B-Vex D

Generic Name: brompheniramine and phenylephrine (BROM fen IR a meen and FEN il EFF rin)

Brand Names: Alacol, Alenaze-D, Alenaze-D NR, B-Vex D, BPM PE, Brom Tann PE, Bromfed, Bromfed-PD Capsules, BroveX ADT, BroveX PEB, Brovex-D, Children's Cold & Allergy, Dimaphen Elixir, Dimetapp Cold & Allergy, Entre-B, J-Tan D, J-Tan D SR, Phenyl 15/12mg, Phenyl 7.5/6mg, RespaHist II, Rhinabid, Rhinabid PD, Seradex-LA, Tanabid SR, V-Hist, VazoBid, VaZol-D, Vazotab, Zotex-PE

What is B-Vex D (brompheniramine and phenylephrine)?

Brompheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of brompheniramine and phenylephrine is used to treat nasal congestion, sneezing, itching, watery eyes, and runny nose caused by allergies, hay fever, and the common cold.

Brompheniramine and phenylephrine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about B-Vex D (brompheniramine and phenylephrine)?

Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. You should not use this medication if you are allergic to brompheniramine or phenylephrine, or to other decongestants, diet pills, stimulants, or ADHD medications. Do not use brompheniramine and phenylephrine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist about taking brompheniramine and phenylephrine if you have heart disease or high blood pressure, diabetes, a thyroid disorder, glaucoma, kidney disease, an enlarged prostate, or problems with urination.

What should I discuss with my healthcare provider before taking B-Vex D (brompheniramine and phenylephrine)?

You should not use this medication if you are allergic to brompheniramine or phenylephrine, or to other decongestants, diet pills, stimulants, or ADHD medications. Do not use brompheniramine and phenylephrine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take brompheniramine and phenylephrine if you have:

• 
  

  heart disease or high blood pressure;

  
  


• 
  

  diabetes;

  
  


• 
  

  a thyroid disorder;

  
  


• 
  

  glaucoma;

  
  


• 
  

  kidney disease;

  
  


• 
  

  an enlarged prostate; or

  
  


• 
  

  problems with urination.

  
  

FDA pregnancy category C. It is not known whether brompheniramine and phenylephrine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Brompheniramine and phenylephrine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take B-Vex D (brompheniramine and phenylephrine)?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cough or cold medicine is usually taken only for a short time until your symptoms clear up.

Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take the medicine with a full glass of water. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

The chewable tablet must be chewed before you swallow it.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Shake the oral suspension (liquid) well just before you measure a dose. Do not take brompheniramine and phenylephrine for longer than 7 days in a row. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash. Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions).

What should I avoid while taking B-Vex D (brompheniramine and phenylephrine)?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid becoming overheated or dehydrated during exercise and in hot weather.

Drinking alcohol can increase certain side effects of brompheniramine and phenylephrine. Ask a doctor or pharmacist before using any other cold, cough, allergy, or pain medicine. Antihistamines and decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains an antihistamine or decongestant.

Avoid taking this medication if you also take diet pills, caffeine pills, or other stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

B-Vex D (brompheniramine and phenylephrine) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

• 
  

  fast, pounding, or uneven heartbeat;

  
  


• 
  

  severe dizziness, anxiety, restless feeling, or nervousness;

  
  


• 
  

  easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;

  
  


• 
  

  nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or

  
  


• 
  

  dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

  
  

Less serious side effects may include:

• 
  

  drowsiness or dizziness;

  
  


• 
  

  blurred vision;

  
  


• 
  

  dry mouth, nose, or throat;

  
  


• 
  

  mild stomach pain, constipation;

  
  


• 
  

  problems with memory or concentration;

  
  


• 
  

  feeling restless or excited (especially in children);

  
  


• 
  

  sleep problems (insomnia); or

  
  


• 
  

  warmth, redness, or tingly feeling under your skin.

  
  

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

What other drugs will affect B-Vex D (brompheniramine and phenylephrine)?

Before using brompheniramine and phenylephrine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by brompheniramine and phenylephrine.

Tell your doctor about all other medications you are using, especially:

• 
  

  medicines to treat high blood pressure;

  
  


• 
  

  a beta blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others; or

  
  


• 
  

  antidepressants such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

  
  

This list is not complete and other drugs may interact with brompheniramine and phenylephrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More B-Vex D resources

• B-Vex D Side Effects (in more detail)
• B-Vex D Use in Pregnancy & Breastfeeding
• B-Vex D Drug Interactions
• B-Vex D Support Group
• 0 Reviews for B-Vex D - Add your own review/rating

• Alenaze-D Elixir MedFacts Consumer Leaflet (Wolters Kluwer)


• Bromfed MedFacts Consumer Leaflet (Wolters Kluwer)


• BroveX-D Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Entre-B Prescribing Information (FDA)


• J-Tan D Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Rhinabid Sustained-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Compare B-Vex D with other medications

• Hay Fever
• Nasal Congestion
• Rhinitis

Where can I get more information?

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

See also: B-Vex D side effects (in more detail)

becaplermin topical

Generic Name: becaplermin topical (be KAP ler min TOP ik al)

Brand Names: Regranex

What is becaplermin topical?

Becaplermin contains a human growth factor that helps your body heal. It works by promoting the growth of cells that aid in wound healing.

Becaplermin topical (for the skin) is used to treat diabetic foot ulcers.

Becaplermin topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about becaplermin topical?

