Bell's Healthcare Dual Action Chesty Cough Oral Solution is taken to relieve symptoms of irritating chesty cough associated with upper chest infections.

• 200ml
• Soothes and relieves irritating chesty coughs.
• Fast acting cough-relief
• Suitable for adults and children over 6 years of age.
• Contains diphenhydramine hydrochloride and ammonium chloride to dry up a cough and relieve coughing.

Dosage:

Age:	Dosage:	Warning:
Adults and children over 12 years:	Take one or two 5ml spoonful's (5ml-10ml) every two or three hours.	Do not take more medicine than the label tells you.
Children from 6-12 years:	Take one 5ml spoonful every three or four hours.	Not to be given to children for more than 5 days without advice from your doctor. Medical attention should be sought if the child's condition deteriorates during treatment. Do not take more medicine than the label tells you.
Children under the age of 6 years:		Not to be given to children under 6 years.

All medicines can have side effects although they don't affect everyone.

• Allergic reactions including swelling of the face or difficulty breathing.
• Skin rashes or unexplained bruising.
• Irregular heartbeat.
• Difficulty passing urine.

Common side effects:
Drowsiness (usually diminishes in a few days), excitation, headache, movement (coordination) disorder, urinary retention, dry mouth, blurred vision, stomach upset, thickened chest mucous.

Rare side-effects:
Low blood pressure, involuntary muscle spasm, dizziness, confusion, depression, sleep disturbances, tremor, fits, palpitation, irregular heartbeat, allergy reactions, blood disorders and liver dysfunction.
Reporting of side effects: If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed.
If you notice these or any other side effects, stop using the product and consult your doctor or pharmacist.

Warnings:
Do not use:

• If you are allergic to Diphenhydramine or any other of the ingredients of Bell's Healthcare dual action chesty cough.
• If you are breast-feeding or if you have liver or kidney problems.
• If you are taking medicines for depression such as tranylcypromine, phenelzine or isocarboxazid or within 14 days of stopping taking these medicines.

Do not take if you are pregnant.

Talk to your doctor before use:

• If you are suffering from a chronic or persistent cough, if you have asthma, suffering from acute asthma attack or where a cough is accompanied by excessive secretions.
• If you are suffering from an enlarged prostate, urinary retention, angle closure (glaucoma), liver disease.
• If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product (contains glucose, sucrose and sorbitol).
• Do not use to sedate a child.

Interaction with other medicines:

• There is an increased risk of side effects such as dry mouth, blurred vision or difficulty passing urine if this medicine is taken with: Parkinsons medicines e.g. procyclidine, orphenadrine, trihexiphenidyl; antipsychotics e.g. chlorpromazine, clozapine, thioridazine; antispasmodics e.g. atropine, propantheline; tricyclic antidepressants e.g. amitriptyline, clomipramine.
• There is an increased risk of drowsiness if this medicine is taken with any of the following: alcohol, antipsychotics e.g. chlorpromazine; barbiturates e.g. phenobarbital; anxiety medicines e.g. diazepam, temazepam; sleeping tablets e.g. zopiclone; strong painkillers e.g. morphine, codeine.

Further warnings:

• Harmful for those suffering alcoholism. This medicinal product contains 7.2 vol% ethanol (alcohol), i.e. up to 568mg per 10 ml dose, equivalent to 14.1ml of beer of 6ml of wine per 10ml dose.
• To be taken into account by patients on a controlled sodium diet. This medicinal product contains 33mg of sodium per 10ml dose.
• May cause allergic reactions (possibly delayed); contains amaranth (E123) and methyl hydroxybenzoate (E218).
• Contains 7.8g of sucrose per 10ml dose. This should be taken into account in patients with diabetes mellitus.

Caution: This medicine may cause drowsiness, if affected, do not drive or operate machinery. Avoid Alcoholic drinks

Active ingredients:
Diphenhydramine hydrochloride 14mg per 5ml, ammonium chloride 130mg per 5ml.

Full ingredients list:
Diphenhydramine hydrochloride 14mg per 5ml, ammonium chloride 130mg per 5ml. Sodium citrate E331, levomenthol, saccharin sodium E954, glucose, sucrose, sorbitol E420, citric acid E330, ethanol, methyl hydroxybenzoate E218, cherry flavour, caramel E150c, Amaranth E123 and purified water.