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Clofedanol (Chlophedianol) (United States: Not available): Drug information

Clofedanol (Chlophedianol) (United States: Not available): Drug information
(For additional information see "Clofedanol (Chlophedianol) (United States: Not available): Patient drug information" and see "Clofedanol (Chlophedianol) (United States: Not available): Pediatric drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: Canada
  • Ulone [OTC]
Pharmacologic Category
  • Antitussive
Dosing: Adult
Cough

Cough: Oral: 25 mg 3 to 4 times daily as needed.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Older Adult

Refer to adult dosing.

Dosing: Pediatric

(For additional information see "Clofedanol (Chlophedianol) (United States: Not available): Pediatric drug information")

Cough

Cough: Note: Safety and efficacy for the use of cough and cold products in infants and children are limited; the Canadian Paediatric Society warns against the use of these products for respiratory illnesses in infants and children; Health Canada advises against OTC use in infants and children <6 years of age due to the risk of serious and life-threatening adverse effects (including death) and recommends using with caution in pediatric patients ≥6 years of age (CPS 2017; CPS [Goldman 2011]; Health Canada 2021).

Children 2 to <6 years: Oral: 12.5 mg 3 to 4 times daily as needed.

Children 6 to <12 years: Oral: 12.5 to 25 mg 3 to 4 times daily as needed.

Children ≥12 years and Adolescents: Oral: 25 mg 3 to 4 times daily as needed.

Dosing: Kidney Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Hepatic Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling.

Adverse Reactions

The following adverse drug reactions are derived from product labeling unless otherwise specified.

Frequency not defined:

Dermatologic: Urticaria

Gastrointestinal: Nausea (larger doses), vomiting (larger doses), xerostomia (larger doses)

Hypersensitivity: Hypersensitivity reaction

Nervous system: Drowsiness (larger doses), excitement, hyperirritability, nightmares, vertigo (larger doses)

Ophthalmic: Visual disturbance (larger doses)

Warnings/Precautions

Concerns related to adverse effects:

• CNS depression: May cause CNS depression at large doses, which may impair physical or mental abilities; patients must be cautioned about performing tasks which require mental alertness (eg, operating machinery or driving).

Special populations:

• Debilitated patients: Use with caution in patients who are sedated or debilitated.

Other warnings/precautions:

• Appropriate use: May not be appropriate for patients with a productive cough.

Warnings: Additional Pediatric Considerations

Safety and efficacy for the use of cough and cold products in infants and children are limited; the Canadian Paediatric Society warns against the use of these products for respiratory illnesses in infants and children; Health Canada advises against OTC use in infants and children <6 years of age due to the risk of serious and life-threatening adverse effects (including death) and recommends using with caution in pediatric patients ≥6 years of age. OTC products containing certain active ingredients have been relabeled to indicate not for use in children <6 years of age (CPS 2017; CPS [Goldman 2011]; Health Canada 2021).

Product Availability

Not available in the US

Dosage Forms: Canada

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Syrup, Oral, as hydrochloride:

Ulone: 25 mg/5 mL

Administration: Pediatric

Oral: Administer liquid formulations with an accurate measuring device; do not use a household teaspoon (overdosage may occur).

Use: Labeled Indications

Note: Not available in the US

Cough: Symptomatic relief of cough

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Mechanism of Action

Centrally acting non-opioid antitussive with comparable cough suppressant potency, slower onset of maximum effect, and longer duration of action than that of opioids; has moderate local anesthetic effects with some anticholinergic action.

  1. Canadian Paediatric Society (CPS). Using over-the-counter drugs to treat cold symptoms. https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/over_the_counter_drugs. Updated February 2017. Accessed February 14, 2022.
  2. Goldman RD; Canadian Paediatric Society (CPS), Drug Therapy and Hazardous Substances Committee. Treating cough and cold: Guidance for caregivers of children and youth. Paediatr Child Health. 2011;16(9):564-569. doi:10.1093/pch/16.9.564 [PubMed 23115499]
  3. Health Canada. Concerns about children's medication: avoiding cough and cold medications. https://www.canada.ca/en/health-canada/services/drugs-medical-devices/concerns-about-children-s-medication.html. Updated January 18, 2021. Accessed February 14, 2022.
  4. Ulone (chlophedianol hcl) [product monograph]. Montreal, Quebec, Canada: Valeant Canada LP; February 2013
Topic 110623 Version 29.0

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