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Ans : There are some side effects of this syrup. It can cause some other allergies or unwanted effects. Some of them are: Nausea, Irregularity of heartbeats, Vomiting, Increased heart rate, Headache, Palpitations, Constipation, Stomach ache, Blurred vision, Swelling of face, Shortness of breath, Loss of consciousness.

Ans : No, Maxtra is unsafe to use in pregnancy. Patient can consult doctor for an alternative medication. There is no sufficient information about the possible side effects of how this syrup can affect breastfeeding women in general. Therefore, you must consult your doctor before consumption. It is advisable that you do not consume the syrup if you are pregnant or expecting to be pregnant soon. There is no sufficient information to call it safe for consumption during such conditions. Oximetazolinum, Oxymetazolina, Oxymetazoline, Oxymétazoline, Oxymetazolinum, Oxymethazoline, OxymetozolineIn rats, the oral LD 50 is 680 ug/kg and the subcutaneous LD 50 is 1630 ug/kg. In mice, the oral LD 50 is 4700 ug/kg, the intraperitoneal LD 50 is 48 mg/kg, and the subcutaneous LD 50 is 34 mg/kg. Following single-drop ocular administration of oxymetazoline in healthy adult subjects, the mean ± SD C max was 30.5 ± 12.7 pg/mL and the area under the concentration-time curve (AUC inf) was 468 ± 214 pg x hr/mL. The median T max was 2 hours, ranging from 0.5 to 12 hours. Maxtra Syrup 60 ml can be taken with or without food in a dose and duration as advised by the doctor. The most common side effects of Maxtra Syrup 60 ml are drowsiness, dizziness, headache, dry mouth/nose/throat, upset stomach, constipation, or trouble sleeping.Most of these side effects of Maxtra Syrup 60 ml do not require medical attention and gradually resolve over time. however, if the side effects are persistent, reach out to your doctor.

Adults and children 6 years of age and older: 2-3 drops or sprays in each nostril twice daily for 3-5 days. Ans : Yes, this syrup is beneficial for cough conditions. It also treats other issues such as sinus pressure, watery eyes, hay fever and allergies. It is important that you must discuss about your medical history in general whenever you consult a doctor. Ask your doctor whether you are fit to consume this medication or not as the medication can affect the functioning of kidney in some cases, especially if you are already suffering from kidney related issues. Imidazole derivatives such as oxymetazoline are readily absorbed across mucosal membranes, especially in children. In adult subjects with erythema associated with rosacea, the mean ± standard deviation (SD) C max was 60.5 ± 53.9 pg/mL and the AUC from time 0 to 24 hours (AUC 0-24hr) was 895 ±798 pg x hr/mL following topical administration of first-dose oxymetazoline. Following once-daily topical applications for 28 days, the mean ± SD C max was 66.4 ± 67.1 pg/mL and the AUC 0-24hr was 1050 ± 992 pg x hr/mL. Following twice-daily applications for 28 days, the mean ± SD C max was 68.8 ± 61.1 pg/mL and the AUC 0-24hr was 1530 ± 922 pg x hr/mL. Ans : It is a combination of two different drugs (Chlorpheniramine 2 mg/ml, Phenylephrine 5 mg/ml) which used to treat conditions such as Nasal De-congestion, Common cold and Flu-like symptoms.Important information about Chlorphenamine (Piriton)- Drugs Bank [Internet]. drugsbanks.com. 2017 [Cited 23 April 2019]. Available from: Maxtra Syrup 60 ml contains a combination of two different drugs. Chlorpheniramine being a class B pregnancy drug and phenylephrine being a class C. So, it should be used with caution

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The syrup does interact with certain medicines or ingredients that can result in negative implications. If you are under medications or supplements that have ingredients or drugs like alcohol, antipsychotics, digoxin, decongestants, phenytoin, sedatives or tricyclic antidepressants. You must consult a doctor to get a better understanding on how to go about the dosages or look for substitutes in such conditions. The duration of the effect can differ from person to person and the dosage as well. A doctor will guide you better in this regard with the amount and frequency of dosage that best suits you. This medicine provide temporary relief of nasal congestion and eustachian tube congestion along with the associated symptoms. Maxtra Syrupmay cause drowsiness. Avoid driving or operating machinery while taking this medication. Maxtra Syrup 60 ml belongs to the combination medication called 'anti-allergics' primarily used to treat symptoms caused by the common cold, flu, allergies and other breathing problems like sinusitis and bronchitis. An allergy is an immune system response to foreign elements typically not harmful to your body. These foreign elements are known as 'allergens.' Allergic condition varies from person to person. Some might be allergic to certain foods and seasonal allergies like hay fever. At the same time, others might be allergic to pollen or pet dander. Maxtra is an adrenergic α1- and α2-agonist and a direct-acting sympathomimetic drug. By stimulating adrenergic receptors, oxymetazoline causes vasoconstriction of dilated arterioles and reduces blood flow. In a radioligand competition study, oxymetazoline displayed higher affinity at α1A-adrenoceptors compared to α2B-adrenoceptors, but with higher potency at α2B-adrenoceptors. When sprayed intranasally, oxymetazoline relieved relief nasal congestion and improved nasal airflow in patients with acute coryzal rhinitis for up to 12 hours following a single dose.

Drug-Drug Interactions:Maxtra Syrup 60 ml have interactions with other anti-allergic medications (cetirizine, fluticasone, diphenhydramine), blood thinners (aspirin), cough suppressant drugs (dextromethorphan), anti-hypertensive medications(atorvastatin), anti-asthma medications (albuterol), medicines used for stomach problems (pantoprazole), anti-depressants (isocarboxazid, rasagiline, linezolid, tranylcypromine).Apart from this, high blood pressure, seizures, overactive thyroid, stomach problems or urination problems also. Up to 10% of patients could experience tachycardia, palpitations, and dry mouth; use vasoconstrictor with caution; prolonged use will cause significant xerostomia.