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Neut and Ornex Maximum Strength

Determining the interaction of Neut and Ornex Maximum Strength and the possibility of their joint administration.

Check result:

Neut <> Ornex Maximum Strength

Relevance: 20.09.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using pseudoephedrine together with sodium bicarbonate may increase the effects of pseudoephedrine. Contact your doctor if you experience tremor, anxiety, insomnia, irritability, or nervousness. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Alkalization of the urine decreases the urinary excretion increases the elimination half-life of ephedrine, pseudoephedrine, and related drugs. According to one report, an increase in pH from 5.1 to 7.1 increased the half-life of pseudoephedrine from 5 to 16 hours. Toxicity from long-term use of pseudoephedrine has been demonstrated in patients with persistently alkaline urine.

MANAGEMENT: Patients should be monitored for toxic effects such as tremor, anxiety, insomnia, irritability, or nervousness. Dosage reductions may be required.

References

Kuntzman RG, Tsai I, Brand L, Mark LC "The influence of urinary pH on the plasma half-life of pseudoephedrine in man and dog and a sensitive assay for its determination in human plasma." Clin Pharmacol Ther 12 (1971): 62-7
Brater DC, Kaojarern S, Benet LZ, et al "Renal excretion of pseudoephedrine." Clin Pharmacol Ther 28 (1980): 690-4
Wilkinson GR, Beckett AH "Absorption metabolism and excretion of the ephedrines in man. I. The influence of urinary pH and urine volume output." J Pharmacol Exp Ther 162 (1968): 139-47

Neut

Generic Name: sodium bicarbonate

Brand name: Neut

Synonyms: Neut Injection

What is Neut?

Ornex Maximum Strength

Generic Name: acetaminophen / pseudoephedrine

Brand name: Alka-Seltzer Cold and Sinus, Allerest No Drowsiness, Bayer Select Decongestant, Benadryl Allergy Sinus Headache, Dristan Cold Non-Drowsy, Ornex, Ornex Maximum Strength, Sinarest Sinus, Sine-Off Maximum Strength, Tavist Sinus, Triaminic Softchews Allergy Sinus, Bayer Select Sinus Pain Formula, Sudafed Sinus, Contac Sinus, Sinutab Regular Strength, Tylenol Sinus Maximum Strength, Excedrin Sinus, Genapap Sinus, Mapap Sinus, Suphedrin Plus, Phenapap, Pseudoephedrine Sinus, Sinutab Maximum Strength, Sinus Maximum Strength, Tylenol Cold Infants, Suphedrin Sinus, Theraflu Sinus, Sudafed Cold and Sinus, Sudogest Sinus Maximum Strength, Children's Tylenol Sinus, Tylenol Sinus Childrens, Sudafed Sinus Headache, Sinutab Maximum Strength Non Drowsy, Tylenol Sinus Gelcap, Nexafed Sinus Pressure + Pain

Synonyms: n.a.

What is Ornex Maximum Strength?

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In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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