Ipecac (Oral)

Proper Use of This Medicine

It is very important that you take this medicine only as directed . Do not take more of it and do not take it more often than recommended on the label, unless otherwise directed. When too much ipecac is used, it can cause damage to the heart and other muscles, and may even cause death.

Do not give this medicine to unconscious or very drowsy persons , since the vomited material may enter the lungs and cause pneumonia.

To help this medicine cause vomiting of the poison, adults should drink 1 full glass (8 ounces) of water and children should drink 1/2 to 1 full glass (4 to 8 ounces) of water immediately after taking this medicine. Water may be given first in the case of a small or scared child.

Do not take this medicine with milk, milk products, or with carbonated beverages . Milk or milk products may prevent this medicine from working properly, and carbonated beverages may cause swelling of the stomach.

If vomiting does not occur within 20 to 30 minutes after you have taken the first dose of this medicine, take a second dose. If vomiting does not occur after you have taken the second dose, you must immediately see your doctor or go to an emergency room.

If you have been told to take both this medicine and activated charcoal to treat the poisoning, do not take the activated charcoal until after you have taken this medicine to cause vomiting and vomiting has stopped. This takes usually about 30 minutes .

Dosing - The dose of ipecac will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of ipecac. If your dose is different, do not change it unless your doctor tells you to do so.

• For oral dosage form (syrup):
  • For treatment of poisoning:
    • Adults and teenagers - The usual dose is 15 to 30 milliliters (mL) (1 to 2 tablespoonfuls), followed immediately by one full glass (240 mL) of water. The dose may be repeated one time after twenty to thirty minutes if vomiting does not occur.
    • Children 1 to 12 years of age - The usual dose is 15 mL (1 tablespoonful). One-half to one full glass (120 to 240 mL) of water should be taken right before or right after the dose. The dose may be repeated one time after twenty to thirty minutes if vomiting does not occur.
    • Children 6 months to 1 year of age - The usual dose is 5 to 10 mL (1 to 2 teaspoonfuls). One-half to one full glass (120 to 240 mL) of water should be taken right before or right after the dose. The dose may be repeated one time after twenty to thirty minutes if vomiting does not occur.
    • Children up to 6 months of age - Ipecac must be given only under the direction of your doctor.

Storage - To store this medicine:

• Keep out of the reach of children since overdose is very dangerous in children.
• Store away from heat and direct light.
• Keep the syrup from freezing.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.
• Do not keep a bottle of ipecac that has been opened. Ipecac may evaporate over a period of time. It is best to replace it with a new one.