Tussionex Pennkinetic

Manufacturer
Unither Manufacturing LLC
Effective date
2017-01-20
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
7
Source
full-release
Hydrated at
2026-05-31 20:23:39

Label at a glance#

ProductTussionex Pennkinetic
Active ingredienthydrocodone, chlorpheniramine
Label structure16 sections

Boxed warning

Concomitant use of opioids with benzodiazepine or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death (see WARNINGS and PRECAUTIONS – Drug Interactions ). Avoid use of opioid cough medications in patients taking benzodiazepines, other CNS depressants, or alcohol.

Indications and uses

TUSSIONEX Pennkinetic Extended-Release Suspension is indicated for relief of cough and upper respiratory symptoms associated with allergy or a cold in adults and children 6 years of age and older.

Dosage and administration

It is important that TUSSIONEX is measured with an accurate measuring device (see PRECAUTIONS, Information for Patients ) . A dosing spoon is provided with the 4 oz (115 mL) packaged product. One side of the spoon is for a 2.5 mL dose. The other side of the spoon is for a 5 mL dose. Fill to level the side of the spoon for the dose that has been prescribed. Do not overfill. Rinse with water after each use. For pres...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx only

BOXED WARNING

SPL UNCLASSIFIED SECTION

WARNING: RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS

BOXED WARNING SECTION

Concomitant use of opioids with benzodiazepine or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death (see WARNINGS and PRECAUTIONS – Drug Interactions). Avoid use of opioid cough medications in patients taking benzodiazepines, other CNS depressants, or alcohol.

DESCRIPTION

DESCRIPTION SECTION

Each 5 mL of TUSSIONEX Pennkinetic Extended-Release Suspension contains hydrocodone polistirex equivalent to 10 mg of hydrocodone bitartrate and chlorpheniramine polistirex equivalent to 8 mg of chlorpheniramine maleate. Hydrocodone is a centrally-acting narcotic antitussive. Chlorpheniramine is an antihistamine. TUSSIONEX Pennkinetic Extended-Release Suspension is for oral use only.

Hydrocodone Polistirex

SPL UNCLASSIFIED SECTION

Sulfonated styrene-divinylbenzene copolymer complex with 4,5α-epoxy-3-methoxy-17-methylmorphinan-6-one.

Chemical Structure
Chemical Structure

Chlorpheniramine Polistirex

SPL UNCLASSIFIED SECTION

Sulfonated styrene-divinylbenzene copolymer complex with 2-[p-chloro-α-[2-(dimethylamino)ethyl]-benzyl]pyridine.

Chemical Structure
Chemical Structure

Inactive Ingredients

SPL UNCLASSIFIED SECTION

Ascorbic acid, D&C Yellow No. 10, ethylcellulose, FD&C Yellow No. 6, flavor, high fructose corn syrup, methylparaben, polyethylene glycol 3350, polysorbate 80, pregelatinized starch, propylene glycol, propylparaben, purified water, sucrose, vegetable oil, xanthan gum.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Hydrocodone is a semisynthetic narcotic antitussive and analgesic with multiple actions qualitatively similar to those of codeine. The precise mechanism of action of hydrocodone and other opiates is not known; however, hydrocodone is believed to act directly on the cough center. In excessive doses, hydrocodone, like other opium derivatives, will depress respiration. The effects of hydrocodone in therapeutic doses on the cardiovascular system are insignificant. Hydrocodone can produce miosis, euphoria, and physical and psychological dependence.

Chlorpheniramine is an antihistamine drug (H1 receptor antagonist) that also possesses anticholinergic and sedative activity. It prevents released histamine from dilating capillaries and causing edema of the respiratory mucosa.

Hydrocodone release from TUSSIONEX Pennkinetic Extended-Release Suspension is controlled by the Pennkinetic System, an extended-release drug delivery system, which combines an ion-exchange polymer matrix with a diffusion rate-limiting permeable coating. Chlorpheniramine release is prolonged by use of an ion-exchange polymer system.

Following multiple dosing with TUSSIONEX Pennkinetic Extended-Release Suspension, hydrocodone mean (S.D.) peak plasma concentrations of 22.8 (5.9) ng/mL occurred at 3.4 hours. Chlorpheniramine mean (S.D.) peak plasma concentrations of 58.4 (14.7) ng/mL occurred at 6.3 hours following multiple dosing. Peak plasma levels obtained with an immediate-release syrup occurred at approximately 1.5 hours for hydrocodone and 2.8 hours for chlorpheniramine. The plasma half-lives of hydrocodone and chlorpheniramine have been reported to be approximately 4 and 16 hours, respectively.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

TUSSIONEX Pennkinetic Extended-Release Suspension is indicated for relief of cough and upper respiratory symptoms associated with allergy or a cold in adults and children 6 years of age and older.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

TUSSIONEX Pennkinetic Extended-Release Suspension is contraindicated in patients with a known allergy or sensitivity to hydrocodone or chlorpheniramine.

The use of TUSSIONEX Pennkinetic Extended-Release Suspension is contraindicated in children less than 6 years of age due to the risk of fatal respiratory depression.

WARNINGS

WARNINGS SECTION

Risk from Concomitant Use with Benzodiazepines or other CNS Depressants

SPL UNCLASSIFIED SECTION

Concomitant use of opioids, including TUSSIONEX Pennkinetic Extended-Release Suspension, with benzodiazepines, or other CNS depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. Because of these risks, avoid use of opioid cough medications in patients taking benzodiazepines, other CNS depressants, or alcohol (see PRECAUTIONS – Drug Interactions).

Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to use of opioids alone. Because of similar pharmacologic properties, it is reasonable to expect similar risk with concomitant use of opioid cough medications and benzodiazepines, other CNS depressants, or alcohol.

