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Cocorex is used to relieve mild to moderate pain.
It is also used, usually in combination with other
medications, to reduce coughing. Combination products
that contain Cocorex and promethazine should not be used in
children younger than 16 years of age. Cocorex will help relieve
symptoms but will not treat the cause of symptoms or speed
recovery. Cocorex belongs to a class of medications called
opiate (narcotic) analgesics and to a class of medications
called antitussives. When Cocorex is used to treat pain, it
works by changing the way the body senses pain. When Cocorex is
used to reduce coughing, it works by decreasing the activity in
the part of the brain that causes coughing..
Cocorex is also available in
combination with acetaminophen (Capital and Cocorex, Tylenol
with Cocorex); aspirin; and in many cough and cold medications.
This monograph only includes information about the use of
Cocorex. If you are taking a Cocorex combination product, be
sure to read information about all the ingredients in the
product you are taking and ask your doctor or pharmacist for
more information.
Indication And Uses
Cocorex is used to relieve mild to moderate pain. It is also used,
usually in combination with other medications, to reduce coughing.
Combination products that contain Cocorex and promethazine should
not be used in children younger than 16 years of age. Cocorex will
help relieve symptoms but will not treat the cause of symptoms or
speed recovery. Cocorex belongs to a class of medications called
opiate (narcotic) analgesics and to a class of medications called antitussives. When
Cocorex is used to treat pain, it works by
changing the way the body senses pain. When Cocorex is used to
reduce coughing, it works by decreasing the activity in the part
of the brain that causes coughing.
Cocorex is also available in combination with acetaminophen
(Capital and Cocorex, Tylenol with Cocorex); aspirin; and in many
cough and cold medications. This monograph only includes
information about the use of Cocorex. If you are taking a Cocorex
combination product, be sure to read information about all the
ingredients in the product you are taking and ask your doctor or
pharmacist for more information.
Dosage
Cocorex (alone or in combination with other medications) comes as
a tablet, a capsule, and a solution (liquid) to take by mouth. It
is usually taken every 4 to 6 hours as needed. Follow the
directions on your prescription label carefully, and ask your
doctor or pharmacist to explain any part you do not understand.
Take Cocorex exactly as directed.
Cocorex can be habit-forming. Do not take a larger dose, take it
more often, or take it for a longer period of time than prescribed
by your doctor.
Shake the solution well before each use to mix the medication
evenly. Do not use a household spoon to measure your dose. Use the
measuring cup or spoon that came with the medication or use a
spoon that is made especially for measuring medication.
* difficulty breathing or swallowing
* fast, pounding, or irregular heartbeat
* rash
* itching
* hives
* changes in vision
* seizures
Cocorex Cough Syrup is
formulated for the relief of irritating and troublesome cough.
It has antitussive, antihistaminic and nasal decongestant
actions.
COMPOSITION
Each 5ml (teaspoonful) of Cocorex Cough Syrup contains:
Alcohol IP
8 mg
Chlorpheniramine Maleate IP 4 mg
Codeine Phosphate IP 10 mg
Carmoisine and Sunset Yellow FCF as colorants
Packed and Supplied in Bottles of 50 and 100
ml.
Cocorex is used to relieve mild to moderate
pain. It is also used, usually in combination with other
medications, to reduce coughing. Combination products
that contain Cocorex and promethazine should not be used in
children younger than 16 years of age. Cocorex will help relieve
symptoms but will not treat the cause of symptoms or speed
recovery. Cocorex belongs to a class of medications called
opiate (narcotic) analgesics and to a class of medications
called antitussives. When Cocorex is
used to treat pain, it works by changing the way the body senses
pain. When Cocorex is used to reduce coughing, it works by
decreasing the activity in the part of the brain that causes
coughing.
Cocorex is also available in
combination with acetaminophen (Capital and Cocorex, Tylenol
with Cocorex); aspirin; and in many cough and cold medications.
This monograph only includes information about the use of
Cocorex. If you are taking a Cocorex combination product, be
sure to read information about all the ingredients in the
product you are taking and ask your doctor or pharmacist for
more information.
Cocorex (alone or in combination with
other medications) comes as a tablet, a capsule, and a solution
(liquid) to take by mouth. It is
usually taken every 4 to 6 hours as needed. Follow the
directions on your prescription label carefully, and ask your
doctor or pharmacist to explain any part you do not understand.
Take Cocorex exactly as directed.
