respiratory tract conditions. Appropriate therapy should be provided for the primary disease.

DOSAGE AND ADMINISTRATION

Administer the recommended dose every 12 hours.

R-TANNATE Tablets

Adults 1 or 2 tablets.

R-TANNATE Pediatric Suspension

Pediatric Patients over six years of age - 5 to 10 mL (1 to 2 teaspoonfuls);
Pediatric Patients two to six years of age - 2.5 to 5 mL (1/2 to 1 teaspoonful);
Pediatric Patients under two years of age - Titrate dose individually.

HOW SUPPLIED

R-TANNATE Tablets: off-white to beige capsule-shaped tablets debossed “COPLEY 113” on one side and plain and scored on the other side, in bottles of 100.

R-TANNATE Pediatric Suspension: pink, strawberry-blackberry-currant flavored liquid for oral administration in 118 mL (4 fl oz) unit-of-use bottles (NDC 51285-717-55, labeled TRIOTANN-S); and in 473 mL (1 pt) bottles (NDC 51285-717-57, labeled TRIOTANN, NDC 0839-7309-69, labeled MOORETAN, and NDC 0364-2197-16, labeled R-TANNATE, NDC 0904-7650-16, labeled RHINATATE).

Storage

R-TANNATE Tablets

Store at room temperature; avoid excessive heat (above 40° C/104° F).

R-TANNATE Pediatric Suspension

Store at controlled room temperature between 15°-30° C(59°-86° F); protect from freezing. Dispense in tight container.

CAUTION: Federal law prohibits dispensing without prescription.

SIDE EFFECTS

Adverse effects associated with R-TANNATE at recommended doses have been minimal. The most common have been drowsiness, sedation, dryness of mucous membranes, and gastrointestinal effects. Serious side effects with oral antihistamines or sympathomimetics have been rare.

DRUG INTERACTIONS

Do not prescribe this product for use in patients that are now taking a prescription M.O. (certain drugs for depression, psychiatric or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug therapy. M.O. inhibitors may prolong or intensify the anticholinergic effects of antihistamines and the overall effects of sympathomimetic agents.

WARNINGS

Use with caution in patients with hypertension, cardiovascular disease, hyperthyroidism, diabetes, narrow angle glaucoma or prostatic hypertrophy. Use with caution or avoid use in patients taking monoamine oxidase inhibitors (MAOI). This product contains antihistamines which may cause drowsiness and may have additive central nervous system (CNS) effects with alcohol or other CNS depressants (e. g., hypnotics, sedatives, tranquilizers).

PRECAUTIONS

General

Antihistamines are more likely to cause dizziness, sedation and hypotension in elderly patients. Antihistamines may cause excitation, particularly in pediatric patients, but their combination with sympathomimetics may cause either mild stimulation or mild sedation.

Carcinogenesis, Mutagenesis, Impairment of Fertility

No long term animal studies have been performed with R-TANNATE.

Pregnancy

Teratogenic Effects: Pregnancy Category C. Animal reproduction studies have not been conducted with R-TANNATE. It is also not known whether R-TANNATE can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. R-TANNATE should be given to a pregnant woman only if clearly needed.

Nursing Mothers

R-TANNATE should not be administered to a nursing mother.

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