WARNING

Phenergan is a brand name for the medication promethazine, which belongs to a class of drugs called phenothiazines. It is commonly used to treat allergies, motion sickness, nausea, and vomiting. However, like any medication, Phenergan is associated with certain risks and potential side effects. It’s important to note that individual responses to the drug can vary, and these risks should be discussed with a healthcare professional before using Phenergan. Some potential risks include:

• Sedation and Drowsiness: Phenergan can cause significant drowsiness and sedation. It may impair your ability to concentrate or operate machinery. Patients are often advised not to drive or engage in activities requiring alertness until they know how the drug affects them.
• Respiratory Depression: In some cases, Phenergan may cause respiratory depression, especially in high doses or when used in combination with other medications that depress the central nervous system. This is more common in elderly patients.
• Allergic Reactions: Some individuals may experience allergic reactions to Phenergan, ranging from mild skin rashes to more severe reactions such as difficulty breathing or swelling of the face, lips, or tongue. Seek immediate medical attention if any signs of a severe allergic reaction occur.
• Extrapyramidal Symptoms: Phenergan, like other phenothiazines, can cause extrapyramidal symptoms such as tremors, muscle stiffness, and involuntary movements. This is more common at higher doses.
• Photosensitivity: Phenergan may increase sensitivity to sunlight, leading to an increased risk of sunburn. Patients should take precautions and use sunscreen when exposed to sunlight.
• Anticholinergic Effects: Phenergan has anticholinergic properties, which can lead to side effects such as dry mouth, blurred vision, constipation, and urinary retention.
• Interaction with Other Medications: Phenergan may interact with other medications, including sedatives, antidepressants, and certain pain medications. It’s crucial to inform your healthcare provider of all medications you are taking to avoid potential interactions.
• Use in Children: Phenergan is not recommended for use in children under the age of 2 due to the risk of respiratory depression. Caution is also advised when using it in older children.

It’s essential to use Phenergan under the guidance of a healthcare professional who can assess your individual health status, consider potential interactions with other medications, and monitor for any adverse effects. Always follow the prescribed dosage and instructions provided by your healthcare provider.

Why is this medication prescribed?

Phenergan, or its generic form promethazine, is prescribed for various medical conditions. Its primary uses include:

• Allergic Conditions: Phenergan is often prescribed to relieve symptoms of allergic reactions, such as itching, hives, and runny nose.
• Nausea and Vomiting: It is commonly used to manage nausea and vomiting associated with surgery, chemotherapy, or certain medical conditions.
• Motion Sickness: Phenergan is effective in preventing and treating motion sickness, making it suitable for individuals prone to nausea and vomiting during travel.
• Sedation: Due to its sedative properties, Phenergan may be prescribed to induce sleep or manage insomnia.
• Adjunctive Therapy: In some cases, Phenergan is used as an adjunct to anesthesia during surgical procedures.

How should this medicine be used?

Phenergan is a brand name for the medication promethazine, which is commonly used to treat various conditions, including allergies, motion sickness, nausea, and vomiting. It is important to note that you should always follow the specific instructions provided by your healthcare provider or the instructions on the medication packaging. The information provided here is general and may not cover all situations. If you have any questions or concerns about how to use Phenergan, consult your healthcare professional. Here are some general guidelines for using Phenergan:

• Dosage: The dosage will depend on the condition being treated and your individual response to the medication. Follow your healthcare provider’s instructions regarding the correct dosage.
• Administration: Phenergan is typically available in various forms, including tablets, rectal suppositories, and as an oral solution. Take the medication with or without food, as directed by your healthcare provider. If you are using the oral solution, measure the dose carefully using a proper measuring device.
• Motion Sickness: If you are using Phenergan for motion sickness, take the medication at least 30 to 60 minutes before travel.
• Nausea and Vomiting: If you are using Phenergan for nausea or vomiting, take it as directed by your healthcare provider. You may need to take it on a regular schedule or as needed.
• Allergic Reactions: If you are using Phenergan for allergic reactions, follow your healthcare provider’s instructions and take the medication as directed.
• Rectal Suppositories: If you are using rectal suppositories, make sure to follow the instructions for proper administration.
• Caution with Children: Exercise caution when using Phenergan in children, as the dosage and form of the medication may be different for pediatric patients.
• Avoid Alcohol: Avoid consuming alcohol while taking Phenergan, as it may increase the risk of side effects.
• Side Effects: Be aware of potential side effects and contact your healthcare provider if you experience any unusual or severe reactions.
• Medical Monitoring: Regularly follow up with your healthcare provider to monitor your response to the medication and discuss any concerns or potential side effects.

Always seek guidance from your healthcare provider or pharmacist for personalized advice based on your specific health condition and individual needs. Never self-prescribe or exceed the recommended dosage without consulting a healthcare professional.

Other uses for this medicine

Phenergan (promethazine) may be used for various purposes, including:

• Allergies: It can be used to relieve symptoms of allergic reactions such as itching, rash, and hives.
• Sedation: Phenergan has sedative effects and may be used to help manage anxiety or promote sleep.
• Preoperative Sedation: It may be used as a preoperative sedative and to reduce anxiety before surgery.
• Postoperative Nausea and Vomiting: In some cases, it may be used to prevent or treat nausea and vomiting after surgery.
• Cough and Cold: It is sometimes used to alleviate symptoms of the common cold, such as cough and congestion.

What special precautions should I follow?

