What are the main uses of Bromfed DM Syrup. How should it be administered for optimal effects. What potential side effects should users be aware of. Is Bromfed DM safe for children to use.

Understanding Bromfed DM Syrup: Composition and Purpose

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

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

The synergistic action of these components makes Bromfed DM Syrup effective in treating a wide range of respiratory issues. Do the benefits of this medication outweigh its potential risks? For most adults, when used as directed, the answer is yes. However, it’s crucial to understand both its proper use and potential side effects.

Common Uses and Conditions Treated by Bromfed DM Syrup

Bromfed DM Syrup is primarily used to treat symptoms associated with:

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

The medication’s multifaceted approach allows it to address various symptoms simultaneously. How does each component contribute to symptom relief? Dextromethorphan suppresses the cough reflex by acting on the brain’s cough center. The decongestant component helps alleviate nasal congestion, while the antihistamine tackles symptoms like watery eyes, itching, and sneezing.

Proper Administration and Dosage Guidelines

Administering Bromfed DM Syrup correctly is crucial for its effectiveness and safety. Here are some key points to remember:

• Follow the dosage instructions on the package or as prescribed by your doctor
• Take with or without food, using a full glass of water (8 ounces)
• Use a proper measuring device for liquid formulations
• Shake suspension formulations well before each dose
• Do not crush or chew extended-release capsules or tablets
• Chew chewable forms thoroughly before swallowing

Can Bromfed DM Syrup be taken on an empty stomach? While it can be taken with or without food, some individuals may experience less stomach upset when taking it with food or milk. Is there a risk of overdose? Yes, which is why it’s crucial to adhere to the recommended dosage and not exceed it without consulting a healthcare professional.

Potential Side Effects and Precautions

While Bromfed DM Syrup is generally well-tolerated, it can cause side effects in some individuals. Common side effects include:

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

Are there any serious side effects to be aware of? Yes, although rare, serious side effects can occur. These may include:

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

If you experience any of these serious side effects, it’s crucial to seek medical attention immediately. Can Bromfed DM Syrup interact with other medications? Yes, it can interact with various drugs, including other cough and cold medications, certain antidepressants, and MAO inhibitors. Always inform your healthcare provider about all medications you’re taking to avoid potential interactions.

Safety Considerations for Children and Special Populations

The use of Bromfed DM Syrup in children requires special consideration:

• Not recommended for children under 6 years old without doctor’s specific direction
• Some formulations not suitable for children under 12 years old
• Should not be used to make children sleepy

Is Bromfed DM Syrup safe during pregnancy or breastfeeding? The safety of this medication during pregnancy and lactation has not been fully established. It’s essential to consult with a healthcare provider before using it in these situations. Are there any specific precautions for elderly patients? Yes, older adults may be more sensitive to the effects of this medication, particularly the antihistamine component, which can increase the risk of dizziness and falls.

Alternatives and Complementary Treatments

While Bromfed DM Syrup can be effective, there are alternative approaches to managing respiratory symptoms:

• Staying hydrated
• Using a humidifier
• Saline nasal drops or sprays
• Rest and adequate sleep
• Over-the-counter pain relievers for fever and body aches

Can natural remedies be used alongside Bromfed DM Syrup? Some natural remedies, such as honey for cough relief or ginger for nausea, may be used in conjunction with the medication. However, it’s always best to consult with a healthcare provider before combining treatments.

Recognizing and Managing Potential Abuse

The dextromethorphan component in Bromfed DM Syrup has the potential for abuse. Signs of abuse may include:

• Taking higher doses than recommended
• Using the medication more frequently than directed
• Combining it with alcohol or other drugs
• Experiencing euphoria or hallucinations

What are the dangers of abusing Bromfed DM Syrup? Abuse can lead to serious health consequences, including brain damage, seizures, and even death. If you or someone you know is struggling with medication abuse, it’s crucial to seek professional help immediately.

Long-term Use and Monitoring

While Bromfed DM Syrup is typically used for short-term symptom relief, some individuals may require longer-term use for chronic conditions. In such cases, it’s important to:

• Regularly follow up with your healthcare provider
• Monitor for any changes in symptoms or side effects
• Discuss any concerns or questions about long-term use
• Consider periodic breaks from the medication if appropriate

How often should one reassess the need for continued use? This depends on the individual’s condition and response to the medication. Generally, it’s advisable to consult with a healthcare provider at least every few months when using Bromfed DM Syrup long-term. Can long-term use lead to dependence? While physical dependence is not typically associated with this medication, psychological dependence may occur in some cases, particularly if it’s being misused.

