Chlorpheniramine Dextromethorphan

Chlorpheniramine Dextromethorphan Brand Names

Coricidin HBP Cough and Cold | Cough & Cold High Blood Pressure | Cough and Cold | Maxichlor DM | Maxi-Tuss DM | Robitussin | Robitussin Children’s Cough & Cold | Scot-Tussin DM | Triaminic Cough and Runny Nose Softchew | Vicks NyQuil Cold & Cough

What is Chlorpheniramine Dextromethorphan

Chlorpheniramine dextromethorphan are used together in non-prescription combination products indicated for the temporary relief of cough, rhinorrhea, and sneezing associated with the common cold and for treating allergic rhinitis or other upper respiratory allergies.

Chlorpheniramine is a sedating antihistamine (H1-blocker) of the alkylamine class commonly used for treating symptoms related to histamine release and to dry the nasal and sinus passages secondary to its anticholinergic activity.

Dextromethorphan is a non-opioid antitussive related to the opiate agonists that is effective in inhibiting dry, nonproductive coughs, and is not intended to treat coughs associated with excessive mucus production such as may occur with smoking, emphysema, or chronic bronchitis.

Non-prescription antihistamine-dextromethorphan products nationwide in the U.S. have reportedly become drugs of abuse, particularly by teenagers and prepubescent older children.

Some chlorpheniramine; dextromethorphan products are known by by the slang name “Triple C” by those who abuse the products due to the dextromethorphan content; abuse of the product may cause serious intoxications.

Indications

• common cold
• cough
• rhinorrhea
• sneezing

For the relief of cough, rhinorrhea, and sneezing due to the common cold

Side Effects

1. abdominal pain
2. agranulocytosis
3. anaphylactoid reactions
4. anxiety
5. aplastic anemia
6. ataxia
7. AV block
8. blurred vision
9. bronchial secretions
10. constipation
11. dizziness
12. drowsiness
13. excitability
14. hallucinations
15. headache
16. hypertension
17. hypotension
18. insomnia
19. lethargy
20. mydriasis
21. nasal dryness
22. nausea
23. palpitations
24. psychosis
25. rash
26. restlessness
27. seizures
28. serotonin syndrome
29. sinus tachycardia
30. thrombocytopenia
31. urinary retention
32. urticaria
33. vomiting
34. xerophthalmia
35. xerostomia

Monitoring Parameters

• laboratory monitoring not necessary

Contraindications

• anticholinergic medications
• arteriosclerosis
• asthma
• AV block
• bladder obstruction
• bradycardia
• breast-feeding
• bronchitis
• bundle-branch block
• cardiac arrhythmias
• cardiac disease
• cardiomyopathy
• children
• chronic obstructive pulmonary disease (COPD)
• closed-angle glaucoma
• contact lenses
• driving or operating machinery
• emphysema
• fever
• geriatric
• GI obstruction
• head trauma
• heart failure
• hepatic disease
• hypertension
• ileus
• increased intracranial pressure
• increased intraocular pressure
• infants
• MAOI therapy
• neonates
• peptic ulcer disease
• pregnancy
• prostatic hypertrophy
• pyloric stenosis
• renal disease
• renal failure
• renal impairment
• status asthmaticus
• substance abuse
• tachycardia
• tobacco smoking
• urinary retention

Interactions

• Abiraterone
• Acetaminophen; Butalbital
• Acetaminophen; Butalbital; Caffeine
• Acetaminophen; Butalbital; Caffeine; Codeine
• Acetaminophen; Caffeine; Dihydrocodeine
• Acetaminophen; Codeine
• Acetaminophen; Dichloralphenazone; Isometheptene
• Acetaminophen; Hydrocodone
• Acetaminophen; Oxycodone
• Acetaminophen; Pentazocine
• Acetaminophen; Propoxyphene
• Acetaminophen; Tramadol
• Alfentanil
• Alosetron
• Amantadine
• Ambenonium Chloride
• Amikacin
• Aminoglycosides
• Amiodarone
• Amlodipine; Celecoxib
• Amobarbital
• Amoxapine
• Amphetamine
• Amphetamine; Dextroamphetamine
• Amphetamine; Dextroamphetamine Salts
• Anticholinergics
• Apomorphine
• Artemether; Lumefantrine
• Asenapine
• Aspirin, ASA; Butalbital; Caffeine
• Aspirin, ASA; Butalbital; Caffeine; Codeine
• Aspirin, ASA; Caffeine; Dihydrocodeine
• Aspirin, ASA; Caffeine; Orphenadrine
• Aspirin, ASA; Carisoprodol
• Aspirin, ASA; Carisoprodol; Codeine
• Aspirin, ASA; Oxycodone
• Atazanavir; Cobicistat
• Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
• Atropine; Difenoxin
• Atropine; Diphenoxylate
• Atropine; Hyoscyamine; Phenobarbital; Scopolamine
• Azelastine
• Azelastine; Fluticasone
• Baclofen
• Barbiturates
• Belladonna Alkaloids; Ergotamine; Phenobarbital
• Belladonna; Opium
• Benzhydrocodone; Acetaminophen
• Benzodiazepines
• Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
• Benzphetamine
• Brompheniramine; Carbetapentane; Phenylephrine
• Brompheniramine; Guaifenesin; Hydrocodone
• Brompheniramine; Hydrocodone; Pseudoephedrine
• Buprenorphine
• Buprenorphine; Naloxone
• Buspirone
• Butabarbital
• Butorphanol
• Cannabidiol
• Capsaicin; Metaxalone
• Carbetapentane; Chlorpheniramine
• Carbetapentane; Chlorpheniramine; Phenylephrine
• Carbetapentane; Diphenhydramine; Phenylephrine
• Carbetapentane; Guaifenesin
• Carbetapentane; Guaifenesin; Phenylephrine
• Carbetapentane; Phenylephrine
• Carbetapentane; Phenylephrine; Pyrilamine
• Carbetapentane; Pseudoephedrine
• Carbetapentane; Pyrilamine
• Carbidopa; Levodopa; Entacapone
• Carbinoxamine; Hydrocodone; Phenylephrine
• Carbinoxamine; Hydrocodone; Pseudoephedrine
• Carisoprodol
• Celecoxib
• Cenobamate
• Cetirizine
• Cetirizine; Pseudoephedrine
• Chlorpheniramine; Codeine
• Chlorpheniramine; Dihydrocodeine; Phenylephrine
• Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
• Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
• Chlorpheniramine; Hydrocodone
• Chlorpheniramine; Hydrocodone; Phenylephrine
• Chlorpheniramine; Hydrocodone; Pseudoephedrine
• Chlorpromazine
• Chlorzoxazone
• Cinacalcet
• Citalopram
• Clobazam
• Clozapine
• Cobicistat
• Codeine
• Codeine; Guaifenesin
• Codeine; Phenylephrine; Promethazine
• Codeine; Promethazine
• COMT inhibitors
• Cyclobenzaprine
• Dacomitinib
• Dantrolene
• Daratumumab; Hyaluronidase
• Darifenacin
• Darunavir; Cobicistat
• Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
• Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir
• Delavirdine
• Desloratadine
• Desloratadine; Pseudoephedrine
• Desvenlafaxine
• Deutetrabenazine
• Dexmedetomidine
• Dextroamphetamine
• Dextromethorphan; Promethazine
• Dihydrocodeine; Guaifenesin; Pseudoephedrine
• Diphenhydramine; Hydrocodone; Phenylephrine
• Disopyramide
• Donepezil
• Donepezil; Memantine
• Doxorubicin