You should not use this medication if you are allergic to becaplermin or parabens, or if you have skin cancer affecting your feet. Do not apply becaplermin over any wound or surgical incision that has been closed with stitches, staples, or surgical tape.

A becaplermin dose is measured by the length of a ribbon of gel squeezed from the medicine tube. Ask your doctor, pharmacist, or wound care counselor if you have any questions about how to measure your becaplermin dose.

You will need to recalculate your dose about every week or two as the size of your ulcer changes. Follow your doctor's instructions.

Do not apply becaplermin gel more than once per day and never use more than your prescribed dose. Using more of the medication will not make it work faster and may cause unwanted side effects.

Use this medication for the full prescribed length of time. Call your doctor if your symptoms do not improve, or if they get worse while using becaplermin topical.

Becaplermin topical is only part of a complete ulcer care treatment program that may also include routine foot exams and avoiding weight on the affected foot. Follow your doctor's instructions very closely.

Some people who used 3 or more courses of treatment with becaplermin topical have developed cancer. However, it is not known whether this medication actually causes cancer. Talk with your doctor about your own specific cancer risk.

What should I discuss with my healthcare provider before using becaplermin topical?

You should not use this medication if you are allergic to becaplermin or parabens, or if you have skin cancer affecting your feet. Do not apply becaplermin over any wound or surgical incision that has been closed with stitches, staples, or surgical tape. FDA pregnancy category C. It is not known whether becaplermin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether becaplermin topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child younger than 16 years old.

Some people who used 3 or more courses of treatment with becaplermin topical have developed cancer. However, it is not known whether this medication actually causes cancer. Talk with your doctor about your own specific cancer risk.

How should I use becaplermin topical?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Using more of this medication will not make it work faster and may cause unwanted side effects.

A becaplermin dose is measured by the length of a ribbon of gel squeezed from the medicine tube. To calculate the proper dose, measure the length and width of your ulcer and use one of the following formulas:

• 
  

  When using a 15-gram tube of becaplermin gel: multiply length x width x 0.6. For example, 2 inches x 1 inch x 0.6 = 1.25 inches of gel.

  
  


• 
  

  When using a 2-gram tube of becaplermin gel: multiply length x width x 1.3. For example, 2 inches x 1 inch x 1.3 = 2.75 inches of gel.

  
  


• 
  

  To measure the dose in centimeters: Multiply length x width and divide by 4 if using a 15-gram tube, or divide by 2 if using a 2-gram tube. For example, 4 centimeters x 2 centimeters / 4 = 2 centimeters of gel from the 15-gram tube; or 4 centimeters x 2 centimeters / 2 = 4 centimeters of gel from the 2-gram tube.

  
  


• 
  

  Ask your doctor, pharmacist, or wound care counselor if you have any questions about how to measure your becaplermin dose.

  
  

Make sure you are aware of which tube size you are using when calculating your becaplermin topical dose. Always check your refills to make sure you have received the correct tube size prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.

You will need to recalculate your dose about every week or two as the size of your ulcer changes. Follow your doctor's instructions.

Wash your hands before and after using this medication.

To apply becaplermin topical gel:

• 
  

  Squeeze a ribbon of gel (in the correct length for your ulcer) onto a clean, firm surface that will not absorb the gel such as wax paper.

  
  


• 
  

  To keep the tip of the medicine tube from getting contaminated, do not allow the tip to touch any surface, including your fingers, the firm surface, or the ulcer you are treating.

  
  


• 
  

  Use a cotton swab, tongue depressor, or other disposable applicator to lift the gel from the firm surface

  
  


• 
  

  Spread the gel evenly in a thin layer (about 1/16 of an inch thick) over the ulcerated skin area.

  
  


• 
  

  Cover the treated skin area with a cotton gauze bandage that has been moistened with saline. Leave this gauze dressing on for the next 12 hours.

  
  


• 
  

  After 12 hours have passed, remove the gauze and rinse the ulcer with saline or water to remove the gel. Moisten a new gauze bandage with saline and cover the ulcer without applying any becaplermin gel.

  
  

Do not apply becaplermin gel more than once per day and never use more than your prescribed dose.

Use this medication for the full prescribed length of time. Call your doctor if your symptoms do not improve, or if they get worse while using becaplermin topical.

Becaplermin topical is only part of a complete ulcer care treatment program that may also include routine foot exams and avoiding weight on the affected foot. Follow your doctor's instructions very closely.

Store in the refrigerator, do not freeze. Keep the medicine tube tightly capped when not in use. Do not use becaplermin gel past the expiration date on the tube.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while using becaplermin topical?

Avoid getting this medication in your eyes, nose, or mouth. If it does get into any of these areas, rinse with water.

Avoid using other medications on the areas you treat with becaplermin unless you doctor tells you to.

Becaplermin topical side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using becaplermin topical and call your doctor at once if you have severe itching, redness, blistering, peeling, or other skin irritation.

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

What other drugs will affect becaplermin topical?

It is not likely that other drugs you take orally or inject will have an effect on topically applied becaplermin. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More becaplermin topical resources

• Becaplermin topical Side Effects (in more detail)
• Becaplermin topical Use in Pregnancy & Breastfeeding
• Becaplermin topical Support Group
• 0 Reviews · Be the first to review/rate this drug

• Regranex Prescribing Information (FDA)


• Regranex Topical Advanced Consumer (Micromedex) - Includes Dosage Information


• Regranex MedFacts Consumer Leaflet (Wolters Kluwer)

Where can I get more information?

