Check the labels of all your medications to make sure you are not taking more than one product containing guaifenesin or dextromethorphan. Do not exceed the recommended dose. 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 substances you are taking, check with your doctor, nurse, or pharmacist. Do not stop taking any medications without consulting your healthcare provider. Dispense in well-closed container. average cost of clomiphene per month clomiphene
It was a nightmare with her. Children may be more sensitive to the side effects of this drug, especially slowed breathing see Warning section. This drug can often cause excitement in young children instead of drowsiness. This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use and wear protective clothing when outdoors. Do not use if solution has developed color or contains a precipitate. Consult your doctor before -feeding.
This drug should not be used to treat nausea and vomiting of unknown etiology. The look or non-look on her face in a lot of pics. I know that look all too well. Tell your doctor if your condition does not improve or if it worsens.
EPS. Other important considerations in the differential diagnosis include central anticholinergic toxicity, heat stroke, drug fever and primary central nervous system CNS pathology. Do not ignore this warning sign. What other drugs will affect Phenergan with Codeine codeine and promethazine? Unexplained or sudden falls.
Drink plenty of fluids while you are using this medication unless otherwise directed by your doctor. High serotonin levels may cause changes in body temperature, blood pressure, muscle movements and mood, leading to a medical condition called Serotonin Syndrome. Serotonin Syndrome may be very serious or rarely life threatening. Drink plenty of fluids while taking this medication. Fluids will help to break up and clear congestion. Poisoning can cause nausea, vomiting, drooling, dry mouth, changes in pupil size, and more. How Is Hypertensive Heart Disease Treated? Drugs other than those listed here may also interact with phenylephrine and promethazine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products. Treatment of overdosage is essentially symptomatic and supportive. Only in cases of extreme overdosage or individual sensitivity do vital signs, including respiration, pulse, blood pressure, temperature, and EKG, need to be monitored. Attention should be given to the reestablishment of adequate respiratory exchange through provision of a patent airway and institution of assisted or controlled ventilation. Diazepam may be used to control convulsions. Acidosis and electrolyte losses should be corrected. Note that any depressant effects of PHENERGAN Injection are not reversed by naloxone. Boxed Warning and Use in Pediatric Patients. The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your not to work correctly. These are possible, but not always occur. Your doctor or can often prevent or manage interactions by changing how you use your medications or by close monitoring. HEDIS Measure: . In many countries including the US and UK promethazine is contraindicated in children less than two years of age, and strongly cautioned against in children between two and six, due to problems with respiratory depression and sleep apnea. This medication may interfere with certain laboratory tests including some pregnancy tests, blood sugar tests possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. Inc. Baltimore, MD 21244. The injection solution should be inspected for particulate matter and discoloration before administration. Subcutaneous administration is contraindicated. Than she mixed up everything. Phenergan Injection can cause severe chemical irritation and damage to tissues regardless of the route of administration. Irritation and damage can result from perivascular extravasation, unintentional intra-arterial injection, and intraneuronal or perineuronal infiltration. Adverse event reports include burning, pain, erythema, swelling, sensory loss, palsies, paralysis, severe spasm of distal vessels, thrombophlebitis, venous thrombosis, phlebitis, abscesses, tissue necrosis, and gangrene. The preferred parenteral route of administration for PHENERGAN Injection is by deep intramuscular injection. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. Salahudeen MJ; Duffull SB; Nishtala PS; et al. 2015-03-25. Read the Patient Information Leaflet if available from your pharmacist before you start taking promethazine and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Phenergan suppositories should be used with extreme caution in CHILDREN 2 years old or older. The lowest effective dose should be used in children 2 years old and older. Phenergan should be given as an injection into a muscle or a vein. Do not inject Phenergan into an artery or under the skin. Burns caused by heat are called thermal burns and can cause pain swelling, skin changes, blisters and more. caverta
The diagnostic evaluation of patients with this syndrome is complicated. Phenergan Injection may cause marked drowsiness or impair the mental or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery. Pediatric patients should be supervised to avoid potential harm in bike riding or in other hazardous activities. Narcotic analgesics cross the placental barrier. An increase in blood glucose has been reported in patients receiving promethazine hydrochloride. Some promethazine side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. For prophylaxis of nausea and vomiting, as during surgery and the postoperative period, the average dose is 25 mg repeated at 4- to 6-hour intervals, as necessary. The main differences among barbiturates are their half-lives duration of their effects. Drugs such as secobarbital sodium and pentobarbital sodium are short-acting, while others such as amobarbital sodium and butabarbital sodium are intermediate-acting, and phenobarbital and mephobarbital are long-acting. Long-term animal studies have not been performed to assess the carcinogenic potential of Phenergan Injection, nor are there other animal or human data concerning carcinogenicity, mutagenicity, or impairment of fertility. Phenergan Injection was nonmutagenic in the Salmonella test system of Ames. If your doctor has directed you to take this on a regular schedule and you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Keep all medicines away from children and pets. Phenergan Injection is contraindicated in pediatric patients less than 2 years of age, because of the potential for fatal respiratory depression. B6 in people who not get enough of the vitamin from their diets.
This is an abstract of a report from the National Organization for Rare Disorders NORD. A copy of the complete report can be downloaded free from the NORD website for registered users. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational therapies if available and references from medical literature. For a full-text version of this topic, go to www. Phenergan Injection may be used alone or as an adjunct to narcotic analgesics during labor see . Limited data suggest that use of Phenergan Injection during labor and delivery does not have an appreciable effect on the duration of labor or delivery and does not increase the risk of need for intervention in the newborn. The effect on later growth and development of the newborn is unknown. Burt DR, Creese I, Snyder SH April 1977. Check the labels on all your medicines such as or -and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Noctec aka Choral Hydrate, only comes in syrup form. What Are the Symptoms of a Stroke? Rare Disease Database under "Rare Disease Information". Barbiturates are used to treat anxiety, insomnia, and seizure disorders. They are not, however, prescribed as often due to the availability of benzodiazepines and non-benzodiazepines. Barbiturates can be addictive and have strong withdrawal symptoms and rebound exaggerated effects on rapid eye movement REM sleep when they are abruptly stopped and can interfere with sleep. It is advisable, therefore, to stop barbiturates by slowly lowering their dose over a period of more than five or six days. It also is IMPORTANT to use the CORRECT DOSE of barbiturates since a RELATIVELY SMALL OVERDOSE may lead to COMA or DEATH. Codeine is a narcotic. It is a pain reliever and a cough suppressant. Phenothiazines may cause hypotension including orthostatic hypotension reflex tachycardia, increased pulse rate, syncope, and dizziness, particularly after the first parenteral dose but rarely after the first oral dose. Low-potency agents such as chlorpromazine and thioridazine are more likely to induce these effects, which usually subside within the first couple of hours following administration. Tolerance to the hypotensive effects often develops after a few doses. Rarely, fatal cardiac arrest has occurred secondary to severe hypotension. Other reported adverse cardiovascular effects include edema, thrombosis, and ECG abnormalities such as PR and QT interval prolongation, diffuse T-wave flattening, and ST segment depression. Therapy with phenothiazines should be avoided or otherwise administered cautiously in patients with severe cardiovascular disease, pheochromocytoma, a predisposition to hypotension, or conditions that could be exacerbated by hypotension such as a history of myocardial infarction, angina, or ischemic stroke. Close monitoring of cardiovascular status, including ECG changes, is recommended at all dosages. If parenteral therapy is given, patients should be in a supine position during administration and for at least 30 to 60 minutes afterwards. Patients who experience orthostatic hypotension should be cautioned not to rise too abruptly. Occasionally, when severe, hypotension may require treatment with vasoconstrictive agents such as norepinephrine or phenylephrine. Epinephrine should not be used, however, since phenothiazines can reverse its vasopressor effects and cause a further lowering of blood pressure. Hyperventilation is rapid or shallow breathing usually caused by stress or anxiety. American Journal of Health-System Pharmacy. Moderate. These medicines may cause some risk when taken together. sinemet can i order canada
Healthcare Corporation November, 2010. Phenergan Injection contains sodium metabisulfite, a sulfite that may cause allergic-type reactions, including anaphylactic symptoms and life-threatening or less severe asthma episodes, in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people. If you experience excessive drowsiness, slowed breathing, weakness, fatigue, or dizziness, contact your doctor. It may be necessary to monitor your blood pressure and breathing rate. Your doctor may need to adjust the dose of your pain medicine. The management of NMS should include 1 immediate discontinuation of promethazine HCl, antipsychotic drugs, if any, and other drugs not essential to concurrent therapy, 2 intensive symptomatic treatment and medical monitoring, and 3 treatment of any concomitant serious medical problems for which specific treatments are available. There is no general agreement about specific pharmacological treatment regimens for uncomplicated NMS. Intravenously in special surgical situations, such as repeated bronchoscopy, ophthalmic surgery, and poor-risk patients, with reduced amounts of meperidine or other narcotic analgesic as an adjunct to anesthesia and analgesia. These symptoms may become worse over time. Children may also experience excitability rather than drowsiness. Wernicke's encephalopathy can cause confusion, lack of muscle coordination, and vision problems. Is this leaflet hard to see or read? Deep IM injection is the preferred route of administration. Subcutaneous administration is contraindicated. But the drugs beat her. If any of these effects persist or worsen, tell your doctor or