Advise both patients and caregivers about the risks of respiratory depression and sedation if TUSSIONEX Pennkinetic Extended-Release Suspension is used with benzodiazepines, alcohol, or other CNS depressants (see PRECAUTIONS – Information for Patients).

Respiratory Depression

SPL UNCLASSIFIED SECTION

As with all narcotics, TUSSIONEX Pennkinetic Extended-Release Suspension produces dose-related respiratory depression by directly acting on brain stem respiratory centers. Hydrocodone affects the center that controls respiratory rhythm and may produce irregular and periodic breathing. Caution should be exercised when TUSSIONEX Pennkinetic Extended-Release Suspension is used postoperatively and in patients with pulmonary disease, or whenever ventilatory function is depressed. If respiratory depression occurs, it may be antagonized by the use of naloxone hydrochloride and other supportive measures when indicated (see OVERDOSAGE).

Head Injury and Increased Intracranial Pressure

SPL UNCLASSIFIED SECTION

The respiratory depressant effects of narcotics and their capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury, other intracranial lesions, or a pre-existing increase in intracranial pressure. Furthermore, narcotics produce adverse reactions, which may obscure the clinical course of patients with head injuries.

Acute Abdominal Conditions

SPL UNCLASSIFIED SECTION

The administration of narcotics may obscure the diagnosis or clinical course of patients with acute abdominal conditions.

Obstructive Bowel Disease

SPL UNCLASSIFIED SECTION

Chronic use of narcotics may result in obstructive bowel disease especially in patients with underlying intestinal motility disorder.

Pediatric Use

PEDIATRIC USE SECTION

The use of TUSSIONEX Pennkinetic Extended-Release Suspension is contraindicated in children less than 6 years of age (see CONTRAINDICATIONS).

In pediatric patients, as well as adults, the respiratory center is sensitive to the depressant action of narcotic cough suppressants in a dose-dependent manner. Caution should be exercised when administering TUSSIONEX Pennkinetic Extended-Release Suspension to pediatric patients 6 years of age and older. Overdose or concomitant administration of TUSSIONEX Pennkinetic Extended-Release Suspension with other respiratory depressants may increase the risk of respiratory depression in pediatric patients. Benefit to risk ratio should be carefully considered, especially in pediatric patients with respiratory embarrassment (e.g., croup) (see PRECAUTIONS).

PRECAUTIONS

PRECAUTIONS SECTION

General

GENERAL PRECAUTIONS SECTION

Caution is advised when prescribing this drug to patients with narrow-angle glaucoma, asthma, or prostatic hypertrophy.

Special Risk Patients

SPL UNCLASSIFIED SECTION

As with any narcotic agent, TUSSIONEX Pennkinetic Extended-Release Suspension should be used with caution in elderly or debilitated patients and those with severe impairment of hepatic or renal function, hypothyroidism, Addison's disease, prostatic hypertrophy, or urethral stricture. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.

Information for Patients

INFORMATION FOR PATIENTS SECTION

Advise the patient to read the FDA-approved patient labeling (Medication Guide).

Concomitant Use with Benzodiazepines or Other CNS Depressants

SPL UNCLASSIFIED SECTION

Inform patients and caregivers that potentially fatal additive effects may occur if TUSSIONEX Pennkinetic Extended-Release Suspension is used with benzodiazepines or other CNS depressants, including alcohol. Because of this risk, patients should avoid concomitant use of TUSSIONEX Pennkinetic Extended-Release Suspension with benzodiazepines or other CNS depressants, including alcohol (see WARNINGS and PRECAUTIONS – Drug Interactions).

Neurological Adverse Reactions

SPL UNCLASSIFIED SECTION

Advise patients that TUSSIONEX Pennkinetic Extended-Release Suspension may produce marked drowsiness and impair the mental and/or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. Advise patients to avoid driving or operating machinery during treatment with TUSSIONEX Pennkinetic Extended-Release Suspension.

Dosing Instructions

SPL UNCLASSIFIED SECTION

Advise patients not to dilute TUSSIONEX Pennkinetic Extended-Release Suspension with other fluids and not to mix with other drugs as this may alter the resin-binding and change the absorption rate, possibly increasing the toxicity.

Advise patients that TUSSIONEX Pennkinetic Extended-Release Suspension should be measured with an accurate measuring device. A household teaspoon is not an accurate measuring device and could lead to overdosage. A dosing spoon is provided with the 4 oz (115 mL) packaged product. One side of the spoon is for a 2.5 mL dose. The other side of the spoon is for a 5 mL dose. Instruct the patient to fill to level the side of the spoon for the dose that has been prescribed. The spoon should not be overfilled. Rinse the measuring device or dosing spoon after each use.

Alternatively, a pharmacist can recommend an appropriate measuring device and can provide instructions for measuring the correct dose.

Cough Reflex

SPL UNCLASSIFIED SECTION

Hydrocodone suppresses the cough reflex; as with all narcotics, caution should be exercised when TUSSIONEX Pennkinetic Extended-Release Suspension is used postoperatively, and in patients with pulmonary disease.

Drug Interactions

DRUG INTERACTIONS SECTION

The use of benzodiazepines, opioids, antihistamines, antipsychotics, anti-anxiety agents, or other CNS depressants (including alcohol) concomitantly with TUSSIONEX Pennkinetic Extended-Release Suspension may cause an additive CNS depressant effect, profound sedation, respiratory depression, coma, and death and should be avoided (see WARNINGS).

The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the effect of either the antidepressant or hydrocodone.

The concurrent use of other anticholinergics with hydrocodone may produce paralytic ileus.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Carcinogenicity, mutagenicity, and reproductive studies have not been conducted with TUSSIONEX Pennkinetic Extended-Release Suspension.

