Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. An RSV test is used to diagnose respiratory syncytial virus (RSV). Severe allergic reactions have been reported - mostly associated with sucking or chewing the capsule instead of swallowing it. Particularly, prescribers have become increasingly cautious of centrally-acting opioid-based cough medication because of abuse and diversion, although the typical antitussive opiates are generally not the ones that have the most significant degree of current abuse in our society. Benzonatate may also be called an anti-tussive. Children over 10 years old can take benzonatate (Tessalon). Store at room temperature away from moisture, heat, and light. Medically reviewed by Carmen Fookes, BPharm. Question posted by sharon369 on 26 Jan 2017, Last updated on 5 January 2022 by SDeering, Is it still safe to take benzonatate 100 mg capsules purchased on 5/04/16. Parent benzonatate was only detected via screening in one of the overdose cases in our office. date on bottle? Once the numbness goes away, you can eat and drink. FDA encourages healthcare professionals to talk with their patients about this risk. Talk to your doctor about other drug options that may work for you. Honey can help thin mucus and decrease your cough. Keep it in your carry-on bag. Benzonatate is a non-narcotic cough medicine. Common adverse events reported in the overdose cases included cardiac arrest, coma, and convulsion. The reference standard for benzonatate, available from USP, is a mixture of n-ethoxy analog compounds with an average molecular weight of 612.23 g/mol (28). Common benzonatate side effects may include: This is not a complete list of side effects and others may occur. An American citizen was killed in a terror attack in the West Bank on the evening of February 27. Benzonatate may also be called an anti-tussive. A single dose of benzonatate should not exceed 200 mg and the total daily dosage should not exceed 600 mg. Report adverse events and medication errors involving benzonatate to the FDA MedWatch program using the information in the "Contact Us" box at the bottom of this page. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. People in these age groups should not take more than 200 mg at one time. Benzonatate capsules are to be swallowed whole and are not to be broken, chewed, dissolved, or crushed. If your symptoms are severe, call 911 or go to the nearest emergency room right away. More common side effects The more common side effects of benzonatate oral capsule include: drowsiness dizziness. It comes with risks if you dont take it as prescribed. But hallucinations can be fairly disruptive too, and the physicians I spoke with thought that cardiac arrest might be an even bigger nuisance. Eat 2 to 5 mL of honey 2 times each day. RSV is a contagious virus. If the symptoms worsen or persist, seek medical attention. Benzonatate is a cough suppressant available by prescription as a generic medication or under the brand Tessalon. going to the doctor and getting another bill I can't afford so I read on the internet that medications are still good after their expiration date. ongoing numbness or tingling in your mouth, throat, or face; numbness in your chest; a choking feeling; chills; or burning in your eyes. Like other LAs, benzonatate is a potent voltage-gated sodium channel inhibitor, yet other unknown mechanisms may be at work (7, 10, 20). Follow all directions on your prescription label and read all medication guides or instruction sheets. information submitted for this request. (. If a child accidentally ingests benzonatate, call the Poison Control Center (1-800-222-1222) and seek medical attention immediately. RSV is an infection in your airways. Even more challenging is the rapid metabolism of the series of n-ethoxy parent compounds without a suitable pure standard available for quantitation of each specific molecular weight. Taken in overdose, benzonatate can rapidly cause seizures, cardiac arrhythmias and death. (2015, December). RSV infection is caused by a virus that has symptoms similar to the common cold and occurs most often in children. Owing to differences in the manufacturing of benzonatate and metabolic capabilities of the users as well as forensic laboratories current inability to quantitate this compound, the goal of this letter is to bring awareness to the toxicological community that may increasingly encounter this prescription product in routine casework. Benzonatate should not be given to kids under 10 years of age," said Eric Baggerman, Pediatrician at Amistad Community health center. Drug Safety and Availability, Recalls, Market Withdrawals and Safety Alerts, Information about Nitrosamine Impurities in Medications, Food and Drug Administration Overdose Prevention Framework, Medication Errors Related to CDER-Regulated Drug Products, Postmarket Drug Safety Information for Patients and Providers, Risk Evaluation and Mitigation Strategies | REMS, Multistate outbreak of fungal meningitis and other infections, FDA Drug Safety Communication: Death resulting from overdose after accidental ingestion of Tessalon (benzonatate) by children under 10 years of age, FDA says Tessalon liquid cough capsules pose risk for young children, Benzonatate (marketed as Tessalon) Prescribing and Label Information. Try searching for what you seek or ask your own question. Benzonatate may be used as part of a combination therapy. Five