 Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
 Do not use ibuprofen just before or after heart bypass surgery
(coronary artery bypass graft, or CABG).
 This medicine may cause life-threatening heart or circulation
problems such as heart attack or stroke, especially if you use it
long term.
 This medicine may also cause serious effects on the stomach or
intestines, including bleeding or perforation (forming of a hole).
 You should not use this medication if you are allergic to
ibuprofen, aspirin or other NSAIDs.
 Guaifenesin is an expectorant. It helps loosen congestion in your
chest and throat, making it easier to cough out through your
mouth
 Guaifenesin is well tolerated and has a wide margin of safety.
Side effects have been generally mild and infrequent. Nausea and
vomiting are the side effects that occur most commonly.
Dizziness, headache and rash (including urticaria) have been
reported rarely.
Nasal Decongestant
 Phenylephrine is a decongestant that shrinks blood
vessels in the nasal passages. Dilated blood vessels can
cause nasal congestion (stuffy nose).
- Allergic Reactions
- Because of its pressor effects, phenylephrine hydrochloride
can precipitate angina in patients with severe
arteriosclerosis or history of angina, exacerbate underlying
heart failure, and increase pulmonary arterial pressure.
* dipenhydramine is an antihistamine
 When taking diphenhydramine, use caution driving, operating
machinery, or performing other hazardous activities.
Diphenhydramine may cause dizziness or drowsiness. If you
experience dizziness or drowsiness, avoid these activities.
 Use alcohol cautiously. Alcohol may increase drowsiness and
dizziness while taking diphenhydramine.
 Do not take diphenhydramine if you have taken a monoamine
oxidase inhibitor (MAOI) like phenelzine (Nardil) in the last 14
days. A very dangerous drug interaction could occur, leading to
serious side effects.
Loratadine
 Before taking loratadine, tell your doctor or pharmacist if you are
allergic to it; or if you have any other allergies.
 Loratadine does not usually cause drowsiness when used at
recommended doses. However, do not drive, use machinery, or do any
activity that requires alertness until you are sure you can perform such
activities safely.
 Loperamide is a medicine used along with other measures to treat diarrhea.
Loperamide helps stop diarrhea by slowing down the movements of the
intestines.
 If your symptoms do not improve within 2 days (10 days for chronic diarrhea)
or if you develop a fever or bloody stools, call your doctor. Drink plenty of water
or other beverages to replace fluids lost while having diarrhea.
Loperamide may cause side effects like :
 dry mouth
 dizziness
 drowsiness
 vomiting
 stomach pain, discomfort, or distention (enlargement)
 constipation
 fatigue
*Bismuth subsalicylate is used to treat occasional upset stomach ,
heartburn , and nausea. It is also used to treat diarrhea and help
prevent travelers' diarrhea.
 Side effects from this medication are rare. The most common side
effects are darkening of the stools and/or tongue. These effects are
harmless and will disappear when you stop the medication.
 Before taking bismuth subsalicylate, tell your doctor or pharmacist if
you are allergic to it
*Hydrocortisone cream
 Low-strength preparations (0.5% or 1%) are used without a prescription
for the temporary relief of minor skin irritations, itching, and rashes ,
itchy anal and rectal areas , itching and irritation of the scalp. It is also
used to relieve the discomfort of mouth sores.
Hydrocortisone may cause side effects:
 drying or cracking of the skin
 acne
 itching
 burning
 change in skin color
Topical corticosteroids are contraindicated in those patients with a
history of hypersensitivity to any of the components of the preparation.
*Nystatin cream
Nystatin topical preparations are indicated in the treatment of cutaneous
or mucocutaneous mycotic infections caused by Candida (Monilia)
albicans and other Candida species.
 Get emergency medical help if you have any of these signs of an allergic
reaction
 Nystatin is virtually nontoxic and non sensitizing and is well tolerated
by all age groups including debilitated infants, even on prolonged
administration. If irritation on topical application should occur,
discontinue medication.
 Less serious side effects may include mild itching or irritation.
*Bisacodyl
is used on a short-term basis to treat constipation. It also is used to
empty the bowels before surgery and certain medical procedures.
Bisacodyl is in a class of medications called stimulant laxatives. It
works by increasing activity of the intestines to cause a bowel
movement.
Bisacodyl may cause side effects:
 stomach cramps
 faintness
 stomach discomfort
 rectal bleeding
 Senna irritate the lining of the bowel causing a laxative effect.
 Get emergency medical help if you have any of these signs of an
allergic reaction
 Call your healthcare provider at once if you have a serious side
effect such as:
severe stomach pain, severe diarrhea, watery diarrhea; weight loss;
worsening constipation after you stop taking senna; enlargement
of your fingers and toes; low potassium , nausea, upper stomach
pain, itching, loss of appetite, dark urine, clay-colored stools,
jaundice , stomach cramps, bloating, gas, mild diarrhea;
numbness or tingly feeling; joint pain; or discolored urine.
* Metamucil
 This medication is used to treat constipation.
 Gas or stomach cramping may occur. If any of these effects persist or
worsen, tell your doctor or pharmacist promptly.
 This product must be taken with at least a full glass of water or other
liquid (8 ounces/240 milliliters) so that it will not swell in the throat,
causing choking.
 A very serious allergic reaction to this drug is rare.
*MiraLax
 This medication is used to treat occasional constipation. It
is known as an osmotic-type laxative.
 Nausea , abdominal cramping, or gas may occur.
 A very serious allergic reaction to this drug is rare.
However, seek immediate medical attention if you notice
any symptoms of a serious allergic reaction.