Lohist D
Lohist D (chlorpheniramine / pseudoephedrine) is a combination of two medications that are used to treat common cold and allergy symptoms. It's available as tablets and an oral liquid. You can find Lohist D (chlorpheniramine / pseudoephedrine) over the counter, but many states require a valid form of identification to purchase.
What is Lohist D (chlorpheniramine / pseudoephedrine)?
What is Lohist D (chlorpheniramine / pseudoephedrine) used for?
Short-term relief of symptoms due to the common cold or hay fever (allergies):
- Runny nose
- Sneezing
- Stuffy nose
- Itching of the nose or throat
- Itchy or watery eyes
- Sinus congestion and pressure
How Lohist D (chlorpheniramine / pseudoephedrine) works
Lohist D (chlorpheniramine / pseudoephedrine) is a combination of two medications that work together to relieve symptoms caused by the common cold or allergies.
- Chlorpheniramine is an antihistamine. It blocks a natural substance in your body called histamine that normally causes runny nose, sneezing, and watery eyes. By blocking histamine, it helps relieve these symptoms.
- Pseudoephedrine is a decongestant. It works by making the blood vessels around your nose and sinus narrower, which helps to relieve congestion and pressure.
Drug facts
Side effects of Lohist D (chlorpheniramine / pseudoephedrine)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Sleepiness
- Dizziness
- Dry mouth
Less Common Side Effects
- Restlessness
- Trouble urinating
- Blurry vision
Lohist D (chlorpheniramine / pseudoephedrine) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Severe allergic reaction: rash; hives; difficulty breathing; swelling of the face, lips, tongue, or throat
- Excessive sleepiness or dizziness
- Toxicity from taking too much (overdose): seizures, hallucinations, confusion, vision changes
The following Lohist D (chlorpheniramine / pseudoephedrine) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Heart palpitations—rapid, pounding, or irregular heartbeat
- Increase in blood pressure
- Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
- Trouble passing urine
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
- Anxiety, nervousness
- Confusion
- Constipation
- Dizziness
- Drowsiness
- Dry mouth
- Headache
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Pros and cons of Lohist D (chlorpheniramine / pseudoephedrine)
Pros
- Starts working within 30 minutes
- Can treat a wide variety of common cold or allergy symptoms
- Conveniently combines two medications in each dose
- Available over the counter as a tablet and a liquid
Cons
- Might need to take multiple times a day for symptom relief
- More difficult to customize the dose since it's a combination of two medications
- Not the best choice for people 65 years and older or who have certain medical problems
- Not recommended for long-term use
Pharmacist tips for Lohist D (chlorpheniramine / pseudoephedrine)
- You can take Lohist D (chlorpheniramine / pseudoephedrine) with or without food. If it upsets your stomach, try taking the medication with food.
- If you're using the liquid, make sure to use a medication dose cup or an oral syringe to measure your dose. Don't use household spoons because they're not accurate and might cause you to take the wrong dose.
- Lohist D (chlorpheniramine / pseudoephedrine) can make you sleepy or dizzy during the day, which can affect your ability to focus, think, or react. Don't drive until you know how the medication affects you.
- While Lohist D (chlorpheniramine / pseudoephedrine) can make adults sleepy, it's possible for children who use it to become overly excited or energetic. If this happens to your child, speak to your child's provider.
- Stop using Lohist D (chlorpheniramine / pseudoephedrine) and contact your provider if you experience any of the following: 1) you feel nervous, dizzy, or have trouble sleeping; 2) your symptoms don't get better within 1 week; or 3) you have a fever. These might be signs of a medical condition that Lohist D (chlorpheniramine / pseudoephedrine) might not be the best option for.
- Tell your provider or pharmacist about all the medications you're taking, especially if you're taking other antihistamines, nasal decongestants, or sleep medications. Also, don't start any new medications while taking Lohist D (chlorpheniramine / pseudoephedrine) without talking to your provider or pharmacist first. They can make sure Lohist D (chlorpheniramine / pseudoephedrine) is safe for you to take and lower your risk of overdose or severe side effects.
- Don't take Lohist D (chlorpheniramine / pseudoephedrine) with a monoamine oxidase inhibitor (MAOI), such as selegiline, phenelzine (Nardil), or tranylcypromine (Parnate). This combination can cause dangerous changes to your blood pressure. If you're currently taking or have taken an MAOI in the last 2 weeks, don't use Lohist D (chlorpheniramine / pseudoephedrine). Contact your provider for other options to treat your cold or allergy symptoms.
Common questions about Lohist D (chlorpheniramine / pseudoephedrine)
You can typically find Lohist D (chlorpheniramine / pseudoephedrine) at the pharmacy counter (or behind the counter). You'll be asked to present photo identification and sign when you buy it. This is required because Lohist D (chlorpheniramine / pseudoephedrine) can be used as an ingredient to make the street drug, crystal methamphetamine. Certain states like Oregon consider Lohist D (chlorpheniramine / pseudoephedrine) a controlled substance and put strict regulations on the medication. Ask your pharmacist to help you locate Lohist D (chlorpheniramine / pseudoephedrine) in the pharmacy.
Lohist D (chlorpheniramine / pseudoephedrine) is generally safe to take, but it's not the best choice for everyone. If you're 65 years of age or older, or have heart problems, high blood pressure, thyroid problems, diabetes, glaucoma, trouble urinating, or breathing problems, this medication might not be right for you. Ask your provider if Lohist D (chlorpheniramine / pseudoephedrine) is safe for you to use.