Pregnancy

PREGNANCY SECTION

Teratogenic Effects

TERATOGENIC EFFECTS SECTION

Pregnancy Category C

SPL UNCLASSIFIED SECTION

Hydrocodone has been shown to be teratogenic in hamsters when given in doses 700 times the human dose. There are no adequate and well-controlled studies in pregnant women. TUSSIONEX Pennkinetic Extended-Release Suspension should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Nonteratogenic Effects

NONTERATOGENIC EFFECTS SECTION

Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting, and fever. The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose.

Labor and Delivery

LABOR & DELIVERY SECTION

As with all narcotics, administration of TUSSIONEX Pennkinetic Extended-Release Suspension to the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used.

Nursing Mothers

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from TUSSIONEX Pennkinetic Extended-Release Suspension, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Geriatric Use

GERIATRIC USE SECTION

Clinical studies of TUSSIONEX did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Gastrointestinal Disorders

SPL UNCLASSIFIED SECTION

Nausea and vomiting may occur; they are more frequent in ambulatory than in recumbent patients. Prolonged administration of TUSSIONEX Pennkinetic Extended-Release Suspension may produce constipation.

General Disorders and Administration Site Conditions

SPL UNCLASSIFIED SECTION

Death

Nervous System Disorders

SPL UNCLASSIFIED SECTION

Sedation, drowsiness, mental clouding, lethargy, impairment of mental and physical performance, anxiety, fear, dysphoria, euphoria, dizziness, psychic dependence, mood changes.

Renal and Urinary Disorders

SPL UNCLASSIFIED SECTION

Ureteral spasm, spasm of vesical sphincters, and urinary retention have been reported with opiates.

Respiratory, Thoracic and Mediastinal Disorders

SPL UNCLASSIFIED SECTION

Dryness of the pharynx, occasional tightness of the chest, and respiratory depression (see CONTRAINDICATIONS).

TUSSIONEX Pennkinetic Extended-Release Suspension may produce dose-related respiratory depression by acting directly on brain stem respiratory centers (see OVERDOSAGE). Use of TUSSIONEX Pennkinetic Extended-Release Suspension in children less than 6 years of age has been associated with fatal respiratory depression. Overdose with TUSSIONEX Pennkinetic Extended-Release Suspension in children 6 years of age and older, in adolescents, and in adults has been associated with fatal respiratory depression.

Skin and Subcutaneous Tissue Disorders

SPL UNCLASSIFIED SECTION

Rash, pruritus.

DRUG ABUSE AND DEPENDENCE

DRUG ABUSE AND DEPENDENCE SECTION

TUSSIONEX Pennkinetic Extended-Release Suspension is a Schedule II narcotic. Psychic dependence, physical dependence and tolerance may develop upon repeated administration of narcotics; therefore, TUSSIONEX Pennkinetic Extended-Release Suspension should be prescribed and administered with caution. However, psychic dependence is unlikely to develop when TUSSIONEX Pennkinetic Extended-Release Suspension is used for a short time for the treatment of cough. Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, assumes clinically significant proportions only after several weeks of continued oral narcotic use, although some mild degree of physical dependence may develop after a few days of narcotic therapy.

OVERDOSAGE

OVERDOSAGE SECTION

Signs and Symptoms

SPL UNCLASSIFIED SECTION

Serious overdosage with hydrocodone is characterized by respiratory depression (a decrease in respiratory rate and/or tidal volume, Cheyne-Stokes respiration, cyanosis), extreme somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, and sometimes bradycardia and hypotension. Although miosis is characteristic of narcotic overdose, mydriasis may occur in terminal narcosis or severe hypoxia. In severe overdosage apnea, circulatory collapse, cardiac arrest and death may occur. The manifestations of chlorpheniramine overdosage may vary from central nervous system depression to stimulation.

Treatment

SPL UNCLASSIFIED SECTION

Primary attention should be given to the reestablishment of adequate respiratory exchange through provision of a patent airway and the institution of assisted or controlled ventilation. The narcotic antagonist naloxone hydrochloride is a specific antidote for respiratory depression which may result from overdosage or unusual sensitivity to narcotics including hydrocodone. Therefore, an appropriate dose of naloxone hydrochloride should be administered, preferably by the intravenous route, simultaneously with efforts at respiratory resuscitation. Since the duration of action of hydrocodone in this formulation may exceed that of the antagonist, the patient should be kept under continued surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration. For further information, see full prescribing information for naloxone hydrochloride. An antagonist should not be administered in the absence of clinically significant respiratory depression. Oxygen, intravenous fluids, vasopressors and other supportive measures should be employed as indicated. Gastric emptying may be useful in removing unabsorbed drug.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

It is important that TUSSIONEX is measured with an accurate measuring device (see PRECAUTIONS, Information for Patients).

A dosing spoon is provided with the 4 oz (115 mL) packaged product. One side of the spoon is for a 2.5 mL dose. The other side of the spoon is for a 5 mL dose. Fill to level the side of the spoon for the dose that has been prescribed. Do not overfill. Rinse with water after each use.

For prescriptions where a dosing spoon is not provided, a pharmacist can provide an appropriate measuring device and can provide instructions for measuring the correct dose. A household teaspoon is not an accurate measuring device and could lead to overdosage.

Each 5 mL of TUSSIONEX Pennkinetic Extended-Release Suspension contains hydrocodone polistirex equivalent to 10 mg hydrocodone bitartrate, and chlorpheniramine polistirex equivalent to 8 mg chlorpheniramine maleate. Shake well before using. Rinse the measuring device with water after each use.

Adults and Children 12 Years and Older

SPL UNCLASSIFIED SECTION

5 mL every 12 hours; do not exceed 10 mL in 24 hours.

Children 6-11 Years of Age

SPL UNCLASSIFIED SECTION

2.5 mL every 12 hours; do not exceed 5 mL in 24 hours.

