BROMPHENIRAMINE AND DIPHENHYDRAMINE

(BROM fen IR a meen and Paint fen HYE dra meen) Brand: Ala-Hist

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What is the most significant information I must know about brompheniramine and diphenhydramine?

• Do not give this medicine to a baby younger than 4 years old. Always ask a doctor till giving a cough or cool medication to a child. Death can occur from the misuse of cough and cool medicines in very young children.

• You must not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate.

• Do not use this medication if you have untreated or uncontrolled illness such as glaucoma, asthma or COPD, heart malady, or overactive thyroid.

What is brompheniramine and diphenhydramine?

Brompheniramine and diphenhydramine are antihistamines that reduce the effects of the natural chemical histamine in the body. Histamine can manufacture symptoms of sneezing, itching, watery eyes, and runny nose.

• The combination of brompheniramine and diphenhydramine is used to treat runny nose, sneezing, itching, and watery eyes caused by allergies, the general cool, or the flu.

Brompheniramine and diphenhydramine may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking brompheniramine and diphenhydramine?

• You must not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate.

• Do not use this medication if you have untreated or uncontrolled illness such as glaucoma, asthma or COPD, heart malady, or overactive thyroid.

• Ask a doctor or pharmacist if it is safety for you to take this medicine if you have:

· a colostomy or ileostomy;

· liver or kidney disease;

· cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;

· enlarged prostate or urination problems;

· low blood pressure; or

· if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).

• FDA pregnancy category C. It is not known whether brompheniramine and diphenhydramine will harm an unborn child. Do not use cough or cool medication without medical advice if you are pregnant.

• This medication may pass into breast milk and may harm a nursing child. Antihistamines may also slow breast milk manufacture. Do not use cough or cool medication without medical advice if you are breast-feeding a baby.

How must I take brompheniramine and diphenhydramine?

• Use exactly as directed on the label, or as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended. Cool medication is generally taken only for a short time before your symptoms clear up.

• Do not take for longer than 7 days in a row. Conversation with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache or skin rash.

• Do not give this medicine to a baby younger than 4 years old. Always ask a doctor till giving a cough or cool medication to a child. Death can occur from the misuse of cough and cool medicines in very young children.

• Do not crush, chew, or interrupt the extended-release tablet. Swallow it intact. Breaking the pill may reason too many of the drug to be released at one time.

• If you need surgery or medical trials, speak the surgeon or doctor onward of time if you have taken a cool medication within the past little days.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since this medication is taken when needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include severe forms of some of the side effects listed in this medicine guide.

What must I avoid while taking brompheniramine and diphenhydramine?

• This medication may reason blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

• Drinking alcohol can magnify determined side effects of brompheniramine and diphenhydramine.

• Ask a doctor or pharmacist till using any another cool, allergy, cough, or sleep medication. Brompheniramine and diphenhydramine are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined drug. Check the label to see if a medication contains brompheniramine or diphenhydramine.

• Avoid becoming overheated or dehydrated during exercice and in hot weather. Brompheniramine and diphenhydramine can decrease sweating and you may be more prone to heat stroke.

What are the possible side effects of brompheniramine and diphenhydramine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Stop using this medicine and call your doctor at once if you have a serious side effect such as:

· quick or uneven heart course;

· mood changes;

· tremor, seizure (convulsions);

· light bruising or bleeding, unusual weakness;

· feeling short of breath; or

· urinating smaller than normal or not at all.

• Smaller serious side effects may include:

· dizziness, drowsiness;

· dry mouth, nose, or throat;

· constipation;

· blurred vision; or

· feeling nervous or restless.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect brompheniramine and diphenhydramine?

• Ask a doctor or pharmacist till using this medication if you regularly use another medicines that create you sleepy (such as narcotic pain medicine, sedatives, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety). They can add to sleepiness caused by brompheniramine and diphenhydramine.

• Ask a doctor or pharmacist if it is safety for you to take brompheniramine and diphenhydramine if you are also using any of the next drugs:

· atropine (Atreza, Sal-Tropine);

· benztropine (Cogentin);

· diphenhydramine (Benadryl) applied to the skin;

· topiramate (Topamax);

· zonisamide (Zonegran);

· anti-nausea medications such as belladonna (Donnatal), dimenhydrinate (Dramamine), droperidol (Inapsine), methscopolamine (Pamine), or scopolamine (Transderm Scop);

· bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), solifenacin (Vesicare), tolterodine (Detrol), or Urogesic Blue;

· bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);

· irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine); or

· ulcer medication such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

• This list is not complete and another drugs may interact with brompheniramine and diphenhydramine. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about brompheniramine and diphenhydramine.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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