promptly. Preoperative, postoperative, or obstetric sedation. IM administration. Therapy with phenothiazines should be administered cautiously in patients, particularly children, with hypocalcemia or severe dehydration, since these patients may be more susceptible to dystonic reactions. Most symptoms subside within a few hours and are almost always reversible within 24 to 48 hours following withdrawal of therapy. However, severe reactions such as laryngospasm may be life-threatening and require appropriate supportive therapy. Hyperexcitability and abnormal movements have been reported in patients following a single administration of Phenergan Injection. Consideration should be given to the discontinuation of Phenergan Injection and to the use of other drugs if these reactions occur. Respiratory depression, nightmares, delirium, and agitated behavior have also been reported in some of these patients.
NOT be used to treat hypotension associated with Phenergan Injection overdose. The average adult dose is 25 mg taken twice daily. The initial dose should be taken one-half to one hour before anticipated travel and be repeated 8 to 12 hours later, if necessary. On succeeding days of travel, it is recommended that 25 mg be given on arising and again before the evening meal. Phenylephrine is a decongestant. It works by constricting shrinking blood vessels veins and arteries in the sinuses and nose to decrease congestion. Phenergan Injection is contraindicated for use in pediatric patients less than 2 years of age see . Caution should be exercised when administering promethazine hydrochloride to pediatric patients 2 years of age or older. This medication can cause side effects that may impair your thinking or reactions. Therefore, this product is not recommended to treat in children younger than 6 years. Guaifenesin can affect the results of certain lab tests such as urine levels of certain acids. Make sure laboratory personnel and all your doctors know you use this drug. lopressor cheap order online pharmacy
This is not a complete list of possible side effects. Do not take phenylephrine and promethazine if you have taken a monoamine oxidase inhibitor MAOI such as isocarboxazid Marplan phenelzine Nardil tranylcypromine Parnate or selegiline Eldepryl in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Preoperative, postoperative, and obstetric during labor sedation. On September 9, 2009, the FDA required a be put on promethazine for injection, stating the contraindication for subcutaneous administration. The preferred administrative route is intramuscular, which reduces risk of surrounding muscle and tissue damage. Drowsiness is the most prominent CNS effect of this drug. Treatment of overdosage is essentially symptomatic and supportive. Only in cases of extreme overdosage or individual sensitivity do vital signs, including respiration, pulse, blood pressure, temperature, and EKG, need to be monitored. Activated charcoal orally or by lavage may be given, or sodium or magnesium sulfate orally as a cathartic. Attention should be given to the reestablishment of adequate respiratory exchange through provision of a patent airway and institution of assisted or controlled ventilation. Diazepam may be used to control convulsions. Acidosis and electrolyte losses should be corrected. Note that any depressant effects of promethazine HCl are not reversed by naloxone. Avoid analeptics, which may cause convulsions. Reglan metoclopramide injection US prescribing information. Brief loss of consciousness. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. This information should not be used to decide whether or not to take Phenergan suppositories or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Phenergan suppositories. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Phenergan suppositories. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Phenergan suppositories. Do not start, stop, or change the dosage of any medicine before checking with them first. This medication may rarely cause a very serious condition called neuroleptic malignant syndrome NMS. Prevention and control of nausea and vomiting associated with certain types of anesthesia and surgery. The treatment of choice for resulting hypotension is administration of intravenous fluids, accompanied by repositioning if indicated. In the event that vasopressors are considered for the management of severe hypotension that does not respond to intravenous fluids and repositioning, the administration of norepinephrine or phenylephrine should be considered. EPINEPHRINE SHOULD NOT BE USED, since its use in patients with partial adrenergic blockade may further lower the blood pressure. Extrapyramidal reactions may be treated with anticholinergic antiparkinsonian agents, diphenhydramine, or barbiturates. Oxygen may also be administered. Muscle spasm or tremors due to the antipsychotic or phenothiazine medicine may get better with this combination. Side effects such as dizziness, dry mouth, sedation, blurred vision or constipation may start or get worse with the combination. HCl by rectal suppository at bedtime will provide sedation in children. Adults usually require 25 to 50 mg for nighttime, presurgical, or obstetrical sedation.
Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Ask your health care provider any questions you may have about how to use Phenergan suppositories. What happens if I miss a dose Phenergan Vc? Levsin, and others methscopolamine Pamine and scopolamine Transderm-Scop. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid 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. Hallucinations have also been reported. Cervical spinal stenosis is a spinal condition causing pain, weakness, or numbness in the arms, legs, or neck. Excessively large dosages of antihistamines, including Phenergan Injection, in pediatric patients may cause sudden death see . Hallucinations and convulsions have occurred with therapeutic doses and overdoses of Phenergan Injection in pediatric patients. In pediatric patients who are acutely ill associated with dehydration, there is an increased susceptibility to dystonias with the use of Phenergan Injection. 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 not be able to take phenylephrine and promethazine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. When used for an extended time, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well. She slept 22 out of 24 hours a day. Solid promethazine is a white to faint-yellow, practically odorless, crystalline powder. Slow oxidation may occur upon prolonged exposure to air, usually causing blue discoloration. Its hydrochloride salt is freely soluble in water and somewhat soluble in alcohol. Phenergan Promethazine HCl Suppositories should be used cautiously in persons with cardiovascular disease or with impairment of liver function. Barbiturates are a type of prescription sedative in which even a slight overdose can cause coma or death. asacol
The initial dose should be given 30 to 60 minutes before anticipated travel, and may be repeated in 8 to 12 hours as needed. Phenergan Injection can cause severe chemical irritation and damage to tissues regardless of the route of administration. Both of your medicines can cause abnormal muscle movements called tardive dyskinesia. Taking two medicines together that cause this effect can increase the risk of it happening to you. Avoid prolonged exposure to sunlight. Phenylephrine and promethazine may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs. When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Multiple sclerosis is a disease of the nervous system causing difficulties with balance, speech, and movement. Related to Ultra-Rapid Metabolism of Codeine to Morphine. Use in Pediatric Patients. It never left her side, yet the police reports show no evidence of it. Now over 30 years later, a man claims to have the red diary of Marilyn. In addition, he continued to keep his own diaries which gives his involvement with the Kennedys, The Mob, the CIA, and others. Phenergan Injection is contraindicated for use in pediatric patients less than 2 years of age, because of the potential for fatal respiratory depression. Promethazine is an antihistamine. It blocks the effects of the naturally occurring chemical histamine in the body. Your pharmacist has more information about phenylephrine and promethazine written for health professionals that you may read.
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Dry mouth, nausea, vomiting, jaundice. PHENERGAN Injection can cause severe chemical irritation and damage to tissues regardless of the route of administration. Who should not take Phenergan Vial? vreb.info bicalutamide
This is not a complete list of possible side effects. If you notice other side effects not listed above, contact your doctor or pharmacist. Stimulation may be evident, especially in pediatric patients and geriatric patients. Convulsions may rarely occur. A paradoxical-type reaction has been reported in pediatric patients receiving single doses of 75 mg to 125 mg orally, characterized by hyperexcitability and nightmares. It is possible that the title of this topic is not the name you selected. Phenergan suppositories should not be used in CHILDREN younger than 2 years old. Serious, and sometimes fatal, side effects difficult or slowed breathing, drowsiness leading to coma have occurred when Phenergan suppositories has been used in children in this age group.
It works by thinning and loosening in the airways, clearing congestion, and making breathing easier. Administration of promethazine HCl has been associated with reported cholestatic jaundice. Some things can cause a migraine to start. These are called triggers. Your triggers may be different from someone else's. shop diflucan otc
Nausea, vomiting, constipation, and tract spasm. Safety and efficacy have not been established in patients younger than 2 years. The management of NMS should include 1 immediate discontinuation of promethazine hydrochloride, antipsychotic drugs, if any, and other drugs not essential to concurrent therapy, 2 intensive symptomatic treatment and medical monitoring, and 3 treatment of any concomitant serious medical problems for which specific treatments are available. There is no general agreement about specific pharmacological treatment regimens for uncomplicated NMS. Do not start using a new medication without telling your doctor.