• Your pharmacist can provide more information about becaplermin topical.

See also: becaplermin side effects (in more detail)

Better Bladder Control

Generic Name: lytta vesicatoria, causticum, equisetum arvense top and ferrum phosphoricum granule

Dosage Form: FOR ANIMAL USE ONLY
Better Bladder Control

Relieves incontinence and strengthens bladder

Indications: Homeopathic remedy for the relief of incontinence in pets and bladder strengthening.

Dosage: Sprinkle granules directly into the mouth and hold closed briefly. Initial dose: every 30 minutes for up to 10 doses. Thereafter, 3 times daily. Cats and dogs under 20 lbs:1 large pinch. Dogs 20-50 lbs: 2 pinches. Dogs over 50 lbs:1/4 cap granules. May be used with PetAlive UTI-Free™.

Caution: Consult your vet if symptoms persist or worsen. Keep this and all medicines from the reach of children.

Ingredients: Each dose contains equal parts of Cantharis (30C) (HPUS), Causticum (6C ) (HPUS), Equisetum (6C) (HPUS), Ferrum phos (6C) (HPUS)

Sucrose (inactive ingredient).

Enter section text here

Contains no gluten, artificial flavors, colors or preservatives

Better Bladder Control  Better Bladder Control  granule

Product Information Product Type OTC ANIMAL DRUG NDC Product Code (Source) 68647-184 Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength LYTTA VESICATORIA (LYTTA VESICATORIA) LYTTA VESICATORIA 30 [hp_C]  in 50 mg CAUSTICUM (CAUSTICUM) CAUSTICUM 6 [hp_C]  in 50 mg EQUISETUM ARVENSE TOP (EQUISETUM ARVENSE TOP) EQUISETUM ARVENSE TOP 6 [hp_C]  in 50 mg FERRUM PHOSPHORICUM (FERRUM PHOSPHORICUM) FERRUM PHOSPHORICUM 6 [hp_C]  in 50 mg

Inactive Ingredients Ingredient Name Strength SUCROSE 1   in 20000 mg

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 68647-184-10 20000 mg In 1 BOTTLE, GLASS None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
unapproved homeopathic		01/01/2010

Labeler - Feelgood Health (538418296)

Establishment
Name	Address	ID/FEI	Operations
W Last		567284153	manufacture

Revised: 06/2010Feelgood Health

Banophen

Pronunciation: DYE-fen-HYE-dra-meen
Generic Name: Diphenhydramine
Brand Name: Examples include Banophen and Benadryl Allergy Ultratabs

Banophen is used for:

Preventing or treating symptoms of hay fever and other upper respiratory allergies or the common cold, such as runny nose, sneezing, itching of the nose and throat, and itchy, watery eyes, and relieving cough. It may also relieve itching of the skin and allergic skin reactions. It is also used to treat and prevent motion sickness. It may also be used for other conditions as determined by your doctor.

Banophen is an antihistamine and anticholinergic. It works by blocking the action of histamine, reducing the symptoms of an allergic reaction. It also works in the brain to cause sedation.

Do NOT use Banophen if:

• you are allergic to any ingredient in Banophen or to other similar medicines


• you are taking sodium oxybate (GHB)


• you are breast-feeding

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

Before using Banophen:

Some medical conditions may interact with Banophen. 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 asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, lung disease, shortness of breath, or sleep apnea


• if you have blockage of the stomach, intestine, or urinary tract; difficulty urinating; diabetes; ulcers; enlargement of the prostate; glaucoma; heart disease; high blood pressure; the blood disease porphyria; or thyroid disease

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

• Sodium oxybate (GHB) because an increase in sleep duration and a decrease in the ability to breathe are likely to occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Banophen 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 Banophen:

Use Banophen as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Banophen by mouth with or without food.


• Use Banophen exactly as directed on the package, unless instructed differently by your doctor. If you are taking Banophen without a prescription, follow any warnings and precautions on the label.


• For prevention of motion sickness: Take at least 30 minutes before activity or travel.


• If you miss a dose of Banophen and you are taking it regularly, 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 Banophen.

Important safety information:

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


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


• Banophen 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 become overheated in hot weather or while you are being active; heatstroke may occur.


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


• Banophen has diphenhydramine in it. Before you start any new medicine, check the label to see if it has diphenhydramine in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Do not use Banophen 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.


• If your symptoms persist for more than 1 week or if you develop a fever, contact your health care provider.


• Use Banophen with caution in the ELDERLY; they may be more sensitive to its effects, especially dizziness, sedation, and lightheadedness upon standing.


• Different brands of Banophen may have different dosing instructions for CHILDREN. Follow the dosing instructions on the package labeling. If your doctor has given you instructions, follow those. If you are unsure of the dose to give a child, check with your doctor or pharmacist.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Banophen while you are pregnant. Banophen is found in breast milk. Do not breast-feed while taking Banophen.

Possible side effects of Banophen:

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:

Dizziness; drowsiness; dry mouth, throat, and nose; excitability; thickening of mucus in nose or throat.

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); convulsions; fast heartbeat or pounding in the chest; decreased alertness; hallucinations; tremor; wheezing.

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. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Banophen 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 coma; excitement; hallucinations; loss of consciousness; muscle twitching; seizures; tremor; weakness.

Proper storage of Banophen:

Store Banophen at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), or according to directions on the package label. Store in the original package or container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Banophen out of the reach of children and away from pets.

