Poly Hist Forte (doxylamine succinate 7.5 mg phenylephrine hydrochloride 10 mg) Dailymed
IMPRINT: POLY 216
SHAPE: oval
COLOR: blue SCORE: 2
All Imprints
doxylamine succinate 7.5 mg phenylephrine hydrochloride 10 mg - poly 216 oval blue
poly hist forte (doxylamine succinate and phenylephrine hydrochloride) tablet - poly 216 oval blue
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Drug Facts
Otc - Active Ingredient Section
(in each tablet)
Doxylamine Succinate 7.5mg     Â
Purpose
Antihistamine
Active Ingredients
(in each tablet)
Phenylephrine HCl 10 mg          Â
Purpose
Nasal Decongestant
Uses
Temporarily relieves these symptoms due to the common cold, hay fever (allergic rhinitis)or other upper respiratory allergies:
- nasal congestion
- reduces swelling of nasal passages
- runny nose
- sneezing
- itching of nose or throat
- itchy, watery eyes
Warnings
Do Not Exceed Recommended Dosage.
Do Not Use This Product
- if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask A Doctor Before Use If You Have
- heart disease
- high blood pressure
- thyroid disease
- diabetes
- trouble urinating due to enlargement of the prostate gland
- a breathing problem such as emphysema or chronic bronchitis
- glaucoma
Ask A Doctor Before Use If
you are taking sedatives or tranquilizers.
When Using This Product
- excitability may occur, especially in children
- may cause marked drowsiness
- avoid alcoholic drinks
- alcohol, sedatives, and tranquilizers may increase the drowsiness effect
- use caution when driving a motor vehicle or operating machinery
Stop Use And Ask A Doctor If
- nervousness, dizziness, or sleeplessness occur
- symptoms do not improve within 7 days or are accompanied by fever
If Pregnant Or Breast-feeding,
ask a health professional before use.
Keep Out Of Reach Of Children.
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
Do not exceed recommended dosage.
 Adults and children 12 years of age and over  1 tablet every 4 hours, not to exceed 6 tablets in 24 hours.  Children 6 to 12 years of age:  1/2 tablet every 4 hours, not to exceed 3 tablets in 24 hours.  Children 6 years      of age and younger:       Consult a physician.
Other Information
Store at controlled room temperature between 15°-30°C (59°-86°F).
Supplied in a tight, light-resistant container with a child-resistant cap.
Poly Hist Forte Tablets are blue, caplet-shaped, scored tablets, debossed "Poly" bisect "216" on one side and plain on the other.
Inactive Ingredients
FD&C Blue # 2, magnesium stearate, microcrystalline cellulose, sodium starch glycolate.
Questions? Comments?
Call 1-800-882-1041
Manufactured for:
Poly Pharmaceuticals, Inc.
Quitman, MS 39355 Â Â Â Â Â Rev. 9/13
Principal Display Panel
NDC 50991-216-01 POLY HIST FORTE ® TABLETS Nasal Decongestant • Antihistamine NEW FORMULA Each tablet contains: Doxylamine Succinate . . . 7.5 mg Phenylephrine HCl . . . . . . 10 mg 100 Tablets
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