What are the primary uses of Bromfed DM Oral. How should patients take this medication. What are the potential side effects of Bromfed DM Oral. Who should exercise caution when using this medication.

Understanding Bromfed DM Oral: Composition and Purpose

Bromfed DM Oral is a combination medication designed to alleviate symptoms associated with various respiratory conditions. This versatile drug contains three primary active ingredients:

• Dextromethorphan: A cough suppressant
• Decongestant: To relieve nasal congestion
• Antihistamine: To address allergy symptoms

Each component plays a crucial role in managing different aspects of respiratory discomfort. Dextromethorphan targets the brain’s cough center, effectively reducing the urge to cough. The decongestant ingredient works to alleviate stuffy nose symptoms, while the antihistamine component addresses common allergy symptoms such as watery eyes, itching, runny nose, and sneezing.

The Spectrum of Conditions Treated by Bromfed DM Oral

Bromfed DM Oral is prescribed for a wide range of respiratory ailments. These include:

1. Common cold
2. Influenza (flu)
3. Allergies
4. Hay fever
5. Sinusitis
6. Bronchitis

While this medication effectively manages symptoms, it’s important to note that it does not cure or shorten the duration of the common cold. Its primary function is to provide relief from the uncomfortable symptoms associated with these conditions.

Is Bromfed DM Oral suitable for all age groups?

The use of Bromfed DM Oral is subject to age restrictions. It is not recommended for children under 6 years of age unless specifically prescribed by a doctor. For children between 6 and 12 years old, certain formulations (such as long-acting tablets or capsules) may not be suitable. Always consult with a healthcare professional before administering this medication to children.

Proper Administration of Bromfed DM Oral

The correct administration of Bromfed DM Oral is crucial for its effectiveness and safety. Here are the key points to remember:

• Follow the dosage instructions provided by your doctor or on the product package.
• Take the medication orally, with or without food.
• Use a full glass of water (8 ounces or 240 milliliters) when taking the medication.
• If using the liquid form, use a proper measuring device to ensure accurate dosing.
• For extended-release capsules, swallow them whole without crushing or chewing.
• Chewable forms should be thoroughly chewed before swallowing.
• If using the powder form, mix it thoroughly with the appropriate amount of liquid before consuming.

Can Bromfed DM Oral be taken with food?

Yes, Bromfed DM Oral can be taken with or without food. If you experience stomach upset, taking it with food or milk may help alleviate this side effect.

Potential Side Effects and Precautions

While Bromfed DM Oral is generally well-tolerated, it can cause several side effects. Common side effects include:

• Drowsiness
• Dizziness
• Headache
• Blurred vision
• Upset stomach
• Nausea
• Constipation
• Dry mouth, nose, or throat

If these effects persist or worsen, it’s important to consult your healthcare provider. More serious side effects, though rare, can occur and require immediate medical attention. These include:

• Mental/mood changes (confusion, hallucinations)
• Ringing in the ears
• Tremors
• Difficulty urinating
• Weakness
• Easy bruising or bleeding
• Irregular heartbeat
• Seizures

How can patients manage dry mouth caused by Bromfed DM Oral?

To alleviate dry mouth, a common side effect of Bromfed DM Oral, patients can try the following strategies:

• Sucking on sugar-free hard candy or ice chips
• Chewing sugar-free gum
• Drinking water regularly
• Using a saliva substitute

Special Considerations and Warnings

Certain individuals should exercise caution when using Bromfed DM Oral. These include:

• Children under 12 years old
• Elderly patients
• Individuals with pre-existing medical conditions
• Those taking other medications

It’s crucial to inform your healthcare provider about all medications you’re currently taking to avoid potential drug interactions. Additionally, Bromfed DM Oral can cause drowsiness and dizziness, so it’s advisable to avoid activities requiring alertness until you know how the medication affects you.

Can Bromfed DM Oral be used during pregnancy or while breastfeeding?

The safety of Bromfed DM Oral during pregnancy and breastfeeding has not been fully established. It’s essential to consult with a healthcare provider before using this medication if you are pregnant, planning to become pregnant, or breastfeeding.

Potential for Abuse and Overdose

Bromfed DM Oral, particularly its dextromethorphan component, has the potential for abuse. Improper use can lead to serious consequences, including brain damage, seizures, and in extreme cases, death. It’s crucial to adhere strictly to the prescribed dosage and never increase the dose or frequency of use without medical guidance.