This medicine is contraindicated in children under 6 years of age (see CONTRAINDICATIONS).

HOW SUPPLIED

HOW SUPPLIED SECTION

TUSSIONEX Pennkinetic (hydrocodone polistirex and chlorpheniramine polistirex) Extended-Release Suspension, equivalent to 10 mg hydrocodone bitartrate and 8 mg chlorpheniramine maleate per 5 mL, is a gold-colored suspension available as:

  • NDC 53014-548-01 4 oz amber plastic bottle containing 115 mL of suspension. Each bottle is supplied with a plastic dosing spoon calibrated for measuring 2.5 mL and 5 mL doses.

For Medical Information

SPL UNCLASSIFIED SECTION

Contact: Medical Affairs Department
Phone: (866) 822-0068
Fax: (770) 970-8859

Storage

STORAGE AND HANDLING SECTION

Store at 20 to 25°C (68 to 77°F); excursions permitted to 15 to 30°C (59 to 86°F) [see USP Controlled Room Temperature].

SPL UNCLASSIFIED SECTION

TUSSIONEX Pennkinetic Extended-Release Suspension
Manufactured for:
UCB, Inc.
Smyrna, GA 30080

TUSSIONEX and PENNKINETIC are registered trademarks of the UCB Group of companies.
© 2017, UCB, Inc., Smyrna, GA 30080. All rights reserved. Printed in the U.S.A.

Rev. 01/2017

SPL MEDGUIDE SECTION

MEDICATION GUIDE
TUSSIONEX® Pennkinetic ® (tuss-i-necks pen-ki-ne-tik)
(hydrocodone polistirex and chlorpheniramine polistirex)
Extended-Release Suspension CII
This Medication Guide has been approved by the U.S. Food and Drug Administration.Issued: January 2017           

What is the most important information I should know about TUSSIONEX Pennkinetic Extended-Release Suspension?

