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Brompheniramine, Pseudoephedrine, Dextromethorpan Syrup and Neut

Determining the interaction of Brompheniramine, Pseudoephedrine, Dextromethorpan Syrup and Neut and the possibility of their joint administration.

Check result:
Brompheniramine, Pseudoephedrine, Dextromethorpan Syrup <> Neut
Relevance: 03.12.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using pseudoephedrine together with sodium bicarbonate may increase the effects of pseudoephedrine. Contact your doctor if you experience tremor, anxiety, insomnia, irritability, or nervousness. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Alkalization of the urine decreases the urinary excretion increases the elimination half-life of ephedrine, pseudoephedrine, and related drugs. According to one report, an increase in pH from 5.1 to 7.1 increased the half-life of pseudoephedrine from 5 to 16 hours. Toxicity from long-term use of pseudoephedrine has been demonstrated in patients with persistently alkaline urine.

MANAGEMENT: Patients should be monitored for toxic effects such as tremor, anxiety, insomnia, irritability, or nervousness. Dosage reductions may be required.

References
  • Kuntzman RG, Tsai I, Brand L, Mark LC "The influence of urinary pH on the plasma half-life of pseudoephedrine in man and dog and a sensitive assay for its determination in human plasma." Clin Pharmacol Ther 12 (1971): 62-7
  • Brater DC, Kaojarern S, Benet LZ, et al "Renal excretion of pseudoephedrine." Clin Pharmacol Ther 28 (1980): 690-4
  • Wilkinson GR, Beckett AH "Absorption metabolism and excretion of the ephedrines in man. I. The influence of urinary pH and urine volume output." J Pharmacol Exp Ther 162 (1968): 139-47
Brompheniramine, Pseudoephedrine, Dextromethorpan Syrup

Generic Name: brompheniramine / dextromethorphan / pseudoephedrine

Brand name: Allanhist PDX Drops, Anaplex DM, Andehist DM NR Syrup, Bromaline DM, Bromfed DM, Bromhist PDX, Bromplex DM, Brotapp-DM, BroveX PSE DM, Dimetane DX, Neo DM, Q-Tapp DM, Resperal-DM Drops, Robitussin Allergy & Cough, Myphetane DX, Bromanate DX Cough, Bromatane DX, Myphetane DX Cough, Bromophed-DX, Liquiphed DM, Brometane DX, Bromadine-DM, Rondec-DM, Bromaxefed DM RF Syrup, Dimetapp DM, Carbofed DM Syrup, Cardec DM, Uni-Hist DM Pediatric Drops, AccuHist DM Pediatric Drops, Bromhist-DM Drops, Pediahist DM Drops, AccuHist PDX Drops, Bromph DM, Uni-Hist PDX Drops, Histacol BD Drops, Anaplex DMX, Brom Tann, ProHist DM, P-Hist DM Drops, Sildec DM, Dallergy DM, EndaCof-DM, PBM Allergy, BroveX PSB DM, Bromdex D

Synonyms: Brompheniramine, dextromethorphan, and pseudoephedrine, Pseudoephedrine, and Dextromethorphan

Neut

Generic Name: sodium bicarbonate

Brand name: Neut

Synonyms: Neut Injection

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.