What are the signs of Bromfed DM Oral overdose?

Symptoms of overdose may include:

• Severe drowsiness
• Confusion
• Rapid heartbeat
• Seizures
• Difficulty breathing

If you suspect an overdose, seek emergency medical attention immediately.

Interactions with Other Medications

Bromfed DM Oral can interact with various other medications, potentially altering their effectiveness or increasing the risk of side effects. Some medications that may interact with Bromfed DM Oral include:

• Monoamine oxidase inhibitors (MAOIs)
• Other cough and cold medications
• Antidepressants
• Sedatives
• Certain antihypertensive medications

It’s crucial to inform your healthcare provider about all medications, including over-the-counter drugs and herbal supplements, that you’re currently taking.

How long should patients wait after stopping MAOIs before taking Bromfed DM Oral?

Patients should typically wait at least 14 days after stopping MAOIs before starting Bromfed DM Oral. However, always consult with your healthcare provider for personalized advice, as the waiting period may vary depending on individual circumstances.

Alternative Treatments and Complementary Approaches

While Bromfed DM Oral can be effective in managing respiratory symptoms, there are alternative and complementary approaches that patients might consider:

• Increasing fluid intake
• Using a humidifier
• Saline nasal sprays or drops
• Rest and proper nutrition
• Over-the-counter pain relievers for associated discomfort

These methods can be used alongside or in place of Bromfed DM Oral, depending on the severity of symptoms and individual patient needs. Always consult with a healthcare provider before combining treatments or switching medications.

Are there natural alternatives to Bromfed DM Oral for symptom relief?

Several natural remedies may help alleviate symptoms similar to those treated by Bromfed DM Oral:

• Honey for cough suppression
• Steam inhalation for congestion relief
• Ginger or peppermint tea for nausea
• Nasal irrigation with saline solution
• Eucalyptus oil for respiratory comfort

While these natural alternatives can be helpful, they may not be as potent as prescription medications. Always discuss with your healthcare provider before replacing prescribed treatments with natural remedies.

Long-term Use and Monitoring

Bromfed DM Oral is generally intended for short-term use to manage acute symptoms. Long-term use of this medication may lead to increased risk of side effects or decreased effectiveness. Patients using Bromfed DM Oral, especially for extended periods, should be monitored regularly by their healthcare provider.

How often should patients follow up with their doctor while using Bromfed DM Oral?

The frequency of follow-up appointments can vary based on individual circumstances, but generally:

• For short-term use (less than two weeks), a follow-up may not be necessary unless symptoms persist or worsen.
• For use beyond two weeks, a follow-up appointment is advisable to assess the medication’s effectiveness and any potential side effects.
• Patients with chronic conditions may require more frequent monitoring, possibly every 3-6 months.

Always follow your healthcare provider’s recommendations for follow-up care.

Storage and Handling of Bromfed DM Oral

Proper storage and handling of Bromfed DM Oral are crucial for maintaining its effectiveness and safety. Here are some guidelines:

• Store at room temperature, away from light and moisture.
• Keep the medication out of reach of children and pets.
• Do not use the medication after its expiration date.
• Dispose of unused or expired medication properly, following local guidelines or pharmacy recommendations.

Can Bromfed DM Oral be stored in the refrigerator?

Generally, Bromfed DM Oral does not require refrigeration. Room temperature storage is typically sufficient. However, always check the specific storage instructions on the product packaging or consult with your pharmacist, as certain formulations may have different storage requirements.

Patient Education and Self-monitoring

Effective use of Bromfed DM Oral relies heavily on patient education and self-monitoring. Patients should be aware of:

• The correct dosage and administration method
• Potential side effects and when to seek medical attention
• The importance of completing the full course of treatment as prescribed
• The need to monitor symptoms and report any changes to their healthcare provider

Patients should also be educated on the signs of allergic reactions and the importance of seeking immediate medical attention if these occur.

What should patients do if they miss a dose of Bromfed DM Oral?

If a dose is missed, patients should take it as soon as they remember. However, if it’s almost time for the next scheduled dose, they should skip the missed dose and continue with their regular dosing schedule. It’s crucial not to double up on doses to make up for a missed one, as this can increase the risk of side effects.

