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compositionComposition:ETHYLMORPHINE-10MG
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Koxma Tablet is used to treat acute or short-term painful conditions in adults. Secondly, due to its antitussive properties, it can also be used to treat dry cough. It contains Ethylmorphine, which has both analgesic and antitussive properties. As an analgesic, it works by preventing pain signal transmission along the nerves to the brain. When used as an antitussive medicine, it also lowers activity in the brain's area, which produces coughing.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ETHYLMORPHINE-10MG

Manufacturer/Marketer :

West Coast Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Koxma Tablet

Koxma Tablet is an oral opioid medicine used for the short-term treatment of severe dry coughs that do not produce mucus or phlegm. It works by reducing the activity of the cough reflex in the brain, which helps decrease frequent coughing and provides relief from throat irritation and discomfort caused by persistent coughing.

Koxma Tablet should only be taken when prescribed by your doctor and should be used for the shortest duration necessary. Take this medicine exactly as directed and do not increase the dose or use it for longer than recommended. Drinking warm fluids, maintaining good hydration, and avoiding throat irritants may help support recovery and reduce coughing triggers.

Common side effects of Koxma Tablet include drowsiness, dizziness, constipation, nausea, and dry mouth. Since this medicine belongs to the opioid group, it may cause serious effects such as slowed or difficult breathing, extreme sleepiness, confusion, or dependence, especially when taken in higher doses or combined with alcohol or other medicines that cause sedation.

Before taking Koxma Tablet , inform your doctor if you have asthma, chronic obstructive pulmonary disease (COPD), breathing difficulties, liver disease, kidney disease, head injury, or a history of substance misuse. Do not use this medicine if you have severe breathing problems, paralytic ileus (intestinal blockage), or an allergy to Koxma Tablet or other opioid medicines.

Tell your doctor about all medicines you take, especially sleeping pills, anxiety medicines, sedatives, muscle relaxants, or other opioid medicines, as these can dangerously increase drowsiness and breathing problems. If you are pregnant, breastfeeding, an older adult, or giving this medicine to a child, consult your doctor before use because special precautions may be required.

Uses of Koxma Tablet

Your doctor may prescribe Koxma Tablet to treat the following condition:

  • Dry cough: Helps reduce persistent, irritating coughs that do not produce mucus by suppressing the cough reflex in the brain.

Key Benefits

Koxma Tablet helps provide relief from troublesome dry cough symptoms by reducing excessive coughing and allowing irritated airways and throat tissues time to recover.

  • Reduces persistent coughing: By calming the cough reflex, Koxma Tablet decreases frequent coughing episodes and helps reduce discomfort caused by repeated coughing.
  • Improves comfort during rest: Reducing night-time coughing may help improve sleep and allow better recovery when coughing interferes with rest.
  • Relieves throat and chest irritation: By reducing repeated coughing movements, it may help decrease soreness and irritation associated with prolonged dry cough.
  • Provides short-term symptom control: When used as prescribed, it offers temporary relief while the underlying cause of the cough is evaluated or treated.
Side effects of Koxma Tablet
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
  • Do pelvic floor exercises (Kegel exercises) to gain more control over urinary sphincters (muscles used to control flow of urine out of the bladder).
  • Drink fluids only at certain times to control when you will urinate.
  • If you feel frequent urge to urinate or have problems starting to urinate or if your urine stream is weak or starts and stops, or feel pain in your genitals, lower abdomen or lower back, consult your doctor.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

Directions for Use

  • Take Koxma Tablet with or without food or as advised by a doctor.
  • Follow your doctor’s instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Koxma Tablet Works

Koxma Tablet contains Koxma Tablet , an opioid medicine that acts on the central nervous system. It works by acting on opioid receptors in the brain, including areas involved in controlling the cough reflex. This reduces the sensitivity of the cough centre to irritation signals from the throat and airways, helping decrease the urge to cough. Because Koxma Tablet is an opioid, it can also affect other parts of the nervous system, which may cause drowsiness, dizziness, constipation, and slowed breathing. For this reason, it should only be used at the prescribed dose and should not be combined with alcohol or other sedating medicines unless specifically advised by your doctor.
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Alcohol

Unsafe

Consumption of alcohol increases the risk of side effects, such as dizziness, drowsiness, liver damage, and bleeding in the stomach.

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Pregnancy

Caution

Koxma Tablet should not be used during pregnancy unless clearly necessary. Hence, inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Koxma Tablet .

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Breast Feeding

Caution

Koxma Tablet should not be used in breastfeeding unless clearly necessary. Hence, inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Koxma Tablet .

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Driving

Unsafe

Koxma Tablet may cause drowsiness and dizziness; Hence, avoid driving or using machinery after taking this medicine or until you are alert.

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Liver

Caution

Inform your doctor before taking Koxma Tablet if you have a history of liver disease. Your doctor may adjust your dose or prescribe a suitable alternative, depending on your medical condition.

