Multi Symptom

Frequently Asked Questions...

On the back of Formula 44 Multi-Symptom from Vicks, it says "Excitability may occur" what does that mean?

I was sick one day and took it, and while reading the drug facts and information, I noticed it said "Excitability may occur, especially in children" under the "When using this product" part. I was wondering just what exactly does that mean?


Answer:

It contains a stimulant (pseudoephedrine). This compound is related to meth but a much less potents CNS stimulant. So think of it as the warning on a can of Rockstar. However, the antihistamine in it could be a sedative (Chlorpheniramine). Which ever one has a greater impact on an individual will determine if they are "excitable" or "drowsy."

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3 Tylenol Cold Multi Symptom CITRUS BURST Liquid Daytime 8 oz Sealed
$9.99
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Walgreens Allergy Multi Symptom Fast Release Quick Gels 24 ea
$4.99
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Chloraseptic Total Multi Symptom Relief Lozenge Sugar Free Wild Cherry 15ea 12pk
$44.06
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Chloraseptic Total Multi Symptom Relief Lozenges Sugar Free Wild Cherry 15ea 3pk
$13.26
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Chloraseptic Total Multi Symptom Relief Lozenges Sugar Free Wild Cherry 15ea 6pk
$26.33
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IMODIUM Multi Symptom Relief 30 Caplets Brand New Long Expiration Date Sealed
$11.50
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Kirkland Cold Multi Symptom Combo pack Daytime Nightime Rapid Release Gelcaps
$10.95
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Lot of 8 Pedia Care Childrens 4 Multi Symptom 4 Cough Congestion Cold 4 Oz ea
$24.99
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Box Bayer Alka Seltzer Original 72 Effervescent Tablets Multi Symptom Relief
$9.99
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Mucinex Childrens Multi Symptom Cold Fever Berry Blast Flavor 4 oz 3 pk
$33.83
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Mucinex Childrens Multi Symptom Cold Fever Berry Blast Flavor 4 oz 6 pk
$59.06
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Mucinex Childrens Multi Symptom Cold Fever Berry Blast Flavor 4 oz 12 pk
$109.27
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2 lot Theraflu Multi Symptom Severe Cold 6 count 12 Packets total 3 2016
$19.99
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3 RITE AID MULTI SYMPTOM DAYTIME COLD RELIEF Comp tylenol cold 72 Cool Blast
$9.00
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No Time for Colds Multi Symptom Cold Remedy Sugar Free Lozenges Lot of 6
$34.50
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PediaCare Childrens Multi Symptom Cold Fever Reducer Pain Reliever Grape 4oz
$4.27
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2 TUKOL Multi Symptom Cold Adult Formula Medicine Chest Cough Mucus Non Drowsy
$24.99
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Lot Of 2 ADULT ROBITUSSIN PEAK COLD MULTI SYMPTOM COLD CF MAX Exp 05 2015
$18.98
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2 Boxes Vicks DayQuil Cold Flu Multi Symptom LiquiCaps Expire Date 4 2014
$7.99
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2 New Mucinex Maximum Strength Multi Symptom Fast Max Cold Flu and Sore Throat
$24.95
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Robitussin Adult Peak Cold Multi Symptom Non Drowsy CF Syrup 4 fl oz
$4.00
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Imodium Multi Symptom Relief LOPERAMIDE 2mg 60 Caplets Antidiarrheal Anti Gas
$24.95
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Mucinex Childrens Night Time Multi Symptom Cold Mixed Berry Flavor 4 fl oz
$7.99
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ST JOSEPH HBP HIGH BLOOD PRESSURE DAY NIGHT MULTI SYMPTOM COLD 32 TABLETS
$3.99
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Gelusil Antacid Anti GasCool Mint Chewable Tablets Fast Multi Symptom 4 20 15
$0.99
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Vicks DayQuil Cold Flu Multi Symptom Relief Liqui Caps 48 Ct
$17.24
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$49.19
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$11.59
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$32.29
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Vicks Nature Fusion Cold and Flu Multi symptom relief 20 caplets Exp 9 14 TM7
$15.00
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Brand New sealed box Multi Symptom Daytime Cold and Flu Relief 8 Softgels
$3.59
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Robitussin Peak Cold Multi Symptom Cold Nighttime 4 oz
$8.09
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Robitussin Peak Cold Multi Symptom Cold Nighttime 4 oz 3 Pack
$23.49
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Robitussin Peak Cold Multi Symptom Cold Maximum Strength 4 oz
$8.39
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$24.19
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Mucinex Fast Max Severe Congestion Cough Maximum Strength Multi Symptom Liqui
$34.95
