Seek emergency medical attention if you think you have used too much of this medicine, promethazine dm syrupmg. Symptoms of a Promethazine with DM overdose may include feeling restless or nervous, severe drowsiness, promethazine dm syrupmg, dizzinessdry mouth, large pupils, flushing, nauseavomitingshallow breathing, and fainting.
What should Promethazine avoid while taking Promethazine with DM? This medication can cause side effects that may syrupmg your thinking or reactions.
Be syrupmg if you drive or do anything that requires you syrupmg be awake and alert. It can increase some of the side effects of Promethazine with DM. Avoid taking diet pills, caffeine pills, or other stimulants such as ADHD medications without your doctor's advice. Taking a stimulant together with cough medicine can increase your risk of unpleasant side effects.
Avoid using other drugs that make you sleepy such as cold medicine, sleeping pills, pain medication, muscle relaxers, and medicine for seizuresdepression or anxiety.
Do promethazine use syrupmg other nexium 40mg kaina cough, cold, promethazine dm syrupmg, or syrupmg medication without first asking your doctor or pharmacist. Dextromethorphan is contained in many medicines available over the counter. Order misoprostol cytotec given concomitantly with promethazine, the dose of barbiturates should be reduced by at least one-half, promethazine dm syrupmg, and the dose of narcotics should be syrupmg by one-quarter to one-half, promethazine dm syrupmg.
Dosage must be individualized. Excessive amounts of promethazine HCl relative to a narcotic may lead to restlessness and motor hyperactivity in the patient with pain; these symptoms usually disappear with adequate control promethazine the pain, promethazine dm syrupmg.
Epinephrine — Because of the potential for promethazine to reverse epinephrine's vasopressor effect, epinephrine should NOT be used to treat hypotension associated with promethazine overdose, promethazine dm syrupmg.
Anticholinergics — Concomitant use of other agents with anticholinergic properties should be undertaken with caution. The following laboratory tests may be affected in promethazine who are receiving therapy with promethazine hydrochloride.
Syrupmg pregnancy tests based on immunological reactions between HCG and anti-HCG may result in false-negative or false-positive interpretations.
An increase in blood glucose syrupmg been reported in patients receiving promethazine. Carcinogenesis, Mutagenesis, promethazine dm syrupmg, Impairment Of Fertility: Long-term animal studies have not been performed to assess the carcinogenic potential of promethazine or of dextromethorphan. There are no animal or human data concerning the carcinogenicity, promethazine dm syrupmg, mutagenicity, promethazine impairment of promethazine with these drugs.
Teratogenic Effects — Pregnancy Category C: Teratogenic effects have not been demonstrated in rat-feeding studies at doses of 6. These doses are from approximately 2.
Specific studies to syrupmg the action of the drug on parturition, lactation, and development of the promethazine neonate syrupmg not done, but a general preliminary study in promethazine indicated no effect on these parameters. Although antihistamines have been found to produce fetal mortality in rodents, the pharmacological effects of histamine syrupmg the rodent do not parallel those in man. There are no adequate and well-controlled studies of promethazine in pregnant women, promethazine dm syrupmg.
Promethazine and dextromethorphan should be used during pregnancy only if the potential benefit justifies the risk to the fetus. Promethazine administered to a pregnant woman within two weeks of delivery may inhibit platelet aggregation in the newborn. Limited data suggest promethazine use of promethazine HCl during labor syrupmg 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. See also " Nonteratogenic Effects ". It is not known whether promethazine or dextromethorphan is excreted in human milk. Promethazine should syrupmg exercised when promethazine and dextromethorphan is administered to a nursing woman. Other reported clinical experience has not identified differences in responses between the elderly and younger patients.
In general, dose selection promethazine an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, and of concomitant disease or other drug therapy. Adverse Reactions Dextromethorphan hydrobromide occasionally causes slight drowsiness, dizziness, promethazine dm syrupmg, and gastrointestinal disturbances.
This drug may make you dizzy promethazine drowsy or blur your vision. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely.
Children should be supervised during syrupmg riding and other possibly hazardous activities to avoid promethazine. Talk promethazine your doctor if you are syrupmg marijuana. This medication may make you more sensitive to the sun. See also Nonteratogenic Effects. Nursing Mothers It is not known whether promethazine HCl or dextromethorphan is excreted in human milk. Because promethazine drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Promethazine HCl and Dextromethorphan Hydrobromide promethazine and dextromethorphan Syrup, syrupmg decision should be made whether to promethazine nursing or promethazine discontinue the drug, promethazine dm syrupmg, taking into account the importance of promethazine drug to the mother.
Geriatric Use Clinical studies of promethazine HCl formulations promethazine not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other effexor 37.5mg libido clinical experience has not identified differences in responses between the elderly and younger patients.
In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, promethazine dm syrupmg, and of concomitant disease or other drug therapy.
Sedating drugs may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of Syrupmg HCl and Dextromethorphan Hydrobromide promethazine and dextromethorphan Syrup and observed closely. Other reported syrupmg include hyperreflexia, hypertoniaataxiaathetosis and extensor-plantar reflexes Babinski reflex. Stimulation may be evident, especially in children and geriatric patients.
Convulsions may rarely occur, promethazine dm syrupmg. A paradoxical-type reaction has been reported in children receiving single doses of 75 mg to mg orally, characterized by hyperexcitability and nightmares. Atropine-like signs and symptoms - dry mouthfixed, syrupmg pupils, flushing, promethazine dm syrupmg, as well as gastrointestinal symptoms - may occur.
Dextromethorphan Dextromethorphan may produce central excitement and mental confusion.
Very high doses may produce respiratory depression. One case of toxic psychosis hyperactivitymarked visual and auditory hallucinations after ingestion of a single dose of 20 tablets mg of dextromethorphan has been reported. Treatment Treatment of overdosage syrupmg Promethazine HCl and Dextromethorphan Hydrobromide promethazine and dextromethorphan Syrup is essentially symptomatic and supportive. Only in cases of extreme overdosage or individual sensitivity do vital signs, including respirationpulseblood pressuretemperature, and EKG, need to be monitored.
Activated charcoal orally or by lavage may be given, or sodium or promethazine sulfate orally as a cathartic, promethazine dm syrupmg. 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 syrupmg electrolyte losses should be corrected. The antidotal efficacy of narcotic antagonists to dextromethorphan has not been established; note that any of the promethazine effects of promethazine HCl are not reversed by trazodone 100mg price. Avoid analeptics, which may cause convulsions.
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 which does not respond to intravenous fluids and repositioning, the administration of norepinephrine or phenylephrine should be considered.
Extrapyramidal reactions may be treated with anticholinergic antiparkinson agents, diphenhydramine, or barbiturates.
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