What is Entex La and how is it used?
Entex La is an over the counter medicine used to treat the symptoms of Congestion with Mucus. Entex La may be used alone or with other medications.
Entex La belongs to a class of drugs called Cough/Cold, Other Combos.
It is not known if Entex La is safe and effective in children younger than 6 years of age.
What are the possible side effects of Entex La?
Entex La may cause serious side effects including:
- difficulty breathing,
- swelling of your face, lips, tongue, or throat,
- fast, pounding, or uneven heartbeat,
- severe anxiety, and
Get medical help right away, if you have any of the symptoms listed above.
The most common side effects of Entex La include:
- dry mouth, nose, or throat,
- upset stomach,
- loss of appetite,
- excitement (especially in children),
- restlessness (especially in children),
- sleep problems,
- headache, and
Tell the doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Entex La. For more information, ask your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Entex LA (guaifenesin and phenylephrine) is an orange, scored, long-acting tablet for oral administration and contains
phenylephrine hydrochloride ... 30mg
guaifenesin ....................................... 400 mg
in a special base to provide a prolonged therapeutic effect.
Phenylephrine Hydrochloride, a synthetic sympathomimetic agent, is a vasoconstrictor and pressor drug chemically related to epinephrine and ephedrine. Chemically, it is (-)-m-Hydroxy-a-[(methyl amino)methyl] benzyl alcohol hydrochloride. It has the following molecular formula C9H13NO2 · HCl with a molecular weight of 203.67.
Guaifenesin is an expectorant having the chemical name, 1,2-propanediol, 3-(2-methoxyphenoxy)-.
Entex LA (guaifenesin and phenylephrine) Inactive Ingredients: Each tablet contains carbomer 934 P, compressible sugar, docusate sodium, FD&C Yellow No. 6 Aluminum Lake, hydroxypropyl cellulose, hydroxypropyl methylcellulose, polyethylene glycol, silicon dioxide, stearic acid, titanium dioxide, and zinc stearate.
Phenylephrine HCl w/guaifenesin long acting tablets are indicated for the symptomatic relief of sinusitis, bronchitis, pharyngitis, and coryza when these conditions are associated with nasal congestion and viscous mucus in the lower respiratory tract.
DOSAGE AND ADMINISTRATION
Adults and children 12 years of age and older: one tablet twice daily (every 12 hours).
Children 6 to under 12 years: one-half (1/2) tablet twice daily (every 12 hours). Phenylpropanolamine HCl w/guaifenesin long acting tablets are not recommended for children under 6 years of age.
Tablets may be broken in half for ease of administration without affecting release of medication but should not be crushed or chewed prior to swallowing.
Tablet, sustained release capsule(entex LA (guaifenesin and phenylephrine) ): Guaifenesin 600 mg and phenylephine HCL 30 mg
Possible adverse reactions include nervousness, insomnia, restlessness, headache, nausea, or gastric irritation. These reactions seldom, if ever, require discontinuation of therapy. Urinary retention may occur in patients with prostatic hypertrophy.
Side effects may include:
Anxiety, convulsions, depression, difficulty breathing, difficulty urinating (in men with an enlarged prostate), hallucinations, headache, inability to sleep or difficulty sleeping, increased heart beat, irritability, irritated stomach, nausea, nervousness, paleness, palpitations, restlessness, tremor, weakness, vomiting
Phenyephrine HCl w/guaifenesin long acting tablets should not be used in patients taking monoamine oxidase inhibitors or other sympathomimetics.
Do not take Entex LA (guaifenesin and phenylephrine) if you are taking a medication classified as an MAO inhibitor, including the antidepressants Nardil and Parnate. Avoid other stimulating drugs such as Proventil, Ventolin, and many decongestants. Interactions can also occur with the following:
Reserpine (Diupres, Hydropres)
Sympathomimetic amines should be used with caution in patients with hypertension, diabetes mellitus, heart disease, peripheral vascular disease, increased intraocular pressure, hyperthyroidism, or prostatic hypertrophy.
Information for the Patient: Do not crush or chew phenylephrine HCl w/ guaifenesin long acting tablets prior to swallowing.
