Sunday 2 September 2012

Phenylephrine/Brompheniramine/Codeine


Pronunciation: FEN-il-EF-rin/BROME-fen-IR-a-meen/KOE-deen
Generic Name: Phenylephrine/Brompheniramine/Codeine
Brand Name: Examples include BroveX PB C and BroveX PB CX


Phenylephrine/Brompheniramine/Codeine is used for:

Relieving symptoms of sinus congestion, runny nose, sneezing, and cough due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.


Phenylephrine/Brompheniramine/Codeine is a decongestant, antihistamine, and cough suppressant combination. The decongestant works by constricting blood vessels and reducing swelling in the nasal passages. The antihistamine works by blocking the action of histamine, which helps reduce symptoms such as watery eyes and sneezing. The cough suppressant works in the brain to help decrease the cough reflex to reduce a dry cough.


Do NOT use Phenylephrine/Brompheniramine/Codeine if:


  • you are allergic to any ingredient in Phenylephrine/Brompheniramine/Codeine or any other codeine- or morphine-related medicine (eg, oxycodone)

  • you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, severe heart problems, peptic ulcer, narrow-angle glaucoma, difficulty urinating, or are having an asthma attack

  • you take sodium oxybate (GHB) or you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.



Before using Phenylephrine/Brompheniramine/Codeine:


Some medical conditions may interact with Phenylephrine/Brompheniramine/Codeine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have a fast, slow, or irregular heartbeat

  • if you have a history of adrenal gland problems (eg, adrenal gland tumor); heart problems (eg, heart disease); high or low blood pressure; low blood volume; diabetes; blood vessel problems; stroke; glaucoma; a blockage of your stomach, bladder, or intestines; trouble urinating; an enlarged prostate or other prostate problems; mental or mood problems (eg, depression); pancreas problems (eg, pancreatitis); or thyroid problems

  • if you have a history of asthma or other breathing problems, chronic cough, lung problems (eg, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if your cough occurs with large amounts of mucus

  • if you have severe drowsiness, recent head or brain injury, brain tumor, increased pressure in the brain, infection of the brain or nervous system, or a seizure disorder (eg, epilepsy)

  • if you have a history of constipation, stomach problems (eg, ulcers), bowel problems (eg, chronic inflammation or ulceration of the bowel), or gallbladder problems (eg, gallstones), or if you have had recent stomach, bowel, or urinary surgery

  • if you have a history of alcohol abuse, drug abuse, or suicidal thoughts or behavior; or if you are in poor health or are very overweight

  • if you take medicine for high blood pressure or depression

Some MEDICINES MAY INTERACT with Phenylephrine/Brompheniramine/Codeine. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), cimetidine, furazolidone, HIV protease inhibitors (eg, ritonavir), MAOIs (eg, phenelzine), muscle relaxants (eg, cyclobenzaprine), opioid analgesics (eg, hydrocodone), phenothiazines (eg, chlorpromazine), sodium oxybate (GHB), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Phenylephrine/Brompheniramine/Codeine's side effects

  • Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased

  • Naltrexone, quinidine, or rifamycins (eg, rifampin) because they may decrease Phenylephrine/Brompheniramine/Codeine's effectiveness

  • Bromocriptine or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by Phenylephrine/Brompheniramine/Codeine

  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Phenylephrine/Brompheniramine/Codeine

This may not be a complete list of all interactions that may occur. Ask your health care provider if Phenylephrine/Brompheniramine/Codeine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Phenylephrine/Brompheniramine/Codeine:


Use Phenylephrine/Brompheniramine/Codeine as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Phenylephrine/Brompheniramine/Codeine by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

  • Take Phenylephrine/Brompheniramine/Codeine with a full glass of water (8 oz/240 mL).

  • Drink plenty of water while taking Phenylephrine/Brompheniramine/Codeine.

  • If you miss a dose of Phenylephrine/Brompheniramine/Codeine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Phenylephrine/Brompheniramine/Codeine.



