Delsym

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Delsym DM is no longer being manufactured for sale in Canada. For brands that may still be available, search under Delsym (Dextromethorphan). This article is being kept available for reference purposes only. If you are using Delsym (Dextromethorphan), speak with your doctor or pharmacist for information about your treatment options.

Do not take Delsym (Dextromethorphan) if you:

• are allergic to Delsym (Dextromethorphan) or to any of the ingredients of the medication
• are taking MAO inhibitors (e.g., , Moclobemide, Rasagiline, Selegiline, Tranylcypromine) or have taken them in the previous 2 weeks
• have respiratory Depression (breathing rate below normal)

Do not give this medication to children less than 6 years old.

There may be an interaction between Delsym (Dextromethorphan) and any of the following:

• Abiraterone acetate
• Amiodarone
• amphetamines (e.g., Dextroamphetamine, lisdexamphetamine)
• antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• asunaprevir
• Bromocriptine
• Bupropion
• Buspirone
• Celecoxib
• chloroquine
• Cimetidine
• Cinacalcet
• Clobazam
• Cobicistat
• Cyclobenzaprine
• Darifenacin
• delavirdine
• Diphenhydramine
• Dronedarone
• ergot alkaloids (e.g., ergotamine, Dihydroergotamine)
• HIV protease inhibitors (e.g., darunavir, lopinavir, ritonavir, tipranavir)
• imatinib
• isoniazid
• ketoconazole
• Linezolid
• lithium
• Memantine
• Meperidine
• Methadone
• Metoclopramide
• Mirabegron
• Mirtazapine
• monoamine oxidase inhibitors (M.O.S. e.g., moclobemide, rasagiline, selegiline, tranylcypromine)
• narcotic pain relievers (e.g., Codeine, Fentanyl, Morphine, Oxycodone)
• Nilotinib
• peginterferon alfa-2b
• quinidine
• quinine
• St. John's wort
• selective serotonin reuptake inhibitors (e.g., Citalopram, Fluoxetine, Paroxetine)
• serotonin antagonists (anti-emetic medications; e.g., Granisetron, Ondansetron)
• serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., Desvenlafaxine, Duloxetine, Venlafaxine)
• Tapentadol
• terbinafine
• Ticlopidine
• Tramadol
• Trazodone
• tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Imipramine)
• "triptan" migraine medications (e.g., Almotriptan, Sumatriptan, Zolmitriptan)
• Tryptophan

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Delsym (Dextromethorphan). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Delsym (Dextromethorphan).

HEALTH CANADA ADVISORY
March 24, 2016
Health Canada has issued new restrictions concerning the use of Delsym (Dextromethorphan). To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.

Accidental overdose: If you take more than the recommended amount of Delsym (Dextromethorphan), contact your doctor or a local poison control centre immediately.

Medical conditions: Talk to your doctor or pharmacist about using this product if you have serious kidney or liver disease, high blood pressure, heart or Thyroid disease, Diabetes, Asthma, chronic lung disease or shortness of breath, persistent or chronic cough, Glaucoma, difficulty urinating due to enlargement of prostate gland, chronic Alcoholism, or any other medical condition or are taking medications for depression.

Persistent symptoms: If your cough gets worse, lasts more than 7 days, or tends to recur, or if you are coughing up phlegm or mucus or have a Fever for more than 3 days, talk to your doctor.

Pregnancy: Delsym (Dextromethorphan) should not be used during pregnancy unless the benefits outweigh the risks. If you are pregnant, talk to your doctor or pharmacist before taking Delsym (Dextromethorphan).

Breast-feeding: It is not known if Delsym (Dextromethorphan) passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: Delsym (Dextromethorphan) should not be used by children under 6 years of age.

Seniors: If you are a senior, talk to your doctor or pharmacist before taking Delsym (Dextromethorphan).