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Brovex PEB DM (Generic Phenylephrine)

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Why is this medication prescribed?

Phenylephrine is commonly prescribed or recommended for the following reasons:

  • Nasal Congestion: Phenylephrine is often used to relieve nasal congestion caused by allergies, colds, or sinusitis. It works by constricting blood vessels in the nasal passages, reducing swelling and congestion.
  • Hypotension (Low Blood Pressure): Phenylephrine may be administered intravenously in hospitals to raise blood pressure in cases of shock or hypotension.
  • Pupil Dilation: In ophthalmology, phenylephrine eye drops are used to dilate the pupil during eye examinations or certain eye procedures.
  • Hemorrhoids: Phenylephrine is sometimes included in topical preparations for treating hemorrhoids due to its vasoconstrictive properties, which can help reduce swelling and discomfort.

How should this medicine be used?

When using phenylephrine, it’s important to follow the instructions provided by your healthcare provider or those on the medication label. Here’s a general guideline on how phenylephrine should be used:

  • Dosage: Take or apply the dose as prescribed by your doctor or as directed on the package. Do not exceed the recommended dosage.
  • Administration Route: Phenylephrine is available in various forms, including nasal sprays, nasal drops, oral tablets, capsules, or intravenous injections. Use the form prescribed by your doctor or recommended for your specific condition.
  • Nasal Sprays/Drops: If using phenylephrine nasal spray or drops, tilt your head slightly forward and insert the nozzle into one nostril. Keep the other nostril closed with your finger. Gently spray or drop the medication into the nostril as you inhale, then breathe out through your mouth. Repeat the process for the other nostril if instructed.
  • Oral Medication: If taking phenylephrine orally, swallow the tablets or capsules whole with a full glass of water. Do not crush or chew extended-release formulations unless instructed otherwise.
  • Frequency: Use phenylephrine as often as directed, but do not use it more frequently or for longer than recommended to avoid rebound congestion or other potential side effects.
  • Special Instructions: If you have any underlying medical conditions or are taking other medications, consult your doctor or pharmacist before using phenylephrine to avoid potential interactions or complications.
  • Duration of Use: Phenylephrine is typically used for short-term relief of congestion. If symptoms persist for more than a few days, consult your healthcare provider.
  • Storage: Store phenylephrine medications according to the instructions on the packaging, away from moisture, heat, and direct sunlight. Keep them out of reach of children.

Always use phenylephrine as directed and consult your healthcare provider if you have any questions or concerns about its use or if your symptoms persist or worsen.

Other uses for this medicine

  • Hypotension: Phenylephrine is occasionally used to treat low blood pressure (hypotension) in certain clinical settings.
  • Ophthalmic Use: It’s also found in some eye drops used to dilate the pupil during eye examinations or to relieve eye redness and irritation.
  • Shock: In emergency medicine, phenylephrine may be administered to increase blood pressure in cases of shock.

What special precautions should I follow?

Regarding special precautions for phenylephrine use, here are some important considerations:

  • Medical History: Inform your healthcare provider about your complete medical history, including any pre-existing conditions such as high blood pressure, heart disease, diabetes, thyroid disorders, or urinary problems.
  • Medication Interactions: Phenylephrine can interact with certain medications, including monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and other sympathomimetic drugs. Inform your doctor about all medications, supplements, and herbal products you are taking to avoid potential interactions.
  • Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, consult your healthcare provider before using phenylephrine, as its safety during pregnancy and lactation is not well-established.
  • Age Considerations: Use phenylephrine with caution in children, as dosing may need to be adjusted based on age and weight. Pediatric formulations are available, but always follow the dosing instructions provided by your healthcare provider or on the product label.
  • Avoid Overuse: Prolonged or excessive use of phenylephrine nasal sprays or drops can lead to rebound congestion, where the nasal passages become even more congested once the medication wears off. Follow the recommended dosing schedule and duration of use to minimize this risk.
  • Monitor for Side Effects: Be aware of potential side effects such as increased heart rate, elevated blood pressure, dizziness, or nervousness. If you experience any concerning symptoms, contact your healthcare provider.
  • Storage: Store phenylephrine medications according to the instructions on the packaging, away from moisture, heat, and direct sunlight. Keep them out of reach of children.

