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Phenergan Vc Side Effects, and Drug Interactions - Promethazine HCl and Phenylephrine HCl (syrup)

Phenergan Vc Side Effects, and Drug Interactions - Promethazine HCl and Phenylephrine HCl (syrup)

SIDE EFFECTS

Promethazine

Nervous System: Sedation, sleepiness, occasional blurred vision, dryness of mouth, dizziness; rarely: confusion, disorientation, and extrapyramidal symptoms such as oculogyric crisis, torticollis, and tongue protrusion (usually in association with parenteral injection or excessive dosage).

Cardiovascular: Increased or decreased blood pressure.

Dermatologic: Rash; rarely: photosensitivity.

Hematologic: Rarely: leukopenia, thrombocytopenia; agranulocytosis (1 case).

Gastrointestinal: Nausea and vomiting.

Phenylephrine

Nervous System: Restlessness, anxiety, nervousness, and dizziness.

Cardiovascular: Hypertension (see WARNINGS).

Other: Precordial pain, respiratory distress, tremor, and weakness.

DRUG INTERACTIONS

Promethazine

The sedative action of promethazine is additive to the sedative effects of other central nervous system depressants, including alcohol, narcotic analgesics, sedatives, hypnotics, tricyclic antidepressants, and tranquilizers; therefore, these agents should be avoided or administered in reduced dosage to patients receiving promethazine.

Phenylephrine

Drug: Phenylephrine with prior administration of monoamine oxidase inhibitors (MAOI).

Drug: Phenylephrine with tricyclic antidepressants.

Drug: Phenylephrine with ergot alkaloids.

Drug: Phenylephrine with bronchodilator sympathomimetic agents and with epinephrine or other sympathomimetics.

Drug: Phenylephrine with atropine sulfate.

Drug: Phenylephrine with prior administration of propranolol or other b- adrenergic blockers.

Drug: Phenylephrine with prior administration of phentolamine or other a- adrenergic blockers.

Drug: Phenylephrine with diet preparations, such as amphetamines or phenylpropanolamine.

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