Cocorex can be habit-forming. Do not
take a larger dose, take it more often, or take it for a longer
period of time than prescribed by your doctor.
Shake the solution well before each use to mix the medication
evenly. Do not use a household spoon to measure your dose. Use
the measuring cup or spoon that came with the medication or use
a spoon that is made especially for measuring medication.
Cocorex Cough Syrup is formulated for the
relief of irritating and troublesome cough. It has antitussive,
antihistaminic and nasal decongestant actions.
Chlorpheniramine Maleate is an antihistamine
which reduces allergic vasodilation and mucosal congestion. It
provides relief in allergic conditions. Codeine Phosphate acts
centrally and has a cough suppressant action. It reduces the
intensity and frequency of bouts of coughing and is the
reference compound with which other antitussives are compared.
It also has a mild analgesic action.
Cocorex Cough Syrup is indicated for the
relief of troublesome bouts of coughing, especially coughs that
disturb sleep and cause pain. It is effective in dry
unproductive coughs such as those which are associated with
influenza, whooping cough, heavy smoking and allergies. Cocorex
Cough Syrup is contraindicated in patients who are
hypersensitive to any of its constituents.
Adverse effects occur rarely with the
suggested dosage. Chlorpheniramine Maleate may cause drowsiness,
dry mouth, blurred vision, weakness, nausea and headache.
Codeine is generally well tolerated. Vomiting, constipation,
dizziness, drowsiness, pruritus, sweating and agitation have
been reported.
Codeine and Chlorphaniramine may cause
drowsiness. Caution should be exercised when driving and
operating machinery or appliances. Dependence on codeine occur
but it isuncommon with antitussive use, because of the short
duration of therapy and the small doses required. The following
should not be administered concomitantly with Cocorex,
antihypertensives with central nervous system depressant
effects, sedatives tranquilizers, alcohol, MAO inhibitors and
other CNS depressants. Cocorex should be used with caution in
patients with a history of hypertension, heart disease, diabetes
mellitus, hyperthyroidism, increased intra-ocular pressure,
bronchial asthma and hepatic impairment.
Cocorex Cough Syrup is usually given 4 times a
day in the following doses:
Adults and children over 12 years:
1 teaspoonful (5ml) 3 to 4 times daily.
Children 6 to 12 years
1/2 teaspoonful (2.5ml) 3 to 4 times daily.
Children 2 to 6 years
1/4 teaspoonful (1.25ml) 3 to 4 times daily.
Children below 2 years
On advice of a physician
Note : This
product information is intended only for residents of the
India. Taj Pharmaceuticals Limited, medicines
help to treat and prevent a range of conditions—from the
most common to the most
challenging—for people around the world. Information for Health Care Professionals *** Please consult local Prescribing
Information for any product before use. This website is an
international information resource for healthcare
professionals with an interest in disease management. This
website is not intended to replace the advice of a
qualified healthcare professional. Above brand is a
trademark of the Taj group of companies (Taj
Pharmaceuticals Limited).
SCHEDULE IV CONTROLLED SUBSTANCES : Controlled Substances Import
and Export Act
TITLE 21 - FOOD AND DRUGS
CHAPTER 13 - DRUG ABUSE PREVENTION AND CONTROL
SUBCHAPTER II - IMPORT AND EXPORT
"Placement on schedules; findings required Schedule IV
substances are those that have the following findings:The drug
or other substance has a low potential for abuse relative to the
drugs or other substances in schedule III. The drug or other
substance has a currently accepted medical use in treatment in
the United StatesAbuse of the drug or other substance may lead
to limited physical dependence or psychological dependence
relative to the drugs or other substances in schedule
III.Control measures are similar to Schedule III. Prescriptions
for Schedule IV drugs may be refilled up to five times within a
six-month period. A prescription for controlled substances in
Schedules III, IV, and V issued by a practitioner, may be
communicated either orally, in writing, or by facsimile to the
pharmacist, and may be refilled if so authorized on the
prescription or by call-in. DRUGS IN THIS SCHEDULE
INCLUDE:Benzodiazepines, such as ALPRAZOLAM (Xanax),
chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam
(Valium), and Lorazepam (Ativan), as well as:temazepam (Restoril)
(note that some states require specially coded prescriptions for
temazepam) flunitrazepam (Rohypnol) (note that flunitrazepam is
not used medically in the United States). The
benzodiazepine-like Z-drugs: zolpidem (Ambien), zopiclone (Imovane),
eszopiclone (Lunesta), and zaleplon (Sonata) (zopiclone is not
commercially available in the U.S.) Chloral hydrate, a
sedative-hypnotic, Long-acting barbiturates such as
phenobarbitalSome partial agonist opioid analgesics, such as
pentazocine (Talwin) The stimulant-like drug modafinil (sold in
the U.S. as Provigil) as well as its (R)-enantiomer armodafinil
(sold in the U.S. as Nuvigil)
Difenoxin, an antidiarrheal drug, such as when combined with
atropine (Motofen) (difenoxin is 2–3 times more potent than
diphenoxylate, the active ingredient in Lomotil, which is in
Schedule V)
Tramadol (Ultram) / Carisoprodol (Soma) has become a Schedule IV
medication as of 11 January 2012.