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Kidney

Caution

Inform your doctor before taking Koxma Tablet if you have a history of kidney disease. Your doctor may adjust your dose or prescribe a suitable alternative depending on your medical condition.

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Children

Unsafe

Koxma Tablet is not recommended for children below 12 years of age as safety and efficacy are not established.

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Heart

Caution

Koxma Tablet may cause respiratory depression and sedation, which can be risky for heart patients. It should be used with caution and only under medical supervision to avoid complications or drug interactions.

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Geriatrics

Caution

Geriatric patients should use Koxma Tablet with caution due to increased sensitivity to opioids and age-related changes in liver and kidney function. It may cause sedation, dizziness, or respiratory issues, so close medical supervision is essential.

What if I have taken an overdose of Koxma Tablet

An overdose of Koxma Tablet can be dangerous and may cause life-threatening breathing problems. Seek emergency medical attention immediately if you suspect an overdose. Symptoms may include extreme sleepiness, confusion, pinpoint pupils, slow or shallow breathing, cold and clammy skin, weak pulse, or loss of consciousness. Emergency treatment may include supportive care and medicines that reverse opioid effects when required.

Diet & Lifestyle Advise

  • Stay well hydrated: Drink plenty of warm fluids, such as warm water or clear soups, to soothe throat irritation and keep airways moist.
  • Use a humidifier: A cool-mist humidifier can help add moisture to dry air and reduce throat irritation, especially at night.
  • Avoid cough triggers: Stay away from tobacco smoke, dust, pollution, strong perfumes, and chemical fumes that can worsen coughing.
  • Increase dietary fibre intake: Eat fruits, vegetables, whole grains, and other fibre-rich foods to help prevent constipation caused by opioid medicines.
  • Maintain healthy sleep habits: Get adequate rest and keep a regular sleep schedule to support recovery.
  • Avoid alcohol: Alcohol can increase drowsiness and significantly raise the risk of dangerous breathing problems when combined with Koxma Tablet .
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How Soon It Starts Working

The time required for Koxma Tablet to start to work: Koxma Tablet ideally shows its action within 15 to 30 minutes after administration. The time for which the effects of Koxma Tablet last: The effect of Koxma Tablet lasts for 4 to 5 hours.

What if you forget to take Koxma Tablet

If you miss a scheduled dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses together to make up for a missed dose. If you frequently forget doses, speak with your doctor or pharmacist for guidance.

Storage

• Store Koxma Tablet at room temperature, ideally between 15°C and 30°C (59°F to 86°F). Keep the medicine in its original container, tightly closed, to protect it from direct light, heat, and moisture.

Drug Warnings

  • Use only as prescribed: Take Koxma Tablet exactly as directed by your doctor. Do not increase the dose, take it more frequently, or use it for a longer duration than recommended, as misuse can lead to dependence and serious side effects.
  • Avoid alcohol completely: Do not drink alcohol while taking this medicine, as it can dangerously increase drowsiness, slow breathing, and raise the risk of life-threatening sedation.
  • Avoid driving and machinery: Do not drive, operate heavy machinery, or perform activities requiring alertness until you know how this medicine affects you, as it may cause sleepiness, dizziness, or slowed reactions.
  • Monitor breathing problems: Seek immediate medical attention if you experience slow, shallow, or difficult breathing, extreme sleepiness, confusion, or difficulty staying awake.
  • Prevent accidental use: Store this medicine securely away from children, pets, and other people to prevent accidental ingestion or misuse.
  • Be aware of dependence risk: Koxma Tablet belongs to the opioid class and may become habit-forming, especially with prolonged use or higher doses. Use it only for the duration prescribed by your doctor.
  • Do not suppress a mucus-producing cough without advice: If your cough starts producing phlegm, becomes worse, or is associated with fever, chest pain, or breathing difficulty, contact your doctor before continuing this medicine.
  • Inform healthcare providers: Tell your doctor, dentist, or pharmacist that you are taking Koxma Tablet before starting new medicines or undergoing medical procedures.

Drug-Drug Interactions

verifiedApollotooltip
  • Benzodiazepines and other sedatives (such as medicines used for anxiety, sleep problems, or relaxation): May cause excessive sedation, slowed breathing, coma, or life-threatening respiratory depression when combined with Koxma Tablet .
  • Other opioid medicines (such as opioid pain medicines or cough suppressants): May increase opioid-related side effects, including severe drowsiness, constipation, dependence, and breathing problems.
  • Sleeping pills and medicines that cause drowsiness: Can increase dizziness, impaired alertness, and dangerous sedation.
  • Muscle relaxants: May increase the risk of excessive drowsiness and breathing difficulties.
  • Antidepressants and other medicines affecting the central nervous system: Some combinations may increase sedation or other nervous system effects. Inform your doctor about all medicines you take.
MorphineAlvimopan
Critical

Drug-Drug Interactions

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MorphineAlvimopan
Critical
How does the drug interact with Koxma Tablet:
Combining Koxma Tablet with Alvimopan can increase the risk and severity of side effects.

