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This medication carries significant risks and requires careful use under medical supervision. Below are important safety considerations and warnings:

• Risk of Addiction and Misuse: This medication contains an opioid (hydrocodone), which poses a risk of addiction and misuse, even when taken as prescribed. Misuse may lead to overdose and potentially fatal outcomes. Individuals with a history of substance use disorders or mental health conditions should exercise extra caution.

• Respiratory Depression: The medication can cause severe breathing problems, which can be life-threatening. This risk is heightened when starting treatment or if the dosage is incorrect. Combining this medication with alcohol or other drugs that cause drowsiness or respiratory issues increases this risk. Groups at higher risk include older adults, children under 18, and those with breathing-related medical conditions.

• Drowsiness and Cognitive Impairment: The medication may cause significant drowsiness and impair cognitive functions such as concentration and reaction time. The risk intensifies when taken with other sedative drugs, alcohol, or at higher doses. Older adults should be particularly cautious.

• Overdose Risk: It is crucial to adhere to the prescribed dosage to avoid overdose, which can be fatal. Ensure the medication is kept out of reach of children and pets to prevent accidental ingestion.

• Drug Interactions: This medication interacts with many other drugs. It's important to inform your healthcare provider about all medications you are taking. Avoid making any medication changes without consulting your healthcare team to prevent harmful interactions.

• Pregnancy and Newborn Risk: Use during pregnancy is not recommended due to potential harm to the unborn baby, including the risk of birth defects and withdrawal symptoms in newborns. Pregnant women should discuss risks and benefits with their healthcare provider.

• Low Blood Pressure: The medication may cause a significant drop in blood pressure, leading to dizziness or fainting. Move slowly from sitting or lying positions to avoid falls.

• Adrenal Insufficiency: Long-term use can lead to low adrenal hormone levels, resulting in symptoms like fatigue, nausea, and dizziness. Consult your healthcare provider if you experience these symptoms.

• Seizures: There is an increased risk of seizures, particularly in individuals with a history of seizure disorders. Seek immediate medical attention if a seizure occurs while taking this medication.

Contraindications: Do not use this medication if you are allergic to hydrocodone or chlorpheniramine, have severe asthma or breathing problems, or are under six years of age. Consult your healthcare provider if you have any of these conditions before using this medication.

In case of an overdose or if serious side effects such as slow breathing, severe drowsiness, or difficulty waking up occur, seek immediate medical assistance. Always store the medication securely to prevent misuse or theft.

When taking this medication, some individuals may experience common side effects such as drowsiness, dizziness, headache, blurred vision, and an upset stomach. Nausea, constipation, and dry mouth, nose, or throat can also occur. These effects are generally mild, but if they persist or worsen, it’s advisable to consult a healthcare provider. To manage dry mouth, consider using sugarless gum or candy, ice chips, or a saliva substitute, and stay hydrated.

In some cases, more severe side effects may arise. These include sleep apnea, mental or mood changes like hallucinations, ringing in the ears, trouble urinating, unusual bruising or bleeding, and irregular heartbeat. Very serious side effects, though rare, require immediate medical attention. These include seizures, dangerously slow or shallow breathing, confusion, severe drowsiness, and difficulty waking up.

Additionally, allergic reactions, although rare, may occur. Symptoms such as rash, itching, swelling of the face, tongue, or throat, severe dizziness, and trouble breathing warrant urgent medical help. This drug may contain codeine or dihydrocodeine, which can be converted into strong opioids in the body, heightening the risk of severe side effects in some people. Always report any unusual or severe side effects to a healthcare provider promptly.