Bromfed DM Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

This combination medication is used to treat symptoms caused by the common cold, flu, allergies, hay fever, or other breathing illnesses (such as sinusitis, bronchitis). Dextromethorphan is a cough suppressant that affects a certain part of the brain (cough center), reducing the urge to cough. Decongestants help relieve stuffy nose symptoms. Antihistamines relieve watery eyes, itchy eyes/nose/throat, runny nose, and sneezing.Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some products (such as long-acting tablets/capsules) are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely.These products do not cure or shorten the length of the common cold and may cause serious side effects. To decrease the risk for serious side effects, carefully follow all dosage directions. Do not use this product to make a child sleepy. Do not give other cough-and-cold medication that might contain the same or similar ingredients (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray).

How to use Bromfed DM

If you are taking the over-the-counter product, read all directions on the product package before taking this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, take it as directed.

Take this medication by mouth with or without food with a full glass of water (8 ounces or 240 milliliters) or as directed by your doctor. This medication may be taken with food or milk if stomach upset occurs.

If you are using the liquid form, use a medication measuring device to carefully measure the prescribed dose. Do not use a household spoon. If your liquid form is a suspension, shake the bottle well before each dose.

If you are taking the extended-release capsules, swallow them whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

Chewable forms of this medication should be chewed thoroughly before swallowing.

If you are taking the powder, mix it thoroughly in the proper amount of liquid and stir well. Drink all of the liquid right away. Do not prepare a supply for future use.

The dosage is based on your age, medical condition and response to therapy. If you are taking this medication for allergy or hay fever symptoms, take it regularly in order to get the most benefit from it.

Improper use of this medication (abuse) may result in serious harm (such as brain damage, seizure, death). Do not increase your dose, take it more frequently, or use it for a longer time than directed.

Tell your doctor if your condition lasts or gets worse.

Side Effects

Drowsiness, dizziness, headache, blurred vision, upset stomach, nausea, constipation, or dry mouth/nose/throat may occur. If any of these effects last or get worse, notify your doctor or pharmacist promptly.

To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. This medication can dry up and thicken mucus in your lungs, making it more difficult to breathe and clear your lungs. To help prevent this effect, drink plenty of fluids unless otherwise directed by your doctor.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as confusion, hallucinations), ringing in the ears, shaking (tremors), trouble urinating, weakness, easy bruising/bleeding, fast/slow/irregular heartbeat, seizure.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking this product, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: breathing problems (such as asthma, emphysema), diabetes, a certain eye problem (glaucoma), heart problems, high blood pressure, kidney problems, liver disease, seizures, stomach/intestinal problems (such as ulcers, blockage), overactive thyroid (hyperthyroidism), urination problems (such as trouble urinating due to enlarged prostate, urinary retention).

This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) 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. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

This medicine may contain aspartame. If you have phenylketonuria (PKU) or any other condition that requires you to restrict your intake of aspartame (or phenylalanine), consult your doctor or pharmacist regarding the safe use of this medicine.

Liquid preparations of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about the safe use of this product.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially dizziness, drowsiness, mental/mood changes, constipation, fast heartbeat, trouble urinating, or blood pressure changes. Dizziness, drowsiness, and confusion can increase the risk of falling.

Children may be more sensitive to the effects of antihistamines. In young children, this medication may cause agitation/excitement instead of drowsiness.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This medication may pass into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Taking certain MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

Some products that may interact with this drug are: antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray), antispasmodics (such as atropine, belladonna alkaloids), beta blockers (such as metoprolol, atenolol), drugs for Parkinson’s disease (including anticholinergics such as trihexyphenidyl), guanethidine, methyldopa, rolapitant, scopolamine, tricyclic antidepressants (such as amitriptyline, desipramine).

Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Some products have ingredients that could affect your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products or diet aids).

This medication may interfere with certain medical/lab tests (such as brain scan for Parkinson’s disease, urine drug screening tests), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Does Bromfed DM interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: agitation, confusion, flushing, hallucinations, large pupils, muscle twitching, seizures. In children, excitement may occur first, and may be followed by loss of coordination, drowsiness, loss of consciousness, seizures.

If your doctor has prescribed this medication, do not share it with others.

Keep all medical and lab appointments.

Do not take this product for several days before allergy testing because test results can be affected.

If you are taking this product on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Do not freeze liquid forms of this medication. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup

Color: light pinkShape: Imprint:

This medicine is a light pink, clear, butterscotch, syrup

Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup

Color: light pinkShape: Imprint:

This medicine is a light pink, clear, butterscotch, syrup

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Drug Survey

Are you currently using Bromfed DM?

