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Cope D Tablet

Manufactured byMANKIND PHARMACEUTICALS LTD
ContainsCetirizine (10 mg) + Ambroxol (60 mg) + Phenylephrine (5 mg)
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Description

Cope D Tablet is a combination medicine which may be used to relieve the symptoms associated with allergic rhinitis and nasal congestion. It is also used for the treatment of productive cough (wet cough), a cough that produces mucus or phlegm.

Substitutes

List of substitutes for Cope D Tablet

Side effects

Major & minor side effects for Cope D Tablet

Nausea and Vomiting

Diarrhea

Skin rash and itching

Headache

Sleepiness

Unusual tiredness or weakness

Dry mouth

Difficult or painful urination

Uses of Cope D Tablet

What is it prescribed for?

Allergic Rhinitis

This medicine may be used to relieve symptoms such as a runny nose, watery eyes, sneezing, etc. associated with allergic rhinitis.

Nasal congestion

This medicine may be used to relieve nasal congestion and discomfort. It reduces the swelling of the blood vessels of the nasal passages, thereby making it easier to breathe.

Productive cough

This medicine is used for the symptomatic relief of a productive cough, a cough characterized by the production of mucus/phlegm. This cough may be associated with conditions such as allergic rhinitis, asthma, allergic bronchitis, etc.
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?

    The effect of the medicine can be observed within 10-30 minutes of administration of the dose.
  • How long do the effects of this medicine last?

    The effect of this medicine lasts for an average duration of 24 hours.
  • Is it safe to consume alcohol while taking this medicine?

    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, drowsiness, and difficulty in concentration. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
  • Is this a habit forming medicine?

    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?

    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?

    This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients with a known allergy to ambroxol, cetirizine, phenylephrine, or any other inactive ingredients present in the formulation.

Gastric ulceration

This medicine is not recommended for use in patients with a known history of gastric ulceration due to the increased risk of worsening of the patient's condition.

Stevens-Johnson syndrome

This medicine is not recommended for use in patients with a known history of Stevens-Johnson syndrome, which is a rare but serious disorder of the skin, due to the increased risk of worsening of the patient's condition.

Hypertension

This medicine is not recommended for use in patients suffering from severe hypertension since it may worsen the patient's condition.

Ventricular tachycardia

This medicine is not recommended for use in patients with ventricular tachycardia since it may worsen the patient's condition.

Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

General warnings

CNS Depression

Use of this medicine may cause mild to moderate CNS depression, resulting in sleepiness, difficulty in concentrating, etc. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you experience any of these side effects during treatment with this medicine.

Use in Elderly

This medicine should be administered with caution in the elderly population due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Gastric ulceration

This medicine is not recommended for use in patients with a known history of gastric ulceration or any other gastrointestinal disorders due to the increased risk of worsening of the patient's condition.

Alcohol use

This medicine is not recommended for use in patients who consume alcohol on a regular basis due to the increased risk of serious adverse effects.

Other medicines

Use of this medicine may increase the risk of sleepiness and impaired thinking when taken with medicines that have a sedative or tranquilizing effect. It is advised that you inform the doctor about all your current medicines including any herbs or supplements before beginning treatment with this medicine.

Missed Dose

Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, drowsiness, and difficulty in concentration. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.

Interaction with Medicine

Antidiabetic drugs

Antidepressants

Alprazolam

Halothane

Codeine

Disease interactions

Cardiovascular disease

This medicine should be used with extreme caution in patients with cardiovascular diseases due to the increased risk of severe side effects. Report any incidence of irregular heart rate or very high blood pressure to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Diabetes

This medicine should be used with caution in patients with diabetes due to the increased risk of altered blood sugar levels. Close monitoring of blood glucose levels is recommended while using this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Benign prostatic hyperplasia

This medicine should be used with extreme caution in patients with an enlarged prostate due to the risk of increased difficulty in passing urine. Report any worsening of symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Liver Disease

This medicine should be used with caution in patients with liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function tests, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.

Kidney Disease

This medicine should be used with caution in patients with renal diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.

Food interactions

Information not available.

Lab interactions

Information not available.
Take this medicine exactly as prescribed by your doctor. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.

Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works

Cetirizine works by blocking the action of a natural substance produced by the body which is responsible for causing allergic symptoms. Ambroxol promotes mucus clearance and eases a productive cough. Phenylephrine acts by reducing the swelling of the blood vessels in the nasal passages, thereby making it easier to breathe.

Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Antihistamines, Mucolytics, Decongestants

Schedule

Schedule H

Cetirizine | C21H25ClN2O3 - PubChem [Internet]. Pubchem.ncbi.nlm.nih.gov. 2017 [cited 2 March 2017]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/2678#section=Top

Ambroxol - DrugBank [Internet]. Drugbank.ca. 2017 [cited 11 July 2017]. Available from:

https://www.drugbank.ca/drugs/DB06742

Phenylephrine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 18 July 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a606008.html

Cetirizine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 2 March 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a698026.html

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Information on this page was last updated on 13 Aug 2019

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.