Nuedexta is used for the treatment of pseudobulbar affect or emotional incontinence which manifest as uncontrollable, sudden, and frequent episodes of crying or laughing. This drug requires a prescription.
Before using Nuedexta, you must know all about the risks and complications associated with it. Inform your healthcare provider for any allergic reactions to these drugs or any other drugs, foods, dyes, preservatives, or animals.
Carefully read the label of non-prescription drugs for any possible allergic reaction or contraindications.
Studies in children regarding the relationship of age to the effects of dextromethorphan and quinidine combination have not been performed while the safety and efficacy have not been established.
Studies in the elderly have not demonstrated any geriatric-specific problems that would limit the utility of dextromethorphan and quinidine combination.
Adverse effects have been reported in animal studies but studies in pregnant women or animals are still inadequate. Infant risk is still undetermined when using this drug during breastfeeding.
Discuss with your healthcare professional about the potential risks and benefits of taking this drug while breastfeeding.
Drugs should not be taken together to prevent any interactions but in necessary cases inquire your healthcare provider regarding the adjustments in dosage or any other necessary precautions to prevent any unwanted side effects.
Inform your healthcare professional if you are taking any other prescription or nonprescription drugs. Intake of specific food or using alcohol or tobacco with this drug is associated with an increased risk of certain side effects.
Your healthcare professional can give you special instructions about the use of food, alcohol, or tobacco.
Inform your healthcare provider for any other medical problems such as:
Bone marrow problems caused by quinidine, quinine or mefloquine
Proper usage of Nuedexta requires strict adherence to your doctor’s orders. The effects of dextromethorphan and quinidine combination may be increased by grapefruits and grapefruit juice. The dose of this drug will be variable for different patients.
The directions on the label or the prescription by your healthcare professional should be followed. The dosage of this drug you take depends on the medical problem for which you are using this drug.
Adults with PBA or emotional incontinence are given one capsule once a day for the first 7 days of treatment. Then on day 8 and onwards, the dose should be two capsules per day, taken as one capsule every 12 hours.
Each capsule contains 20 milligrams of dextromethorphan and 10 mg of quinidine. Use and dose in children must be determined by your healthcare professional.
A missed dose should be taken as soon as possible. However, skip the missed dose and go back to your regular dosing schedule if it is almost time for your next dose.
Store the drug in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Dispose any outdated or expired drugs and ask your healthcare professional for the proper disposal of the drugs.
4 Precautions to Take
Before using Nuedexta, there are some precautions you must take. Regular visits should be made to your healthcare provider to track your progress and to monitor the effectiveness of the drug.
Report any unwanted or unusual effects to your healthcare professional. Avoid the necessary medications and activities that are advised against you to prevent unwanted effects.
Check with your healthcare professional before you take any other prescription or nonprescription drugs, and herbal or vitamin supplements.
talking or acting with excitement you cannot control
trembling or shaking
trouble with breathing, speaking or swallowing
twitching, uncontrolled eye movements
uncontrolled twisting movements of the neck, trunk, arms or legs
unsteadiness, trembling or other problems with muscle control or coordination
nervousness or restlessness
unusual facial expressions
Some side effects may occur that usually do not need medical attention. As your body adjusts to the drug, the side effects will slowly disappear. Ask your healthcare professional about ways to prevent or reduce some of these side effects.
If any of the following side effects persists or are inconvenient, or if you notice any other effects, or if you have any questions about them, consult with your health care professional. Report any side effects to the FDA hotline at 1-800-FDA-1088.
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