MEDORPHAN Syrup Ref.[27493] Active ingredients: Demorphan

Source: Υπουργείο Υγείας (CY)  Revision Year: 2021  Publisher: MEDOCHEMIE LTD, 1-10 Constantinoupoleos street, 3011 Limassol, Cyprus

4.1. Therapeutic indications

MEDORPHAN is indicated in adults and children 12 years and older, for the relief of an unproductive cough.

4.2. Posology and method of administration

Posology

Adults

10 ml syrup (15 mg dextromethorphan) 4 times a day.

Maximum daily dose: 40 ml syrup (60 mg dextromethorphan)

Paediatric population

Children aged 12 years and over: As for adults above.

Children under 12 years: [Product name] is not intended in children under the age of 12 years.

Elderly (over 65 years)

As for adults above.

Hepatic/renal dysfunction

Due to the extensive hepatic metabolism of dextromethorphan, caution should be exercised in the presence of moderate to severe hepatic impairment (see section 5.2).

Do not exceed the stated dose.

Method of administration

Oral.

Treatment should not exceed a period longer than 2-3 weeks.

4.9. Overdose

Signs and symptoms

Dextromethorphan overdose may be associated with nausea, vomiting, dystonia, agitation, confusion, somnolence, stupor, nystagmus, cardiotoxicity (tachycardia, abnormal ECG including QTc prolongation), ataxia, toxic psychosis with visual hallucinations, hyperexcitability.

In the event of massive overdose the following symptoms may be observed: coma, respiratory depression, convulsions.

Management

Activated charcoal can be administered to asymptomatic patients who have ingested overdoses of dextromethorphan within the preceding hour.

For patients who have ingested dextromethorphan and are sedated or comatose, naloxone, in the usual doses for treatment of opioid overdose, can be considered. Benzodiazepines for seizures and benzodiazepines and external cooling measures for hyperthermia from serotonin syndrome can be used.

6.3. Shelf life

36 months.

After first opening: 3 years.

6.4. Special precautions for storage

This medicinal product does not require any special storage conditions.

6.5. Nature and contents of container

150 ml or 200 ml Type III (Ph.Eur) brown glass bottles closed with one of the following caps:

  • Aluminium cap. A plastic measuring spoon with graduations of 2.5ml and 5ml is provided as part of the pack.
  • Plastic tamper evident cap. A plastic measuring cup with graduation of 5ml, 10ml, 15ml and 20ml is provided as part of the pack.
  • Plastic child proof cap. A plastic measuring cup with graduation of 2ml, 2.5ml, 3ml, 4ml, 5ml, 6ml, 7ml, 7.5ml, 8ml, 9ml, 10ml, 11ml, 12ml, 12.5ml and 15ml is provided as part of the pack.

6.6. Special precautions for disposal and other handling

No special requirements.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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