Special Considerations for Allergy Sufferers

For those using Bromfed DM Syrup to manage allergy symptoms, consider these additional points:

• Take the medication regularly for optimal allergy control
• Be aware of potential drowsiness, especially when starting treatment
• Consider non-drowsy alternatives for daytime use
• Explore long-term allergy management strategies with your healthcare provider

Is Bromfed DM Syrup the best option for all allergy sufferers? Not necessarily. While it can be effective for many, some individuals may benefit more from other antihistamines or allergy treatments. A personalized approach, guided by a healthcare professional, is often the most effective strategy for managing allergies.

Interactions with Lifestyle Factors

Certain lifestyle factors can interact with Bromfed DM Syrup, affecting its efficacy and safety:

• Alcohol consumption can intensify drowsiness and dizziness
• Caffeine may counteract some of the medication’s sedating effects
• Smoking can exacerbate respiratory symptoms, potentially reducing the medication’s effectiveness
• Certain foods may affect the absorption or metabolism of the medication

Should users of Bromfed DM Syrup avoid driving or operating machinery? It’s generally advisable to avoid these activities until you know how the medication affects you, as it can cause drowsiness and impair reaction times. How long do these effects typically last? The duration can vary, but effects often persist for several hours after taking the medication.

Managing Side Effects

While side effects can be bothersome, there are strategies to manage them:

• For dry mouth: Suck on sugar-free candy, chew sugar-free gum, or use a saliva substitute
• For constipation: Increase fiber intake, stay hydrated, and consider gentle laxatives if needed
• For dizziness: Rise slowly from sitting or lying positions
• For drowsiness: Take the medication at bedtime if possible

Can side effects be minimized by adjusting the dosage? In some cases, yes. If side effects are persistent or bothersome, consult your healthcare provider about potentially adjusting your dose or switching to an alternative medication.

Environmental Factors and Symptom Management

While Bromfed DM Syrup can provide relief, managing your environment can also help control symptoms:

• Use air purifiers to reduce allergens and irritants
• Maintain proper indoor humidity levels
• Regularly clean bedding and vacuum to reduce dust mites
• Avoid known triggers, such as specific pollens or pet dander

How can one determine if symptoms are due to allergies or a cold? While symptoms can overlap, allergies typically cause clear nasal discharge and itching, while colds often produce thicker, colored mucus and may be accompanied by fever. When in doubt, consult a healthcare provider for an accurate diagnosis.

Future Developments and Research

The field of respiratory medicine is continually evolving, with ongoing research into new treatments and improved formulations. Some areas of interest include:

• Development of more targeted antihistamines with fewer side effects
• Exploration of novel cough suppressants
• Research into combination therapies for more effective symptom relief
• Investigation of potential long-term effects of cough and cold medications

Might future versions of Bromfed DM Syrup offer improved efficacy or safety profiles? It’s possible. As research progresses, we may see new formulations that provide better symptom relief with reduced side effects. However, it’s important to note that any new developments would need to undergo rigorous testing and approval processes before becoming available to the public.

The Role of Preventive Measures

While Bromfed DM Syrup can effectively manage symptoms, prevention is always preferable. Consider these preventive strategies:

• Practice good hand hygiene to reduce the spread of colds and flu
• Stay up to date with vaccinations, including annual flu shots
• Maintain a healthy lifestyle with proper nutrition and regular exercise
• Manage stress, which can impact immune function
• For allergy sufferers, consider immunotherapy for long-term relief

Can lifestyle changes reduce the need for medications like Bromfed DM Syrup? In many cases, yes. A healthy lifestyle can boost immune function and reduce the frequency and severity of respiratory symptoms. However, for some individuals, particularly those with chronic conditions, medications may still play an important role in symptom management.