  • Taking TUSSIONEX Pennkinetic Extended-Release Suspension with benzodiazepines, or other central nervous system depressants, including alcohol can cause severe drowsiness, breathing problems (respiratory depression), coma, and death.
  • TUSSIONEX Pennkinetic Extended-Release Suspension can cause you to be drowsy. Avoid driving a car or operating machinery during treatment with TUSSIONEX Pennkinetic Extended-Release Suspension.
  • Women who breastfeed should talk to their healthcare provider before taking TUSSIONEX Pennkinetic Extended-Release Suspension.
  • Call your healthcare provider or get emergency medical help right away if anyone taking TUSSIONEX Pennkinetic Extended-Release Suspension has any of the symptoms below:
  • increased sleepiness
  • confusion
  • difficulty breathing
  • shallow breathing
  • limpness
  • your baby has difficulty breastfeeding
  • Keep TUSSIONEX Pennkinetic Extended-Release Suspension in a safe place away from children. Accidental use by a child is a medical emergency and can cause death. If a child accidentally takes TUSSIONEX Pennkinetic Extended-Release Suspension, get emergency medical help right away.
  • TUSSIONEX Pennkinetic Extended-Release Suspension can cause serious side effects, including death.
  • Take TUSSIONEX Pennkinetic Extended-Release Suspension exactly as prescribed by your healthcare provider. If you take the wrong dose of TUSSIONEX Pennkinetic Extended-Release Suspension, you could overdose and die.
  • TUSSIONEX Pennkinetic Extended-Release Suspension is not for children under 6 years of age.
What is TUSSIONEX Pennkinetic Extended-Release Suspension?
  • TUSSIONEX Pennkinetic Extended-Release Suspension is a prescription medicine used to treat cough and upper respiratory symptoms that you can have with allergies or a cold. TUSSIONEX Pennkinetic Extended-Release Suspension is for adults and children age 6 years and older. TUSSIONEX Pennkinetic Extended-Release Suspension contains 2 medicines, hydrocodone and chlorpheniramine. Hydrocodone is a narcotic cough suppressant. Chlorpheniramine is an antihistamine.
  • TUSSIONEX Pennkinetic Extended-Release Suspension is a federal controlled substance (CII) because it contains hydrocodone that can be abused or lead to dependence. Keep TUSSIONEX Pennkinetic Extended-Release Suspension in a safe place to prevent misuse and abuse. Selling or giving away TUSSIONEX Pennkinetic Extended-Release Suspension may harm others, and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.
  • TUSSIONEX Pennkinetic Extended-Release Suspension is not for children under 6 years of age.
Who should not take TUSSIONEX Pennkinetic Extended-Release Suspension?
  • Do not take TUSSIONEX Pennkinetic Extended-Release Suspension if you are allergic to any of the ingredients in TUSSIONEX Pennkinetic Extended-Release Suspension. See the end of this Medication Guide for a complete list of ingredients. You may have an increased risk of having an allergic reaction to TUSSIONEX Pennkinetic Extended-Release Suspension if you are allergic to certain other opioid medicines.
  • Do not give TUSSIONEX Pennkinetic Extended-Release Suspension to a child under 6 years of age. It can cause breathing problems that can lead to death.
Before you take TUSSIONEX Pennkinetic Extended-Release Suspension, tell your healthcare provider about all of your medical conditions, including if you:
  • have a drug dependence
  • have lung or breathing problems
  • have had a head injury
  • have pain in your stomach-area (abdomen)
  • have a history of severe or persistent cough
  • have glaucoma
  • have prostate problems
  • have problems with your urinary tract (urethral stricture)
  • plan to have surgery
  • drink alcohol
  • have kidney or liver problems
  • have diabetes
  • have thyroid problems, such as hypothyroidism
  • Addison's disease
  • are pregnant or plan to become pregnant. It is not known if TUSSIONEX Pennkinetic Extended-Release Suspension will harm your unborn baby. You and your healthcare provider should decide if you should take TUSSIONEX Pennkinetic Extended-Release Suspension while you are pregnant.
  • are breastfeeding or plan to breastfeed. It is not known if TUSSIONEX Pennkinetic Extended-Release Suspension passes into your breast milk. You and your healthcare provider should decide if you will take TUSSIONEX Pennkinetic Extended-Release Suspension or breastfeed. You should not do both.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Taking TUSSIONEX Pennkinetic Extended-Release Suspension with certain other medicines can cause side effects or affect how well TUSSIONEX Pennkinetic Extended-Release Suspension or the other medicines work. Do not start or stop other medicines without talking to your healthcare provider.
Especially tell your healthcare provider if you:
  • take pain medicines such as narcotics
  • take cold or allergy medicines that contain antihistamines or cough suppressants
  • take medicines for mental illness (anti-psychotics, anti-anxiety)
  • drink alcohol
  • take medicines for depression, including monoamine oxidase inhibitors (MAOIs) and tricyclics
  • take medicines for stomach or intestine problems
Ask your healthcare provider if you are not sure if you take one of these medicines.
How should I take TUSSIONEX Pennkinetic Extended-Release Suspension?
  • Take TUSSIONEX Pennkinetic Extended-Release Suspension exactly as your healthcare provider tells you to take it.
  • Your healthcare provider will tell you how much TUSSIONEX Pennkinetic Extended-Release Suspension to take and when to take it. Do not change your dose without talking to your healthcare provider.
  • Shake TUSSIONEX Pennkinetic Extended-Release Suspension well before each use.
  • Do not mix TUSSIONEX Pennkinetic Extended-Release Suspension with other liquids or medicines. Mixing may change how TUSSIONEX Pennkinetic Extended-Release Suspension works.
  • TUSSIONEX Pennkinetic Extended-Release Suspension can be taken with or without food.
  • Only measure TUSSIONEX Pennkinetic Extended-Release Suspension with the dosing spoon that comes with your prescription. If you do not have a dosing spoon for your medicine, ask your pharmacist to give you a measuring device to help you measure the correct amount of TUSSIONEX Pennkinetic Extended-Release Suspension. Do not use a household teaspoon to measure your medicine. You may accidently take too much.
    • One side of the dosing spoon is marked for a 2.5 mL dose. The other side of the spoon is marked for a 5 mL dose. Find the side of the spoon that has the dose you are taking.
    • Fill that side of the spoon so the medicine is level with the rim of the spoon. Do not overfill the spoon.
    • Rinse the spoon with water after each use.
  • If you take too much TUSSIONEX Pennkinetic Extended-Release Suspension, call your healthcare provider or go to the nearest hospital emergency room right away.
What should I avoid while taking TUSSIONEX Pennkinetic Extended-Release Suspension?
  • TUSSIONEX Pennkinetic Extended-Release Suspension can cause you to be drowsy. Avoid driving a car or operating machinery during treatment with TUSSIONEX Pennkinetic Extended-Release Suspension.
  • Avoid drinking alcohol during treatment with TUSSIONEX Pennkinetic Extended-Release Suspension. Drinking alcohol can increase your chances of having serious side effects.
What are the possible side effects of TUSSIONEX Pennkinetic Extended-Release Suspension?
TUSSIONEX Pennkinetic Extended-Release Suspension may cause serious side effects, including:
  • See "What is the most important information I should know about TUSSIONEX Pennkinetic Extended-Release Suspension?"
  • Breathing problems (respiratory depression) which can lead to death. Call your healthcare provider or get emergency treatment right away if you are sleeping more than usual, have shallow or slow breathing, or confusion.
  • Increased intracranial pressure.
  • Physical dependence or abuse. Take TUSSIONEX Pennkinetic Extended-Release Suspension exactly as your healthcare provider tells you to take it. Stopping TUSSIONEX Pennkinetic Extended-Release Suspension suddenly can cause withdrawal symptoms.
  • Bowel problems including constipation or stomach pain.
The most common side effects of TUSSIONEX Pennkinetic Extended-Release Suspension include:
  • sleepiness
  • confusion
  • nausea and vomiting
  • difficulty urinating
  • trouble breathing
These are not all the possible side effects of TUSSIONEX Pennkinetic Extended-Release Suspension.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store TUSSIONEX Pennkinetic Extended-Release Suspension?
  • Store TUSSIONEX Pennkinetic Extended-Release Suspension at room temperature between 68°F to 77°F (20°C to 25°C).
  • Safely throw away medicine that is out of date or no longer needed.
  • Keep TUSSIONEX Pennkinetic Extended-Release Suspension and all medicines out of the reach of children.
General information about the safe and effective use of TUSSIONEX Pennkinetic Extended-Release Suspension.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use TUSSIONEX Pennkinetic Extended-Release Suspension for a condition for which it was not prescribed. Do not give TUSSIONEX Pennkinetic Extended-Release Suspension to other people, even if they have the same symptoms that you have. It may harm them.
You can ask your pharmacist or healthcare provider for information about TUSSIONEX Pennkinetic Extended-Release Suspension that is written for health professionals.
What are the ingredients in TUSSIONEX Pennkinetic Extended-Release Suspension?
Active Ingredient: hydrocodone polistirex and chlorpheniramine polistirex
Inactive Ingredients: Ascorbic acid, D&C Yellow No. 10, ethylcellulose, FD&C Yellow No. 6, flavor, high fructose corn syrup, methylparaben, polyethylene glycol 3350, polysorbate 80, pregelatinized starch, propylene glycol, propylparaben, purified water, sucrose, vegetable oil, xanthan gum.
Manufactured for: UCB, Inc. Smyrna, GA 30080
For more information about TUSSIONEX Pennkinetic Extended-Release Suspension call 1-844-599-2273.