General information:

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


• Banophen 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 Banophen. 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 Banophen resources

• Banophen Side Effects (in more detail)
• Banophen Use in Pregnancy & Breastfeeding
• Drug Images
• Banophen Drug Interactions
• Banophen Support Group
• 0 Reviews for Banophen - Add your own review/rating

• Benadryl Consumer Overview


• Children's Allergy Prescribing Information (FDA)


• Diphen Advanced Consumer (Micromedex) - Includes Dosage Information


• Diphenhydramine Prescribing Information (FDA)


• Diphenhydramine Hydrochloride Monograph (AHFS DI)


• Diphenoxylate Hydrochloride Monograph (AHFS DI)

Compare Banophen with other medications

• Allergic Reactions
• Cold Symptoms
• Cough
• Extrapyramidal Reaction
• Hay Fever
• Insomnia
• Motion Sickness
• Nausea/Vomiting
• Pruritus
• Urticaria

betamethasone and calcipotriene topical

Generic Name: betamethasone and calcipotriene (topical) (BAY ta METH a sone and KAL si poe TRYE een)

Brand names: Taclonex, Taclonex Scalp, Dovobet

What is betamethasone and calcipotriene?

Betamethasone is a topical corticosteroid. It reduces swelling, relieves itching, and constricts blood vessels.

Calcipotriene is a form of vitamin D. It works by decreasing the rate of skin cell reproduction.

Betamethasone and calcipotriene is a combination drug used to treat psoriasis vulgaris.

Betamethasone and calcipotriene may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about betamethasone and calcipotriene?

Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

Before using betamethasone and calcipotriene, tell your doctor if you are pregnant or breast-feeding.

If you miss a dose, use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

There may be other drugs that can affect betamethasone and calcipotriene. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Stop using this medication and get emergency medical help if you think you have used too much medicine, or if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Less serious side effects are more likely, and you may have none at all. Talk to your doctor about any side effect that seems unusual or is especially bothersome.

What should I discuss with my healthcare provider before using betamethasone and calcipotriene?

Before using this medication, tell your doctor if you have:

• 
  

  low or high levels of calcium in your blood;

  
  


• 
  

  liver or kidney disease;

  
  


• 
  

  severe forms of psoriasis (with pus, skin peeling, severe redness); or

  
  


• 
  

  a skin infection.

  
  

If you have any of these conditions, you may not be able to use betamethasone and calcipotriene, or you may need a dose adjustment or special tests during treatment.

Tell your doctor if you are receiving UV light treatments (phototherapy) for your psoriasis.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using betamethasone and calcipotriene, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if betamethasone and calcipotriene pass into breast milk or if this medicine could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. This medicine should not be used on a child.

How should I use betamethasone and calcipotriene?

Use betamethasone and calcipotriene exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Wash your hands before and after applying this medicine.

Betamethasone and calcipotriene topical is for use on the skin only. However, do not apply the medicine to your face, underarms, or groin (genital area).

Shake the liquid form of this medication before using it.

Apply a thin layer of the medication and rub it in completely.

Do not cover treated skin areas with a bandage or tight clothing, unless your doctor has told you to. Do not use betamethasone and calcipotriene for longer than 4 weeks unless your doctor has told you to.

While you are using this medication, your blood and urine may need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

Store this medicine at room temperature away from moisture and heat. Keep the tube capped and tightly closed when not in use.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

Overdose symptoms may include nausea, vomiting, lost appetite, tiredness, trouble breathing, joint/muscle pain, feeling light-headed, or fainting.

What should I avoid while using betamethasone and calcipotriene?

Avoid applying this medicine to more than one-third of your skin surface at any one time.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Betamethasone and calcipotriene topical can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use this medicine on sunburned, windburned, dry, chapped, irritated, or broken skin; or on open wounds. Also avoid using this medication in wounds or on areas of infection. Wait until these conditions have healed before using betamethasone and calcipotriene topical.

Betamethasone and calcipotriene side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using betamethasone and calcipotriene and call your doctor at once if you have any of these serious side effects:

• 
  

  severe skin irritation on treated areas;

  
  


• 
  

  worsened symptoms or no improvement in psoriasis;

  
  


• 
  

  pus, swelling, redness, increased itching, or other signs of skin infection;

  
  


• 
  

  confusion, thirst, extreme tiredness, lost appetite, weight loss;

  
  


• 
  

  adrenal insufficiency--nausea, vomiting, lost appetite, tiredness, trouble breathing, joint/muscle pain, feeling light-headed, fainting;

  
  


• 
  

  Cushing syndrome--weight gain (especially in your face), thinning muscles in your arms or legs, easy bruising, thinning skin, acne, increased facial hair, darkened skin; or

  
  


• 
  

  high blood sugar (hyperglycemia)--increased urination and thirst, nausea, vomiting.

  
  

Less serious side effects may include:

• 
  

  burning or mild itching;

  
  


• 
  

  red or scaly rash;

  
  


• 
  

  swollen hair follicles; or

  
  


• 
  

  changes in the color of treated skin areas.

  
  

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

Betamethasone and calcipotriene Dosing Information

Usual Adult Dose for Psoriasis:

betamethasone-calcipotriene topical ointment:
Psoriasis vulgaris: apply to the affected areas once daily for up to four weeks. The maximum weekly dose should not exceed 100 g.

betamethasone-calcipotriene topical suspension:
Psoriasis vulgaris of the scalp: apply to the affected areas once daily for 2 weeks or until cleared. Treatment may be continued for up to 8 weeks. The maximum weekly dose should not exceed 100 g.

What other drugs will affect betamethasone and calcipotriene?

Before using betamethasone and calcipotriene, tell your doctor if you are using any other steroid medicines, or other medicines to treat psoriasis.

There may be other drugs that can interact with betamethasone and calcipotriene. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More betamethasone and calcipotriene resources

• Betamethasone and calcipotriene Side Effects (in more detail)
• Betamethasone and calcipotriene Dosage
• Betamethasone and calcipotriene Use in Pregnancy & Breastfeeding
• Betamethasone and calcipotriene Drug Interactions
• Betamethasone and calcipotriene Support Group
• 15 Reviews for Betamethasone and calcipotriene - Add your own review/rating

Compare betamethasone and calcipotriene with other medications

• Psoriasis

Where can I get more information?

• Your pharmacist has more information about betamethasone and calcipotriene topical.

See also: betamethasone and calcipotriene side effects (in more detail)

Bacitracin eent

Class: Antibacterials
VA Class: DE101
CAS Number: 1405-87-4
Brands: AK-Poly-Bac

Introduction

Antibacterial; polypeptide antibiotic produced by Bacillus subtilis.^{104 a d e f}

Uses for Bacitracin

Bacterial Ophthalmic Infections

Treatment of superficial infections of the eye involving the conjunctiva and/or cornea caused by susceptible organisms.^{101 d e}

Used alone or in fixed combination with other topical anti-infectives (e.g., neomycin, polymyxin B) with or without topical corticosteroids (e.g., hydrocortisone) when such combination therapy is indicated.^{104 a d e f} (See Use of Fixed Combinations under Cautions.)

Not recommended for topical prophylaxis of neonatal ophthalmia.^a

Not indicated for treatment of deep-seated ocular infections or infections likely to become systemic.¹⁰¹

Bacitracin Dosage and Administration

Administration

Ophthalmic Administration

Apply topically to conjunctival sac of the eye as an ointment.¹⁰¹

Not for injection into the eye; do not instill directly into the anterior chamber of the eye.^{104 e f}

When treating blepharitis, carefully remove all scales and crusts prior to application of the ointment; spread ointment uniformly over lid margins.¹⁰¹

Avoid contaminating the tip of the ointment container.^{101 104 e f}

Dosage

Available as bacitracin alone; as fixed combination containing bacitracin zinc and polymyxin B sulfate; and as fixed combinations containing bacitracin zinc, and neomycin and polymyxin B sulfates, with or without hydrocortisone or hydrocortisone acetate. Dosage of bacitracin or bacitracin zinc is expressed in terms of bacitracin.^{101 104 d e f}

Adults

Bacterial Ophthalmic Infections

Bacitracin

Ophthalmic Ointment

Apply into the conjunctival sac of the affected eye(s) 1–3 times daily.¹⁰¹

Bacitracin Zinc and Neomycin and Polymyxin B Sulfates

Ophthalmic Ointment

Apply to affected eye(s) every 3 or 4 hours for 7–10 days, depending on the severity of the infection.^e

Bacitracin Zinc, Neomycin and Polymyxin B Sulfates, and Hydrocortisone

Ophthalmic Ointment

Apply to affected eye(s) every 3 or 4 hours, depending on severity of the condition.^{104 f}

Bacitracin Zinc and Polymyxin B Sulfate

Ophthalmic Ointment

Apply to affected eye(s) every 3 or 4 hours for 7–10 days, depending on the severity of the infection.^d

Special Populations

No special population dosing recommendations at this time.^{101 104 a d e f}

Cautions for Bacitracin

Contraindications

• 
  

  Known hypersensitivity to bacitracin or any ingredient in the formulation.^{101 104 a d e f}

  
  

Warnings/Precautions

Sensitivity Reactions

Hypersensitivity

Cutaneous sensitization possible (e.g., itching, reddening, conjunctival or eyelid edema).^{104 e}

Hypersensitivity reactions (e.g., itching, rash, swelling of lips and face, sweating, tightness of the chest), including anaphylaxis, reported rarely.^a

During long-term use of topical antibiotics, periodically examine patient for signs of sensitization; may manifest as a failure to heal.^{104 e f} If signs or symptoms of sensitivity occur, discontinue the drug.^{101 104 a e f}

Patients sensitive to neomycin may also be sensitive to bacitracin.^a

General Precautions

Deep-seated Ocular Infections

Do not use for treatment of deep-seated ocular infections or infections likely to become systemic.¹⁰¹

Superinfection

Prolonged use may result in overgrowth of nonsusceptible organisms, including fungi.^{101 104 d e f} Discontinue drug and institute appropriate therapy if superinfection occurs.^{101 a d e}

Infection Complications

Ophthalmic ointments may delay healing.^{104 d e f}

Use of Fixed Combinations

Concomitant topical corticosteroids may mask clinical signs of bacterial, fungal, or viral infections, prevent recognition of ineffectiveness of the antibiotic, or may suppress hypersensitivity reactions to bacitracin or other ingredients in the formulation.^f

When bacitracin is used in fixed combination with other agents (corticosteroids, other anti-infectives), consider the cautions, precautions, and contraindications associated with the concomitant agent(s).^{104 d e f}

Specific Populations

Pregnancy

Category C.^{104 e f}

Lactation

Experts consider topical bacitracin compatible with nursing.^g

Use the fixed combination with neomycin and polymyxin B sulfates with caution in nursing women.^e