of the seven accidental ingestions resulted in death in children age 2 years and younger. Generally speaking, the contagiousness of RSV is slightly higher or comparable to other respiratory viruses. Nintedanib is a tyrosine kinase inhibitor taken twice daily. Taking it again could be fatal (cause death). A study done by the FDA. Image reprinted with permission from Medscape.com, 2010. Advise parents and caretakers to call the Poison Control Center (1-800-222-1222) and to seek medical attention immediately if a child accidentally ingests benzonatate. Medicines that interact with benzonatate may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with benzonatate. For pregnant women: Benzonatate is a category C pregnancy drug. The site is secure. If you take too much: You could have dangerous levels of the drug in your body. This medication can be dangerous or deadly for children younger than that. You shouldnt break, chew, cut, or crush this drug. Benzonatate relieves cough by acting directly on the lungs and the breathing passages. 2005-2023 Healthline Media a Red Ventures Company. Adverse reactions to benzonatate include nausea, dizziness, headache, sedation, somnolence and, in some cases, numbness of the tongue. et al. According to NBC, the findings were based on more than 4600 cases reported to poison control centers. Death resulting from overdose after accidental ingestion of Tessalon (benzonatate) by children under 10 years of age. It is chemically related to medicines used as local anesthetics and works by numbing the nerves in the lungs which . Interestingly, these ester-type LAs have generally fallen out of favor, in both the dental and the anesthesiology fields, for the amide-type LAs such as lidocaine and bupivacaine (15, 16). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Do not take more than 200 mg of benzonatate at one time. Creighton University, Center for Drug Information and Evidence-Based Practice, Nortriptyline oral capsule is a prescription medication thats used to treat depression. A non-narcotic alternative presents some benefits, both because of the reported ineffectiveness of opioids to treat acute cough at lower doses, unwanted side effects at effective doses (14) and because of the nation's drug epidemic (5). Keep out of reach of children. In reality, the molecular weight and ethoxy number are better described as averages. Does Benzonatate make you loopy like a narcotic cough medication or just sleepy like Benadryl? Dont break, chew, cut, or crush this medication. I kept mine in the drawer for 5 yrs & used it today and I didn't cough afterward. If the capsules are chewed, then release of benzonatate from the capsule in the mouth can produce a temporary numbing of the mouth and choking could occur. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. It may also act on the cough center in the brain. (, Bishop-Freeman, S.C., Miller, A., Hensel, E.M., Winecker, R.E. In several of the published over-ingestion cases, as well as those observed in our office, only a small handful of pills was enough to cause seizures, a cardiac event and death. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Is it still safe to take? You and your doctor should monitor certain health issues. A couple months past the expiration date would be ok, but anything longer than that and it has probably lost its power to do anything, to me, it would not be worth the risk in taking it and it possible making you sick too! This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This is why it is so dangerous to combine alcohol and certain classes of medication like opioids and benzodiazepines, which themselves cause significant respiratory depression. If children accidentally take benzonatate seek medical attention immediately. *We will never share or sell your email to any third party. Avoid eating or drinking anything while you feel numbness or tingling in your mouth or throat. Use: Symptomatic relief of cough, Children older than 10 years: You can take benzonatate with or without food. Benzonatate 200mg was filled April 18, 2017 I still have pills left can I take one since I'm. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). LAs will act on bronchial smooth muscle at non-overdose concentrations and may impact respiratory function at near overdose concentrations (19). Potentially life-threatening local anesthesia may occur if the capsules are opened or chewed instead of being swallowed. After the Journal previously reported on Jewish groups bracing for a possible Day of Hate on February 25, the end result was that nothing seemed to happen. If numbness or tingling of the mouth, tongue, throat or face occurs, do not eat or drink until the numbness resolves. You should not use this medicine if you are allergic to benzonatate or topical numbing medicines such as tetracaine or procaine (found in some insect bite and sunburn creams). Dangerous levels of the drug in your body pharmacy carries it symptoms similar to common!, Hensel, E.M., Winecker, R.E your email to any third party can cause... Severe allergic reactions have been reported - mostly associated with sucking or the! (, Bishop-Freeman, S.C., Miller, A., Hensel,,... 2017 I still have pills left can I take one since I 'm numbness of the seven accidental resulted. Others may occur if the capsules are to be swallowed whole and are not be... 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