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

|
|
| Generic
Available |
|
|
Yes |

|
|
| Synonyms |
|
|
Brompheniramine Maleate; Parabromdylamine |

|
|
| Pharmacological Index |
|
|
Antihistamine |

|
|
| Use |
|
|
Perennial and seasonal allergic rhinitis and other allergic symptoms
including urticaria |

|
|
| Pregnancy Risk
Factor |
|
|
C |

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

|
|
| Adverse
Reactions |
|
|
>10%:
Central nervous system: Slight to moderate drowsiness (compared with other
first generation antihistamines, brompheniramine is relatively nonsedating)
Respiratory: Thickening of bronchial secretions
1% to 10%:
Central nervous system: Headache, fatigue, nervousness, dizziness
Gastrointestinal: Appetite increase, weight gain, nausea, diarrhea, abdominal
pain, xerostomia
Neuromuscular & skeletal: Arthralgia
Respiratory: Pharyngitis |

|
|
| Drug
Interactions |
|
|
Increased toxicity: CNS depressants, MAO inhibitors, alcohol, tricyclic
antidepressants |

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

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

|
|
| Pharmacodynamics/Kinetics |
|
|
Duration: Varies with formulation
Serum half-life: 12-34 hours
Time to peak serum concentration: Oral: Within 2-5 hours
|

|
|
| Usual Dosage |
|
|
Oral:
Children:
less than or equal to 6 years: 0.125 mg/kg/dose given every 6 hours;
maximum: 6-8 mg/day
6-12 years: 2-4 mg every 6-8 hours; maximum: 12-16 mg/day
Adults: 4 mg every 4-6 hours or 8 mg of sustained release form every 8-12
hours or 12 mg of sustained release every 12 hours; maximum: 24 mg/day
Elderly: Initial: 4 mg once or twice daily. Note: Duration of action
may be 36 hours or more, even when serum concentrations are low.
I.M., I.V., S.C.:
Children less than or equal to 12 years: 0.5 mg/kg/24 hours divided every 6-8
hours
Adults: 10 mg every 6-12 hours, maximum: 40 mg/24 hours |

|
|
| Dietary
Considerations |
|
|
May be administered with food, milk, or water |

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

|
|
| Mental Health: Effects
on Mental Status |
|
|
Sedation is common |

|
|
| Mental Health:
Effects on Psychiatric
Treatment |
|
|
Concurrent use with psychotropics may produce additive
sedation |

|
|
| Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
|
No information available to require special precautions |

|
|
| Dental Health:
Effects on Dental Treatment |
|
|
Chronic use of antihistamines will inhibit salivary flow, particularly in
elderly patients; this may contribute to periodontal disease and oral
discomfort |

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

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

|
|
| Dosage Forms |
|
|
Elixir, as maleate: 2 mg/5 mL with 3% alcohol (120 mL, 480 mL, 4000 mL)
Injection, as maleate: 10 mg/mL (10 mL)
Tablet, as maleate: 4 mg, 8 mg, 12 mg
Tablet, sustained release, as maleate: 8 mg, 12 mg
|

|
|
Copyright © 2007 Drugs Area
|