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Lot of 2 Tylenol Cold Multi Symptom daytime non drowsy 24 caplets EXP 07 2015
$20.45
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2 Pediacare Childrens Daytime Multi symptom Cold Medicine GRAPE Liquid New
$9.99
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$5.99
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Nasacort Allergy 24 HR Multi Symptom Nasal Allergy Relief Spray
$22.50
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3 Childrens Dimetapp MULTI SYMPTOM Cold Flu Medicine Pain Reliever Exp 1 15
$17.99
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Tylenol Cold Multi Symptom Caplets for Adults 24 Count
$6.49
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COLD MULTI SYMPTOM DAYTIME NON DROWSY COUGH SORE THROAT NASAL CONGESTION
$4.75
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COLD MULTI SYMPTOM DAYTIME NON DROWSY LOT OF 8 FOR 800
$8.00
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COLD MULTI SYMPTOM NIGHTTIME NIGHT TIME COUGH CONGESTION SORE THROAT
$4.75
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Imodium Multi Symptom Relief LOPERAMIDE 2mg 60 Caplets Antidiarrheal Anti Gas
$36.00
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2 PACK CHILDRENS MULTI SYMPTOM COLD MEDICINE 4 FL OZ EACH BERRY FLAVOR NEW
$9.99
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ROBITUSSIN CF PEAK COLD MULTI SYMPTOM COLD CF MAX 4oz CLEARANCE
$9.39
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Midol Complete Max Strength Multi Symptom Relief Choice of 16 24 or 40 Caplets
$3.89
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Boiron Childrens ColdCalm Homeopathic Multi Symptom Cold 160 Pellet
$3.99
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Childrens Mucinex Night Time Multi Symptom Cold Mixed Berry Flavor Liquid 4 Oz
$10.95
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Psoriasin Multi Symptom Psoriasis Relief Gel 1 oz
$9.65
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Pedia Care Multi Symptom Cold 4oz
$3.99
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BB15 EXP DATE 05 2015 TOP CARE MULTI SYMPTOM NITETIME SINUS RELIEF 24 SOFTGELS
$5.95
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2 CHILDRENS TRIAMINIC SUSPENSION MULTI SYMPTOM FEVER COLD ACETAMINOPHEN FLU
$18.99
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$5.97
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8 NEW BOXES MULTI SYMPTOM MAXIMUM STRENGTH PAMPRIN 140 CAPLETS MENSTRUAL
$37.99
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5pk LOT 7 11 MULTI SYMPTOM ALLERGY SINUS RELIEF PAIN RELIEVER NASAL DECONGESTANT
$6.99
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Kirkland 2 Pk Daytime Night Time Cold Multi Symptom 192 Rapid Release Gelcaps
$18.95
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Mucinex Multi Symptom Childrens Liquid Cold Fever 4 fl oz
$8.99
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4 ADULT ROBITUSSIN PEAK COLD MULTI SYMPTOM COLD
$0.99
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2 Childrens Triaminic Multi Symptom Fever Cold Syrup EXP 01 2015 Grape Flavor
$10.49
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$11.69
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$2.99
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CVS Multi Symptom Nighttime Cold Flu Relief Compare to Vicks NyQuil 8oz
$6.75
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Similasan Cough Relief Multi Symptom for Adults 4 fl oz 118 ml
$10.50
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$17.00
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SEVEN BOX PAMPRIN MULTI SYMPTOM 140 CAPS TOTAL SEALED
$7.98
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Adult Robitussin Multi Symptom Cold And Nighttime Cough Dm NIB Lot Of 2
$7.29
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ROBITUSSIN MAX STRENGTH MULTI SYMPTOM COLD 12 OZS TOTAL
$0.99
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Chloraseptic Total Multi Symptom Relief Lozenges Wild Cherry 15 Each
$6.49
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Vicks DayQuil Cold Flu Multi Symptom Relief 16 LiquiCaps Expires 7 2015 NEW
$4.89
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Vicks Nature Fusion Cold Flu Multi Symptom Relief Caplets Honey 20 Caplets
$11.57
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$107.12
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$28.38
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$53.65
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Multi Symptom

rock you babe by multi-symptom

Fibromyalgia Symptom Treatment Priorities

Copyright 2010 Fibromyalgia Network

By Kristin Thorson

If patients could determine how symptoms might relate to one another, doctors might do a better job of individualizing care for people with fibromyalgia. For example, if pain is your number one treatment priority, what are the odds that you will want your physician to address issues related to sleep, fatigue, cognition, mood, or physical function? Also, are there any symptoms that tend to go hand in hand with one another (e.g., cluster together)? These are the types of questions that a recent study attempted to answer. *

