DURADRYL - phenylephrine hydrochloride, chlorpheniramine maleate and methscopolamine nitrate syrup 
Breckenridge Pharmaceutical, Inc.

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Duradryl®
Syrup

Each 5 mL (One teaspoonful) contains:

Phenylephrine HCl10 mg
Chlorpheniramine Maleate2 mg
Methscopolamine Nitrate1.25 mg

INACTIVE INGREDIENTS

Citric Acid, Sodium Benzoate, Glycerin, Cherry Flavor, Sorbitol, FD&C Red #40 and Purified Water.

Keep this and all drugs out of the reach of children. In case of accidental overdose, seek professional assistance or contact a Poison Control Center immediately.

Chlorpheniramine maleate is 2-[ρ-Chloro-α-[2-(dimethylamino)ethyl]benzyl]pyridine maleate.

Phenylephrine HCl, is Benzenemethanol, 3-hydroxy-α-[(methylamino)methyl]-, hydrochloride.

Methscopolamine Nitrate is 3-Oxa-9-azoniatricyclo [3.3.1.02,4]nonane, 7-(3-hydroxy-1-oxo-2-phenylpropoxy)-9, 9-dimethyl-, nitrate, [7(S)-1α2β,4β,5α,7β]

CLINICAL PHARMACOLOGY

Chlorpheniramine maleate, an antihistamine, is an alkylamine antihistamine which possesses anticholinergic and sedative effects. Phenylephrine HCl, a decongestant is a sympathomimetic which acts predominantly on alpha receptors and has little action on beta receptors, with a mild central stimulant effect. Methscopolamine nitrate an anticholinergic, is a derivative of scopolamine, which possesses the peripheral actions of the belladonna alkaloids, but does not exhibit the central actions because of its inability to cross the blood-brain barrier.

INDICATIONS AND USAGE

Relief of respiratory congestion, allergic rhinitis, and vasomotor rhinitis.

CONTRAINDICATIONS

Contraindicated in patients receiving MAO inhibitors (or for 14 days after stopping MAOI therapy), in patients with a known hypersensitivity to any of the ingredients, and in patients with glaucoma, hypertension, cardiac disease, or hyperthyroidism.

WARNINGS

Sympathomimetic amines should be used cautiously in patients with hypertension, diabetes mellitus, ischemic heart disease, hyperthyroidism, increased intraocular pressure, and prostatic hypertrophy. Sympathomimetics may produce central nervous system stimulation with convulsions or cardiovascular collapse with accompanying hypotension. The elderly (60 years and older) are more likely to exhibit adverse reactions.

Stimulants, such as phenylephrine, are banned and tested for by the U.S. Olympic Committee (USOC) and the National Collegiate Athletic Association (NCAA).

PRECAUTIONS

General

Use cautiously, if at all, in the presence of pyloric obstruction. Use with caution in those over 40 years of age, in the presence of diabetes mellitus or urinary retention, and in men with prostatic hypertrophy or a history of bladder difficulty. If disturbances in urination occur, medication should be discontinued for 1 or 2 days and then resumed at lower dosage. Antihistamines may cause excitability, especially in children. Information for patients: Because this product may cause blurring of vision or drowsiness, patients should be cautioned against driving or operating machinery.

Drug interactions

MAO inhibitors (or for 14 days after stopping MAOI therapy), and beta-adrenergic blockers increase the effects of sympathomimetics. Sympathomimetics may reduce the antihypertensive effects of methyldopa, guanethidine, mecamylamine, reserpine and veratrum alkaloids. Concomitant use of antihistamines with alcohol or other CNS depressants may have an additive effect.

Pregnancy Category C

It is also not known whether this product can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. This product should be given to a pregnant woman only if clearly needed.

Nursing mothers

It is not known whether these drugs are excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when this product is administered to a nursing woman. Co-administration of sildenafil citrate and other organic nitrates has been shown to potentiate the hypotension effects of nitrates. Co-administration of Duradryl® Syrup and sildenafil citrate has not been studied. Therefore, the use of sildenafil citrate and Duradryl® Syrup is not recommended.