The Importance of Patient Education

Proper education about Bromfed DM Syrup and similar medications is crucial for safe and effective use. Key points to understand include:

• The importance of following dosage instructions precisely
• Recognizing potential side effects and when to seek medical attention
• Understanding the limitations of the medication and when to consult a healthcare provider
• Being aware of potential interactions with other medications and substances

How can patients ensure they’re using Bromfed DM Syrup correctly? Always read the medication label carefully, follow your healthcare provider’s instructions, and don’t hesitate to ask questions if anything is unclear. Pharmacists can also be excellent resources for information about proper medication use.

Balancing Symptomatic Relief and Underlying Health

While Bromfed DM Syrup can provide welcome relief from respiratory symptoms, it’s important to remember that it treats symptoms, not underlying causes. Consider these points:

• Regular check-ups can help identify and address underlying health issues
• Persistent or recurrent symptoms may indicate a need for further medical evaluation
• Balancing symptomatic relief with addressing root causes can lead to better long-term health outcomes

When should symptomatic treatment give way to a more comprehensive medical approach? If symptoms persist beyond a few weeks, worsen over time, or significantly impact quality of life, it’s time to consult a healthcare provider for a more thorough evaluation. Remember, while Bromfed DM Syrup can be a valuable tool in managing respiratory symptoms, it should be part of a broader approach to maintaining respiratory health.

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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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 DM: Package Insert – Drugs.com

Package insert / product label
Generic name: brompheniramine maleate, pseudoephedrine hydrochloride and dextromethorphan hydrobromide
Dosage form: syrup
Drug class: Upper respiratory combinations

Medically reviewed by Drugs.com. Last updated on Jul 1, 2023.

On This Page

• Description
• Clinical Pharmacology
• Indications and Usage
• Contraindications
• Warnings
• Precautions
• Drug Interactions
• Adverse Reactions/Side Effects
• Overdosage
• Dosage and Administration
• How Supplied/Storage and Handling

Bromfed DM Description

Bromfed™ DM (Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide Oral Syrup) is a pink, sugar free syrup with a melon flavor.

Each 5 mL (1 teaspoonful) contains:

Brompheniramine Maleate, USP . . . . . . . . 2 mg

Pseudoephedrine Hydrochloride, USP . . . . . 30 mg

Dextromethorphan Hydrobromide, USP . . . 10 mg

Inactive Ingredients:citric acid anhydrous, FD&C Red #40, glycerin, melon flavoring, methylparaben, propylene glycol, purified water, sodium benzoate, sodium citrate dihydrate, and sucralose.

C 16H 19BrN 2•C 4H 4O 4M.W. 435.31
Brompheniramine Maleate, USP
(±)-2- p-Bromo-α-2-(dimethylamino)ethylbenzylpyridine maleate (1:1)

C 10H 15NO•HCl M.W. 201.69
Pseudoephedrine Hydrochloride, USP
(+)-Pseudoephedrine hydrochloride

C 18H 25NO•HBr•H 2O M.W. 370.32
Dextromethorphan Hydrobromide, USP
3-Methoxy-17-methyl-9α, 13α, 14α -morphinan hydrobromide monohydrate

Antihistamine/ Nasal Decongestant/ Antitussive syrup for oral administration.

Bromfed DM – Clinical Pharmacology

Brompheniramine maleate is a histamine antagonist, specifically an h2-receptor-blocking agent belonging to the alkylamine class of antihistamines. Antihistamines appear to compete with histamine for receptor sites on effector cells. Brompheniramine also has anticholinergic (drying) and sedative effects. Among the antihistaminic effects, it antagonizes the allergic response (vasodilation, increased vascular permeability, increased mucus secretion) of nasal tissue. Brompheniramine is well absorbed from the gastrointestinal tract, with peak plasma concentration after single, oral dose of 4 mg reached in 5 hours; urinary excretion is the major route of elimination, mostly as products of biodegradation; the liver is assumed to be the main site of metabolic transformation.

Pseudoephedrine acts on sympathetic nerve endings and also on smooth muscle, making it useful as a nasal decongestant. The nasal decongestant effect is mediated by the action of pseudoephedrine on α-sympathetic receptors, producing vasoconstriction of the dilated nasal arterioles. Following oral administration, effects are noted within 30 minutes with peak activity occurring at approximately one hour.

Dextromethorphan acts centrally to elevate the threshold for coughing. It has no analgesic or addictive properties. The onset of antitussive action occurs in 15 to 30 minutes after administration and is of long duration.