This survey is being conducted by the WebMD marketing sciences department.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Bromfed Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

This combination medication is used to temporarily relieve symptoms caused by the common cold, flu, allergies, or other breathing illnesses (such as sinusitis, bronchitis). Antihistamines help relieve watery eyes, itchy eyes/nose/throat, runny nose, and sneezing. Decongestants help to relieve stuffy nose and ear congestion symptoms.If you are self-treating with this medication, carefully read the package instructions to be sure it is right for you before you start using this product. Some products have similar brand names but different active ingredients with different uses. Taking the wrong product could harm you. Ask your pharmacist if you have any questions about your product or its use.Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some products (including some long-acting tablets/capsules) are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely. Do not use this product to make a child sleepy.These products do not cure or shorten the length of the common cold and may cause serious side effects. To decrease the risk for serious side effects, carefully follow all dosage directions. Do not give other cough-and-cold medication that might contain the same or similar ingredients (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray).

How to use Bromfed Syrup

Take this medication by mouth as directed by your doctor. If you are self-treating, follow all directions on the product package. If you have any questions, ask your doctor or pharmacist.

This medication may be taken with food if stomach upset occurs. Drink plenty of fluids unless otherwise directed by your doctor.

If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If your liquid form is a suspension, shake the bottle well before each dose.

Do not crush or chew extended-release tablets or capsules. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

If you are using chewable tablets, chew each tablet thoroughly before swallowing.

If you are using a product made to dissolve in the mouth (tablets/strips), dry your hands before handling the medication. Place each dose on the tongue and allow to dissolve completely, then swallow it with saliva or with water.

Dosage is based on the product you are taking and your age, medical condition, and response to treatment. Do not increase your dose or take this medication more often than directed without your doctor’s approval. Improper use (abuse) of this medication may result in serious harm (such as hallucinations, seizure, death).

If your doctor directs you to take this medication daily, take it regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.

Tell your doctor if your condition lasts for more than 1 week, if it gets worse, or if it occurs with a headache that doesn’t go away, fever, or rash. These may be symptoms of a serious medical problem and should be checked by a doctor.

Side Effects

Drowsiness, dizziness, dry mouth/nose/throat, headache, upset stomach, constipation, or trouble sleeping may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this product, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this product do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as confusion, hallucinations), ringing in the ears, difficulty urinating, vision changes (such as blurred/double vision).

Get medical help right away if you have any very serious side effects, including: fast/irregular heartbeat, seizure.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking this product, tell your doctor or pharmacist if you are allergic to any of its ingredients; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: breathing problems (such as asthma, emphysema), diabetes, glaucoma, heart problems, high blood pressure, kidney problems, liver disease, seizures, stomach/intestinal problems (such as ulcers, blockage), overactive thyroid (hyperthyroidism), difficulty urinating (such as due to enlarged prostate).

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Liquid products, chewable tablets, or dissolving tablets/strips may contain sugar or aspartame. Liquid products may also contain alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Children may be more sensitive to the side effects of this product, especially excitation and agitation.

Older adults may be more sensitive to the side effects of this product, especially dizziness, drowsiness, confusion, constipation, fast/irregular heartbeat, trouble sleeping, or urination problems. Dizziness, drowsiness, trouble sleeping, and confusion can increase the risk of falling.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This medication may pass into breast milk and the effect on a nursing infant is unknown. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug are: antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray), blood pressure medications (especially guanethidine, methyldopa, beta blockers such as atenolol, or calcium channel blockers such as nifedipine).

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products, diet aids) because they may contain ingredients that could affect your blood pressure or cause drowsiness. Ask your pharmacist about using those products safely.

This medication may interfere with certain medical/lab tests (such as brain scan for Parkinson’s disease, urine drug screening tests), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Does Bromfed Syrup interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: irregular heartbeat, hallucinations, fainting, seizures.

If your doctor has prescribed this medication, do not share it with others.

Keep all medical and lab appointments.

Do not take this product for several days before allergy testing because test results can be affected.

If you are taking this product on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Do not freeze liquid forms of this medication. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

Next

Save up to 80% on your prescriptions.

Available coupons

Save up to 80% on your prescription with WebMDRx

Drug Survey

Are you currently using Bromfed Syrup?

This survey is being conducted by the WebMD marketing sciences department.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Bromine: forgotten medicine

Used for almost a century and a half, the sedative is a neurotoxic poison, a constant feature in the news of man-made disasters, and also the source of one of the most enduring medical myths. Let’s take a closer look at this substance.