PRINCIPAL DISPLAY PANEL - 115 mL Bottle Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 53014-548-01
Rx ONLY

CII

Tussionex®
Pennkinetic®
(hydrocodone polistirex and
chlorpheniramine polistirex)

Extended-Release Suspension

equivalent to 10 mg hydrocodone
bitartrate/8 mg chlorpheniramine
maleate per 5 mL

Nonalcoholic
12-hour Dosing

Contraindicated in
children under
6 years of age

Dispense enclosed
Medication Guide to
each patient.

Dispense entire carton
as one unit

4 oz. (115 mL)

Principal Display Panel - 115 mL Bottle Label
Principal Display Panel - 115 mL Bottle Label

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
1087459HYDROcodone polistirex 10 MG / chlorpheniramine polistirex 8 MG in 5 mL 12HR Extended Release Oral SuspensionPSN7
1087463Tussionex Pennkinetic 10 MG / 8 MG in 5 mL 12HR Extended Release Oral SuspensionPSN7
108746312 HR chlorpheniramine polistirex 1.6 MG/ML / hydrocodone polistirex 2 MG/ML Extended Release Suspension [Tussionex]SBD7
108745912 HR chlorpheniramine polistirex 1.6 MG/ML / hydrocodone polistirex 2 MG/ML Extended Release SuspensionSCD7
1087459hydrocodone polistirex 10 MG / chlorpheniramine polistirex 8 MG per 5 ML 12HR Extended Release Oral SuspensionSY7
1087463Tussionex Pennkinetic ER (chlorpheniramine polistirex 1.6 MG/ML / hydrocodone polistirex 2 MG/ML) 12 HR Extended Release SuspensionSY7

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
CHLORPHENIRAMINE Pharmacologic Class Indexing3Indexing - Pharmacologic Class20180813
HYDROCODONE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
362d7abb-94e6-4c60-9a58-266894157713Product name120231023
06cc817f-60e0-4473-8e6b-c44d11dc5af6Product name920220921
53523715-c529-4d52-b9ff-1e5d76636f53Product name220210818
31b11e56-5b35-4ab6-a3a8-f0b48973dcedProduct name220200611
3a16d77a-e865-468a-aedf-6e58913c1c21Product name320190619
816b97af-edc5-4060-aff1-b814bdbcad50Product name120190415
00d531e4-b130-8c52-eaf9-826cbb6f15ddProduct name320190205
aa0f353d-f35e-62e4-4e1f-5b563f01c659Product name920190205
22d922aa-c443-d9f3-b23c-03b03a9ad31cProduct name720181220
c5cd4727-ac49-4409-82b1-5bd8006c3ec7Product name120171122
7855f8e3-562e-4273-8b79-0059c07a71f7Product name120170901
d17a97fa-387f-690e-d2be-0083ab044a03Product name320170725
0fdb98e2-b951-a1ce-5715-2b187ba500efProduct name420170718
419aab54-5d5a-4146-9453-026d4a9991beProduct name220170525
a5244f9c-cd67-0e27-d63b-65fd7e584400Product name220170504
b654f2d9-ebeb-451d-96ee-22f583344623Product name120170424
557673c2-8256-b351-e863-4ec71a5a64b0Product name220160714
e974e22d-8688-7d92-1e87-40c1079e170cProduct name320151125
c6fba691-a132-4ede-95c6-f8c6bd696636Product name120150902
c0200ab5-4954-454e-9676-30b741b245bdProduct name120150730
4fe95224-f543-4dbb-9445-8cca122b48c8Product name120150609
e8718272-64cb-4436-969b-176c3067c8f4Product name120150609
89dac932-b90a-4410-9ab1-84c53e57de25Product name120150316
106ff02a-57e1-4c4c-a307-fd582ff4e311Product name120150212
105ef617-6fa4-6713-326f-72ec8a6b75a9Product name120140508
53855190-7124-8179-f018-e792f7c27f28Product name120140508
61c18d4e-b552-5478-8fc0-df38b93e3100Product name120140508
84fb0b3d-1d72-b672-bc70-2b676a23e7e0Product name120140508
b8e0daf1-fb81-290b-c0bf-873be19ef775Product name120140508
d723478e-ad4a-ec23-6bd7-cfe33e1e3840Product name120140508
d83c592c-dd97-4cbf-36ac-13da806684bdProduct name120140508

FDA-Initiated Inactive NDC Indexing#

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
53014-548-01Tussionex Pennkinetic1 in 1 CARTONSUSPENSION, EXTENDED RELEASE17
53014-548-01Tussionex Pennkinetic115 mL in 1 BOTTLE, PLASTICSUSPENSION, EXTENDED RELEASE1157

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
53014-548TUSSIONEX PENNKINETIC (HYDROCODONE POLISTIREX AND CHLORPHENIRAMINE POLISTIREX) SUSPENSION, EXTENDED RELEASE [UNITHER MANUFACTURING LLC]7Legacy NDC, 2 package rows20170330_af2caf33-e587-4d80-9523-44e1b565aae2.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
53014-548-01ML - Milliliter53014-54867b5b137-f879-4cd0-a985-19c0e3bc7a0e12012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
chlorpheniramineACTIVE INGREDIENT3U6IO1965U6
hydrocodoneACTIVE INGREDIENT6YKS4Y3WQ76
chlorpheniramineACTIVE MOIETY3U6IO1965U6
hydrocodoneACTIVE MOIETY6YKS4Y3WQ76
ascorbic acidINACTIVE INGREDIENTPQ6CK8PD0R6
D&C Yellow No. 10INACTIVE INGREDIENT35SW5USQ3G6
ethylcellulosesINACTIVE INGREDIENT7Z8S9VYZ4B6
FD&C Yellow No. 6INACTIVE INGREDIENTH77VEI93A86
high fructose corn syrupINACTIVE INGREDIENTXY6UN3QB6S6
methylparabenINACTIVE INGREDIENTA2I8C7HI9T6
polyethylene glycol 3350INACTIVE INGREDIENTG2M7P15E5P6
polysorbate 80INACTIVE INGREDIENT6OZP39ZG8H6
propylene glycolINACTIVE INGREDIENT6DC9Q167V36
propylparabenINACTIVE INGREDIENTZ8IX2SC1OH6
starch, cornINACTIVE INGREDIENTO8232NY3SJ6
sucroseINACTIVE INGREDIENTC151H8M5546
waterINACTIVE INGREDIENT059QF0KO0R6
xanthan gumINACTIVE INGREDIENTTTV12P4NEE6