Pediatric use

Safety and effectiveness in the pediatric population, under 6, have not been established.

Geriatric use

Anticholinergic and CNS stimulant effects are more likely to occur in older patients; danger of precipitating undiagnosed glaucoma; possible impairment of memory.

ADVERSE REACTIONS

Side effects include xerostomia, blurred vision, bradycardia, mydriasis, flushing, palpitation, dizziness, constipation, urinary retention, drowsiness, increased irritability or excitability, nausea or dysphagia.

OVERDOSAGE

The treatment of overdose is essentially symptomatic and supportive. The stomach should be emptied promptly by lavage or by induction of emesis (syrup of ipecac recommended). The installation of activated charcoal into the stomach also should be considered. If respiratory depression is present, treat promptly with oxygen and/or mechanical support of ventilation. If convulsions or marked CNS excitement occurs, only short acting benzodiazepine-type drugs should be used.

DOSAGE AND ADMINISTRATION

Adults and children 12 years of age and older

1 or 2 teaspoonfuls every 3 or 4 hours.

Children 6 to under 12 years of age

½ to 1 teaspoonful depending on age and body weight, may be repeated every 4 hours. This product is not indicated for use in children under 6 years of age. (see PRECAUTIONS, Pediatric Use.)

HOW SUPPLIED

Duradryl® is supplied as a red, cherry flavored syrup in 16 oz bottles, NDC 51991-016-16.

Store at 25°C (77°F); excursions permitted to 15-30°C (59°-86°F). See USP Controlled Room Temperature. Store in tight-light resistant containers. Keep from freezing.

All prescription substitutions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product.

Iss. 11-04 Rev. 4/08

Rx Only

Mfg by: Tri-Med Laboratories, Inc.
Somerset, NJ 08873

Dist by: Breckenridge Pharmaceutical, Inc.
Boca Raton, FL 33487

PRINCIPAL DISPLAY PANEL - 473 mL Bottle Label

Breckenridge
Pharmaceutical, Inc.

NDC 51991-016-16

Duradryl®
Syrup

Each 5 mL (One teaspoonful)
contains:

Phenylephrine HCl                  10 mg
Chlorpheniramine Maleate       2 mg
Methscopolamine
  Nitrate                                 1.25 mg

INACTIVE INGREDIENTS: Citric
Acid, Sodium Benzoate, Glycerin,
Cherry Flavor, Sorbitol, FD&C Red
#40 and Purified Water.

Keep this and all drugs out of the reach of children.
In case of accidental overdose, seek professional
assistance or contact a Poison Control
Center immediately.

Rx Only

Mfg by: Tri-Med Laboratories, Inc.
Somerset, NJ 08873

Dist by: Breckenridge Pharmaceutical, Inc.
Boca Raton, FL 33487

Net Contents:
16 fl oz (One Pint) 473 mL

Principal Display Panel  - 473 mL Bottle Label

DURADRYL 
phenylephrine hydrochloride, chlorpheniramine maleate, and methscopolamine nitrate   syrup
Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)51991-016
Route of AdministrationORALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Phenylephrine Hydrochloride (Phenylephrine) Phenylephrine Hydrochloride10 mg  in 5 mL
Chlorpheniramine Maleate (Chlorpheniramine) Chlorpheniramine Maleate2 mg  in 5 mL
Methscopolamine Nitrate (Methscopolamine) Methscopolamine Nitrate1.25 mg  in 5 mL
Inactive Ingredients
Ingredient NameStrength
Citric Acid Monohydrate 
Sodium Benzoate 
Glycerin 
Sorbitol 
FD&C Red NO. 40 
Water 
Product Characteristics
ColorREDScore    
ShapeSize
FlavorCHERRYImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
151991-016-16473 mL In 1 BOTTLE, PLASTICNone

Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
UNAPPROVED DRUG OTHER01/01/200109/30/2010

Labeler - Breckenridge Pharmaceutical, Inc. (150554335)
Establishment
NameAddressID/FEIOperations
Trimed182050567MANUFACTURE
Revised: 10/2010Breckenridge Pharmaceutical, Inc.