Section 1000 [951 note] Short Title
This title may be cited as the "Controlled Substances Import and
Export Act.'' EXPORT IS SUBJECTED TO NOC (Narcotic Drugs Import
and Export Act) INDIA.
Export/ Import
ANY NARCOTIC DRUGS OR PSYCHOTROPIC SUBSTANCES CAN BE IMPORTED
INTO/ EXPORTED OUT OF INDIA SUBJECT TO RULE 53 AND RULE 53-A OF
THE NDPS RULES, 1985.
The import of - (i) opium, concentrate of poppy straw, and (ii)
morphine, codeine, thebaine, and their salts is prohibited save
by the Government Opium Factory under the provision of Rule 54
of the NDPS Rules, 1985. The import into and export out of India
of any narcotic drugs or psychotropic substances specified in
Schedule I is prohibited under the provision of Rule 53 of the
NDPS Rules, 1985. The export of any narcotic drugs or
psychotropic substances or preparations containing any of such
narcotic drugs or psychotropic substances specified in Schedule
II shall be prohibited to the countries or to the region of
such country specified therein under the provision of Rule 53-A
of the NDPS Rules, 1985.The manufacture of psychotropic
substances specified in Schedule III can be allowed for export
purpose only under the provision of Rule 65(1) of the NDPS
Rules, 1985. The import of psychotropic substances specified in
Schedule III may be allowed for test/ analysis purpose as well
as for re-export purpose. The export out of / import into India
of a select number of Precursor Chemicals is exercised by the
Narcotics Commissioner in accordance with Directorate General of
Foreign Trade (DGFT) notification and Administrative Control.
ANY COMPANY/APPLICANT DESIROUS OF OBTAINING NO OBJECTION
CERTIFICATE FOR EXPORT OF NOTIFIED PRECURSOR CHEMICALS ARE
REQUIRED TO APPLY TO THE NARCOTICS COMMISSIONER. (UNDER RULES
FROM CENTRAL BUREAU OF NARCOTICS, GOVERNMENT OF INDIA)
Cocorex is used to
relieve mild to moderate pain.It is also used, usually in combination with other
medications, to reduce coughing.Combination
products that contain Cocorex and promethazine should not be
used in children younger than 16 years of age. Cocorex will help
relieve symptoms but will not treat the cause of symptoms or
speed recovery. Cocorex belongs to a class of medications called
opiate (narcotic) analgesics and to a class of medications
called antitussives.
When Cocorex is used to treat pain, it works by changing the way
the body senses pain. When Cocorex is used to reduce coughing,
it works by decreasing the activity in the part of the brain
that causes coughing.
Cocorex is also
available in combination with acetaminophen (Capital and Cocorex,
Tylenol with Cocorex); aspirin; and in many cough and cold
medications.This
monograph only includes information about the use of Cocorex. If
you are taking a Cocorex combination product, be sure to read
information about all the ingredients in the product you are
taking and ask your doctor or pharmacist for more information.
How does this medication work? What will it do for me?
Codeine belongs to the class of medications called narcotic
analgesics ("analgesic" means "pain reliever"). It is used to
relieve mild-to-moderate pain. It works by blocking pain signals
that are sent out by the brain to various areas of the body.
Codeine is also used to control coughing that is not controlled by
non-narcotic cough suppressants. It works by acting on the brain to
dull the cough reflex.
Your doctor may have suggested this medication for conditions other
than the ones listed in these drug information articles. As well,
some forms of this medication may not be used for all of the
conditions discussed here. If you have not discussed this with your
doctor or are not sure why you are taking this medication, speak to
your doctor. Do not stop taking this medication without consulting
your doctor.
