MUTORIL-D Syrup 100 ml belongs to a class of medication called 'cough and cold preparations' primarily used to treat dry cough. Coughing (dry or productive) is a body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. There are two types of coughs, namely: dry cough and chesty cough. A dry cough is tickly and doesn't produce any vicious or thick mucus, while a chesty cough (wet cough) means mucous or sputum is produced to help clear your airways.

MUTORIL-D Syrup 100 ml is a combination of three drugs, namely:

Chlorpheniramine maleate (antihistamine)

Phenylephrine (decongestant)

Dextromethorphan hydrobromide (cough suppressant)

Chlorpheniramine maleate works by blocking the action of histamine, a substance responsible for causing allergic reactions. Phenylephrine helps in shrinking the blood vessels located in the nasal passage, thereby reducing the stuffy nose. Dextromethorphan hydrobromide works by blocking the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough. Together, it helps to provide relief from dry cough.

Take MUTORIL-D Syrup 100 ml with or without food as advised by your doctor with the help of a measuring cup. Your doctor will recommend how often you need to take MUTORIL-D Syrup 100 ml based on your medical condition. Some people may experience dry mouth, throat or nose, drowsiness, blurred vision, constipation, dizziness, restlessness or excitation. Most of these side effects of MUTORIL-D Syrup 100 ml do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are pregnant or breastfeeding, it is advised to inform your doctor before using MUTORIL-D Syrup 100 ml. MUTORIL-D Syrup 100 ml is not recommended for children below 12 years of age. If you are about to undergo any medical tests or surgery, please inform your doctor that you are taking MUTORIL-D Syrup 100 ml. Avoid using MUTORIL-D Syrup 100 ml if you have taken monoamine oxidase inhibitors in the past 14 days. If you have glaucoma, urinary problems, enlarged prostate, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), cough with mucus or cough caused by asthma, smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), inform your doctor before taking MUTORIL-D Syrup 100 ml.

Uses of MUTORIL-D Syrup 100 ml
Dry cough
Medicinal Benefits
MUTORIL-D Syrup 100 ml is a combination medicine belonging to a class of drugs called 'cough and cold preparations' primarily used to treat dry cough. Chlorpheniramine maleate works by blocking the action of histamine, a substance responsible for causing allergic reactions. It helps provide relief from allergy symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion or stiffness. Phenylephrine is a decongestant that helps in shrinking the blood vessels located in the nasal passage, thereby reducing the stuffy nose. Dextromethorphan hydrobromide works by blocking the transmission of nerve signals from the cough centre in the brain to the muscles that produce cough. Thus, MUTORIL-D Syrup 100 ml helps to relieve cough, cold and allergic symptoms.

Directions for Use
Shake the bottle well before use. Check the label for directions and take MUTORIL-D Syrup 100 ml with or without food in doses as prescribed by your doctor with the help of a measuring cup provided with the pack.

Storage
Store in a cool and dry place away from sunlight
Side Effects of MUTORIL-D Syrup 100 ml
* Dry mouth, throat or nose
*Drowsiness
*Dizziness

*Blurred vision
*Headache
* Constipation
*Restlessness or excitation
* Loss of appetite

In-Depth Precautions and Warning

Drug Warnings
If you are allergic to MUTORIL-D Syrup 100 ml or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using MUTORIL-D Syrup 100 ml. MUTORIL-D Syrup 100 ml is not recommended for children below 12 years of age. If you are about to undergo any medical tests or surgery, please inform your doctor that you are taking MUTORIL-D Syrup 100 ml. Avoid taking MUTORIL-D Syrup 100 ml if you have taken medicines such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine and methylene blue injection in the past 14 days. Drink plenty of fluids while taking MUTORIL-D Syrup 100 ml to loosen mucus. If you have glaucoma, urinary problems, enlarged prostate, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), cough with mucus or cough caused by asthma, smoking, chronic bronchitis or emphysema (a lung condition causing shortness of breath), inform your doctor before taking MUTORIL-D Syrup 100 ml.

Drug Interactions
Drug-Drug Interaction: 
MUTORIL-D Syrup 100 ml may have interaction with anti- allergic drugs (diphenhydramine), anti-psychotic (escitalopram, desvenlafaxine, vilazodone), pain killer (aspirin), cold medicines (acetaminophen), antibiotics (amoxicillin), anti-depressants (linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine), beta-blockers (metoprolol, atenolol), muscle relaxants (carisoprodol, cyclobenzaprine).

Drug-Food Interaction: MUTORIL-D Syrup 100 ml may interact with alcohol. Therefore, avoid alcohol consumption with MUTORIL-D Syrup 100 ml as it may increase the risk of adverse effects such as drowsiness, dizziness or difficulty in concentrating.

Drug-Disease Interaction: 
MUTORIL-D Syrup 100 ml may have interactions with disease conditions such as liver or kidney disease, asthma, diabetes, glaucoma, cardiovascular diseases, enlarged prostate gland, chronic bronchitis or emphysema (a lung condition causing shortness of breath).

Safety Advice
ALCOHOL
Avoid consumption of alcohol with MUTORIL-D Syrup 100 ml as it may increase drowsiness. Please consult a doctor before consuming alcohol with MUTORIL-D Syrup 100 ml.

PREGNANCY
The safety of MUTORIL-D Syrup 100 ml in pregnant women is unknown. Consult your doctor if you have any concerns; your doctor will prescribe only if the benefits outweigh the risks.

BREAST FEEDING
It is unknown whether MUTORIL-D Syrup 100 ml is excreted in human milk. Consult your doctor if you have any concerns; your doctor will decide if MUTORIL-D Syrup 100 ml can be taken by breastfeeding mothers or not.

DRIVING
MUTORIL-D Syrup 100 ml may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking MUTORIL-D Syrup 100 ml.

LIVER
Take MUTORIL-D Syrup 100 ml with caution, especially if you have a history of liver diseases/conditions. The dose may be adjusted by your doctor as required.

KIDNEY
Take MUTORIL-D Syrup 100 ml with caution, especially if you have a history of kidney diseases/conditions. The dose may be adjusted by your doctor as required. Habit Forming

No Diet & Lifestyle Advise
* Avoid dairy products such as milk as it may increase mucus production. Also, avoid processed or refined foods. 
*Drink plenty of fluids to avoid a dry throat while you have a cough. It also helps loosen mucus.
*Avoid citrus fruits as they may worsen the cough. Eat fruits rich in water content such as pears, watermelon, peaches and pineapples.

Special Advise

* Talk to your doctor if your symptoms do not improve even after taking MUTORIL-D Syrup 100 ml for 7 days.
* Contact a doctor immediately if you develop fever, rash or headaches after taking MUTORIL-D Syrup 100 ml. 

Patients Concern
Disease/Condition Glossary
Cough: Coughing is a body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. Coughs may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. Cough is commonly caused as a response to allergy or viral infection but coughing up mucus is possibly an infection in the respiratory tract. If you are coughing thick, solid white mucus, you may have a bacterial infection in the airways. If the mucus is clear or light-coloured, you may have allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection