Promethazine hydrochloride
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Classification: Antihistamine, phenothiazine-type See Also: See also Antihistamines and Antiemetics . Action/Kinetics: Antiemetic effects are likely due to inhibition of the CTZ. Effective in vertigo by its central anticholinergic effect which inhibits the vestibular apparatus and the integrative vomiting center as well as the CTZ. May cause severe drowsiness. Onset, PO, IM, PR: 20 min; IV: 3-5 min. Duration, antihistaminic: 6-12 hr; sedative: 2-8 hr. Slowly eliminated through urine and feces. Uses: PO and PR for prophylaxis and treatment of motion sickness. Prophylaxis of N&V; due to anesthesia or surgery (also postoperatively). Pre- or postoperative sedative, obstetric sedative. Hypersensitivity reactions, including perennial and seasonal allergic rhinitis, vasomotor rhinitis, allergic conjunctivitis, urticaria, angioedema, allergic reactions to blood or plasma, dermographism. Adjunct in the treatment of anaphylaxis or anaphylactoid reactions. Adjunct to analgesics for postoperative pain. IV with meperidine or other narcotics in special surgical procedures as bronchoscopy, ophthalmic surgery, or in poor-risk clients. Contraindications: Lactation. Comatose clients, CNS depression due to drugs, previous phenothiazine idiosyncrasy, acutely ill or dehydrated children (due to greater susceptibility to dystonias). Children up to 2 years of age. SC or intra-arterial use due to tissue necrosis and gangrene. Special Concerns: Safe use during pregnancy has not been established. Use in children may cause paradoxical hyperexcitability and nightmares. Geriatric clients are more likely to experience confusion, dizziness, hypotension, and sedation. Additional Side Effects: Leukopenia and agranulocytosis (especially if used with cytotoxic agents). How Supplied: Injection: 25 mg/mL, 50 mg/mL; Suppository: 12.5 mg, 25 mg, 50 mg; Syrup: 6.25 mg/5 mL, 25 mg/5 mL; Tablet: 12.5 mg, 25 mg, 50 mg
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