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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Imodium Multi Symptom Relief 3 Pack 12 count each exp06 2015
$12.99
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2 NEW LITTLE COLDS BY LIITLE REMEDIES 1oz MULTI SYMPTOM CHILDRENS 9 2014 BERRY
$9.99
quality
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1 Box of St Joseph HBP Multi Symptom Cold 20 Day 12 Night Tablets NEW
$4.00
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2 rite aid MULTI SYMPTOM FLU RELIEF 24 DAY 24 NIGHT 48 GELCAPS TOTAL 5 14 DATE
$1.99
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Nasacort 24 hour Multi Symptom Nasal Allergy Spray 60 Sprays Exp 01 2016
$10.49
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SEVEN BOX PAMPRIN MULTI SYMPTOM 140 CAPS TOTAL SEALED
$7.99
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DELSYM NIGHT TIME MULTI SYMPTOM CHERRY FLAVOR
$5.99
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11 Packages DayQuil Vicks Cold Flu Multi symptom Relief 2 Liquilcaps In Each
$12.50
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Pedia Care Childrens Multi Symptom ColdPlus Acetaminophen Grape Flavor 4 Oz
$7.99
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5pk LOT 7 11 MULTI SYMPTOM ALLERGY SINUS RELIEF PAIN RELIEVER NASAL DECONGESTANT
$6.99
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Nasacort 24 hour Multi Symptom Nasal Allergy Spray 60 Sprays
$9.99
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2 BOXES OF IMODIUM MULTI SYMPTOM RELIEF 12 CAPLETS EACH x 224 DIARRHEA PLUS
$8.54
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Multi Symptom Allergy Compare Tylenol Cool Ice 300 pk
$14.49
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BB15 EXP DATE 05 2015 TOP CARE MULTI SYMPTOM NITETIME SINUS RELIEF 24 SOFTGELS
$1.42
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Coricidin HPB Nighttime Multi Symptom Cold Liquid Cherry 12 oz EXP 3 2015
$8.99
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Lot of 2 Triaminic Multi Symptom Childrens Syrup
$9.95
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Coricidin HBP Nighttime Multi Symptom Cold Liquid Cherry 12 oz Pack of 3
$23.97
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Coricidin HBP Nighttime Multi Symptom Cold Liquid Cherry 12 oz Pack of 6
$43.50
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Coricidin HBP Nighttime Multi Symptom Cold Liquid Cherry 12 oz Pack of 12
$76.29
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Coricidin HBP Nighttime Multi Symptom Cold Liquid Cherry 12 oz
$13.81
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72 Quality Choice Allergy Multi Symptom Cool Caplets Compare to Tylenol EXP 14
$8.49
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rite aid MULTI SYMPTOM FLU RELIEF 12 DAY 12 NIGHT 24 GELCAPS TOTAL 10 14 DATE
$1.99
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rite aid MULTI SYMPTOM DAYTIME COLD RELIEF 48 GELCAPS 6 14 DATE sim tylenol cold
$1.99
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rite aid MULTI SYMPTOM DAYTIME COLD 24 GELCAPS 5 14 DATE sim tylenol cold multi
$1.99
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Tylenol Cold Multi Symptom Severe Liquid Cool Burst Flavor 8 oz Expires 12 2014
$5.99
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Multi Symptom Nighttime Cold Flu Relief 12 Softgels by Premier Value
$3.84
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Similasan COUGH RELIEF Non Drowsy Multi Symptom Reliever 4 oz Homeopathic
$8.45
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TYLENOL Cold Multi Symptom Liquid Nighttime 8 oz Pack of 3
$27.24
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$45.64
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TYLENOL Cold Multi Symptom Liquid Nighttime 8 oz Pack of 12
$86.78
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TYLENOL Cold Multi Symptom Liquid Nighttime 8 oz
$11.01
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Vicks DayQuil 12 oz Cold Flu Multi Symptom Relief Fast Shipping
$8.99
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Box Bayer Alka Seltzer Original 72 Effervescent Tablets Multi Symptom Relief
$9.99
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St Joseph HBP MULTI SYMPTOM COLD DAY NIGHT Medicine Medication Hypertension
$0.99
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Equate DayTime Cold Flu Multi Symptom Relief Non Drowsy 48 Softgels
$13.99
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Dimetapp Childrens Multi Symptom Cold Flu 4 oz
$9.55