Drug/Laboratory Test Interactions: Guaifenesin has been reported to interfere with clinical laboratory determinations of urinary 5-hydroxyindole-acetic acid (5-HIAA) and urinary vanillylmandelic acid (VMA).
Pregnancy: Pregnancy Category C. Animal reproduction studies have not been conducted with phenylephrine HCl w/guaifenesin long acting tablets. It is also not known whether phenylephrine HCl w/guaifenesin long acting tablets, can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Phenylephrine HCl w/guaifenesin long acting tablets, should be given to a pregnant woman only if clearly needed.
Nursing Mothers: It is not known whether the drugs in phenylephrine HCl w/guaifenesin long acting tablets, are excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the product, taking into account the importance of the drug to the mother.
Pediatric Use: Safety and effectiveness of phenylephrine HCl w/guaifenesin long acting tablets, in children below the age of 6 have not been established.
The treatment of overdosage should provide symptomatic and supportive care. If the amount ingested is considered dangerous or excessive, induce vomiting with ipecac syrup unless the patient is convulsing, comatose, or has lost the gag reflex, in which case perform gastric lavage using a large-bore tube. If indicated, follow with activated charcoal and a saline cathartic. Since the effects of phenylephrine HCl w/guaifenesin long acting tablet may last up to 12 hours, treatment should be continued for at least that length of time.
Phenylephrine HCl w/guaifenesin long acting tablets are contraindicated in individuals with known hypersensitivity to sympathomimetics, severe hypertension, ventricular tachycardia, or in patients receiving monoamine oxidase inhibitors.
Phenylephrine hydrochloride produces vasoconstriction that lasts longer than that of epinephrine and ephedrine. Responses are more sustained than those of epinephrine, lasting 20 minutes after intravenous and as long as 50 minutes after subcutaneous injection. Its action on the heart contrasts sharply with that of epinephrine and ephedrine, in that it slows the heart rate and increases the stroke output, producing no disturbance in the rhythm of the pulse.
Phenylephrine is a powerful postsynaptic alpha-receptor stimulant with little effect on the beta receptors of the heart. In therapeutic doses, it produces little if any stimulation of either the spinal cord or cerebrum. A singular advantage of this drug is the fact that repeated injections produce comparable effects.
The predominant actions of phenylephrine are on the cardiovascular system. Parenteral administration causes a rise in systolic and diastolic pressures in man and other species. Accompanying the pressor response to phenylephrine is a marked reflex bradycardia that can be blocked by atropine; after atropine, large doses of the drug increase the heart rate only slightly. In man, cardiac output is slightly decreased and peripheral resistance is considerably increased. Circulation time is slightly prolonged, and venous pressure is slightly increased; venous constriction is not marked. Most vascular beds are constricted; renal, splanchnic, cutaneous, and limb blood flows are reduced but coronary blood flow is increased. Pulmonary vessels are constricted, and pulmonary arterial pressure is raised.
The drug is a powerful vasoconstrictor, with properties very similar to those of norepinephrine but almost completely lacking the chronotropic and inotropic actions on the heart. Cardiac irregularities are seen only very rarely even with large doses.
Guaifenesin promotes lower respiratory tract drainage by thinning bronchial secretions, lubricates irritated respiratory tract membranes through increased mucous flow, and facilitates removal of viscous, inspissated mucus. As a result of these drugs, sinus and bronchial drainage is improved, and dry, nonproductive coughs become more productive and less frequent.
Guaifenesin with phenylephrine is used for the symptomatic relief of a respiratory condition characterized by a stuffy nose, mucous in the respiratory tract, and dry, nonproductive cough caused by colds, flu, or hay fever. Inform your physician if you are pregnant or nursing. Inform your physician or pharmacist if you have high blood pressure, diabetes, glaucoma, heart disease, or an overactive thyroid. Do not take diet pills while taking this medication. Do not take this medication with a monoamine oxidase inhibitor. This medication may be taken with or without food. Drink a glass of water with each dose. Guaifenesin with phenylephrine may cause trouble sleeping; take your last dose of the day several hours before bedtime. Notify your physician if you develop trouble breathing or a fast, pounding or irregular heart beat. Notify your physician if your cough lasts for more than one week.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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