Indications and Usage for Bromfed DM

Bromfed™ DM (Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide Oral Syrup) is indicated for relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.

Contraindications

Hypersensitivity to any of the ingredients. Do not use in the newborn, in premature infants, in nursing mothers, or in patients with severe hypertension or severe coronary artery disease. Do not use dextromethorphan in patients receiving monoamine oxidase inhibitors (MAOIs) ( see PRECAUTIONS-Drug Interactions).

Antihistamines should not be used to treat lower respiratory tract conditions including asthma.

Warnings

Especially in infants and small children, antihistamines in overdosage may cause hallucinations, convulsions, and death.

Antihistamines may diminish mental alertness. In the young child, they may produce excitation.

Precautions

General

Because of its antihistamine component, Bromfed™ DM Syrup (Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide Oral Syrup) should be used with caution in patients with a history of bronchial asthma, narrow angle glaucoma, gastrointestinal obstruction, or urinary bladder neck obstruction. Because of its sympathomimetic component, Bromfed™ DM Syrup should be used with caution in patients with diabetes, hypertension, heart disease, or thyroid disease.

Information for Patients

Patients should be warned about engaging in activities requiring mental alertness, such as driving a car or operating dangerous machinery.

Drug Interactions

Monoamine oxidase inhibitors (MAOIs)

Hyperpyrexia, hypotension, and death have been reported coincident with the coadministration of MAOIs and products containing dextromethorphan. In addition, MAOIs prolong and intensify the anticholinergic (drying) effects of antihistamines and may enhance the effect of pseudoephedrine. Concomitant administration of Bromfed™ DM Syrup and MAOIs should be avoided ( seeCONTRAINDICATIONS).

Central nervous system (CNS) depressants

Antihistamines have additive effects with alcohol and other CNS depressants (hypnotics, sedatives, tranquilizers, antianxiety agents, etc.).

Antihypertensive drugs

Sympathomimetic may reduce the effects of antihypertensive drugs.

Carcinogenesis, Mutagenesis, Impairment of Fertility

Animal studies of Bromfed™ DM Syrup to assess the carcinogenic and mutagenic potential or the effect on fertility have not been performed.

Pregnancy

Teratogenic Effects

Animal reproduction studies have not been conducted with Bromfed™ DM Syrup. It is also not known whether Bromfed™ DM Syrup can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. It should be given to a pregnant woman only if clearly needed.

Reproduction studies of brompheniramine maleate (a component of Bromfed™ DM Syrup) in rats and mice at doses up to 16 times the maximum human doses have revealed no evidence of impaired fertility or harm to the fetus.

Nursing Mothers

Because of the higher risk of intolerance of antihistamines in small infants generally, and in newborns and prematures in particular, Bromfed™ DM Syrup is contraindicated in nursing mothers.

Pediatric Use

Safety and effectiveness in pediatric patients below the age of 6 months have not been established ( seeDOSAGE AND ADMINISTRATION).

Geriatric Use

Clinical studies of Bromfed™ DM Syrup (Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Oral Syrup) did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. However, antihistamines are more likely to cause dizziness, sedation, and hypotension in elderly patients. The elderly are also more likely to experience adverse reactions to sympathomimetics. 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, and of concomitant disease or other drug therapy.

Adverse Reactions

The most frequent adverse reactions to Bromfed™ DM Syrup (Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Oral Syrup) are: sedation; dryness of mouth, nose and throat; thickening of bronchial secretions; dizziness. Other adverse reactions may include:

Dermatologic:Urticaria, drug rash, photosensitivity, pruritus.

Cardiovascular System:Hypotension, hypertension, cardiac arrhythmias, palpitation.

CNS:Disturbed coordination, tremor, irritability, insomnia, visual disturbances, weakness, nervousness, convulsions, headache, euphoria, and dysphoria.

G.U. System:Urinary frequency, difficult urination.

G.I. System:Epigastric discomfort, anorexia, nausea, vomiting, diarrhea, constipation.

Respiratory System:Tightness of chest and wheezing, shortness of breath.

Hematologic System:Hemolytic anemia, thrombocytopenia, agranulocytosis.

