Generic Name and Formulations:
Codeine phosphate 10mg, promethazine HCl 6.25mg; per 5mL; syrup; contains alcohol 7%.

Company:
Various generic manufacturers

Indications for Promethazine w. Codeine:
Nonproductive cough.

Adult Dose for Promethazine w. Codeine:
5mL every 4–6hrs; max 30mL/day.

Children's Dose for Promethazine w. Codeine:
<6yrs: see Contraindications. 6–12yrs: 2.5–5mL every 4–6hrs; max 30mL/day.

Pharmacological Class:
Antitussive + antihistamine.

Contraindications:
Children <6 years old. Asthma. Lower respiratory disorders. Coma. Post-op pain management in children who have undergone tonsillectomy and/or adenoidectomy.

Warnings/Precautions:
Risk of respiratory depression and death related to ultra-rapid metabolizers of codeine (esp. children in post-op tonsillectomy and/or adenoidectomy). Asthma. Compromised respiratory function (eg, COPD, sleep apnea): avoid. Increased intracranial pressure. Acute abdomen. Head injury. Cardiovascular disease. Hypothyroidism. Narrow-angle glaucoma. Peptic ulcer. Bone marrow depression. Acute febrile illness. GI or GU obstruction. Ulcerative colitis. Recent GI or urinary tract surgery. Seizure disorders. Monitor for neuroleptic malignant syndrome. Impaired hepatic or renal function. Addison's disease. History of drug abuse. Dehydration. Avoid prolonged sun exposure. Use lowest effective dose for shortest duration. Elderly. Debilitated. Children ≥6 years. Atopic children. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:
Additive respiratory effects with concomitant other respiratory depressants (esp. in children). Concomitant epinephrine: not recommended. Increased extrapyramidal effects with MAOIs. Potentiates alcohol, other CNS depressants. Concomitant narcotics, local anesthetics: may lower seizure threshold. Caution with anticholinergics. May alter hCG pregnancy test and glucose tolerance test results.

Adverse Reactions:
CNS or respiratory depression (may be fatal in children), anticholinergic effects, orthostatic hypotension, photosensitivity, paradoxical excitement, changes in blood pressure, convulsions, jaundice, blood dyscrasias.

Note:
Formerly known under the brand name Phenergan with Codeine.

How Supplied:
Contact supplier.