Knowles SR, Weber E. Dextromethorphan anaphylaxis. J Allerg Clin Immunol. 1998;102:316-7. Further information

The recommendation for children over age 12 is 1 lozenge every 2–3 hours and a maximum of 8 in 24 hours. The active ingredients of Stepsils may be excreted in breast milk. This drug should be used while breastfeeding only if the potential benefit justifies the potential risk to the child, as determined by your doctor. Side Effects What side effects can occur when using Strepsils®?Wolfe TR, Caravati EM. Massive dextromethorphan ingestion and abuse. Am J Emerg Med. 1995;13:174-6. This medicine contains fragrance with Citral, Citronellol, d-Limonene, Farnesol, Geraniol and Linalool. Citral, Citronellol, d-Limonene, Farnesol, Geraniol and Linalool may cause allergic reactions. Adverse effects have included gastrointestinal disturbances such as stomach upset and diarrhea. [ Ref] Nervous system In Germany are sold now as Dobendan and Dobensana brand, from 2009 till 2013 were sold as Dobendan Strepsils. [9] This medicine contains Sulphites – Sulphur Dioxide present in liquid glucose which may rarely cause severe hypersensitivity reactions and bronchospasm.

This medicine contains sucrose (1.496g per lozenge) and glucose (1.013g per lozenge). Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine. This drug may interact with other medications. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. Home remedies or alternative treatments may help reduce a dry cough. Below are a few options to consider. Honey

Ingredients

Murray S, Brewerton T. Abuse of over-the-counter dextromethorphan by teenagers. South Med J. 1993;86:1151-3.

This medicine contains only very low levels of gluten (from wheat starch). It is regarded as 'gluten-free' and is very unlikely to cause problems if you have coeliac disease. One lozenge contains no more than 20.26 micrograms of gluten. If you have wheat allergy (different from coeliac disease) you should not take this medicine. You may experience some, none, or other side effects not mentioned above. If you experience serious adverse reactions, you must stop taking the drug immediately. If you have any concerns about a side effect or it becomes bothersome, consult your doctor or pharmacist. Interactions What drugs may interact with Strepsils®? This medicine contains sulphites – Sulphur dioxide (E220) which may rarely cause severe hypersensitivity reactions and bronchospasm. Clinically Proven to Work for Up to 2 Hours - Unlike non-medicated throat sweets, Strepsils contain medicine that keep on working long after the lozenge has gone.Different decongestant medications are available. Pseudoephedrine is a common decongestant. OTC medications containing pseudoephedrine include: Menthol lozenges come in different strengths. The recommended dosage is 1 lozenge every 2 hours and a maximum of 12 lozenges in 24 hours.