Yes, you can take Lohist D (chlorpheniramine / pseudoephedrine) as needed (up to every 4 hours) for cold and allergy symptoms. However, while you're having symptoms, it's recommended you take the medication on a scheduled basis according to the package directions or your provider's instructions. If your symptoms don't improve after 1 week or if you develop a fever, stop using Lohist D (chlorpheniramine / pseudoephedrine) and call your provider. They can help you find a different medication that can better relieve your symptoms.
If you're pregnant, don't take Lohist D (chlorpheniramine / pseudoephedrine) until you've talked to your provider first. While chlorpheniramine is considered to be generally safe to take during pregnancy, the American College of Obstetricians and Gynecologists recommends avoiding pseudoephedrine for the first 3 months of pregnancy. This is because it's been linked to a small risk of birth defects. Your provider can discuss the risks and benefits of using Lohist D (chlorpheniramine / pseudoephedrine) during pregnancy.
If you're breastfeeding, don't take Lohist D (chlorpheniramine / pseudoephedrine) until you've talked to your provider first. Occasionally taking 2 to 4 mg of chlorpheniramine (which is in each dose of Lohist D (chlorpheniramine / pseudoephedrine)) is considered safe during breastfeeding. But taking pseudoephedrine can potentially cause irritability in your breastfed baby. Your provider can discuss the risks and benefits of using Lohist D (chlorpheniramine / pseudoephedrine) while breastfeeding.
It's best to avoid drinking alcohol while taking Lohist D (chlorpheniramine / pseudoephedrine). Alcohol can raise your risk of sleepiness and dizziness.
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Risks and warnings for Lohist D (chlorpheniramine / pseudoephedrine)
Lohist D (chlorpheniramine / pseudoephedrine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Accidental overdose
Lohist D (chlorpheniramine / pseudoephedrine) contains an antihistamine (chlorpheniramine) and a decongestant (pseudoephedrine), which are found in many other over-the-counter products. Using other products containing similar ingredients can lead to an accidental overdose and cause serious side effects. These side effects include seizures, hallucinations (seeing things that aren't real), or even death. Tell your provider or pharmacist about the medications you take before starting Lohist D (chlorpheniramine / pseudoephedrine) to make sure it's safe for you. Don't start any new medications while taking Lohist D (chlorpheniramine / pseudoephedrine) without talking to your provider or pharmacist.
To prevent an accidental overdose, read package labels carefully. If you're not sure if a product has any similar ingredients, ask your pharmacist. If you or your loved one experiences an accidental overdose, get medical help right away or contact a poison control center at 1-800-222-1222.
Sleepiness
- Risk factors: Alcohol use | Taking other medications that cause sleepiness | Age 65 or older
Lohist D (chlorpheniramine / pseudoephedrine) can make you very sleepy, which can affect your ability to focus, think, or react. This side effect is more likely to happen or be more intense if you're 65 years or older, drink alcohol while taking this medication, or take other medications that cause sleepiness (e.g., opioids, benzodiazepines, sleep medications). Don't drive or operate machinery until you know how this medication affects you.
Worsening of medical conditions
- Risk factors: Heart disease or high blood pressure | Thyroid problems | High blood sugar (diabetes) | Glaucoma | Breathing problems (e.g., emphysema, long-term bronchitis) | Urinary conditions
Don't take Lohist D (chlorpheniramine / pseudoephedrine) if you have any of the risk factors listed above unless your provider said it's safe to do so. Taking Lohist D (chlorpheniramine / pseudoephedrine) can worsen your condition(s) and cause serious side effects. Make sure your provider knows about all medical conditions you have or have had in the past before starting Lohist D (chlorpheniramine / pseudoephedrine).
Lohist D (chlorpheniramine / pseudoephedrine) dosage
Bottle of liquid| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 473ml of 2mg/30mg/5ml | 1 bottle | $32.33 | $32.33 |
Typical dosage for Lohist D (chlorpheniramine / pseudoephedrine)
Tablets
SudoGest Sinus and Allergy or generic: Each tablet contains 4 mg of chlorpheniramine and 60 mg of pseudoephedrine.
- Adults and children 12 years or older: The typical dose is 1 tablet by mouth every 4 to 6 hours. Don't take more than 4 tablets in a 24-hour period.
- Children under 12 years old: Ask your child's provider.
Oral liquid
Lohist D: Each 5 mL (teaspoonful) contains 2 mg of chlorpheniramine and 30 mg of pseudoephedrine.
- Adults and children 12 years or older: The typical dose is 10 mL (2 teaspoonfuls) by mouth every 4 to 6 hours. Don't take more than 4 doses in a 24-hour period.
- Children 6 to up to 12 years old: The typical dose is 5 mL (1 teaspoonful) by mouth every 4 to 6 hours. Don't take more than 4 doses in a 24-hour period.
- Children under 6 years old: Ask your child's provider.
How much does Lohist D (chlorpheniramine / pseudoephedrine) cost?
$32.33
Lohist D (chlorpheniramine / pseudoephedrine) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Lohist D (chlorpheniramine / pseudoephedrine) will not be safe for you to take.
- Currently taking or have taken an MAOI in the last 2 weeks
What are alternatives to Lohist D (chlorpheniramine / pseudoephedrine)?
Short-term relief of symptoms due to the common cold or hay fever (allergies):
Lohist D (chlorpheniramine / pseudoephedrine) images
