Brompheniramine/ hydrocodone/ phenylephrine suspension

Generic Name: brompheniramine/hydrocodone/phenylephrine (BROME-fen-IR-a-meen/hye-droe-KOE-done/FEN-il-EF-rin)
Brand Name: VasoTuss HC

Brompheniramine/ hydrocodone/ phenylephrine suspension is used for:

Relieving symptoms of sinus congestion, runny nose, sneezing, and cough due to colds, upper respiratory infections, and allergies. It may also be used for other conditions as determined by your doctor.

Brompheniramine/hydrocodone/phenylephrine suspension is a decongestant, antihistamine, and cough suppressant combination. The decongestant works by constricting blood vessels and reducing swelling in the nasal passages. The antihistamine works by blocking the action of histamine, which helps reduce symptoms, such as watery eyes and sneezing. The cough suppressant works in the brain to help decrease the cough reflex, which reduces a dry cough.

Do NOT use brompheniramine/ hydrocodone/ phenylephrine suspension if:

  • you are allergic to any ingredient in brompheniramine/hydrocodone/phenylephrine suspension or any other codeine- or morphine-related medicine (eg, codeine)
  • you have severe high blood pressure, severe heart blood vessel disease, rapid heartbeat, or severe heart problems
  • you are unable to urinate or are having an asthma attack
  • you are taking sodium oxybate (GHB) or if you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: OTC Medication Use In Pregnancy: Wise or Worrisome?

Before using brompheniramine/ hydrocodone/ phenylephrine suspension:

Some medical conditions may interact with brompheniramine/hydrocodone/phenylephrine suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a fast, slow, or irregular heartbeat; heart blood vessel problems; or other heart problems
  • if you have a history of adrenal gland problems (eg, adrenal gland tumor); high blood pressure; diabetes; stroke; glaucoma; a blockage of your bladder, stomach, or intestines; ulcers; trouble urinating; an enlarged prostate or other prostate problems; or an overactive thyroid
  • if you have a history of asthma, chronic cough, lung problems (eg, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if your cough occurs with large amounts of mucus
  • if you have or recently have had any head or brain injury, brain tumor, increased pressure in the brain, infection of the brain or nervous system, epilepsy, or seizures
  • if you have a history of stomach problems (eg, ulcers), bowel problems (eg, chronic inflammation or ulceration of the bowel), gallbladder problems (eg, gallstones), or phenylketonuria, or if you have had recent abdominal surgery
  • if you have a history of alcohol or substance abuse or suicidal thoughts or behavior

Some MEDICINES MAY INTERACT with brompheniramine/hydrocodone/phenylephrine suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, MAOIs (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of brompheniramine/hydrocodone/phenylephrine suspension's side effects
  • Cimetidine, digoxin, droxidopa, or sodium oxybate ( GHB) because the risk of severe drowsiness, breathing problems, seizures, irregular heartbeat, or heart attack may be increased
  • Naltrexone because it may decrease brompheniramine/hydrocodone/phenylephrine suspension's effectiveness
  • Bromocriptine or hydantoins (eg, phenytoin) because the risk of their side effects may be increased by brompheniramine/hydrocodone/phenylephrine suspension
  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by brompheniramine/hydrocodone/phenylephrine suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if brompheniramine/hydrocodone/phenylephrine suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use brompheniramine/ hydrocodone/ phenylephrine suspension:

Use brompheniramine/hydrocodone/phenylephrine suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take brompheniramine/hydrocodone/phenylephrine suspension by mouth with or without food.
  • Shake well before each use.
  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
  • If you miss a dose of brompheniramine/hydrocodone/phenylephrine suspension, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use brompheniramine/hydrocodone/phenylephrine suspension.

Important safety information:

  • Brompheniramine/hydrocodone/phenylephrine suspension may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use brompheniramine/hydrocodone/phenylephrine suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using brompheniramine/hydrocodone/phenylephrine suspension without first checking with your doctor; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Do not take diet or appetite control medicines while you are taking brompheniramine/hydrocodone/phenylephrine suspension without checking with your doctor.
  • Brompheniramine/hydrocodone/phenylephrine suspension has brompheniramine and phenylephrine in it. Before you start any new medicine, check the label to see if it has brompheniramine and phenylephrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.
  • Some of these products contain phenylalanine. If you must have a diet that is low in phenylalanine, ask your pharmacist if it is in your product.
  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.
  • Brompheniramine/hydrocodone/phenylephrine suspension may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to brompheniramine/hydrocodone/phenylephrine suspension. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
  • Brompheniramine/hydrocodone/phenylephrine suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking brompheniramine/hydrocodone/phenylephrine suspension for a few days before the tests.
  • Tell your doctor or dentist that you take brompheniramine/hydrocodone/phenylephrine suspension before you receive any medical or dental care, emergency care, or surgery.
  • Use brompheniramine/hydrocodone/phenylephrine suspension with caution in the ELDERLY; they may be more sensitive to its effects.
  • Caution is advised when using brompheniramine/hydrocodone/phenylephrine suspension in CHILDREN; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking brompheniramine/hydrocodone/phenylephrine suspension while you are pregnant. It is not known if brompheniramine/hydrocodone/phenylephrine suspension is found in breast milk. Do not breast-feed while taking brompheniramine/hydrocodone/phenylephrine suspension.

When used for long periods of time or at high doses, brompheniramine/hydrocodone/phenylephrine suspension may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if brompheniramine/hydrocodone/phenylephrine suspension stops working well. Do not take more than prescribed.

When used for long periods of time or at high doses, some people develop a need to continue taking brompheniramine/hydrocodone/phenylephrine suspension. This is known as DEPENDENCE or addiction.

If you suddenly stop taking brompheniramine/hydrocodone/phenylephrine suspension, you may experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing, or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

Possible side effects of brompheniramine/ hydrocodone/ phenylephrine suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; upset stomach; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; severe or persistent trouble sleeping; tremor; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.

Proper storage of brompheniramine/hydrocodone/phenylephrine suspension:

Store brompheniramine/hydrocodone/phenylephrine suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep brompheniramine/hydrocodone/phenylephrine suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about brompheniramine/hydrocodone/phenylephrine suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Brompheniramine/hydrocodone/phenylephrine suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about brompheniramine/hydrocodone/phenylephrine suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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