Pediatric Use

Safety and efficacy not established in pediatric patients.^{104 e f}

Geriatric Use

No substantial differences in safety or efficacy relative to younger patients.^{104 e}

Bacitracin Pharmacokinetics

Absorption

Extent

Not substantially absorbed from intact or denuded skin, wounds, or mucous membranes.^a

Distribution

Extent

Not known whether topical bacitracin is distributed into breast milk.^{e g}

Stability

Storage

Ophthalmic

Ointment

Bacitracin: 15–30°C.^a

Bacitracin zinc and polymyxin B sulfate: 20–25°C.^d

Neomycin and polymyxin B sulfates and bacitracin zinc: 20–25°C.^e

Neomycin and polymyxin B sulfates and bacitracin zinc with hydrocortisone: 15–30°C.^f

Neomycin and polymyxin B sulfates and bacitracin zinc with hydrocortisone acetate: 15–25°C.¹⁰⁴

Actions and SpectrumActions

• 
  

  Bacitracin consists of 3 separate compounds, bacitracin A, B, and C; bacitracin A is the chief constituent.^{a d e}

  
  


• 
  

  May be bactericidal or bacteriostatic in action, depending on concentration of the drug attained at the site of infection and the susceptibility of the infecting organism.^{a e}

  
  


• 
  

  Inhibits bacterial cell wall synthesis by preventing incorporation of amino acids and nucleotides into the cell wall.^{a e}

  
  


• 
  

  Spectrum of activity includes many gram-positive aerobic bacteria, some aerobic gram-negative bacteria, and some anaerobic bacteria.^{a 101 e} Inactive against fungi.¹⁰¹

  
  


• 
  

  Gram-positive bacteria: Active against Staphylococcus aureus and some streptococci.^{a 101}

  
  


• 
  

  An increasing number of staphylococci, including penicillin-resistant staphylococci, are resistant to bacitracin.^a Cross-resistance does not usually occur between bacitracin and other anti-infectives.^a

  
  

Advice to Patients

• 
  

  Importance of not touching tip of container to the eye, eyelid, fingers, or any other surface to avoid contamination.^{101 104 e f} Advise patient to keep container tightly closed when not in use.^{e f}

  
  


• 
  

  Importance of discontinuing therapy and contacting clinician if the infection worsens or does not improve, or if any signs of sensitivity occur (e.g., rash, itching, swelling, redness, burning).^{101 104 a e f}

  
  


• 
  

  Advise patient not to share the drug with any other person.^{104 e}

  
  


• 
  

  Importance of informing clinician of existing or contemplated concomitant therapy, including prescription and OTC drugs as well as any concomitant illnesses.^{104 d e}

  
  


• 
  

  Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.^{104 e}

  
  


• 
  

  Importance of informing patients of other important precautionary information. (See Cautions.)

  
  

Preparations

Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Bacitracin

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Ophthalmic	Ointment	500 units/g*	Bacitracin	Akorn, Fougera

Bacitracin Zinc and Polymyxin B Sulfate

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Ophthalmic	Ointment	Bacitracin Zinc 500 units (of bacitracin) per g and Polymyxin B Sulfate 10,000 units (of polymyxin B) per g	AK-Poly-Bac	Akorn
			Bacitracin Zinc and Polymyxin B Sulfate	Bausch & Lomb, Fougera

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Neomycin and Polymyxin B Sulfates and Bacitracin Zinc

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Ophthalmic	Ointment	Neomycin Sulfate 0.35% (of neomycin), Polymyxin B Sulfate 10,000 units (of polymyxin B) per g, and Bacitracin Zinc 400 units (of bacitracin) per g*	Neomycin and Polymyxin B Sulfates and Bacitracin Zinc	Bausch & Lomb, Fougera

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Ophthalmic	Ointment	Neomycin Sulfate 0.35% (of neomycin), Polymyxin B Sulfate 10,000 units (of polymyxin B) per g, and Bacitracin Zinc 400 units (of bacitracin) per g, and Hydrocortisone 1%*	Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone	Bausch & Lomb

Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone Acetate

Routes	Dosage Forms	Strengths	Brand Names	Manufacturer
Ophthalmic	Ointment	Neomycin Sulfate 0.35% (of neomycin), Polymyxin B Sulfate 10,000 units (of polymyxin B) per g, Bacitracin Zinc 400 units (of bacitracin) per g, and Hydrocortisone Acetate 1%	Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone Acetate	Fougera

Disclaimer

This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.

The American Society of Health-System Pharmacists, Inc. and Drugs.com represent that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. and Drugs.com make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. and Drugs.com do not endorse or recommend the use of any drug. The information is not a substitute for medical care.

AHFS Drug Information. © Copyright, 1959-2011, Selected Revisions August 2008. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.

References

Only references cited for selected revisions after 1984 are available electronically.

101. E. Fougera & Co. Bacitracin ophthalmic ointment USP prescribing information. Melville, NY; 1998 Mar.

102. Akorn. Neomycin and polymyxin B sulfates and bacitracin zinc ophthalmic ointment USP prescribing information. Buffalo Grove, IL; 2003 Dec.

103. Akorn. Bacitracin zinc and polymyxin B sulfate ophthalmic ointment USP prescribing information. Somerset, NJ; 1998 Jul.