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 20 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
53014-54853014-548-01

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 16 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 9 · 540 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
polysorbate 80POLYSORBATE 806OZP39ZG8HDROPS / OPHTHALMIC0.05 %w/wExact identifier — unii candidate
78 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3AEROSOL, FOAM / TOPICAL1800 mgExact identifier — unii candidate
81 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3SUPPOSITORY / VAGINAL252 mgExact identifier — unii candidate
81 equally ranked IID candidates
sucroseSUCROSEC151H8M554SUSPENSION/ DROPS / ORAL3750 mgExact identifier — unii candidate
48 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TSYRUP / ORAL81 mgExact identifier — unii candidate
79 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HINJECTION, SOLUTION / INTRAMUSCULAR5 %w/vExact identifier — unii candidate
78 equally ranked IID candidates
D&C Yellow No. 10D&C YELLOW NO. 1035SW5USQ3GTABLET, COATED / ORAL2.5 mgExact identifier — unii candidate
31 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TPOWDER, FOR SUSPENSION / ORAL75 mgExact identifier — unii candidate
79 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HINJECTION / INTRAVENOUS4680 mgExact identifier — unii candidate
78 equally ranked IID candidates
polyethylene glycol 3350POLYETHYLENE GLYCOL 3350G2M7P15E5PTABLET, EXTENDED RELEASE / ORAL61 mgExact identifier — unii candidate
28 equally ranked IID candidates
D&C Yellow No. 10D&C YELLOW NO. 1035SW5USQ3GTABLET, FILM COATED / ORAL120 mgExact identifier — unii candidate
31 equally ranked IID candidates
D&C Yellow No. 10D&C YELLOW NO. 1035SW5USQ3GLOTION / TOPICALNAExact identifier — unii candidate
31 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEESUSPENSION / RECTAL452 mgExact identifier — unii candidate
29 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3OINTMENT / TOPICAL5148 mgExact identifier — unii candidate
81 equally ranked IID candidates
sucroseSUCROSEC151H8M554TABLET, EXTENDED RELEASE / ORAL284.54 mgExact identifier — unii candidate
48 equally ranked IID candidates
propylparabenPROPYLPARABENZ8IX2SC1OHINJECTION / INTRAMUSCULAR6 mgExact identifier — unii candidate
68 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HEMULSION / TOPICAL34050 mgExact identifier — unii candidate
78 equally ranked IID candidates
sucroseSUCROSEC151H8M554INJECTION, SUSPENSION, LIPOSOMAL / INTRAVENOUS9.4 %w/vExact identifier — unii candidate
48 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEETABLET / ORAL56 mgExact identifier — unii candidate
29 equally ranked IID candidates
sucroseSUCROSEC151H8M554GRANULE, FOR SUSPENSION, EXTENDED RELEASE / ORAL18790 mgExact identifier — unii candidate
48 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TSYSTEM / TOPICAL42 mgExact identifier — unii candidate
79 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HSOLUTION/ DROPS / OPHTHALMIC0.25 %w/vExact identifier — unii candidate
78 equally ranked IID candidates
polyethylene glycol 3350POLYETHYLENE GLYCOL 3350G2M7P15E5PSUSPENSION, EXTENDED RELEASE / ORAL37 mgExact identifier — unii candidate
28 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HSUPPOSITORY / RECTAL72.15 mgExact identifier — unii candidate
78 equally ranked IID candidates
sucroseSUCROSEC151H8M554SYRUP / ORAL46400 mgExact identifier — unii candidate
48 equally ranked IID candidates
sucroseSUCROSEC151H8M554DROPS / ORALNAExact identifier — unii candidate
48 equally ranked IID candidates
D&C Yellow No. 10D&C YELLOW NO. 1035SW5USQ3GSOLUTION / RECTALNAExact identifier — unii candidate
31 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HCONCENTRATE / ORAL1 mg/1mlExact identifier — unii candidate
78 equally ranked IID candidates
starch, cornSTARCH, CORNO8232NY3SJTABLET, DELAYED RELEASE / ORAL713 mgExact identifier — unii candidate
22 equally ranked IID candidates
sucroseSUCROSEC151H8M554INJECTION, EMULSION / INTRAVENOUS970 mgExact identifier — unii candidate
48 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TDROPS / NASAL26 mgExact identifier — unii candidate
79 equally ranked IID candidates
ethylcellulosesETHYLCELLULOSE7Z8S9VYZ4BSUSPENSION, EXTENDED RELEASE / ORALNAExact identifier — unii candidate
14 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3INJECTION / INTRAVENOUS16624 mgExact identifier — unii candidate
81 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TPASTE, DENTIFRICE / DENTAL0.05 %w/wExact identifier — unii candidate
79 equally ranked IID candidates
ethylcellulosesETHYLCELLULOSE7Z8S9VYZ4BCREAM / TOPICALNAExact identifier — unii candidate
14 equally ranked IID candidates
propylparabenPROPYLPARABENZ8IX2SC1OHINJECTION / SUBCUTANEOUS2 mgExact identifier — unii candidate
68 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HINJECTION, SUSPENSION / SUBCUTANEOUS0.3 %w/vExact identifier — unii candidate
78 equally ranked IID candidates
FD&C Yellow No. 6FD&C YELLOW NO. 6H77VEI93A8SUSPENSION / ORAL11 mgExact identifier — unii candidate
34 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TELIXIR / ORAL800 mgExact identifier — unii candidate
79 equally ranked IID candidates
sucroseSUCROSEC151H8M554SOLUTION / ORAL70000 mgExact identifier — unii candidate
48 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEETABLET, ORALLY DISINTEGRATING / ORAL0.15 mgExact identifier — unii candidate
29 equally ranked IID candidates
sucroseSUCROSEC151H8M554INJECTION / INTRAVENOUS1950 mgExact identifier — unii candidate
48 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3LIQUID / RESPIRATORY (INHALATION)10 %w/wExact identifier — unii candidate
81 equally ranked IID candidates
sucroseSUCROSEC151H8M554PASTILLE / ORAL426 mgExact identifier — unii candidate
48 equally ranked IID candidates
starch, cornSTARCH, CORNO8232NY3SJTABLET / ORAL1116 mgExact identifier — unii candidate
22 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEEPOWDER / ORAL275 mgExact identifier — unii candidate
29 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEETABLET, FILM COATED / ORAL0.08 mgExact identifier — unii candidate
29 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3AEROSOL, FOAM / VAGINAL6.4 %w/wExact identifier — unii candidate
81 equally ranked IID candidates
ascorbic acidASCORBIC ACIDPQ6CK8PD0RGEL / TOPICAL7 mgExact identifier — unii candidate
25 equally ranked IID candidates
propylparabenPROPYLPARABENZ8IX2SC1OHINJECTION, POWDER, FOR SOLUTION / INTRAVENOUS0.8 mgExact identifier — unii candidate
68 equally ranked IID candidates
polyethylene glycol 3350POLYETHYLENE GLYCOL 3350G2M7P15E5PCREAM / TOPICAL396 mgExact identifier — unii candidate
28 equally ranked IID candidates
propylparabenPROPYLPARABENZ8IX2SC1OHINJECTION / INTRAVENOUS6 mgExact identifier — unii candidate
68 equally ranked IID candidates
methylparabenMETHYLPARABENA2I8C7HI9TFILM, SOLUBLE / BUCCAL3 mgExact identifier — unii candidate
79 equally ranked IID candidates
xanthan gumXANTHAN GUMTTV12P4NEELOZENGE / ORAL1264 mgExact identifier — unii candidate
29 equally ranked IID candidates
ascorbic acidASCORBIC ACIDPQ6CK8PD0RINJECTION / INTRAMUSCULAR192 mgExact identifier — unii candidate
25 equally ranked IID candidates
polysorbate 80POLYSORBATE 806OZP39ZG8HSUSPENSION/ DROPS / OPHTHALMIC1 mgExact identifier — unii candidate
78 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3SPONGE / TOPICAL40 %w/wExact identifier — unii candidate
81 equally ranked IID candidates
sucroseSUCROSEC151H8M554CAPSULE, DELAYED RELEASE / ORAL955 mgExact identifier — unii candidate
48 equally ranked IID candidates
ascorbic acidASCORBIC ACIDPQ6CK8PD0RPOWDER, FOR SOLUTION / ORAL560 mgExact identifier — unii candidate
25 equally ranked IID candidates
propylene glycolPROPYLENE GLYCOL6DC9Q167V3GEL / TRANSDERMAL500 mgExact identifier — unii candidate
81 equally ranked IID candidates