• Dronabinol
• Dronedarone
• Droperidol
• Duloxetine
• Dutasteride; Tamsulosin
• Eliglustat
• Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
• Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Disoproxil Fumarate
• Entacapone
• Escitalopram
• Esketamine
• Eszopiclone
• Ethanol
• Etomidate
• Ezogabine
• Fedratinib
• Fentanyl
• Flibanserin
• Fluoxetine
• Fluoxetine; Olanzapine
• Fluphenazine
• Fluvoxamine
• Fospropofol
• Gabapentin
• Galantamine
• Gentamicin
• Givosiran
• grapefruit juice
• Guaifenesin; Hydrocodone
• Guaifenesin; Hydrocodone; Pseudoephedrine
• Halogenated Anesthetics
• Haloperidol
• Heparin
• Homatropine; Hydrocodone
• Hyaluronidase
• Hyaluronidase, Recombinant; Immune Globulin
• Hydantoins
• Hydrocodone
• Hydrocodone; Ibuprofen
• Hydrocodone; Phenylephrine
• Hydrocodone; Potassium Guaiacolsulfonate
• Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
• Hydrocodone; Pseudoephedrine
• Hydromorphone
• Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate
• Ibuprofen; Oxycodone
• Iloperidone
• Imatinib
• Isocarboxazid
• Kanamycin
• Ketamine
• Lasmiditan
• Lemborexant
• Levocetirizine
• Levomethadyl
• Levomilnacipran
• Levorphanol
• Linezolid
• Lithium
• Lofexidine
• Loperamide
• Loperamide; Simethicone
• Lopinavir; Ritonavir
• Loratadine
• Loratadine; Pseudoephedrine
• Lorcaserin
• Loxapine
• Lumateperone
• Lurasidone
• Magnesium Salts
• Maprotiline
• Meclizine
• Melatonin
• Memantine
• Meperidine
• Meperidine; Promethazine
• Mephobarbital
• Meprobamate
• Metaxalone
• Methadone
• Methamphetamine
• Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine
• Methocarbamol
• Methohexital
• Methylene Blue
• Metoclopramide
• Metyrapone
• Metyrosine
• Milnacipran
• Minocycline
• Mirabegron
• Mirtazapine
• Mitotane
• Molindone
• Monoamine oxidase inhibitors
• Morphine
• Morphine; Naltrexone
• Nabilone
• Nalbuphine
• Nebivolol
• Nebivolol; Valsartan
• Nefazodone
• Olanzapine
• Ombitasvir; Paritaprevir; Ritonavir
• Opiate Agonists
• Oritavancin
• Orphenadrine
• Oxycodone
• Oxymorphone
• Ozanimod
• Paliperidone
• Panobinostat
• Paromomycin
• Paroxetine
• Pazopanib
• Peginterferon Alfa-2b
• Pentazocine
• Pentazocine; Naloxone
• Pentobarbital
• Perampanel
• Perphenazine
• Perphenazine; Amitriptyline
• Phenelzine
• Phenobarbital
• Phenylephrine; Promethazine
• Pimozide
• Pitolisant
• Plazomicin
• Pramipexole
• Pregabalin
• Primidone
• Procarbazine
• Prochlorperazine
• Promethazine
• Propafenone
• Propofol
• Propoxyphene
• Quetiapine
• Quinine
• Ramelteon
• Rasagiline
• Remifentanil
• Risperidone
• Ritonavir
• Rituximab; Hyaluronidase
• Rivastigmine
• Rolapitant
• Ropinirole
• Safinamide
• Secobarbital
• Selegiline
• Serotonin-Receptor Agonists
• Sertraline
• Sibutramine
• Sincalide
• Sodium Iodide
• Solifenacin
• St. John’s Wort, Hypericum perforatum
• Streptomycin
• Sufentanil
• Suvorexant
• Tacrine
• Tamsulosin
• Tapentadol
• Tasimelteon
• Tedizolid
• Terbinafine
• Thalidomide
• Thiopental
• Thioridazine
• Thiothixene
• Tizanidine
• Tobramycin
• Tocilizumab
• Tolcapone
• Tramadol
• Tranylcypromine
• Trastuzumab; Hyaluronidase
• Trazodone
• Tricyclic antidepressants
• Trifluoperazine
• Trimethobenzamide
• Trospium
• Vemurafenib
• Venlafaxine
• Vigabatrin
• Vilazodone
• Vortioxetine
• Zaleplon
• Ziconotide
• Ziprasidone
• Zolpidem