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Dimetapp Childrens Multi Symptom Cold Flu 4 oz Pack of 3
$24.27
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Dimetapp Childrens Multi Symptom Cold Flu 4 oz Pack of 6
$39.94
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Dimetapp Childrens Multi Symptom Cold Flu 4 oz Pack of 12
$71.03
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PediaCare Childrens Multi Symptom Cold Fever Reducer Pain Reliever Grape 4oz
$4.27
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Vicks Dayquil Cold Flu Multi Symptom Relief Liquid 8 oz
$12.54
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$33.71
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TYLENOL Cold Multi Symptom Severe Daytime Liquid Cool Burst 8 oz
$10.84
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TYLENOL Cold Multi Symptom Severe Daytime Liquid Cool Burst 8 oz Pack of 3
$27.30
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$46.01
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$87.59
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Vicks Dayquil Cold Flu Multi Symptom Relief Liquid 12 oz
$16.23
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Vicks Dayquil Cold Flu Multi Symptom Relief Liquid 12 oz 3 PACK
$39.83
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4 CHILDRENS TRIAMINIC COLD ALLERGY DAYNIGHTTIME COLD COUGH MULTI SYMPTOM
$14.99
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Mucinex Kids Multi Symptom Cold Very Berry 4 fl oz
$13.40
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$12.50
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Dristan Acetaminophen Cold Tablets Multi Symptom Formula 20 Tabs Pack of 3
$35.54
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ST JOSEPH HBP HIGH BLOOD PRESSURE DAY NIGHT MULTI SYMPTOM COLD 32 TABLETS
$4.95
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3 BOXES OF PEDIA CARE MULTI SYMPTOM COLD
$20.00
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Childrens Mucinex Multi Symptom Cold Medicine Very Berry Flavor 2 Pack 4oz each
$19.50
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Coricidin HBP Day Night Multi Symptom Cold Softgels Tablets 24 Tablets
$9.17
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$21.35
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$39.73
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$78.37
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48 Walgreens Multi Symptom Cold Caplets Warming Effect Daytime
$12.99
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72 Walgreens Multi Symptom Cold Caplets Warming Effect Daytime
$18.99
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48 Walgreens Daytime Non Drowsy Multi Symptom Cold Caplets in Cool Blast Flavor
$12.99
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345 Tablets total Di Gel Multi Symptom Antacid and Antigas Freshmint 115 ea
$13.99
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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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6 Robitussin Multi Symptom Cold CF 4 oz Each Expire 01 2015+ Z5590
$17.99
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4 Robitussin Multi Symptom Cold CF MAX 8 oz Each Expire 04 2015+ Z5588
$17.99
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Vicks Dayquil Cold Flu Multi Symptom Relief Liquid 8oz
$49.99
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$3.00
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2 Boxes Vicks DayQuil Cold Flu Multi Symptom LiquiCaps Expire Date 4 2014
$7.99
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Imodium Multi Symptom Relief LOPERAMIDE 2mg 60 Caplets Antidiarrheal Anti Gas
$24.95
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$15.99
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WALGREENS WAL TUSSIN CF MAX NIB MULTI SYMPTOM COLD MEDICINE NON DROWSY MAX STREN
$2.98
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QUALITY PLUS MULTI SYMPTOM COLD RELIEF 6 DAYTIME CAPLETS 6 NIGHTTIME LIMIT 3
$5.49
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Walgreens Daytime Multi Symptom Cold Flu Relief Liquid Caps 24 Each
$5.99
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Equate Cold Multi Symptom Daytime And Nighttime Caplets 24ct
$5.95
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TUKOL 4oz Multi Symptom Cold Adult Formula Medicine Chest Cough Mucus Non Drowsy
$14.40
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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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