Bells Kilkof Oral Solution for Relief of Coughs, Colds and Sore Throats 100ml - Pack of 6

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If you are using a product made to dissolve in the mouth (such as strips), dry your hands before handling the medication. Place each dose on the tongue and allow to dissolve completely, then swallow it with saliva or with water. Your doctor may recommend the non-sedating antihistamines loratadine (Claritin) or cetirizine. These have not been shown to cause harm when used in pregnancy. • Piriton during pregnancy Anti-arrhythmics: May delay the gastro-intestinal absorption of mexiletine or quinidine (which may also reduce the efficacy of codeine). Taking certain MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

This medicinal product contains 3.6% vol ethanol (alcohol), equivalent to 0.18ml of ethanol per 5ml dose. Harmful to those suffering from alcoholism. Other groups sensitive to alcohol such as children and patients with liver disease or epilepsy should seek medical advice if unsure about taking this medicine. Also contain E128, which may cause allergic reactions (possibly delayed). Consult your doctor or pharmacist if you accidentally take too much, your symptoms persist or you notice any unusual side effects. Possible CNS excitation or depression (hypertension or hypotension) can occur when opioid analgesics are given with antidepressants such as moclobemide (a reversible MAO-A inhibitor). The sedative effects of codeine can possibly be increased when given with tricyclic antidepressants, with anxiolytics or hypnotics, or with sedating antihistamines. Antipsychotic medicines can enhance hypotensive and sedative effects when opioid analgesics are given with antipsychotics. Products such as Imodium which contain loperamide to stop diarrhoea should be avoided, as there is insufficient information available to decide if loperamide is safe or not during pregnancy. This medicine can impair cognitive function and can affect a patient's ability to drive safely. This class of medicine is in the list of drugs included in regulations under 5a of the Road Traffic Act 1988. When prescribing this medicine, patients should be told: Alkof Syrup is a combination medicine used in the treatment of dry cough. It narrows the small blood vessels and provides relief from congestion or stuffiness in the nose. It also relieves allergy symptoms like watery eyes, sneezing, runny nose, and throat irritation.Short bouts of diarrhoea won't do your baby any harm, but diarrhoea lasting longer than a few days can cause dehydration during pregnancy. This could be serious, but can be avoided by the following: • Rehydration salts during pregnancy Metabolism of opioid analgesics is inhibited by cimetidine leading to increased plasma concentration.

The safest medicinal option for treating heartburn during pregnancy is calcium carbonate containing preparations such as TUMS. • Antacids during pregnancy If this isn't possible, you can safely use saline or sodium cromoglicate nasal spray or eye drops during pregnancy in all three trimesters. Guaifenesin: there is limited data about cough suppressants containing guaifenesin during pregnancy, so its safety in pregnancy and breastfeeding has not been fully established. The electronic medicines compendium advises guaifenesin should only be used in pregnancy if it is considered essential by your doctor.Codeine should not be used during breastfeeding (see section 4.3). At normal therapeutic doses codeine and its active metabolite may be present in breast milk at very low doses and is unlikely to adversely affect the breast fed infant. However, if the patient is an ultrarapid metaboliser of codeine higher levels of the active metabolite, morphine, may be present in breast milk and on very rare occasions may result in symptoms of opioid toxicity in the infant, which may be fatal. The infant itself may be a CYP2D6 ultra-rapid metaboliser. In either case on very rare occasions this may result in symptoms of opioid toxicity in the infant. (See also section 4.4). Aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are not recommended during pregnancy, as there are safer alternatives available. They should particularly be avoided in the last trimester, because they can delay labour, increase the length of labour and cause complications in the newborn baby. Painkilling doses of aspirin can also increase the risk of bleeding in the mother and baby if taken in the third trimester. Codeine and dihydrocodeine can affect the baby's breathing if taken in the last trimester, or during labour in large amounts. Heavy use may also cause a withdrawal syndrome in the newborn infant. However, small doses for a short period of time to treat specific pain are sometimes prescribed but only under the strict guidance of a doctor. Be aware that some over-the-counter painkillers contain codeine or dihydrocodeine.

Many doctors will only recommend simple linctus or honey and lemon syrups as we do not have enough data on medicines in pregnancy and their effects on the developing fetus. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Alternatively, short-term use of nasal sprays containing corticosteroids such as beclometasone, budesonide or fluticasone is unlikely to cause any harm during pregnancy. With long-term use sufficient steroid could be absorbed to impair the growth of the baby, so these should only be used after discussing any risks with your doctor or pharmacist. • Antihistamines during pregnancy Administration of pethidine and possibly other opioid analgesics to patients taking a monoamine oxidase inhibitor (MAOI) has been associated with very severe and sometimes fatal reactions. If the use of codeine is considered essential then great care should be taken in patients taking MAOIs or within 14 days of stopping MAOIs. (See section 4.5).Monoamine oxidase inhibitors: MAOIs taken with pethidine have been associated with severe CNS excitation or depression (including hypertension or hypotension). Although this has not been documented with codeine, it is possible that a similar interaction may occur and therefore the use of codeine should be avoided while the patient is taking MAOIs and for 2 weeks after MAOI discontinuation, including MAO-B inhibitor selegiline. This may also apply to the antibacterial linezolid, which is a reversible, non-selective MOA inhibitor.

Decongestants such as pseudoephedrine, phenylephrine, xylometazoline and oxymetazoline should definitely be avoided during pregnancy. These have blood vessel constricting effects that could potentially restrict blood supply to the placenta, or cause problems for women with a history of pre-eclampsia. Anti-emetics: The reduction in intestinal motility caused by codeine may delay the absorption or antagonise the gastrointestinal effects of other drugs e.g. metoclopramide and domperidone. Please note that parcels weighing over 2kg may be sent via courier due to Royal Mail weight restrictions. For hay fever, first try as much as possible to reduce your exposure to the allergens that trigger it. • Nasal sprays during pregnancy

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If you are using the chewable tablets, chew each tablet well and swallow. If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/cup. Do not use a household spoon because you may not get the correct dose.