• The hard capsules are swallowed whole with sufficient liquid (e.g. a glass of water).

• Always take this medicine exactly as described or exactly as your doctor or pharmacist has told you.
• Do not take more or for longer than recommended.
• Cases of dextromethorphan abuse have been reported, including cases in children and adolescents.
• If you are unsure, ask your doctor or pharmacist.
• The recommended dose is:
  • Young people over 12 years of age and adults
    • Single dose: 1 capsule every 6 hours (corresponding to 22 mg dextromethorphan every 6 hours)
    • Total daily dose: 4 capsules (corresponding to 88 mg dextromethorphan)
  • This medicine should not be taken by children under 12 years of age.

• Duration of application
  • Do not take this medication for longer than 3-5 days without consulting a doctor.
  • Even when prescribed by a doctor, the medication should not be taken for longer than two to three weeks.
• Please talk to your doctor or pharmacist if you feel that the effect is too strong or too weak.

• If you have taken a larger amount than you should
  • If you take more of the medicine than you should, you may experience the following symptoms: nausea and vomiting, involuntary muscle contractions, restlessness, confusion, drowsiness, impaired consciousness, involuntary and rapid eye movements, disturbances of heart function (rapid heartbeat), coordination disorders, psychoses with visual hallucinations and over-excitability.
  • Other symptoms in case of a massive overdose may include: coma, severe breathing problems, and seizures.
  • Contact your doctor or hospital immediately if you experience any of the above symptoms.
  • If you suspect you have taken too high a dose, notify a doctor immediately.
  • Cases of fatal poisoning have occurred when dextromethorphan and other drugs were overdosed simultaneously.
  • In some cases, intensive care monitoring with symptom-based therapy may be necessary. Naloxone can be used as an antagonist.

• If you forgot to take it
  • Do not take a double dose if you forget to take the previous dose. Continue taking the medication according to the dosage instructions.

SILOMAT Cough Suppressant Dextromethorphan Intensive 12 tablets