Regarding special precautions for Phenergan, it’s essential to follow your healthcare provider’s instructions and be aware of the following considerations:

• Allergic Reactions: Inform your healthcare provider about any history of allergies or adverse reactions to medications, as Phenergan may cause allergic reactions in some individuals.
• Respiratory Issues: Caution is advised in individuals with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD), as Phenergan can cause respiratory depression.
• Central Nervous System Depression: Phenergan can cause drowsiness and impair cognitive and motor functions. Avoid activities requiring mental alertness, such as driving or operating machinery, until you know how the medication affects you.
• Avoid Alcohol: Concurrent use of alcohol with Phenergan can enhance sedative effects and increase the risk of side effects. It’s advisable to avoid alcohol while taking Phenergan.
• Children and Older Adults: Special precautions apply to children and older adults. Phenergan is not recommended for use in children under 2 years old due to the risk of respiratory depression. It should be used with caution in older adults.
• Inform Your Healthcare Provider: Make sure your healthcare provider is aware of all medications, supplements, and medical conditions you have to avoid potential drug interactions.

Always take Phenergan exactly as prescribed, and contact your healthcare provider if you experience any unusual or severe side effects. Do not self-prescribe or adjust the dosage without consulting your healthcare professional.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Phenergan. However, it’s always a good idea to take the medication with food if it tends to cause stomach upset. Additionally, staying well-hydrated is important, especially if you experience any side effects like dry mouth.

What should I do if I forget a dose?

If you forget to take a dose of Phenergan, take it as soon as you remember. However, if it’s close to the time of your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double up on doses to make up for a missed one.

If you have any concerns or questions about your medication, it’s important to contact your healthcare provider. They can provide guidance based on your specific situation and medical history.

What side effects can this medication cause?

Phenergan (promethazine) may cause various side effects, and individual reactions can vary. It’s important to be aware of potential side effects and promptly report any unusual or severe symptoms to your healthcare provider. Common side effects of Phenergan include:

• Drowsiness: Phenergan is known for its sedative effects, and drowsiness is a common side effect. It can impair your ability to concentrate and perform activities that require alertness.
• Dry Mouth: Phenergan has anticholinergic properties, which can lead to dry mouth. Staying well-hydrated can help alleviate this symptom.
• Blurred Vision: Some people may experience blurred vision as a result of taking Phenergan. This effect can be more pronounced in older adults.
• Constipation: Phenergan can cause constipation due to its anticholinergic effects. Increasing fiber intake and staying hydrated may help alleviate this side effect.
• Urinary Retention: In some cases, Phenergan may cause difficulty in emptying the bladder, leading to urinary retention.
• Dizziness: Feeling lightheaded or dizzy is a potential side effect of Phenergan, particularly when standing up quickly. Take precautions to avoid falls.
• Nausea and Vomiting: While Phenergan is often used to treat nausea and vomiting, it can paradoxically cause these symptoms in some individuals.
• Extrapyramidal Symptoms: Phenergan, like other phenothiazines, can cause extrapyramidal symptoms such as tremors, muscle stiffness, and involuntary movements. This is more common at higher doses.
• Allergic Reactions: Allergic reactions to Phenergan can occur and may manifest as skin rashes, itching, swelling of the face, lips, or tongue, and difficulty breathing. Seek immediate medical attention if you experience signs of a severe allergic reaction.
• Respiratory Depression: In rare cases, Phenergan can cause respiratory depression, especially at higher doses. This risk is higher in older adults.

It’s important to note that this list is not exhaustive, and other side effects may occur. Additionally, the risk of side effects may increase with higher doses and prolonged use. Always take Phenergan as prescribed by your healthcare provider, and inform them of any side effects you experience. If you have concerns about the medication, discuss them with your healthcare provider rather than adjusting the dosage or discontinuing the medication on your own.

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

Storage and Disposal of Phenergan:

• Storage: Keep Phenergan (promethazine) in its original packaging and store it at room temperature, away from moisture, heat, and light. Avoid storing it in the bathroom. Follow any specific storage instructions provided by your healthcare provider or pharmacist.
• Keep Out of Reach of Children: Ensure that Phenergan is stored in a location inaccessible to children. Accidental ingestion by children can lead to serious health risks.
• Disposal: Dispose of Phenergan properly according to local guidelines and regulations. Do not flush it down the toilet unless specifically instructed to do so. Check with your pharmacist or local waste disposal facility for information on how to dispose of medications properly.

In case of emergency/overdose

In case of an emergency or suspected overdose of Phenergan, seek medical attention immediately. Symptoms of an overdose may include severe drowsiness, confusion, hallucinations, seizures, shallow breathing, and loss of consciousness. Contact your local poison control center or emergency room for guidance.

What other information should I know?

• Medical History: Inform your healthcare provider about your complete medical history, including any history of respiratory conditions, allergies, liver disease, or conditions that may affect your heart.
• Medication Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking. Phenergan can interact with certain medications, and your healthcare provider needs this information to avoid potential complications.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Phenergan with your healthcare provider. Phenergan may pass into breast milk, and its safety during pregnancy is not well established.
• Alcohol and Other Sedatives: Avoid alcohol and other substances that may cause sedation while taking Phenergan, as they can enhance the sedative effects of the medication.
• Medical Alert Bracelet: If you have a medical condition that may require emergency medical attention, consider wearing a medical alert bracelet to inform healthcare providers about your use of Phenergan.
• Follow-up Appointments: Attend follow-up appointments with your healthcare provider to monitor your response to Phenergan and discuss any concerns or side effects.

Always follow your healthcare provider’s instructions and ask any questions you may have about Phenergan. If you experience any unusual or severe side effects, contact your healthcare provider promptly. Do not adjust the dosage or discontinue the medication without consulting your healthcare professional.