Overdosage

Signs and Symptoms:

Central nervous system effects from overdosage of brompheniramine may vary from depression to stimulation, especially in children. Anticholinergic effects may be noted. Toxic doses of pseudoephedrine may result in CNS stimulation, tachycardia, hypertension, and cardiac arrhythmias; signs of CNS depression may occasionally be seen. Dextromethorphan in toxic doses will cause drowsiness, ataxia, nystagmus, opisthotonos, and convulsive seizures.

Toxic Doses:

Data suggest that individuals may respond in an unexpected manner to apparently small amounts of a particular drug. A 2½-year-old child survived the ingestion of 21 mg/kg of dextromethorphan exhibiting only ataxia, drowsiness, and fever, but seizures have been reported in 2 children following the ingestion of 13–17 mg/kg. Another 2½-year-old child survived a dose of 300–900 mg of brompheniramine. The toxic dose of pseudoephedrine should be less than that of ephedrine, which is estimated to be 50 mg/kg.

Treatment:

Induce emesis if patient is alert and is seen prior to 6 hours following ingestion. Precautions against aspiration must be taken, especially in infants and small children. Gastric lavage may be carried out, although in some instances tracheostomy may be necessary prior to lavage. Naloxone hydrochloride 0.005 mg/kg intravenously may be of value in reversing the CNS depression that may occur from an overdose of dextromethorphan. CNS stimulants may counter CNS depression. Should CNS hyperactivity or convulsive seizures occur, intravenous short-acting barbiturates may be indicated. Hypertensive responses and/or tachycardia should be treated appropriately. Oxygen, intravenous fluids, and other supportive measures should be employed as indicated.

Bromfed DM Dosage and Administration

Adults and pediatric patients 12 years of age and over:10 mL (2 teaspoonfuls) every 4 hours.

Children 6 to under 12 years of age:5 mL (1 teaspoonful) every 4 hours.

Children 2 to under 6 years of age:2.5 mL (½ teaspoonful) every 4 hours.

Infants 6 months to under 2 years of age:Dosage to be established by a physician.

Do not exceed 6 doses during a 24-hour period.

How is Bromfed DM Supplied

Bromfed™ DM Syrup (Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Oral Syrup) is a pink, sugar free syrup with a melon flavor. Each 5 mL (1 teaspoonful) contains: brompheniramine maleate 2 mg, pseudoephedrine hydrochloride 30 mg and dextromethorphan hydrobromide 10 mg, available in the following sizes:

4 fl oz (118 mL) NDC 69437-605-04
16 fl oz (473 mL) NDC 69437-605-16

RECOMMENDED STORAGE

Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature].

KEEP TIGHTLY CLOSED

Dispense in a tight, light-resistant container as defined in the USP.

Rx Only

Distributed by:

Alpharetta, GA 30004

1-800-844-302-5227

500544-01

PRINCIPAL DISPLAY PANEL

NDC 69437-605-04

Bromfed DM 4 fl oz (118 mL)

PRINCIPAL DISPLAY PANEL

NDC 69437-605-16

Bromfed DM 16 fl oz (473 mL)

Bromfed DM brompheniramine maleate, pseudoephedrine hydrochloride and dextromethorphan hydrobromide syrup

Product Information Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:69437-605 Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength BROMPHENIRAMINE MALEATE (BROMPHENIRAMINE) BROMPHENIRAMINE MALEATE 2 mg in 5 mL PSEUDOEPHEDRINE HYDROCHLORIDE (PSEUDOEPHEDRINE) PSEUDOEPHEDRINE HYDROCHLORIDE 30 mg in 5 mL DEXTROMETHORPHAN HYDROBROMIDE (DEXTROMETHORPHAN) DEXTROMETHORPHAN HYDROBROMIDE 10 mg in 5 mL

Inactive Ingredients Ingredient Name Strength GLYCERIN METHYLPARABEN PROPYLENE GLYCOL SODIUM BENZOATE SUCRALOSE ANHYDROUS CITRIC ACID TRISODIUM CITRATE DIHYDRATE WATER FD&C RED NO. 40

Product Characteristics Color pink Score Shape Size Flavor WATERMELON Imprint Code Contains

Packaging # Item Code Package Description 1 NDC:69437-605-04 118 mL in 1 BOTTLE, PLASTIC 2 NDC:69437-605-16 473 mL in 1 BOTTLE, PLASTIC

Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date ANDA ANDA203375 04/11/2023

Labeler – Canton Laboratories, LLC (079589614)

Establishment
Name	Address	ID/FEI	Operations
Sovereign Pharmaceuticals, LLC		623168267	manufacture(69437-605)

Canton Laboratories, LLC

Frequently asked questions

• Bromfed DM – can this be purchased without a prescription?