Do not give this medication to anyone else, even if they have the
same symptoms as you do. It can be harmful for people to take this
medication if their doctor has not prescribed it.
What form(s) does this medication come in?
This medication is available as a 143 mg/30 mL oral liquid.
How should I use this medication?
Pain relief: The recommended adult dose of codeine for pain relief
is 15 mg to 60 mg every 4 to 6 hours as required, not to exceed 360
mg in one day.
For children over one year of age, the recommended dose for pain
relief is based on body weight. The recommended dose is 0.5 mg to 1
mg per kg of body weight per dose, given every 4 to 6 hours as
needed.
Cough: The recommended adult dose of codeine as a cough suppressant
is 10 mg to 20 mg every 4 to 6 hours as needed.
The dose for children is based on body weight. The recommended dose
is 1 mg to 1.5 mg per kg of body weight per day, divided into doses
given every 4 to 6 hours as needed. Codeine as a cough suppressant
is not recommended for children less than 2 years of age.
Many things can affect the dose of a medication that a person needs,
such as body weight, other medical conditions, and other
medications. If your doctor has recommended a dose different from
the ones listed here, do not change the way that you are taking the
medication without consulting your doctor.
This medication may be habit-forming if taken for long periods of
time. Do not stop taking this medication without talking with your
doctor. If this medication is stopped suddenly, you may experience
withdrawal symptoms such as anxiety, sweating, trouble sleeping,
shakiness, nausea, tremors, diarrhea, or hallucinations. If you plan
on stopping the medication, your doctor may want you to reduce the
dose gradually to reduce the severity of withdrawal effects.
It is important to take this medication exactly as prescribed by
your doctor. your doctor has told you to take this medication on a
regular basis and you miss a dose, take it as soon as possible and
continue with your regular schedule. If it is almost time for your
next dose, skip the missed dose and continue with your regular
dosing schedule. Do not take a double dose to make up for a missed
one.If you are not sure what to do after missing a dose, contact
your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and
moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or
in the toilet) or in household garbage. Ask your pharmacist how to
dispose of medications that are no longer needed or have expired.
Who should NOT take this medication?
Do not use this medication if you:
• are allergic to codeine or to any of the ingredients of the
medication
• are allergic to any morphine-type medications
• are 12 years of age or younger
• have diarrhea caused by poisoning, until the toxic substance is
cleared from the gastrointestinal tract
• have difficulty breathing or has lung disease
What side effects are possible with this medication?
Many medications can cause side effects. A side effect is an
unwanted response to a medication when it is taken in normal doses.
Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who
takes this medication. If you are concerned about side effects,
discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of
people taking this medication. Many of these side effects can be
managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they
are severe or bothersome. Your pharmacist may be able to advise you
on managing side effects.
• constipation
• dizziness
• drowsiness
• dry mouth
• headache
• light-headedness
• loss of appetite
• nausea
• vomiting
Although most of the side effects listed below don't happen very
often, they could lead to serious problems if you do not check with
your doctor or seek medical attention.
Check with your doctor as soon as possible if any of the following
side effects occur:
• blurred or double vision, or other changes in vision
• confusion
• depression or other mood or mental changes
• fast, slow, or pounding heartbeat
• feeling faint
• feelings of unreality
• hallucinations (seeing, hearing, or feeling things that are not
there)
• hives, itching, or skin rash
• signs of breathing problems (e.g., shortness of breath, wheezing,
irregular or troubled breathing)
• trembling or uncontrolled muscle movements
• unusual excitement or restlessness (especially in children)
Stop taking the medication and seek immediate medical attention if
any of the following occur:
• seizures
• severe weakness
• signs of a serious allergic reaction (i.e., abdominal cramps,
difficulty breathing, nausea and vomiting, or swelling of the face
and throat)
• signs of too much codeine (overdose )
o cold, clammy skin
o low blood pressure
o pinpoint pupils of eyes
o severe drowsiness
o severe nervousness or restlessness
o slow heartbeat
o weakness
• slow or troubled breathing
Some people may experience side effects other than those listed.
Check with your doctor if you notice any symptom that worries you
while you are taking this medication.
Are there any other precautions or warnings for this medication?
Before you begin using a medication, be sure to inform your
doctor of any medical conditions or allergies you may have, any
medications you are taking, whether you are pregnant or
breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication.
Quality
