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A mismarked dosing cup has led a cold medicine maker to recall two of its flavors, fearing that children could overdose on the syrup. At the heart of the recall is an issue with the cold medicine’s dosing cup, the tiny little cup with handy markings to indicate how much of the syrup to give a coughing child.
Unfortunately, somehow the dosing cup was mismarked and therefore does not provide the correct amount of medicine.
Among the side effects of overdose for this particular cold medicine are hyperexcitability, rapid eye movements, changes in muscle reflexes, ataxia (loss of control of bodily movement), dystonia (involuntary muscle contractions), hallucinations, stupor, and coma, Perrigo cautioned.
Other possible side effects are nausea, vomiting, tachycardia, irregular heartbeat, seizures, respiratory depression, and even death. Two retailers, Giant and Stop & Shop, pulled the Care One brand version of the cold medicine last week. CBS News has a full chart of the products affected so parents can double check their bottles. Bottles of children’s cold medicine are being recalled because the dosing information may be wrong. The liquid medicine is made by the Perrigo Company and is sold under generic store brand names, including CVS, Care One, Rite-Aid and Dollar General. The company says the cup that comes with the medicine is marked in correctly, which could lead to potential overdoses of medicine. What do you think about Sweet Martha's Cookie Jar adding a third location at the Minnesota State Fair? Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. As a result, parents could unwittingly give their kids far too much, Perrigo explained in a joint statement with the U.S. However, the mismarked cups pose a serious risk of the syrup is taken over a period of several days. It’s sold through multiple retailers, and nine of them have already responded to the recall by pulling their store-brand version of the drug from their shelves, Consumerist reported.

Those stores include Sunmark, Rite-Aid, Topcar, Kroger, GoodSense, Dollar General, Care One, and CVS.
The grape liquid contains 100mg of the expectorant guaifenesin (the same stuff that’s in Mucinex and Robitussin). Please note: this image is protected by copyright law and may not be used without buying a license.
The cherry also includes 100mg of guaifenesin, in addition to 5mg of the cough suppressant dextromethorphan HBr (which is also found in Robitussin, as well as Delsym). Do not use this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Do not use any other cough, cold, allergy, or pain medication without first asking your doctor or pharmacist.
If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains acetaminophen (sometimes abbreviated as "APAP"), chlorpheniramine, or pseudoephedrine.
If you drink more than three alcoholic beverages per day, do not take acetaminophen without your doctor's advice, and never take more than 2 grams (2000 mg) per day.What should I discuss with my healthcare provider before taking Cold Medicine Plus (acetaminophen, chlorpheniramine, and pseudoephedrine)?Do not use this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.
Serious, life-threatening side effects can occur if you take a decongestant before the MAO inhibitor has cleared from your body. Do not use this medication without telling your doctor if you are breast-feeding a baby.Artificially-sweetened liquid forms of cold medicine may contain phenylalanine.
Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.How should I take Cold Medicine Plus (acetaminophen, chlorpheniramine, and pseudoephedrine)?Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Cold medicine should be taken only for a short time until your symptoms clear up.An overdose of acetaminophen can cause serious harm. The maximum amount of acetaminophen for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. One packet of acetaminophen, chlorpheniramine, and pseudoephedrine powder may contain up to 1000 mg of acetaminophen.
Drink extra fluids while you are taking acetaminophen, chlorpheniramine, and pseudoephedrine.Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon.

If you do not have a dose-measuring device, ask your pharmacist for one.Do not give this medication to a child younger than 2 years old. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.This medication can cause you to have unusual results with allergy skin tests. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.Do not use any other cough, cold, allergy, or pain medication without first asking your doctor or pharmacist.
Acetaminophen (sometimes abbreviated as "APAP"), chlorpheniramine, and pseudoephedrine are contained in many cold and pain medicines available over the counter.
Read the label of any other medicine you are using to see if it contains acetaminophen, APAP, chlorpheniramine, or pseudoephedrine.
Be careful if you drive or do anything that requires you to be awake and alert.Avoid becoming overheated or dehydrated during exercise and in hot weather.
You may report side effects to FDA at 1-800-FDA-1088.What other drugs will affect Cold Medicine Plus (acetaminophen, chlorpheniramine, and pseudoephedrine)?Before taking this medication, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety).
Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides.
The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.Copyright 1996-2006 Cerner Multum, Inc.

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