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Brompheniramine
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Adverse Reactions
Drug Interactions
Stability
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dietary Considerations
Administration
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(brome fen IR a meen)

U.S. Brand Names
Bromarest®[OTC]; Brombay®[OTC]; Bromphen®[OTC]; Brotane®[OTC]; Chlorphed®[OTC]; Cophene-B®; Diamine T.D.®[OTC]; Dimetane® Extentabs®[OTC]; Nasahist B®; ND-Stat®

Generic Available

Yes


Synonyms
Brompheniramine Maleate; Parabromdylamine

Pharmacological Index

Antihistamine


Use

Perennial and seasonal allergic rhinitis and other allergic symptoms including urticaria


Pregnancy Risk Factor

C


Contraindications

Narrow-angle glaucoma; bladder neck obstruction; symptomatic prostatic hypertrophy; asthmatic attacks; stenosing peptic ulcer; hypersensitivity to brompheniramine or any component


Adverse Reactions

>10%:

Central nervous system: Slight to moderate drowsiness (compared with other first generation antihistamines, brompheniramine is relatively nonsedating)

Respiratory: Thickening of bronchial secretions

1% to 10%:

Central nervous system: Headache, fatigue, nervousness, dizziness

Gastrointestinal: Appetite increase, weight gain, nausea, diarrhea, abdominal pain, xerostomia

Neuromuscular & skeletal: Arthralgia

Respiratory: Pharyngitis


Drug Interactions

Increased toxicity: CNS depressants, MAO inhibitors, alcohol, tricyclic antidepressants


Stability

Solutions may crystallize if stored below 0°C, crystals will dissolve when warmed


Mechanism of Action

Competes with histamine for H1-receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract


Pharmacodynamics/Kinetics

Duration: Varies with formulation

Serum half-life: 12-34 hours

Time to peak serum concentration: Oral: Within 2-5 hours


Usual Dosage

Oral:

Children:

less than or equal to 6 years: 0.125 mg/kg/dose given every 6 hours; maximum: 6-8 mg/day

6-12 years: 2-4 mg every 6-8 hours; maximum: 12-16 mg/day

Adults: 4 mg every 4-6 hours or 8 mg of sustained release form every 8-12 hours or 12 mg of sustained release every 12 hours; maximum: 24 mg/day

Elderly: Initial: 4 mg once or twice daily. Note: Duration of action may be 36 hours or more, even when serum concentrations are low.

I.M., I.V., S.C.:

Children less than or equal to 12 years: 0.5 mg/kg/24 hours divided every 6-8 hours

Adults: 10 mg every 6-12 hours, maximum: 40 mg/24 hours


Dietary Considerations

May be administered with food, milk, or water


Administration

Dilute in 1-10 mL D5W or normal saline and infuse over several minutes; the patient should be in a recumbent position during the infusion


Mental Health: Effects on Mental Status

Sedation is common


Mental Health: Effects on Psychiatric Treatment

Concurrent use with psychotropics may produce additive sedation


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

Chronic use of antihistamines will inhibit salivary flow, particularly in elderly patients; this may contribute to periodontal disease and oral discomfort


Patient Information

Avoid alcohol; take with food or milk; swallow whole, do not crush or chew extended release products; may cause drowsiness


Nursing Implications

Sustained release tablets should be swallowed whole, do not crush or chew


Dosage Forms

Elixir, as maleate: 2 mg/5 mL with 3% alcohol (120 mL, 480 mL, 4000 mL)

Injection, as maleate: 10 mg/mL (10 mL)

Tablet, as maleate: 4 mg, 8 mg, 12 mg

Tablet, sustained release, as maleate: 8 mg, 12 mg


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