Rinex Syrup

RINEX is used for

• The symptomatic relief of blocked nose due to the common cold and flu, hay fever (inflammation of the nasal passages), allergic rhinitis (inflammation of the nasal passages), other allergies affecting the nasal passages and the throat, or associated with sinusitis (inflammation of the sinuses).
• Relief of Eustachian tube (tube that runs from the middle ear to the nasal passages and throat) congestion as an adjunct to treatment of middle ear infection.

Do not take RINEX

• If you are allergic (hypersensitive) to any of the ingredients contained in RINEX (see WHAT RINEX CONTAINS).
• RINEX should not be given during acute attacks of asthma.
• If you are on treatment with a monoamine oxidase inhibitor for depression, or within two weeks of stopping treatment with the monoamine oxidase inhibitor.
• If you are pregnant or breastfeeding, as safety has not been established. Phenylephrine hydrochloride, one of the active ingredients in RINEX, is best avoided in pregnancy, because it may cause contraction of the uterus and constriction of blood vessels, with the possibility of decreasing oxygen supply to the foetus.
• If you suffer with hypertension (high blood pressure), hyperthyroidism (overactive thyroid gland) or cardiovascular disease, such as ischaemic heart disease (less oxygen supply to the heart).
• RINEX must not be used in children under six years of age.

Take special care with RINEX

• RINEX should not be taken for more than seven days. After 5 to 7 days, tolerance may occur and the product loses effect. If symptoms do not improve, or are accompanied by fever, consult a doctor.
• Exceeding the recommended dosage may result in nervousness, dizziness, sleeplessness, tremulousness or cardiac dysrhythmia (irregular heartbeat).
• If you have any of the following conditions:
• Occlusive vascular disease including arteriosclerosis (hardening of the arteries) and aneurysms (abnormal widening of a portion of a blood vessel).
• Closed-angle glaucoma (increased pressure in the eye).
• Phaechromocytoma (a tumour of the adrenal gland).
• RINEX may cause severely high blood pressure which may lead to intracranial haemorrhage (bleeding in the brain).
• If you exceed the recommended dose; as an increased risk of serious adverse events such as hypertensive crisis and haemorrhagic stroke have been associated with higher than normal doses.
• If you have cardiovascular disease, hypertension or hyperthyroidism (see Do not take RINEX).
• If you have diabetes, glaucoma or prostatic enlargement as RINEX may aggravate such conditions.
• If you have angina pectoris (severe chest pain due to a lack of oxygen supply), as RINEX may cause angina pain (chest pain).

Do not share medicines prescribed for you with any other person. Always take RINEX exactly as your doctor has instructed you. You should check with your doctor or pharmacist if you are unsure.

Dosage: DO NOT EXCEED THE RECOMMENDED DOSE.

RINEX SYRUP NOT FOR CHILDREN UNDER 6 YEARS OF AGE.

Adults and children 12 years and older: one medicine measure (5 ml) 3 to 4 times daily.

Children 6 to 12 years: Half a medicine measure (2,5 ml) 3 to 4 times daily.

RINEX PED syrup NOT FOR CHILDREN UNDER 6 YEARS OF AGE.

Children 6 to 12 years: One medicine measure (5 ml) 3 to 4 times daily.

If you have the impression that the effect of RINEX is too strong or too weak, talk to your doctor or pharmacist.

If you take more RINEX than you should

In the event of overdosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison control centre.

If you forget to take RINEX

If you miss a dose. Take the dose as soon as you remember, but do not take your next dose at the same time. Then go on as before. Do not take a double dose to make up for forgotten individual doses.

RINEX can have side effects. Not all side effects reported for RINEX are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking RINEX, please consult your healthcare provider for advice.

If any of the following happens, stop taking RINEX and tell your doctor immediately or go to the casualty department at your nearest hospital:

• An allergic reaction: swelling of the face, lips, tongue or throat, skin reactions such as an itchy skin rash or skin that is red, flaky or peeling,
• narrowing of the airways causing difficulty breathing or swallowing. These are all very serious side effects. If you have them, you may have had a serious allergic reaction to RINEX. You may need urgent medical attention or hospitalisation.

Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:

• Liver problems including yellowing of the skin or whites of the eyes (jaundice),
• palpitation, irregular or racing heartbeat. These are all serious side effects. You may need urgent medical attention.

Tell your doctor if you notice any of the following:

• Sedation ranging from slight drowsiness to deep sleep, inability to concentrate, unusual tiredness or weakness, blurred vision, headaches, dizziness, incoordination, ringing or buzzing in the ears, irritability, nightmares, excitement (especially in children), confusion (especially in the elderly),
• stomach or intestine disturbances such as feeling or being sick or diarrhoea, dry mouth, stomach pain, indigestion, loss of appetite,
• difficulty in passing water,
• low blood pressure,
• tight chest, thickening of phlegm,
• changes in the number and types of your blood cells. If you notice increased bruising, nosebleeds, sore throats, infections, excessive tiredness, breathlessness on exertion or abnormal paleness of the skin, you should tell your doctor who may want you to have a blood test,
• twitching, muscular weakness,
• sensitivity to sunlight or artificial light (e.g. sun beds).

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

Store at or below 25 °C, in a well-closed container. Protect from light. Keep in original packaging until required for use. Do not store in a bathroom. Do not use after the expiry date stated on the label. Return all unused medicine to your pharmacist. Do not dispose of unused medicine in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINES OUT OF REACH OF CHILDREN.