Sea foam

The rights to discover this chemical element belong to Montpellier. Not far from this French city, on the Mediterranean coast, there were salt mines. Mining was carried out in a simple way: sea water was poured into shallow pools, left in the sun, and after a while the crystallized salt was scooped out. And the remaining solution was poured back into the sea.

Antoine Jérôme Balard, an assistant in the department of natural sciences at the local university, studied water from pools – its composition was his first independent research topic. Approaching the work with all seriousness, the young man tried all the reagents he had. Particularly interesting was the result of passing gaseous chlorine: the solution became red-brown. What caused the color change was not clear, and Balar continued the experiments. And after a series of unsuccessful attempts, with the help of pyrolusite (manganese (II) oxide) and sulfuric acid, he was able to obtain a fetid and heavy red-brown liquid that did not fit any known description.

A message about an unexpected discovery was received by the Paris Academy of Sciences in 1825. A commission of 3 prominent French chemists – Louis Vauquelin, Louis Tenard and Joseph Gay-Lussac – confirmed that an unknown 23-year-old researcher really made an outstanding discovery.

They decided to name the new element by analogy with its closest relatives chlorine and iodine. Greek words were used as names for them, denoting one of the properties: chlorine – from χλωρός, “green”, and iodine – ἰώδης, “violet”. Since Balar’s discovery smelled rather unpleasant, the choice was made on βρῶμος – “stink”, “stench”.

The increased content of bromine compounds explains the healing properties of the Dead Sea water and underground sources

Will heal everyone, heal …

Already 10 years after the discovery, bromine came into medicine. Solutions of sodium and potassium bromides showed mild sedative properties. Much later, Pavlov’s student P.M. Nikiforovsky, clarified the mechanism of action of bromine, showing that it does not reduce excitation in the cerebral cortex, but enhances inhibition.

Preparations with bromine in various modifications were used until the end of the 20th century, and esters of bromoisovaleric acid can still be found in Russian home medicine cabinets. Bismuth tribromophenolate, better known as xeroform, proved to be a good antiseptic and was even part of the famous Vishnevsky ointment. You can also recall brometon, bromaline, bromural and bromtetracycline. Why did they all fall into disuse over time?

Victims of sedatives

The fact is that bromine is toxic. With prolonged intake of its salts, a condition called bromism develops inside. According to some recent studies, in the XIX-XX centuries, from 5 to 10% of inpatient psychiatric pathology accounted for those treated with bromine-containing drugs, as well as for those who used them for self-medication.

Symptoms of bromism are associated with a decrease in the ability of neuronal membranes to respond to impulses passing through them. Given that the half-life of bromides is 9-12 days, accumulating a dangerous dose is not such a difficult task. Moreover, these drugs were prescribed at a dosage of 3–5 g per day, often in long courses. According to modern concepts, 0.–1 g per day is sufficient for the development of a toxic effect for several weeks (the period varies depending on individual sensitivity).

At the start of World War I, French troops used ethyl bromoacetate as tear gas against the Germans. This later allowed German propaganda to claim that the Entente countries were the first to use chemical weapons

The range of possible troubles – from somnolence to full-fledged delirium. Possible speech disorders, partial loss of reflexes, such as swallowing, tremor, ataxia. Irritant effect on the mucous membranes leads to diarrhea and bronchitis.

The rash characteristic of bromine poisoning – bromoderma – is dark red nodules with a compacted base and a red corolla around the nodule. They appear on the face, back of the head, back and chest, sometimes merging into large crusted plaques. If it is removed, a weeping surface with profuse separation is found. Bromoderma has often been observed in infants whose mothers took bromides as a sedative.

After stopping the medication, the symptoms gradually improved over several weeks. And although there were no official deaths, due to the large number of reports of adverse reactions in 1975, the US Food and Drug Administration banned the use of bromine preparations in clinical practice. There was no direct ban in the USSR and Russia, however, over time, bromides were naturally replaced by more effective and safe drugs.

Yellow mist

Bromine is widely used in the chemical industry, so accidents associated with its spill are not uncommon. The last widely known case occurred in 2011 in the Chelyabinsk region, when several dozen people were injured. The yellow cloud that covered the vicinity of the railway station where the incident occurred was shown on all TV channels.