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
N019111-001TUSSIONEX PENNKINETICCHLORPHENIRAMINE POLISTIREX; HYDROCODONE POLISTIREXEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3184e616aacf4f…
2026-08-18 06:07:402026-07N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3131067a03dcf5…
2025-08-23 18:47 UTC2025-08N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-316a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-312680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-315bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-311e350fbaab3a…
2024-05-31 18:47 UTC2024-05N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-318072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-315c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5MLSUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-315d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5MLSUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-314b0b4de00fa7…
2019-12-13 00:20 UTC2019-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3174a2ff9319b5…
2022-03-09 01:35 UTC2022-03N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-3187673890dc5c…
2021-03-12 10:30 UTC2021-03N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-315aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-318869cabd3fbd…
2020-11-12 02:37 UTC2020-11N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31c0c555d07b60…
2019-12-14 00:12 UTC2019-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-313f01610625f2…
2019-09-15 20:21 UTC2019-09N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5MLSUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31b00525d2431f…
2019-07-19 19:46 UTC2019-07N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5MLSUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-316a51e52b5d6a…
2024-02-18 07:12 UTC2024-02N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-311c564ffb4f44…
2023-12-20 04:57 UTC2023-12N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-319b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-313f0d92c62455…
2023-05-13 08:27 UTC2023-05N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31053a50430f4f…
2023-01-26 05:58 UTC2023-01N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-313bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-313a93d1ddd44b…
2022-10-28 04:53 UTC2022-10N019111-001TUSSIONEX PENNKINETICEQ 8MG MALEATE/5ML;EQ 10MG BITARTRATE/5ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**SUSPENSION, EXTENDED RELEASE / ORALRLD1987-12-31f41ea6bd6efb…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
0503c2c1-238b-4189-9b9c-08e712fa9313af2caf33-e587-4d80-9523-44e1b565aae22017-01-20Boxed warning, Warnings, Adverse reactionsExact identifier
spl id: 0503c2c1-238b-4189-9b9c-08e712fa9313
spl set id: af2caf33-e587-4d80-9523-44e1b565aae2

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.