When This Medicine Should Not Be Used:
You should not take this medicine if you have had an allergic reaction to carbinoxamine or pseudoephedrine, or if you have glaucoma, trouble urinating, stomach ulcer, severe high blood pressure, coronary artery disease, breathing problems, or if you are breastfeeding. You should not take this medicine if you are using monoamine oxidase (MAO) inhibitors, such as Eldepryl®, Marplan®, Nardil®, or Parnate®. Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years old. Using these medicines in very young children might cause serious or possibly life-threatening side effects.

How to Use This Medicine:
Liquid

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are using medicines to treat depression (such as amitriptyline, doxepin, nortriptyline, Elavil®, Pamelor®, Sinequan®), or medicines to treat seizures (such as carbamazepine, phenobarbital, phenytoin, valproic acid, Carbatrol®, Depakene®, Dilantin®, Tegretol®). Your doctor should also know if you are using medicines to lower blood pressure (such as atenolol, hydrochlorothiazide (HCTZ), lisinopril, metoprolol, quinapril, Accupril®, Cozaar®, Diovan®, Lotrel®, Norvasc®, Toprol®).
• Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.
• Do not drink alcohol while you are using this medicine.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have high blood pressure, diabetes, heart disease, an overactive thyroid, glaucoma, asthma, or an enlarged prostate.
• This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
• Call your doctor if your symptoms do not improve or if they get worse.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Fast, slow, pounding, or uneven heartbeat.
• Lightheadedness, dizziness, or drowsiness.
• Pale skin or weakness.
• Seeing or hearing things which are not really there.
• Tremors or seizures.
• Trouble breathing.
• Trouble urinating, or change in how much or how often you urinate.

If you notice these less serious side effects, talk with your doctor:

• Changes in vision.
• Dry mouth.
• Headache.
• Heartburn (burning pain in the chest or throat).
• Irritability or hyperactivity (especially in children).
• Loss of appetite.
• Nausea, vomiting, diarrhea, or stomach cramps.
• Trouble sleeping, restlessness, or nervousness.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088