This information is intended for use by health professionals
Per 5ml Dose:
| Pseudoephedrine hydrochloride
| Chlorphenamine maleate
For the full list of excipients, see section 6.1
For the relief of allergic rhinitis.
For oral administration.
Two 5ml spoonfuls three times daily.
Under 2 years: Not recommended.
2 6 years: 2.5ml three times daily.
6 12 years: 5ml three times daily.
Not more than 3 doses should be given in any 24 hours.
Contra-indicated in patients with a known hypersensitivity to pseudoephedrine hydrochloride or chlorphenamine maleate or any of the other ingredients. Contra-indicated in epileptics because of the antihistamine content and in patients currently taking or within 2 weeks of stopping monoamine oxidase inhibitors. Contra-indicated in hypertension or in patients receiving antihypertensive therapy.
Not recommended for children under 2 years.
Asthmatics should consult a medical practitioner before using this product.
Caution should be exercised in patients with renal impairment, urinary retention, diabetes, hyperthyroidism, glaucoma, hepatic impairment or cardiovascular disease and those taking other sympathomimetic agents, such as decongestants, amphetamine-like psychostimulants and appetite suppressants.
The effects of single dose of Galpseud Plus on the blood pressure of these patients should be observed before recommending repeated or unsupervised treatment. As with other sympathomimetic agents, caution should be exercised in patients with prostatic enlargement or bladder dysfunction.
In severe hepatic or renal dysfunction, a single dose of Galpseud Plus should be given, and the patient's response used as a guide to the dosage requirement for further administration.
If symptoms persist consult your doctor.
Do not exceed the stated dose.
Do not take with other cough and cold medicines.
Consult a pharmacist or other healthcare professional before use in children under 6 years.
Severe Skin reactions
Severe skin reactions such as acute generalized exanthematous pustulosis (AGEP) may occur with pseudoephedrine-containing products. This acute pustular eruption may occur within the first 2 days of treatment, with fever, and numerous, small, mostly non-follicular pustules arising on a widespread oedematous erythema and mainly localized on the skin folds, trunk, and upper extremities. Patients should be carefully monitored. If signs and symptoms such as pyrexia, erythema, or many small pustules are observed, administration of this product should be discontinued and appropriate measures taken if needed.
Some cases of ischaemic colitis have been reported with pseudoephedrine. Pseudoephedrine should be discontinued and medical advice sought if sudden abdominal pain, rectal bleeding or other symptoms of ischaemic colitis develop.
The antibacterial agent furazolidone is known to cause progressive inhibition of monoamine oxidase and although there are no reports of a hypertentive crisis having occurred, it should not be administered concurrently with Galpseud Plus.
There may be an increased risk of arrythmias if pseudoephedrine is given to patients receiving cardiac glycosides or tricyclic antidepressants. Pseudoephedrine may reduce the hypotensive effect of antihypertensives with sympathomimetic activity. Concurrent use of pseudoephedrine with monoamine oxidase inhibitors may cause a hypertensive crisis. Chlorphenamine may enhance the sedative effects of CNS depressants, including alcohol, barbiturates, hypnotics, anxiolytics, sedatives and anti-psychotics. As chlorphenamine possesses anticholinergic activity the effects of some anticholinergics may be potentiated.
Not to be used during pregnancy and lactation without prior consultant with a medical practitioner. Pseudoephedrine is excreted in breast milk in small amounts.
May cause drowsiness, if affected do not drive or operate machinery. The drowsiness may be potentiated by alcohol or other central sedatives.
Pseudoephedrine may cause anxiety, tremor, cardiac arrhythmias, palpitations, tachycardia, hypertension, nausea, vomiting, headache and may occasionally cause insomnia and urinary retention in men. Rarely sleep disturbance and hallucinations have been reported.
There have been rare cases of psychosis following misuse of pseudoephedrine.
Chlorphenamine may cause drowsiness, nausea, vomiting, headaches, blurred vision, anorexia and dryness of the mouth.
The administration of antihistamines has also been associated with rash, angioedema, convulsions, parasthesias, dizziness and constipation.
Skin and subcutaneous tissue disorders
Frequency unknown: Severe skin reactions, including acute generalized exanthematous pustulosis (AGEP)
Frequency unknown: Ischaemic colitis
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for 'MHRA Yellow Card' in the Google Play or Apple App Store.
Symptoms of overdose may include restlessness, drowsiness, tetany, hallucinations, excitement, ataxia, convulsions, fever, nausea, vomiting, difficulty in micturition, flushing, palpitations, tachycardia, cardiac arrhythmias and respiratory difficulties. Overdose should be treated by general symptomatic and supportive means. In the event of gross overdose the stomach may be emptied by airways protective gastric lavage. If consciousness is impaired or if respiration or circulatory difficulties are evident, appropriate supportive measures should be taken to maintain a patient's airway and to stabilise cardiovascular function. Convulsions should be controlled by immediate appropriate measures.
Pseudoephedrine has direct and indirect sympathomimetic activity and is an orally effective upper respiratory tract decongestant.
Pseudoephedrine is substantially less potent than ephedrine in producing both tachycardia and elevation in systolic blood pressure and considerably less potent in causing stimulation of the central nervous system.
Chlorphenamine is one of the most potent anti-histamines. It is useful in the control of symptoms which are allergic in origin. It helps to provide relief from nasal stuffiness and watering of the eyes.
Pseudoephedrine hydrochloride is readily and completely absorbed from the gastro-intestinal tract. It is resistant to metabolism by monoamine oxidase and is largely excreted unchanged in the urine.
Chlorphenamine maleate is readily absorbed from the gastro-intestinal tract. It is extensively metabolised in the liver and excreted in the urine.
Citric acid monohydrate (E330)
Sodium hydroxybenzoates (E215, E217, E219)
Carmellose sodium (E466)
Condensed milk flavour (F12516)
Orange flavour (17.40.7040)
Two years from the date of manufacture.
Protect from light.
Store below 25°C.
Amber glass bottle with a 28mm tamper evident child resistant closure with a low density polyethylene plug
Pack size: 500ml.
Thornton & Ross Ltd.