Dextromethorphan Hydrobromide and Tiotropium Inhalation Spray

• Generic Name: dextromethorphan
• Dosage Forms: n.a.
• Other Brand Names: Babee Cof, Benylin DM Pediatric, Buckleys Mixture, Creomulsion, Creo-Terpin, DayQuil Cough, Delsym, Delsym 12 Hour Cough Relief, Elixsure Cough, Robafen Cough Liquidgels, Robitussin CoughGels, Scot-Tussin Diabetic, Silphen DM, St. Joseph Cough Suppressant, Sucrets DM Cough, Theraflu Thin Strips Cough, Triaminic Long Acting Cough, DexAlone, Hold, Sucrets 4-Hour Cough Drops, Robitussin Maximum Strength, Vicks Formula 44

Temporary relief of coughs (antitussive, cough suppressant) caused by minor throat and bronchial irritation that may occur with common colds, allergies, or inhaled irritants.

Used in fixed combination with other agents (e.g., acetaminophen, brompheniramine, chlorpheniramine, doxylamine, guaifenesin, phenylephrine, pseudoephedrine) for the temporary relief of coughs and/or other symptoms (e.g., rhinorrhea, sneezing, lacrimation, itching eyes, oronasopharyngeal itching, nasal congestion) associated with seasonal (e.g., hay fever) or perennial allergic rhinitis, other upper respiratory allergies, or the common cold.

Most effective in the treatment of chronic, nonproductive cough.

In pediatric patients <2 years of age, OTC cough and cold preparations (i.e., containing cough suppressants [including dextromethorphan], antihistamines, expectorants, and/or nasal decongestants) were not more effective than placebo in reducing acute cough and other symptoms of upper respiratory tract infection and reportedly are associated with adverse events and sometimes death (albeit rarely). (See Pediatric Use under Cautions.)

Abuse and recreational use reported. (See Abuse Potential under Cautions.)

• Generic Name: tiotropium
• Dosage Forms: n.a.
• Other Brand Names: Spiriva, Spiriva Respimat, Spiriva Handihaler, Spiriva Respimat 30 Dose, Spiriva Respimat 14 Dose, Spiriva Respimat 28 ACT, Spiriva Respimat 60 ACT, Spiriva Respimat 10 ACT

• It is used to treat COPD (chronic obstructive pulmonary disease).
• It is used to treat asthma.
• This medicine is not to be used to treat intense flare-ups of shortness of breath. Use a rescue inhaler. Talk with the doctor.