Cross Q Tablet is a combination medicine used to treat common cold symptoms. It thins mucus in the nose, windpipe and lungs making it easier to cough out. It provides relief from seasonal allergic conditions such as runny nose, watery eyes, sneezing and congestion or stuffiness.
Cross Q Tablet is taken with or without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your doctor know about all other medications you are taking as some may affect, or be affected by this medicine.
The most common side effects are nausea, vomiting, diarrhea, bloating, indigestion, headache, rash and loss of appetite. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It can also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can make dizziness worse.
Before taking it, you should tell your doctor if you have any liver diseases so that your doctor can prescribe a suitable dose for you. Also tell your doctor if you are pregnant, planning pregnancy or breastfeeding.
Cross Q Tablet is a combination medicine that effectively relieves symptoms of common cold such as blocked nose, runny nose, watery eyes, sneezing, and congestion or stuffiness. It helps to loosen thick mucus, making it easier to cough out. This makes it easier for air to move in and out. It shrinks the blood vessels and provides rapid relief that lasts for several hours.
This medicine is safe and effective. Cross Q Tablet usually starts to work within a few minutes and the effects can last up to several hours. Take it as prescribed by the doctor. Do not stop using it unless you are advised to by your doctor. Taking this medicine enables you to live your life more freely without worrying so much about things that set off your symptoms.
Side effects of Cross Q Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Cross Q
Nausea
Vomiting
Diarrhea
Bloating
Stomach pain
Indigestion
Loss of appetite
Dizziness
Headache
Sweating
Sleepiness
Rash
Insomnia (difficulty in sleeping)
Allergic reaction
How to use Cross Q Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Cross Q Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Cross Q Tablet works
Cross Q Tablet is a combination of five medicines: Bromhexine, Chlorpheniramine Maleate, Guaifenesin, Phenylephrine and Paracetamol. Bromhexine and Guaifenesin help in the removal of mucus (phlegm) from the airways. Chlorpheniramine Maleate is an antiallergic which relieves allergy symptoms like runny nose, watery eyes and sneezing. Phenylephrine is a decongestant which narrows the small blood vessels providing relief from congestion or stuffiness in the nose. Paracetamol is an antipyretic (fever reducer) which blocks the release of certain chemical messengers to reduce fever associated with cold.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Cross Q Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Cross Q Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Cross Q Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Cross Q Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Cross Q Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Cross Q Tablet may not be needed in these patients. Please consult your doctor. Use of Cross Q Tablet may cause excessive sleepiness in patients with end stage kidney disease.
Liver
CAUTION
Cross Q Tablet should be used with caution in patients with liver disease. Dose adjustment of Cross Q Tablet may be needed. Please consult your doctor. However, the use of Cross Q Tablet is not recommended in patients with severe liver disease and active liver disease.
What if you forget to take Cross Q Tablet?
If you miss a dose of Cross Q Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Cross Q Tablet is prescribed to get relief from symptoms of common cold.
Take exactly as directed by your doctor or on the label. Do not increase the dosage or take for longer than is recommended.
Call your doctor if your symptoms have not improved within seven days of treatment.
Inform your doctor if you are taking any other medications for cold.
Along with taking Cross Q Tablet do the following simple tips at home to get relief:
Steam inhalation
Gargling with warm saltwater.
Apply vapor rubs on chest, back if needed. Take enough rest.
Take warm food and fluid only. Ensure adequate fluid intake.
Advise hygiene measures to reduce spread: frequent hand-washing, avoiding sharing towels, pillowcase, etc.
Fact Box
Habit Forming
No
Therapeutic Class
RESPIRATORY
Patient concerns
Going to high altitude place for vacation PATIENT allergic to MONOCEF . can he take Diamox 250 mg if need be?
Dr. Pranav Gupta
Paediatrics
If you are asking about cross reactivity between MONOCEF and DIAMOX, they are entirely different medicines with different mechanism of action and there should not be any cross reactivity.
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Can the use of Cross Q Tablet cause sleepiness or drowsiness?
Yes, Cross Q Tablet may make you feel drowsy or may cause you to fall asleep during your regular daily activities. Avoid driving, operating machinery, working at heights or participating in potentially dangerous activities until you know how the medicine affects you. Inform your doctor if you experience such an episode while taking this medicine.
Are there any serious side effects associated with the use of Cross Q Tablet?
Serious side effects with Cross Q Tablet are uncommon and rare. Tell your doctor as soon as possible if you notice allergic reactions, skin rash or peeling, mouth ulcers, breathing problems, unexplained bleeding, recurrent fevers or infections, vision disturbances, fast or irregular heartbeat.
Will a more than the recommended dose of Cross Q Tablet be more effective?
No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having serious side effects. If the recommended dosage does not relieve your symptoms or if you experience increased severity of your symptoms, please consult your doctor for re-evaluation.
Are there any contraindications associated with the use of Cross Q Tablet?
Yes, use of Cross Q Tablet should be avoided if you have high blood pressure (hypertension), any underlying serious heart condition or cardiovascular disorder, any history of stomach ulcers or overactive thyroid (hyperthyroidism). However, it can be taken if advised by the doctor. The use of this medicine should also be avoided if you are taking antidepressant drugs. These drugs, called monoamine oxidase inhibitors (MAOIs), may include phenelzine and isocarboxazid or tricyclic antidepressants like imipramine and amitriptyline. This medicine is preferably avoided in pregnant women especially in the first 3 months of pregnancy. Inform your doctor if you are planning to become pregnant.
Can I breastfeed while taking Cross Q Tablet?
No, it is not advisable to breastfeed while using Cross Q Tablet. This medicine contains chlorpheniramine, an antihistamine, which can pass into the breast milk and may harm the baby. Inform your doctor that you are breastfeeding if you are advised to take this medicine.
What are the instructions for the storage and disposal of Cross Q Tablet?
Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
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References
European Medicne Agency. Revised assessment report: Ambroxol and bromhexine containing medicinal products. 2015. [Accessed 01 Apr. 2019] (online) Available from: