Phenergan-Codeine (Codeine Phosphate and Promethazine HCl)
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Phenergan-Codeine (Codeine Phosphate and Promethazine HCl)

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

DRUG DESCRIPTION

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

What are the possible side effects of codeine and promethazine (Codeine Phosphate-Promethazine HCl, Promethazine HCl and Codeine Phosphate, Promethazine with Codeine)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • restless muscle movements in your eyes, tongue, jaw, or neck, tremor (uncontrolled shaking);
  • shallow breathing, slow heartbeat;
  • feeling like you might pass out;
  • jaundice (yellowing of the skin or...

Read All Potential Side Effects and See Pictures of Phenergan-Codeine »

What are the precautions when taking codeine phosphate and promethazine hcl (Phenergan-Codeine)?

See also Warning section.

Before taking this medication, tell your doctor or pharmacist if you are allergic to any of its ingredients; or to narcotic pain relievers (e.g., morphine); 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: abdominal problems (e.g., chronic constipation, ileus, pancreatitis), adrenal gland problem (e.g., Addison's disease), blood/immune system problems (e.g., bone marrow depression), brain disorders (e.g., seizures, head injury, tumor, increased intracranial pressure), breathing problems (e.g., asthma, emphysema), diabetes,...

Read All Potential Precautions of Phenergan-Codeine »

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

INDICATIONS

Codeine phosphate with promethazine HCl is indicated for the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold.

DOSAGE AND ADMINISTRATION

The average effective dose is given in the following table (TABLE 1):

TABLE 1.

1/4 to 1/2 teaspoon (1.25 to 2.5 ml) every 4 to 6 hours,
not to exceed 7.0 ml in 24 hours.
Adults 1 teaspoon (5 ml) every 4 to 6 hours,
not to exceed 30.0 ml in 24 hours.
Children 6 years to
under 12 years
1/2 to 1 teaspoon (2.5 to 5 ml) every 4 to 6 hours,
not to exceed 30.0 ml in 24 hours.
Children under 6 years
(weight: 18 kg or 40 lbs)
1/4 to 1/2 teaspoon (1.25 to 2.5 ml) every 4 to 6 hours,
not to exceed 9.0 ml in 24 hours.
Children under 6 years
(weight: 16 kg or 35 lbs)
1/4 to 1/2 teaspoon (1.25 to 2.5 ml) every 4 to 6 hours,
not to exceed 8.0 ml in 24 hours.
Children under 6 years
(weight: 14 kg or 30 lbs)
Children under 6 years
(weight: 12 kg or 25 lbs)
1/4 to 1/2 teaspoon (1.25 to 2.5 ml) every 4 to 6 hours,
not to exceed 6.0 ml in 24 hours.

Codeine phosphate with promethazine HCl is not recommended for children under 2 years of age.

HOW SUPPLIED

Storage: Keep bottles tightly closed—store at room temperature, between 15-25°C (59-77°F).

Protect from light.

Dispense in light-resistant, glass, tight containers.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

SIDE EFFECTS

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Read the Phenergan-Codeine (codeine phosphate and promethazine hcl) Side Effects Center for a complete guide to possible side effects »

DRUG INTERACTIONS

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

WARNINGS

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

PRECAUTIONS

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

OVERDOSE

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

CONTRAINDICATIONS

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

CLINICAL PHARMACOLOGY

No information provided.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

PATIENT INFORMATION

Codeine phosphate; promethazine is used for the temporary relief of coughs and upper respiratory symptoms associated with an allergy or the common cold. Notify your physician if you are pregnant or nursing. Do not take this medication with monoamine oxidase inhibitors. This medication may cause dizziness, drowsiness, or blurred vision; use caution while driving or operating hazardous machinery. Do not take any other sedating drugs or drink alcohol while taking codeine with promethazine. This medication may be habit forming. Withdrawal symptoms may occur after you stop taking it. May cause nausea, vomiting or constipation; notify your physician if these occur. Notify physician if you develop muscle spasms, uncontrolled twitching in the face and body, or uncontrolled tongue or jaw movements. This medication may cause increased sensitivity to sunlight. Use sunscreens and wear protective clothing until degree of sensitivity is determined. This medication may be taken with food to avoid stomach upset.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

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Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

PATIENT INFORMATION

Codeine phosphate; promethazine is used for the temporary relief of coughs and upper respiratory symptoms associated with an allergy or the common cold. Notify your physician if you are pregnant or nursing. Do not take this medication with monoamine oxidase inhibitors. This medication may cause dizziness, drowsiness, or blurred vision; use caution while driving or operating hazardous machinery. Do not take any other sedating drugs or drink alcohol while taking codeine with promethazine. This medication may be habit forming. Withdrawal symptoms may occur after you stop taking it. May cause nausea, vomiting or constipation; notify your physician if these occur. Notify physician if you develop muscle spasms, uncontrolled twitching in the face and body, or uncontrolled tongue or jaw movements. This medication may cause increased sensitivity to sunlight. Use sunscreens and wear protective clothing until degree of sensitivity is determined. This medication may be taken with food to avoid stomach upset.

FOR COMPLETE PRESCRIBING INFORMATION, REFER TO THE INDIVIDUAL DRUG MONOGRAPHS CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

Last reviewed on RxList: 12/8/2004
This monograph has been modified to include the generic and brand name in many instances.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Disclaimer

Phenergan-Codeine Consumer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

CODEINE/PROMETHAZINE SYRUP- ORAL

(proe-METH-a-zeen/KOE-deen)

COMMON BRAND NAME(S): Phenergan w/ codeine

WARNING: This medication should not be used in children younger than 6 years due to an increased risk for serious (rarely fatal) slow/shallow breathing (respiratory depression). This infrequent side effect may occur even with usual prescribed doses. The lowest effective dose should be used, and other drugs that may slow down breathing should be avoided. Some manufacturers recommend that promethazine and other drugs that may also slow down breathing (e.g., the codeine in this product) should not be used together in children younger than 16 years. Seek immediate medical attention if you notice symptoms of slow/shallow breathing.

USES: See also Warning Section.

This combination medication is used to treat symptoms caused by the common cold, flu, allergies, or other breathing illnesses (e.g., sinusitis, bronchitis). Promethazine is an antihistamine that relieves watery eyes, itchy eyes/nose/throat, runny nose, and sneezing. Codeine is a narcotic cough suppressant (antitussive) that affects a certain part of the brain, reducing the urge to cough.

Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Therefore, this product is not recommended to treat cold symptoms in children younger than 6 years. 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.

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. Giving more than the recommended dose or using this medication along with other cough-and-cold products has resulted in serious (even fatal) side effects, including slowed/stopped breathing. Talk to the doctor or pharmacist before giving other cough-and-cold medication that might contain the same or similar ingredients (see also Drug Interactions section). Ask about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray). Do not use this product to make a child sleepy.

HOW TO USE: Take this medication by mouth with or without food, usually every 4 to 6 hours as needed with a full glass of water (8 ounces or 240 milliliters) or as directed by your doctor. This medication can be taken with food if stomach upset occurs. Drink plenty of fluids when you use this medication unless otherwise directed by your doctor.

Use a medication-measuring device to carefully measure the prescribed dose. Do not use a household spoon. If you are extremely drowsy after using this medication, consult your doctor or pharmacist promptly. Your dosage may need to be lowered.

This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as anxiety, restlessness, sweating, shaking chills, nausea, vomiting, and diarrhea) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

Though very unlikely, abnormal drug-seeking behavior (addiction) is possible with this medication. Do not increase your dose, take it more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.

When used for an extended time, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Tell your doctor if your condition persists for more than 1 week, if it worsens, or if it occurs with fever, rash, or persistent headache. These may be symptoms of a serious medical problem and should be checked by a doctor.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Disclaimer

Phenergan-Codeine Consumer (continued)

SIDE EFFECTS: Drowsiness, dizziness, headache, lightheadedness, blurred vision, upset stomach, nausea, constipation, increased sweating, or dry mouth may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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.

Remember that your doctor has prescribed this medication because he or she 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 immediately if any of these unlikely but serious side effects occur: involuntary behaviors/movements (e.g., fixed upward stare, neck twisting, tongue movements), mental/mood changes (e.g., confusion, hallucinations), ringing in the ears, shaking (tremors), slow/shallow breathing, trouble urinating, weakness.

Seek immediate medical attention if any of these rare but very serious side effects occur: dark urine, easy bruising/bleeding, slow heartbeat, persistent nausea/vomiting, severe abdominal pain, yellowing eyes/skin.

This drug may infrequently cause a very serious (rarely fatal) nervous system disorder (neuroleptic malignant syndrome). If you notice any of the following unlikely but very serious side effects, stop taking this medication and seek immediate medical attention: fast/irregular heartbeat, very high fever, mental/mood changes (e.g., confusion, extreme drowsiness), seizure, severe muscle stiffness.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: 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 side 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.

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

Read the Phenergan-Codeine (codeine phosphate and promethazine hcl) Side Effects Center for a complete guide to possible side effects »

PRECAUTIONS: See also Warning section.

Before taking this medication, tell your doctor or pharmacist if you are allergic to any of its ingredients; or to narcotic pain relievers (e.g., morphine); 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: abdominal problems (e.g., chronic constipation, ileus, pancreatitis), adrenal gland problem (e.g., Addison's disease), blood/immune system problems (e.g., bone marrow depression), brain disorders (e.g., seizures, head injury, tumor, increased intracranial pressure), breathing problems (e.g., asthma, emphysema), diabetes, glaucoma, heart problems (e.g., angina, irregular heartbeat), high blood pressure, liver disease, mental/mood problems (e.g., depression, psychosis), a certain spinal problem (kyphoscoliosis), stomach/intestinal problems (e.g., ulcers, blockage), thyroid disease, trouble urinating (e.g., due to enlarged prostate or urethral stricture), use/abuse of drugs/alcohol.

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit the use of alcohol and certain other medications that cause drowsiness. (See also Drug Interactions.)

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

This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.

This medication may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.

The elderly may be more sensitive to the effects of this drug, especially dizziness, drowsiness, mental/mood changes, and low blood pressure.

Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only when clearly needed. It may slightly increase the risk of birth defects if used during the first two months of pregnancy. Also, using it for a long time or in high doses near the expected delivery date may harm the unborn baby. To lessen the risk, take the smallest effective dose for the shortest possible time. Tell the doctor right away if you notice any symptoms in your newborn baby such as slow/shallow breathing, irritability, abnormal/persistent crying, vomiting, or diarrhea.

This product passes into breast milk and may rarely have undesirable effects on a nursing infant. Tell your doctor immediately if your infant develops increased sleepiness, difficulty feeding, or trouble breathing. Discuss the risks and benefits with your doctor before breast-feeding.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Disclaimer

Phenergan-Codeine Consumer (continued)

DRUG 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 include: antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray), cimetidine, metoclopramide, narcotic antagonists (e.g., naltrexone, naloxone), quinidine.

The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication is used with other products that may also affect breathing or cause drowsiness. Therefore, tell your doctor or pharmacist if you are taking other products such as alcohol, drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as morphine).

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.

This medication may interfere with certain laboratory tests (e.g., some pregnancy tests, blood sugar tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: confusion, cold/clammy skin, fast/slow/irregular heartbeat, slow/shallow breathing, seizures, fainting.

NOTES: Do not share this medication with others. It is against the law.

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

MISSED DOSE: If you are prescribed this medication 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 and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store in a tightly closed container at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store in the bathroom. Do not freeze. Keep all medicines 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 for more details about how to safely discard your product.

Information last revised May 2012. Copyright(c) 2012 First Databank, Inc.

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Phenergan-Codeine Patient Information Including Side Effects

Brand Names: Codeine Phosphate-Promethazine HCl, Promethazine HCl and Codeine Phosphate, Promethazine with Codeine

Generic Name: codeine and promethazine (Pronunciation: KOE deen and proe METH a zeen)

What is codeine and promethazine (Phenergan-Codeine)?

Codeine is a narcotic. It is a pain reliever and a cough suppressant.

Promethazine is an antihistamine. It blocks the effects of the naturally occurring chemical histamine in your body.

The combination of codeine and promethazine is used to treat cold or allergy symptoms such as runny nose, sneezing, and cough.

Codeine and promethazine may also be used for purposes not listed in this medication guide.

What are the possible side effects of codeine and promethazine (Phenergan-Codeine)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • restless muscle movements in your eyes, tongue, jaw, or neck, tremor (uncontrolled shaking);
  • shallow breathing, slow heartbeat;
  • feeling like you might pass out;
  • jaundice (yellowing of the skin or eyes);
  • confusion, agitation, hallucinations, unusual thoughts or behavior;
  • seizure (convulsions);
  • urinating less than usual or not at all; or
  • very stiff (rigid) muscles, high fever, sweating, fast or uneven heartbeats, fainting.

Less serious side effects may include:

  • dizziness, drowsiness, sleepiness;
  • feeling restless, nervous, or anxious;
  • blurred vision, ringing in your ears;
  • constipation, mild nausea or vomiting;
  • warmth, redness, or tingly feeling under your skin;
  • sleep problems (insomnia);
  • increased sweating;
  • dry mouth; or
  • mild skin rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the Phenergan-Codeine (codeine phosphate and promethazine hcl) Side Effects Center for a complete guide to possible side effects »

What is the most important information I should know about codeine and promethazine (Phenergan-Codeine)?

Tell your doctor about all of your medical conditions before you start taking this medication.

You should not use this medication if you are allergic to codeine or promethazine, or if you have asthma or other lung disease.

Codeine and promethazine may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it.

Do not give this medication to a child without medical advice.

Side Effects Centers

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Phenergan-Codeine Patient Information including How Should I Take

What should I discuss with my doctor before taking codeine and promethazine (Phenergan-Codeine)?

You should not use this medication if you are allergic to codeine or promethazine, or if you have high blood pressure, a blood vessel disorder, or asthma.

Do not give this medication to a child without medical advice. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

To make sure you can safely take codeine and promethazine, tell your doctor if you have any of these other conditions:

  • epilepsy or other seizure disorder;
  • asthma, COPD, sleep apnea, or other breathing disorders;
  • glaucoma;
  • a stomach ulcer or digestive obstruction;
  • a weak immune system;
  • Addison's disease;
  • enlarged prostate, urination problems;
  • high or low blood pressure or heart disease;
  • liver or kidney disease;
  • underactive thyroid;
  • gallbladder disease; or
  • a head injury or brain tumor.

Codeine and promethazine may be habit forming and should be used only by the person it was prescribed for. Never share codeine and promethazine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

FDA pregnancy category C. It is not known whether codeine and promethazine will harm an unborn baby. Codeine and promethazine may cause addiction or withdrawal symptoms in a newborn if the mother takes the medication during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using codeine and promethazine.

Codeine can pass into breast milk and may harm a nursing baby. The use of codeine by some nursing mothers may lead to life-threatening side effects in the baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take codeine and promethazine (Phenergan-Codeine)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Contact your doctor if your symptoms do not improve within a few days of using codeine and promethazine.

Store at room temperature away from moisture, heat, and light.

Keep track of the amount of medicine used from each new bottle. Codeine and promethazine is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Side Effects Centers

Discontinued Warning IconPlease Note: This Brand Name drug is no longer available in the US.
(Generic versions may still be available.)

Phenergan-Codeine Patient Information including If I Miss a Dose

What happens if I miss a dose (Phenergan-Codeine)?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose (Phenergan-Codeine)?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of this medication may be fatal.

Overdose symptoms include dizziness, extreme drowsiness, dry mouth, nausea, vomiting, cold and clammy skin, weak pulse, shallow breathing, fainting, seizure (convulsions), or breathing that stops.

What should I avoid while taking codeine and promethazine (Phenergan-Codeine)?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase certain side effects of codeine and promethazine.

Avoid exposure to sunlight or tanning beds. Codeine and promethazine can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.

What other drugs will affect codeine and promethazine (Phenergan-Codeine)?

Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, other pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by codeine and promethazine.

Many drugs can interact with codeine and promethazine. Below is just a partial list. Tell your doctor if you are using:

  • sedatives or anxiety medicines such as alprazolam (Xanax), diazepam (Valium), chlordiazepoxide (Librium), temazepam (Restoril), or triazolam (Halcion);
  • antidepressants such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), fluoxetine (Prozac), sertraline (Zoloft), or paroxetine (Paxil);
  • narcotic pain medicines such as meperidine (Demerol), morphine (MS Contin, MSIR), propoxyphene (Darvon, Darvocet), hydrocodone (Lortab, Vicodin), oxycodone (Percocet, Percodan), fentanyl (Duragesic), codeine (Fiorinal, Fioricet, Tylenol #3);
  • phenobarbital (Luminal), amobarbital (Amytal) or secobarbital (Seconal);
  • an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate); or
  • atropine (Donnatal, and others), belladonna, clidinium (Quarzan), dicyclomine (Bentyl), glycopyrrolate (Robinul), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), methscopolamine (Pamine), and scopolamine (Transderm-Scop).

This list is not complete and other drugs may interact with codeine and promethazine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about codeine and promethazine.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 7.01. Revision date: 5/25/2011.

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