Important safety information:


  • Phenylephrine/Brompheniramine/Codeine may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Phenylephrine/Brompheniramine/Codeine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Phenylephrine/Brompheniramine/Codeine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

  • Do not drink alcohol or use medicines that may cause drowsiness (eg, muscle relaxers, sleep aids) while you are using Phenylephrine/Brompheniramine/Codeine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

  • Do not take diet or appetite control medicines while you take Phenylephrine/Brompheniramine/Codeine without checking with your doctor.

  • Phenylephrine/Brompheniramine/Codeine has phenylephrine and brompheniramine in it. Before you start any new medicine, check the label to see if it has phenylephrine or brompheniramine in it too. If it does or if you are not sure, check with your doctor or pharmacist.

  • Do not use Phenylephrine/Brompheniramine/Codeine for a cough with a lot of mucus. Do not use it for a long-term cough (eg, caused by asthma, emphysema, smoking). However, you may use it for these conditions if your doctor tells you to.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • If your symptoms do not get better within 5 days, if they get worse, or if they occur along with a fever, check with your doctor.

  • Phenylephrine/Brompheniramine/Codeine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Phenylephrine/Brompheniramine/Codeine. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

  • Phenylephrine/Brompheniramine/Codeine may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Phenylephrine/Brompheniramine/Codeine for a few days before the tests.

  • Tell your doctor or dentist that you take Phenylephrine/Brompheniramine/Codeine before you receive any medical or dental care, emergency care, or surgery.

  • Use Phenylephrine/Brompheniramine/Codeine with caution in the ELDERLY; they may be more sensitive to its effects, especially confusion, dizziness, drowsiness, low blood pressure, excitability, dry mouth, and trouble urinating.

  • Caution is advised when using Phenylephrine/Brompheniramine/Codeine in CHILDREN; they may be more sensitive to its effects, especially excitability.

  • Phenylephrine/Brompheniramine/Codeine should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Phenylephrine/Brompheniramine/Codeine while you are pregnant. Do not take Phenylephrine/Brompheniramine/Codeine in the third trimester of pregnancy. It is not known if Phenylephrine/Brompheniramine/Codeine is found in breast milk. Do not breast-feed while taking Phenylephrine/Brompheniramine/Codeine.

Some people who use Phenylephrine/Brompheniramine/Codeine for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction.


If you stop taking Phenylephrine/Brompheniramine/Codeine suddenly, you may have WITHDRAWAL symptoms. These may include anxiety, irregular heartbeat, irritability, restlessness, trouble sleeping, and unusual sweating.



Possible side effects of Phenylephrine/Brompheniramine/Codeine:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; difficulty urinating or inability to urinate; fast, slow, or irregular heartbeat; hallucinations; loss of coordination; mental or mood changes (eg, irritability); ringing in the ears; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; shallow breathing; tremor; trouble sleeping; uncontrolled muscle movements; unusual bruising or bleeding; unusual weakness or tiredness; vision changes or blurred vision.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch .


See also: Phenylephrine/Brompheniramine/Codeine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; cold and clammy skin; coma; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; shallow breathing; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Phenylephrine/Brompheniramine/Codeine:

Store Phenylephrine/Brompheniramine/Codeine at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Phenylephrine/Brompheniramine/Codeine out of the reach of children and away from pets.


General information:


  • If you have any questions about Phenylephrine/Brompheniramine/Codeine, please talk with your doctor, pharmacist, or other health care provider.

  • Phenylephrine/Brompheniramine/Codeine is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Phenylephrine/Brompheniramine/Codeine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Phenylephrine/Brompheniramine/Codeine resources


  • Phenylephrine/Brompheniramine/Codeine Side Effects (in more detail)
  • Phenylephrine/Brompheniramine/Codeine Use in Pregnancy & Breastfeeding
  • Phenylephrine/Brompheniramine/Codeine Drug Interactions
  • Phenylephrine/Brompheniramine/Codeine Support Group
  • 1 Review for Phenylephrine/Brompheniramine/Codeine - Add your own review/rating


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