Xepa Cough-En Rx Linctus

Brand Xepa
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Xepa Cough-En Rx Linctus contains Diphenhydramine hydrochloride and Ammonium chloride and is presented as a healthcare product. It is supplied in a pack size of 120ml.

It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.

You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.

Directions for Use

Take Xepa Cough-En Rx Linctus by mouth using the measuring cup or spoon provided with the pack, shaking the bottle well before each use, and space doses evenly through the day as stated on the label; because diphenhydramine can cause drowsiness, be mindful of dose timing if you will be driving or operating machinery afterward.

Dosage

Dosing is age-based and should follow the directions printed on the product label or a pharmacist’s advice — adults and older children are generally given a higher dose than younger children, taken several times a day as needed for cough, up to the maximum stated on the packaging. This linctus is not generally recommended for very young children without a doctor’s or pharmacist’s specific advice, and the dose should not be increased beyond the label directions.

Storage Instructions

Store below 30°C in a cool, dry place away from direct sunlight, keep the cap tightly closed between doses, and store out of the sight and reach of children.

Side Effects

  • Drowsiness or dizziness
  • Nausea or vomiting
  • Stomach discomfort
  • Mild confusion (especially at high doses)
  • Dry mouth

Contraindications

  • Known hypersensitivity to diphenhydramine, ammonium chloride, or other ingredients in the linctus
  • Severe liver or kidney impairment (ammonium chloride is cleared via these organs) — seek medical advice first
  • Infants and very young children, unless specifically advised by a doctor or pharmacist

Drug / Food Interactions

  • Alcohol and other sedating medicines — increased drowsiness
  • Other antihistamine- or diphenhydramine-containing cold, flu, allergy, or sleep products — risk of double-dosing on the same active ingredient
  • MAOI antidepressants — may intensify anticholinergic and sedative effects

Quick Tips

  • Check other cold, flu, allergy or sleep products you’re taking to avoid duplicating diphenhydramine
  • Take care if you need to drive or operate machinery, as it can cause drowsiness
  • Stay well hydrated to help the expectorant action loosen mucus
  • Use the measuring cup or spoon provided for an accurate dose
  • Avoid alcohol while taking this linctus
  • See a doctor if the cough lasts more than a week, or is accompanied by fever, chest pain, or breathlessness

Ingredients / Active Ingredients

  • Active ingredients: Diphenhydramine hydrochloride and Ammonium chloride
  • Drug class: sedating antihistamine (cough-suppressant component) combined with an expectorant
  • Dosage form: oral linctus (cough syrup); exact concentration as stated on the product packaging
  • Inactive ingredients are not fully disclosed on the public label; ask your pharmacist if you have specific excipient allergies

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

No Data

No adequate data available. Consult a doctor before use.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Relevant Information

Precautions: This linctus can cause drowsiness — take care with driving, operating machinery, and consuming alcohol. Use with caution in people with asthma or chronic lung disease, glaucoma, urinary retention, or significant liver or kidney impairment, and check with a doctor or pharmacist before use in pregnancy, breastfeeding, or in young children.

When to See a Doctor or Pharmacist: See a doctor or pharmacist if the cough persists beyond about a week, worsens, or is accompanied by fever, coloured or blood-stained phlegm, chest pain, or breathing difficulty, as these may indicate a condition needing further assessment.

Frequently Asked Questions

Product Specifications

BrandXepa
ClassificationNon-prescription
Ingredients / Active IngredientsDextromethorphan
Volume120ml
Shelf LifeUse Xepa Cough-En Rx Linctus before the expiry date printed on the bottle or carton, and discard any unused linctus after the in-use period stated on the label once opened.

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Important Medical Information

💊 Recommended Dosage:

Dosing is age-based and should follow the directions printed on the product label or a pharmacist’s advice — adults and older children are generally given a higher dose than younger children, taken several times a day as needed for cough, up to the maximum stated on the packaging. This linctus is not generally recommended for very young children without a doctor’s or pharmacist’s specific advice, and the dose should not be increased beyond the label directions.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to diphenhydramine, ammonium chloride, or other ingredients in the linctus
  • Severe liver or kidney impairment (ammonium chloride is cleared via these organs) — seek medical advice first
  • Infants and very young children, unless specifically advised by a doctor or pharmacist
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Drowsiness or dizziness
  • Nausea or vomiting
  • Stomach discomfort
  • Mild confusion (especially at high doses)
  • Dry mouth
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.