40 mg Phenylephrine
           Hydrochloride
12 mg Chlorpheniramine
           Maleate
2 mg Methscopolamine Nitrate

This product provides relief of the symptoms resulting from irritation of sinus, nasal, and upper respiratory tract tissue.

Phenylephrine exerts a vasoconstrictive and decongestive action while chlorpheniramine maleate decreases the symptoms of watering eyes, post-nasal drip, and sneezing. Methscopolamine nitrate further augments the antisecretory activity of this product.

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Patient consultation should include the following information regarding the proper use of this medication:

• Do not take more medication than the amount recommended.
  
  
• This medication should be taken 30 minutes to one hour before meals.
  
  
• Take medication with food, water, or milk to minimize gastric irritation.
  
  
• This medication should be used with caution during exercise or hot weather; overheating may result in heat stroke.
  
  
• Do not drive or operate machinery if drowsiness or dizziness occurs.
  
  
• Do not ingest alcoholic beverages, monoamine oxidase inhibitors (MAOI)s or CNS depression producing medications (hypnotics, sedatives, tranquilizers) while taking this medication.
  
  
• This medication possibly increases sensitivity of eyes to light.
  
  
• Methscopolamine nitrate may cause blurred vision. Patients should observe caution before driving, using machinery or performing other tasks requiring visual alertness.
  
  
• If a dose is missed, the medication should be taken as soon as possible unless it is almost time for the next dose. Do not double the dose.
  
  
• Keep all medications out of the reach of children. In case of accidental overdose, seek professional assistance or contact a poison control center immediately. Caution patients about the signs of potential side effects, especially:
  
  
  1. Anticholinergic effects - clumsiness or unsteadiness; severe drowsiness; severe dryness of mouth, nose, or throat; flushing or redness of face; shortness of breath or troubled breathing.
     
     
  2. Blood dyscrasia - sore throat and fever; unusual bleeding or bruising; unusual tiredness or weakness.
     
     
  3. Fast or irregular heartbeat.
     
     
  4. Psychotic episodes.
     
     
  5. Tightness in chest.

Note: When anticholinergics are given to patients, especially children, where the environmental temperature is high, there is risk of a rapid increase in body temperature because of suppression of sweat gland activity. Infants, patients with Down's syndrome, and children with spastic paralysis or brain damage may show an increased response to anticholinergics, thus increasing the potential for side effects. Geriatric or debilitated patients may respond to usual doses of anticholinergics with excitement, agitation, drowsiness, or confusion.