Always follow your healthcare provider’s recommendations and the instructions provided with the medication to ensure safe and effective use of phenylephrine. If you have any questions or concerns, don’t hesitate to consult your doctor or pharmacist.

What special dietary instructions should I follow?

Regarding special dietary instructions, there are generally no specific dietary restrictions associated with phenylephrine. However, maintaining a healthy diet can contribute to overall well-being and may help manage certain conditions for which phenylephrine is prescribed, such as hypertension.

What should I do if I forget a dose?

If you forget to take a dose of phenylephrine, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. If you’re unsure about what to do, consult your doctor or pharmacist for guidance. It’s essential to maintain the prescribed dosing schedule to ensure the medication’s effectiveness and to avoid potential adverse effects.

What side effects can this medication cause?

Phenylephrine, like any medication, can cause side effects, although not everyone will experience them. Common side effects may include:

  • Increased Heart Rate: Phenylephrine can sometimes cause a rapid or irregular heartbeat (tachycardia), especially at higher doses.
  • Elevated Blood Pressure: It may lead to an increase in blood pressure, particularly in individuals with hypertension or cardiovascular issues.
  • Nervousness or Anxiety: Some people may feel jittery, nervous, or anxious after taking phenylephrine.
  • Headache: Headaches are a relatively common side effect associated with phenylephrine use.
  • Dizziness or Lightheadedness: Phenylephrine can cause dizziness or a feeling of lightheadedness, especially when standing up quickly.
  • Nausea or Vomiting: Some individuals may experience gastrointestinal discomfort, including nausea or vomiting.
  • Difficulty Sleeping (Insomnia): Phenylephrine’s stimulating effects can interfere with sleep in some individuals, leading to insomnia or difficulty falling asleep.
  • Tremors: Shaking or tremors in the hands or other parts of the body can occur as a side effect of phenylephrine.
  • Urinary Retention: In some cases, phenylephrine can cause difficulty in urination or urinary retention.
  • Allergic Reactions: While rare, allergic reactions to phenylephrine can occur. Symptoms may include rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing.

It’s essential to note that this list is not exhaustive, and other side effects may occur. If you experience any unusual or severe symptoms after taking phenylephrine, it’s crucial to seek medical attention promptly. Additionally, if you have any concerns about potential side effects or how phenylephrine may interact with other medications you’re taking, consult your healthcare provider or pharmacist.

What should I know about storage and disposal of this medication?

When it comes to storage and disposal of phenylephrine, here’s what you should know:


  • Keep phenylephrine in its original container, tightly closed, and out of reach of children.
  • Store it at room temperature away from excess heat and moisture, unless otherwise directed by the medication label.
  • Do not freeze phenylephrine unless instructed to do so by the manufacturer.
  • Avoid storing phenylephrine in the bathroom or near sinks. Moisture and humidity can degrade the medication.


  • Dispose of unused or expired phenylephrine properly according to local regulations or guidelines.
  • Do not flush phenylephrine down the toilet or pour it down the drain unless instructed to do so by the medication label or by your pharmacist.
  • Consult your pharmacist or local waste disposal facility for information on how to properly dispose of phenylephrine.

In case of emergency/overdose

  • If you suspect an overdose of phenylephrine or experience severe symptoms such as difficulty breathing, chest pain, rapid heartbeat, seizures, or loss of consciousness, seek immediate medical attention by calling emergency services.
  • If possible, provide emergency responders or healthcare professionals with information about the amount of phenylephrine ingested and when it was taken.

What other information should I know?

  • Phenylephrine is for temporary relief of symptoms and should not be used for prolonged periods without medical supervision.
  • Do not exceed the recommended dosage or frequency of phenylephrine, as it can lead to adverse effects.
  • Inform your healthcare provider about all medications, supplements, and herbal products you are taking before using phenylephrine, as it can interact with certain drugs.
  • Keep all appointments with your doctor while taking phenylephrine to monitor your progress and response to the medication.

By following these guidelines, you can ensure the safe storage, disposal, and use of phenylephrine. If you have any questions or concerns, consult your doctor or pharmacist for assistance.

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