More about Bromfed DM (brompheniramine / dextromethorphan / pseudoephedrine)

• Check interactions
• Compare alternatives
• Reviews (27)
• Side effects
• Dosage information
• Drug class: upper respiratory combinations

Professional resources

• Prescribing Information

Related treatment guides

• Cough and Nasal Congestion

Medical Disclaimer

Bromfed-Dm Syrup in English – Product

Bromfed-Dm Syrup in English – Product – TabletWise. com

About us

• 02 Privacy policy
• Terms of use

• Overview
• Benefits
• Side effects
• Precautions
• Interactions
• Contraindications

Overview

Bromfed-Dm Syrup is used for Cough, Hay fever, Other allergies, Cold, Nasal congestion, Sinus congestion and other conditions.

Bromfed-Dm Syrup contains Brompheniramine Maleate, Dextromethorphan Hydrobromide and Pseudoephedrine Hydrochloride as active ingredients. Available in syrup form.

Detailed information regarding the use, composition, dosage, side effects of Bromfed-Dm Syrup, as well as user reviews are provided below:

Uses

Bromfed-Dm Syrup / Bromfed-Dm Syrup is used for the treatment, control, prevention, & improvement of the following diseases, conditions and symptoms: 06 Cold

Nasal congestion

Sinus Congestion

Learn More: Benefits of

Side Effects of

The following is a list of possible side-effects that may be caused by the constituents of Bromfed-Dm Syrup. This list is not final. These side effects have been recorded previously, but are not always recorded when using the drug. Some of these side effects may be extremely rare, but have incredibly severe consequences. If you notice any side effects, contact your doctor immediately. Especially in the case of observing side effects for a long time.

• Dizziness
• Drowsiness
• Dry mouth, throat and nose
• Thickening of mucus in nose and throat
• Nausea
• Vomiting
• Restlessness
• Rapid or uneven heartbeat
• Easy bruising
• Weak spot
• Fever
• Chills
• Body pain
• Flu symptoms
• High blood pressure

If you experience any side effects not listed above, contact your healthcare provider for advice. In addition, you can report side effects to your local Food and Drug Administration.

Precautions

Before starting this drug, tell your doctor about any medications you are taking, dietary supplements (such as vitamins, natural supplements, etc. ), allergies, existing medical conditions, and current health conditions (such as pregnancy, upcoming surgery, and etc.). The side effects of the drug may be more pronounced depending on the state of your body. Take this medicine as directed by your doctor, or follow the directions for use that come with your medicine. The dosage of the drug depends on your condition. Tell your doctor if there is no change or if your condition worsens. Important points to discuss with your healthcare provider are listed below.

• Pregnant, planning to become pregnant or breastfeeding
• Heart disease
• Take as directed on the box
• High blood pressure
• Overactive thyroid
• Urinary problems emission
• No disc or mechanisms
• Seek medical attention if you experience vomiting, hallucinationg, shortness of breath, or changes in vision while taking this medicine
• Limit alcoholic beverages
• Pregnancy planning

If you are taking other drugs or supplements at the same time as this drug, the effects of Bromfed-Dm Syrup may change. Tell your healthcare provider about all medications, vitamins, and supplements you use. Your doctor will be able to make the right plan for taking the drug, which will avoid negative interactions. Bromfed-Dm Syrup may interact with the following drugs and products:

• Amitriptyline
• Atenolol
• Carvedilol
• Doxepin
• Isocarboxazid
• Monoamine oxidase inhibitors zine
• Phenobarbital
• Selegiline
• Sodium oxybate

Hypersensitivity to Bromfed-Dm syrup / Bromfed-Dm Syrup is a contraindication. In addition, Bromfed-Dm Syrup should not be used if you have the following conditions:

• Breastfeeding
• Unable to urinate
• Hypersensitivity to dextromethorphan
• Asthma attack
• Narrow angle glaucoma
• Stomach ulcer 9000 8
• allergic
• children under 4 years of age
• monoamine oxidase inhibitors
• hypersensitivity

Composition and active ingredients

Bromfed-Dm Syrup is composed of the following active ingredients (salts)

• Brompheniramine Maleate
• Dextromethorphan Hydrobromide
• Pseudoephedrine Hydrochloride

Please note that this preparation is available in different strengths for each of the active ingredients listed above.

