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TussiCaps
TussiCaps is a prescription medication used to relieve cough and symptoms associated with the common cold or upper respiratory allergies. It contains two active ingredients: Hydrocodone (a narcotic cough suppressant) and Chlorpheniramine (an antihistamine). Hydrocodone works by reducing the urge to cough, while chlorpheniramine helps relieve symptoms such as a runny nose, sneezing, and watery eyes by blocking the effects of histamine. TussiCaps is typically prescribed when other over-the-counter remedies are not effective, and it is intended for short-term use.
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Frequently Asked Questions
How long does TussiCaps take to start working?
TussiCaps typically starts working within 30 to 60 minutes after taking the capsule, with effects lasting for up to 12 hours due to the extended-release formulation.
Can I take TussiCaps with other cold medications?
You should avoid taking additional medications containing antihistamines or opioids while using TussiCaps, as this can increase the risk of side effects. Always consult your doctor or pharmacist before combining medications.
Is TussiCaps addictive?
Yes, TussiCaps contains hydrocodone, which can be habit-forming. It should only be used as prescribed by a healthcare professional and for short-term treatment to avoid dependence and abuse.
Can I drive while taking TussiCaps?
No, you should avoid driving or operating heavy machinery while taking TussiCaps, as it can cause drowsiness and impair your ability to focus or react quickly.
What should I do if I miss a dose?
If you miss a dose of TussiCaps, take it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.
Comprehensive Drug Guide
How Does TussiCaps Work?
- Hydrocodone: Acts on the brain to suppress the cough reflex by binding to opioid receptors, reducing the frequency and intensity of coughing.
- Chlorpheniramine: Works by blocking histamine, a substance that the body produces during allergic reactions, helping to alleviate symptoms like a runny nose, sneezing, and itchy eyes.
Common Dosages
- TussiCaps 10 mg/8 mg (Hydrocodone 10 mg / Chlorpheniramine 8 mg) extended-release capsules.
Typical Dosing
- For adults and children over 12 years: The usual dose is one capsule every 12 hours. The dose should not exceed two capsules in 24 hours.
- For children under 12 years: Use is generally not recommended due to the risk of respiratory depression and overdose from hydrocodone.
Typical Dosing
FDA Approved Indications
- Cough associated with cold or respiratory allergies
- Upper respiratory symptoms such as a runny nose, sneezing, and nasal congestion
It is indicated when short-term treatment of cough and upper respiratory symptoms is necessary.
Who Shouldn't Take TussiCaps?
- Known hypersensitivity to hydrocodone, chlorpheniramine, or any component of the formulation
- Severe asthma or respiratory depression
- Gastrointestinal obstruction, including paralytic ileus
- Concurrent use of MAO inhibitors (or within 14 days of stopping MAO inhibitors)
- Children under 6 years of age (due to the risk of respiratory depression)
Advice From The Pharmacist
- TussiCaps should be taken exactly as prescribed. Do not exceed the recommended dosage, as this increases the risk of serious side effects, including respiratory depression.
- Avoid consuming alcohol or using other sedatives while taking TussiCaps, as these can increase the sedative and respiratory-depressant effects of hydrocodone.
- This medication may cause drowsiness or dizziness. Avoid driving or operating heavy machinery until you know how it affects you.
- If you are taking TussiCaps for more than a few days, do not stop suddenly, as this could lead to withdrawal symptoms. Consult your doctor about how to discontinue use safely.
- Store TussiCaps at room temperature and keep it out of reach of children and anyone for whom it is not prescribed, as misuse can result in overdose or death.
Side Effects of TussiCaps
Common Side Effects
- Drowsiness
- Dizziness
- Dry mouth, nose, or throat
- Nausea or vomiting
- Constipation
Uncommon/Severe Side Effects
- Shallow or slow breathing
- Severe drowsiness or difficulty waking up
- Confusion or hallucinations
- Severe allergic reactions (rash, itching, swelling, difficulty breathing)
Risks and Warnings of TussiCaps
- Respiratory Depression: Hydrocodone can cause severe, life-threatening respiratory depression, especially when taken in high doses or combined with other depressants like alcohol or benzodiazepines.
- Abuse and Dependence: TussiCaps contains hydrocodone, which can be habit-forming. Long-term use can lead to physical dependence, and misuse can result in addiction, overdose, or death.
- Sedation: Chlorpheniramine may cause significant drowsiness or dizziness, particularly when combined with alcohol or other sedative medications.
- Pediatric Use: TussiCaps is not recommended for children under 12, and its use in younger children poses serious risks, including fatal respiratory depression.
Interactions with TussiCaps
Common Drug Interactions
- Benzodiazepines and other CNS depressants: Combining TussiCaps with medications like diazepam or lorazepam can increase the risk of sedation and respiratory depression.
- Alcohol: Consuming alcohol while taking TussiCaps significantly increases the risk of respiratory depression and sedation.
- MAO inhibitors: These antidepressants can interact dangerously with TussiCaps, leading to high blood pressure or serotonin syndrome.
- Anticholinergic drugs: Medications such as benztropine can increase the risk of side effects like dry mouth, constipation, and urinary retention.
Alternatives to TussiCaps
- Robitussin AC (codeine and guaifenesin): A combination of codeine (cough suppressant) and guaifenesin (expectorant) used for cough and cold symptoms.
- Bromfed DM (brompheniramine, dextromethorphan, pseudoephedrine): A combination of antihistamine, cough suppressant, and decongestant for treating upper respiratory symptoms.
- Hydromet (hydrocodone and homatropine): A cough suppressant combination used for severe cough when other treatments are ineffective.