104. E. Fougera & Co. Neomycin and polymyxin B sulfates and bacitracin zinc with hydrocortisone acetate ophthalmic ointment prescribing information. Melville, NY; 2004 Aug.

a. AHFS drug information 2008. McEvoy, GK, ed. Bacitracin. Bethesda, MD: American Society of Health-System Pharmacists; 2008:2837-8.

d. Akorn, Inc. Bacitracin zinc and polymyxin B sulfate ophthalmic ointment USP prescribing information. Buffalo Grove, IL; 2007 Aug.

e. Akorn, Inc. Neomycin and polymyxin B sulfates and bacitracin zinc ophthalmic ointment, USP prescribing information. Buffalo Grove, IL; 2007 Oct.

f. Bausch & Lomb Incorporated. Neomycin and polymyxin B sulfates, bacitracin zinc and hydrocortisone ophthalmic ointment USP prescribing information. Tampa, FL; 2003 Nov.

g. Briggs CC, Freeman RK, Yaffe SJ. Drugs in pregnancy and lactation, 7th ed. Philadelphia, PA: Lippincott, Williams, & Wilkins; 2005: 144-5.

h. AHFS drug information 2008. McEvoy GK, ed. EENT corticosteroids general statement. Bethesda, MD: American Society of Health-System Pharmacists; 2008:2867-9.

More Bacitracin eent resources

• Bacitracin eent Use in Pregnancy & Breastfeeding
• Bacitracin eent Support Group
• 0 Reviews for Bacitracin eent - Add your own review/rating

Compare Bacitracin eent with other medications

• Conjunctivitis, Bacterial

brompheniramine, dextromethorphan, and pseudoephedrine

Generic Name: brompheniramine, dextromethorphan, and pseudoephedrine (brom fen EER a meen, dex troe me THOR fan, soo doe e FED rin)

Brand names: Allanhist PDX Drops, Anaplex DM, Anaplex DMX, Andehist DM NR Syrup, Brom Tann, Bromaline DM, Bromdex D, Bromfed DM, Bromhist PDX, Bromhist-DM Drops, Bromophed-DX, Bromph DM, Bromplex DM, BroveX PSE DM, Dallergy DM, EndaCof-DM, Histacol BD Drops, Myphetane DX Cough, Neo DM, PBM Allergy, Pediahist DM Drops, ProHist DM, Q-Tapp DM, Resperal-DM Drops, Robitussin Allergy & Cough, Sildec DM, ...show all 45 brand names.Dimetane DX, Myphetane DX, Bromanate DX Cough, Bromatane DX, Liquiphed DM, Brometane DX, Bromadine-DM, Rondec-DM(obsolete), Bromaxefed DM RF Syrup, Dimetapp DM, Carbofed DM Syrup, Cardec DM (obsolete), Uni-Hist DM Pediatric Drops, AccuHist DM Pediatric Drops, AccuHist PDX Drops (obsolete), Uni-Hist PDX Drops, Robitussin Allergy & Cough, P-Hist DM Drops, BroveX PSB DM

What is brompheniramine, dextromethorphan, and pseudoephedrine?

Brompheniramine is an antihistamine that reduces the effects of the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of brompheniramine, dextromethorphan, and pseudoephedrine is used to treat runny or stuffy nose, sneezing, itching, watery eyes, cough, and sinus congestion caused by allergies, the common cold, or the flu.

This medicine will not treat a cough that is caused by smoking, asthma, or emphysema.

Brompheniramine, dextromethorphan, and pseudoephedrine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about brompheniramine, dextromethorphan, and pseudoephedrine?

Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. You should not use this medication if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use cough or cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Do not use cough or cold medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

What should I discuss with my healthcare provider before taking brompheniramine, dextromethorphan, and pseudoephedrine?

Do not use cough or cold medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. You should not use this medication if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use cough or cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid.

Ask a doctor or pharmacist if it is safe for you to take this medication if you have:

• 
  

  a blockage in your digestive tract (stomach or intestines), a colostomy or ileostomy;

  
  


• 
  

  diabetes;

  
  


• 
  

  liver or kidney disease;

  
  


• 
  

  epilepsy or other seizure disorder;

  
  


• 
  

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

  
  


• 
  

  enlarged prostate or urination problems;

  
  


• 
  

  low blood pressure;

  
  


• 
  

  pheochromocytoma (an adrenal gland tumor); 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 this medication will harm an unborn baby. Do not use cough or cold medicine without medical advice if you are pregnant. This medicine may pass into breast milk and may harm a nursing baby. Antihistamines and decongestants may also slow breast milk production. Do not use cough or cold medicine without medical advice if you are breast-feeding a baby.

How should I take brompheniramine, dextromethorphan, and pseudoephedrine?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cough or cold medicine is usually taken only for a short time until your symptoms clear up.

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

Do not take for longer than 7 days in a row. Talk 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.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken a cough or cold medicine within the past few days. Store at room temperature away from moisture and heat. Do not freeze.

What happens if I miss a dose?

Since cough or cold medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency 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 medication guide.

What should I avoid while taking brompheniramine, dextromethorphan, and pseudoephedrine?

This medicine may cause 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 increase certain side effects of this medication. Ask a doctor or pharmacist before using any other cold, allergy, cough, or sleep medicine. Antihistamines, cough suppressants, and decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains an antihistamine, cough suppressant, or decongestant.

Avoid taking this medication if you also take diet pills, caffeine pills, or other stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

Avoid becoming overheated or dehydrated during exercise and in hot weather. This medication can decrease sweating and you may be more prone to heat stroke.