Packing Options and Strengths

Bromfed-Dm Syrup / Bromfed-Dm Syrup is available in the following pack strengths 5ML

Frequently Asked Questions

• Can Bromfed-Dm Syrup be used for Cough and Hay Fever?

  Yes, cough and hay fever are among the most common reported uses for Bromfed-Dm Syrup. Please do not use Bromfed-Dm Syrup for cough and hay fever without consulting first with your doctor. Click here and view survey results to find out what other users report as using Bromfed-Dm Syrup.

• Is it safe to drive or operate heavy machinery while using this product?

  If you experience drowsiness, dizziness, hypotension or a headache as side-effects when using Bromfed-Dm Syrup medicine then it may not be safe to drive a vehicle or operate heavy machinery. You should stop driving if taking this medicine makes you drowsy, dizzy, or hypotensive. Doctors recommend that you stop drinking alcohol with such drugs, because. alcohol greatly increases the side effects and drowsiness. Please check for these effects on your body when using Bromfed-Dm Syrup. Be sure to consult your doctor for advice based on the characteristics of your body and general health.

• Is this drug (product) addictive or addictive?

  Most drugs are not habit-forming or addictive. In most cases, the state classifies drugs that can be addictive as controlled dispensing drugs. For example, schedule H or X in India and schedule II-V in the USA. Please check the information on the drug packaging to make sure that this drug is not in the controlled category. Also, do not self-medicate or accustom your body to medications without consulting your doctor.

• Can I stop using this product immediately or do I need to slowly stop using it?

  Some medications need to be stopped gradually due to a rebound effect. Be sure to consult your healthcare provider for advice based on your body, general health, and other medications you may be taking.

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Bromfed-Dm Syrup

APA Style Citation Dm Syrup / Bromfed-Dm Syrup in English – Product – TabletWise.com. (n.d.). Retrieved April 30, 2023, from https://www.tabletwise.com/us-ru/bromfed-dm-syrup

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Chicago Style Citation

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More information about Bromfed-Dm Syrup / Bromfed-Dm Syrup

• Uses of
• Reviews

• What are the uses of Bromfed-Dm Syrup / Bromfed-Dm Syrup?
• What are the side effects of Bromfed-Dm Syrup?
• What other medicines does Bromfed-Dm Syrup interact with?
• When should you not use Bromfed-Dm Syrup?
• What precautions should you take while using Bromfed-Dm Syrup?

Last updated date

This page was updated on 9/27/2020.

This page provides information for Bromfed-Dm Syrup Product in English .

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Medicine.net

• Overview
• Benefits
• Side effects
• Precautions
• Interactions
• Contraindications

Bromfed-Dm Syrup – Methods and Benefits of Using

Bromfed-Dm Syrup Dm Syrup is used for the treatment, control, prevention, & improvement of the following diseases, conditions and symptoms:

• Cough
• Hay fever
• Hay fever
• Other allergies
• Cold
• Cough
• Nasal congestion
• Sinus congestion

9 0336 Reviews – Bromfed-Dm Syrup Benefits

Below are the results of an actual study on the portal TabletWise. com for Bromfed-Dm Syrup. These results reflect solely the views of users of this site. You must make the decision to use or not use medications based solely on the advice of your healthcare provider or any other registered healthcare professional.

Uses

This medicine is most commonly used for hay fever.

90 385 Cough

Usage	users	Percentile
Hay fever	1
1

Survey participants: 2

Effective

Not yet in this survey data

time

Data not yet available for this survey

Regularity

Data not yet available in this survey

Time of administration

Data not yet available in this survey

Bromfed-Dm Syrup Mode of action , mechanisms and pharmacology

For this information please consult your physician, pharmacist or read the information on the product packaging.