Brominated vegetable oils are used in the production of carbonated drinks

Spilled pure bromine acts as an asphyxiant poison. It is far from more volatile and poisonous chlorine, but it causes dizziness, salivation and lacrimation, coughing and asthma attacks at the smallest concentrations in the air – from 0.001%. A fatal outcome is also possible, however, for this you need to stay at the epicenter of the spill for a very long time.

Since bromine is still a liquid, although it quickly forms vapors, you can escape from it simply by climbing to a hill. Wearing a gas mask, and even better a chemical protection suit (OZK), you can feel completely safe. But medical masks and dust respirators in this case are completely useless.

Liquid bromine on skin should be washed off with plenty of water. If you have baking soda on hand, add it to the water and use this solution. Bromine poisoning is successfully treated by introducing into the body a large amount of chlorides – for example, saline. Fatal outcomes are almost always avoidable. As well as long-term consequences – bromism in the victims does not develop.

Soldier’s tea

Naturally, a story about bromine cannot be dispensed with without exposing the myth that this substance is supposedly added to soldiers’ tea so that they think less about the beautiful field. As a military doctor who worked in the military unit, I responsibly declare: there is nothing like this in the army and never has been.

First of all, such manipulations should definitely be the responsibility of the medical service. Accordingly, there would be an instruction, order or other governing documents governing planning, accounting for the drug, its storage in warehouses, and so on. But it would take a lot of bromide – about 25 kg per year for a part of 2500 people. No such reporting or documentation exists.

Secondly, judging by the number of STDs among the soldiers who passed through my first-aid post, their libido was all right. Thirdly, do not forget about bromism. An overdose of bromides with regular use is very likely. And if we consider that we are talking about people who are given weapons, the consequences can be the saddest.

Finally, in the army there are much more effective ways of non-drug “taming the flesh”: intense physical activity significantly reduces sexual tension. And the soldier has only one thought in the evening – to get to the pillow.

In 2003, the New England Journal of Medicine published a case report of bromoderma in a 63-year-old soda drinker who drank up to 8 liters of drink per day

But something is pouring! Many saw how a physician (medical assistant, medical instructor, sometimes the chief medical officer personally), sneaking up to a vat of compote, flavored it with some kind of white powder, and even in truly industrial quantities! Do not panic: this is ordinary vitamin C. The medical service regularly receives tens of kilograms of ascorbic acid to fortify the third course, and this event is specified in detail by a mass of documents indicating what, where and how much to pour. And finally: bromides give a salty taste, so adding them imperceptibly somewhere is simply impossible. Salt tea with compote does not exist even in the army.

Alexey Vodovozov

Journal “Russian Pharmacies” No. 20, 2012
Brominated vegetable oil

Description:

• Description
• Benefit
• Harm
• Application
• Legal status
• Characteristic
• Scheme

Description

Food additive E443 (brominated vegetable oil) — relates to emulsifiers and stabilizers of synthetic origin, used for technological purposes in the food production process. It has the structure of a wax or oily liquid with a slight bitter taste and a characteristic odor.

Since 1931, the additive E443 has been used in this capacity for the manufacture of cloudy soft drinks, especially with citrus flavors.

Preparation of

By polymerization of sorbitan esters or acid bromides in ethylene oxide. During the production process, acceptable impurities are formed, such as: free acid, solvents and polyoxyethylenes.

Acids are cleaved by alkali and lipase, and the resulting impurities are excreted from the human body with urine.

Benefits

There are currently no scientific data on the health benefits of E443 for human health. It has no biological value.

Harm

Dietary supplement E443 can have negative effects on human health, for example, on the condition of the skin and nervous system, memory, and can also cause symptoms of high levels of bromine in the body.

The permissible daily intake of the E443 supplement is not more than 2 mg per kg of body weight and is determined individually. Brominated vegetable oil is not approved for use. The application rate was 10 grams per 1 kilogram of product.

Application

In the food industry in limited doses prescribed by the specifications. The additive E443 was widely used in the formation of dispersed oils and fat-soluble flavors. the main areas of use of the additive are the production of fats and margarines, addition to fats for baking, the production of cream, ice cream, cakes and the production of juices and soft drinks. In highly acidic products, E443 is used as a foaming agent, and in fats as an anti-foaming agent.

Other applications: cosmetology, pharmacology.

Legal status

Additive E443 is not allowed for use on the territory of the Russian Federation, as it has not passed (or is in the process of passing) the necessary tests and tests.