Brompheniramine, dextromethorphan, and pseudoephedrine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using this medicine and call your doctor at once if you have a serious side effect such as:

• 
  

  fast, slow, or uneven heart rate;

  
  


• 
  

  severe headache, mood changes, hallucinations;

  
  


• 
  

  severe dizziness or anxiety, feeling like you might pass out;

  
  


• 
  

  tremor, seizure (convulsions);

  
  


• 
  

  easy bruising or bleeding, unusual weakness;

  
  


• 
  

  fever;

  
  


• 
  

  urinating less than usual or not at all;

  
  


• 
  

  feeling short of breath; or

  
  


• 
  

  dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, uneven heartbeats, seizure).

  
  

Less serious side effects may include:

• 
  

  mild headache;

  
  


• 
  

  mild dizziness, drowsiness;

  
  


• 
  

  dry mouth, nose, or throat;

  
  


• 
  

  nausea, diarrhea, constipation, upset stomach;

  
  


• 
  

  feeling nervous, restless, or irritable;

  
  


• 
  

  blurred vision; or

  
  


• 
  

  sleep problems (insomnia).

  
  

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

Brompheniramine, dextromethorphan, and pseudoephedrine Dosing Information

Usual Adult Dose for Cough and Nasal Congestion:

Brompheniramine/dextromethorphan/PSE 3 mg-15 mg-30 mg/5 mL oral syrup:
5 to 10 mL every 4 to 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 3 mg-30 mg-50 mg/5 mL oral syrup:
5 mL every 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 4 mg-20 mg-20 mg/5 mL oral liquid:
5 to 10 mL every 4 to 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 4 mg-20 mg-40 mg oral tablet:
1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

Brompheniramine/dextromethorphan/PSE 8 mg-60 mg-90 mg/5 mL oral suspension, extended release:
5 mL orally every 12 hours not to exceed 2 doses daily.

Usual Pediatric Dose for Cough and Nasal Congestion:

Brompheniramine/dextromethorphan/PSE 1 mg-3 mg-12.5 mg/mL oral liquid
1 to 3 months: 0.125 to 0.25 mL orally 4 times daily.
4 to 6 months: 0.25 to 0.5 mL orally 4 times daily.
7 to 11 months: 0.375 to 0.75 mL orally 4 times daily.
12 to 24 months: 0.5 to 1 mL orally 4 times daily.

Brompheniramine/dextromethorphan/PSE 1 mg-5 mg-12 mg/mL oral liquid
2 to 5 years: 1 mL orally every 4 to 6 hours.
6 to 12 years: 2 mL orally every 4 to 6 hours.

Brompheniramine/dextromethorphan/PSE 3 mg-15 mg-30 mg/5 mL oral syrup:
2 to 5 years: 1.25 to 2.5 mL every 4 to 6 hours not to exceed 4 doses daily.
6 to 11 years: 2.5 to 5 mL every 4 to 6 hours not to exceed 4 doses daily.
12 years or older: 5 to 10 mL every 4 to 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 3 mg-30 mg-50 mg/5 mL oral syrup:
6 to 11 years: 2.5 mL every 6 hours not to exceed 4 doses daily
12 years or older: 5 mL every 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 4 mg-20 mg-20 mg/5 mL oral liquid:
2 to 5 years: 2.5 mL every 4 to 6 hours not to exceed 4 doses daily.
6 to 11 years: 5 mL every 4 to 6 hours not to exceed 4 doses daily.
12 years or older: 5 to 10 mL every 4 to 6 hours not to exceed 4 doses daily.

Brompheniramine/dextromethorphan/PSE 4 mg-20 mg-40 mg oral tablet:
6 to 11 years: 1/2 tablet orally every 4 to 6 hours not to exceed 3 tablets daily.
12 years or older: 1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

Brompheniramine/dextromethorphan/PSE 8 mg-60 mg-90 mg/5 mL oral suspension, extended release:
2 to 5 years: 1.25 mL orally every 12 hours not to exceed 2 doses daily.
6 to 11 years: 2.5 mL orally every 12 hours not to exceed 2 doses daily.
12 years or older: 5 mL orally every 12 hours not to exceed 2 doses daily.

What other drugs will affect brompheniramine, dextromethorphan, and pseudoephedrine?

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

Ask a doctor or pharmacist if it is safe for you to take this medication if you are also using any of the following drugs:

• 
  

  atropine (Atreza, Sal-Tropine);

  
  


• 
  

  benztropine (Cogentin);

  
  


• 
  

  topiramate (Topamax);

  
  


• 
  

  zonisamide (Zonegran);

  
  


• 
  

  an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor), and others;

  
  


• 
  

  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 medicine such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

  
  

This list is not complete and other drugs may interact with brompheniramine, dextromethorphan, and pseudoephedrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More brompheniramine, dextromethorphan, and pseudoephedrine resources

• Brompheniramine, dextromethorphan, and pseudoephedrine Side Effects (in more detail)
• Brompheniramine, dextromethorphan, and pseudoephedrine Use in Pregnancy & Breastfeeding
• Brompheniramine, dextromethorphan, and pseudoephedrine Drug Interactions
• Brompheniramine, dextromethorphan, and pseudoephedrine Support Group
• 2 Reviews for Brompheniramine, dextromethorphan, and pseudoephedrine - Add your own review/rating

Compare brompheniramine, dextromethorphan, and pseudoephedrine with other medications

• Cough and Nasal Congestion

Where can I get more information?

• Your pharmacist can provide more information about brompheniramine, dextromethorphan, and pseudoephedrine.

See also: brompheniramine, dextromethorphan, and pseudoephedrine side effects (in more detail)