How to manage the interaction:
Taking Alvimopan with Koxma Tablet is generally not recommended as it can result in an interaction, it should be taken if a doctor has advised it. However, if you notice any abdominal pain, nausea, vomiting, diarrhea, severe headache, or weakness, you should contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Koxma Tablet:
Using Koxma Tablet with Naltrexone can block Koxma Tablet's effects, which reduces its ability to effectively treat illness.

How to manage the interaction:
Taking Koxma Tablet with Naltrexone together is generally avoided as it can result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
MorphineIsocarboxazid
Critical
How does the drug interact with Koxma Tablet:
Coadministration of Koxma Tablet with Isocarboxazid can lead to or increase the risk of Koxma Tablet side effects.

How to manage the interaction:
Taking Koxma Tablet with Isocarboxazid together can result in an interaction, but it can be taken if a doctor has advised it. If you feel very sleepy, have small pupils, feel confused, have sweaty skin, a weak pulse, shallow breathing, or if you faint, make sure to contact a doctor right away. Do not stop using any medications without consulting a doctor.
How does the drug interact with Koxma Tablet:
Taking Testosterone with Koxma Tablet may increase the blood levels and side effects of Koxma Tablet.

How to manage the interaction:
Co-administration of Koxma Tablet with Testosterone can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, tiredness, cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reduced reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphinePimavanserin
Severe
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Pimavanserin can increase the risk of central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Koxma Tablet with Pimavanserin can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineDantrolene
Severe
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Dantrolene can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Koxma Tablet with Dantrolene can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Koxma Tablet:
Using Lurasidone together with Koxma Tablet can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Although Koxma Tablet and Lurasidone interact, it can be taken if prescribed by a doctor. Consult a doctor if you develop dizziness, drowsiness, difficulty concentrating, or problems in judgment, reaction speed, or movement control. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Koxma Tablet:
Co-administration of Koxma Tablet with mifepristone may significantly increase the levels and side effects of Koxma Tablet.

How to manage the interaction:
Taking Koxma Tablet with mifepristone together can result in an interaction, it can be taken if a doctor has advised it. Contact a doctor immediately if you experience symptoms such as nausea, vomiting, constipation, abdominal cramping, confusion, dizziness, lightheadedness, fainting, muscle weakness, muscle cramps, numbness or tingling, rapid heartbeat, or chest pain. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Clobazam can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Taking Koxma Tablet with Clobazam can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineDelavirdine
Severe
How does the drug interact with Koxma Tablet:
Taking Koxma Tablet with Delavirdine may increase the blood levels and side effects of Koxma Tablet.

How to manage the interaction:
Co-administration of Koxma Tablet with Delavirdine can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Avoid alcohol while taking Koxma Tablet . Alcohol can significantly increase sedation, dizziness, and the risk of dangerously slowed breathing.
  • Food: No major food interactions are known. However, taking the medicine with food may help reduce stomach discomfort if you experience nausea.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

Yes

Therapeutic Class

[ANTITUSSIVE, NARCOTIC (OPIOID) ANALGESIC]

FAQs

If you feel dizzy or lightheaded, sit or lie down immediately until the feeling passes. Avoid standing up too quickly from a sitting or lying position to prevent falls. Talk to your doctor if the dizziness persists.
Some allergy medicines, especially older antihistamines, can increase drowsiness when taken with Koxma Tablet . Always consult your pharmacist or doctor before combining these medications to ensure safety.
No, you should avoid driving or operating machinery while taking Koxma Tablet . This medicine can cause drowsiness, dizziness, and blurred vision, which can impair your ability to drive safely. Talk to your doctor if you have concerns.
Koxma Tablet is generally not recommended during pregnancy unless your doctor decides the benefits outweigh the risks. Taking it near delivery can cause breathing difficulties or withdrawal symptoms in the newborn baby. Talk to your doctor before using this medicine.
If your cough becomes productive and starts bringing up phlegm, stop taking Koxma Tablet and consult your doctor. Suppressing a productive cough can cause mucus to build up in your lungs, which may lead to infections. Talk to your doctor.
You should not give Koxma Tablet to children unless a paediatrician has explicitly prescribed it. Certain age groups are highly sensitive to the side effects of this medicine, especially breathing difficulties. Talk to your doctor.
You should only take Koxma Tablet for the short duration prescribed by your doctor, which is usually no more than a few days. Using it for longer periods can increase the risk of dependency or tolerance. Talk to your doctor.
Yes, constipation is a common side effect of this medicine. Drinking plenty of water and eating a high-fibre diet can help manage this issue. Talk to your doctor or pharmacist if constipation becomes severe.

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Country of origin

INDIA

Manufacturer/Marketer address

Meldi Estate, Near Prasang Party, Sayona City, Road, Gota, Ahmedabad, Gujarat 382481
Other Info - KOX0006
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