"The presence and severity of a particular symptom may not necessarily equate with patients' preferences for its treatment," write the authors Robert M. Bennett, M.D., of Oregon Health and Sciences University, and I. Jon Russell, M.D., Ph.D., of the University of Texas at San Antonio. So this new study took a different approach. More than 750 fibromyalgia patients enrolled in a multi-center treatment trial for Lyrica agreed to also rank the top five symptoms (from a list of 20) that they would like to have treated. The list of 20 symptoms was developed by a previous research study involving fibromyalgia patient focus groups who were asked to describe their most relevant clinical features or symptoms.

Due to the large number of patients involved in this study, the researchers were able to apply statistical programs that mathematically determined which symptoms were most likely to cluster together. As a result, six cluster categories were identified: pain, fatigue, domestic, impairment, affective (mood-related), and social. Each individual cluster group and specific clinical features that tended to occur most related to one another (out of the 20) are shown in the table. As you will note, symptoms in the pain cluster were endorsed by the patients almost as frequently as those in the fatigue category (they differ by only 1 percent).

 

Symptom Treatment Priorities
... in order of selection frequency

Pain (90%)

  • Disturbed sleep
  • Pain or discomfort
  • Skin is sensitive to touch
  • Difficulty walking

Fatigue (89%)

  • Feeling tired
  • Difficulty thinking
  • Having to push yourself to do things
  • Having a lack of energy

Domestic (42%)

  • Difficulty being sexually intimate with your partner
  • Being unable to make plans with the confidence that you will follow-through
  • Strain on your relationship with spouse
  • Impact on your family

Impairment (29%)

  • Driving limitations
  • Interference with work or school
  • Interference with daily tasks

Mood-related or "Affective" (21%)

  • Feeling anxious
  • Feeling isolated
  • Feeling depressed

Social (9%)

  • Impact on your social life
  • Feeling like the pace of your life is slower than most other people

 

If you are wondering why disturbed sleep is in the pain rather than fatigue cluster, this is because the statistical analysis found pain and sleep to be more closely related. A patient who endorsed "disturbed sleep" was found to be 2.4 times more likely to also have endorsed "pain or discomfort" in their top five symptom treatment priorities.

"While pain and sleep have been suggested to have a reciprocal relationship in chronic pain conditions including fibromyalgia," write the authors, "our results raise the question as to whether pain causes disturbed sleep or pain is a result of disturbed sleep." Yet, difficulty thinking or fibro-fog clustered with symptoms of fatigue when it came to patients ranking their treatment priorities. In other words, a person wanting their fatigue to be treated was also more likely to request that attention be given to their fibro-fog.

Although the symptoms contained in the pain and fatigue clustered were virtually equal in terms of treatment priority for the group of 750 fibromyalgia patients, this was not the case for the other symptoms. "The psychosocial clusters were not considered to be as high a priority," write Bennett and Russell, adding that greater than 70 percent of the patients did not even rank the symptoms listed for these categories in their top five treatment priorities.

The many symptoms of fibromyalgia can certainly complicate the treatment of people with this disease and it would be beneficial for doctors (and their patients) if they could subgroup each patient according to how they rank the treatment of symptoms. As illustrated by this study, patients who want their pain treated will also probably want their physician to help with improving sleep. Patients who rank fatigue as the top symptom that they want treated will probably also want their fibro-fog addressed.

"Understanding the full complexity of the clinical features of fibromyalgia is becoming increasingly important with the availability of newer pharmacologic therapies that have significant effects on pain and other clinical features, such as sleep (Lyrica and Xyrem), affective symptoms (Cymbalta), and fatigue/fibro-fog (Savella)," write Bennett and Russell. As more studies like this one become published, the next step will be apply multi-drug therapies to target specific symptom clusters to determine how well subgrouping patients can improve their overall care.

* Bennett RM, et al. BMC Musculoskeletal Disorders 11:134-143, 2010.

About the Author

Kristin Thorson is at the forefront of fibromyalgia research, coping strategies, and latest treatment news. She is the chief editor and founder of the Fibromyalgia Network and founder of the American Fibromyalgia Syndrome Association(AFSA). As a fibro patient with a science background, she is able to translate everything from technical scientific findings to everyday practical suggestions and make them understandable to patients.

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