Promethazine VC with Codeine Side Effects
Generic Name: codeine / phenylephrine / promethazine
Note: This page contains side effects data for the generic drug codeine / phenylephrine / promethazine. It is possible that some of the dosage forms included below may not apply to the brand name Promethazine VC with Codeine.
It is possible that some side effects of Promethazine VC with Codeine may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.
For the Consumer
Applies to codeine / phenylephrine / promethazine: oral elixir, oral syrup
Along with its needed effects, codeine / phenylephrine / promethazine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking codeine / phenylephrine / promethazine:Incidence not known
- Abdominal or stomach pain
- black, tarry stools
- bleeding gums
- blood in the urine or stools
- blurred vision
- chest pain
- clay-colored stools
- cold sweats
- dark urine
- decrease in the frequency of urination
- decrease in urine volume
- difficult or troubled breathing
- difficulty in passing urine (dribbling)
- dizziness, faintness, or lightheadedness when getting up from lying or sitting position
- fast, pounding, or irregular heartbeat or pulse
- high fever
- increased sweating
- irregular, fast or slow, or shallow breathing
- loss of appetite
- loss of bladder control
- nausea or vomiting
- painful or difficult urination
- pale or blue lips, fingernails, or skin
- pinpoint red spots on the skin
- pounding in the ears
- rash or itching
- severe muscle stiffness
- shakiness in the legs, arms, hands, or feet
- slow or fast heartbeat
- sore throat
- sores, ulcers, or white spots on the lips or in the mouth
- stomach pain
- swollen glands
- trembling or shaking of the hands or feet
- unpleasant breath odor
- unusual bleeding or bruising
- unusual tiredness or weakness
- unusually pale skin
- vomiting of blood
- yellow eyes or skin
Some side effects of codeine / phenylephrine / promethazine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
- blurred or loss of vision
- confusion about identity, place, and time
- disturbed color perception
- double vision
- dry mouth
- false or unusual sense of well-being
- halos around lights
- increased sensitivity of the skin to sunlight
- night blindness
- overbright appearance of lights
- redness or other discoloration of the skin
- relaxed and calm
- seeing, hearing, or feeling things that are not there
- severe sunburn
- sleepiness or unusual drowsiness
- trouble sleeping
- tunnel vision
For Healthcare Professionals
Applies to codeine / phenylephrine / promethazine: oral syrup
Nervous system side effects of codeine have included mental and respiratory depression, stupor, delirium, somnolence, and dysphoria. An increased risk of falls and hip fractures has been associated with codeine therapy, particularly in the elderly. Nervous system side effects of phenylephrine have included headache, dizziness, nervousness, restlessness, tremor, insomnia, convulsions, and central nervous system depression. Nervous system side effects of promethazine are common and include excessive sedation, drowsiness, fatigue, paradoxical excitation, and decreased motor coordination. Extrapyramidal effects (including oculogyric crises, torticollis and tongue protrusion), encephalitic symptoms, convulsions, and psychosis have been rarely reported.
Opioids may result in psychotic symptoms in some patients.
One retrospective study of elderly patients who sustained a hip fracture suggested that the relative risk of hip fracture was 1.6 in patients using codeine compared to age-matched nonusers.
Fever, altered consciousness, autonomic dysfunction, and muscle rigidity are the hallmarks of the neuroleptic malignant syndrome. The neuroleptic malignant syndrome is associated with a case fatality rate of about 20%. Immediate discontinuation of promethazine and intensive monitoring and supportive care are indicated.
Other side effects of codeine have included withdrawal symptoms after either abrupt cessation or fast tapering of narcotic analgesics, including codeine, and have included agitation, restlessness, anxiety, insomnia, tremor, abdominal cramps, blurred vision, vomiting and sweating. Other side effects of promethazine have rarely included the neuroleptic malignant syndrome.
Cardiovascular adverse effects of codeine have included hypotension and dizziness. Cardiovascular side effects of phenylephrine have included palpitations, arrhythmias, and cardiovascular collapse with hypotension. Cardiovascular effects of promethazine have included rarely observed tachycardia, bradycardia, and transient hypotension. Prolongation of the QT interval, heart block, and malignant arrhythmias have been reported in association with other phenothiazines.
Gastrointestinal side effects of codeine have included nausea, vomiting, and constipation. Severe constipation and ileus resulting in colonic perforation have been also reported. Four cases of acute pancreatitis have been reported. Gastrointestinal side effects of phenylephrine have included nausea. Gastrointestinal side effects of promethazine have included nausea and vomiting.
Genitourinary side effects of codeine have included urinary retention. Genitourinary side effects of phenylephrine have included dysuria.
Dermatologic side effects of codeine have included rash. Codeine-induced rash may be related to direct stimulation of histamine release. There are also case reports of severe scarlatiniform eruptions.
Renal side effects of codeine have included acute renal failure (which may respond to naloxone therapy).
Immunologic side effects of codeine have included one study of a patient with exercise-induced anaphylaxis and three control subjects. This study found a correlation between codeine wheal size and recent exercise. Immunologic side effects of promethazine have included rare reports of a systemic lupus erythematosus syndrome.
Hypersensitivity reactions have included rare reports of rash, pruritus, hypotension, photosensitivity, and tachycardia.
Hematologic effects of promethazine have included rare cases of neutropenia.
Psychiatric side effects of phenylephrine have included hallucinations, fear, and anxiety.
Respiratory side effects of phenylephrine have included respiratory difficulty.
General side effects of phenylephrine have included pallor and weakness.
More about Promethazine VC with Codeine (codeine / phenylephrine / promethazine)
Related treatment guides
Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. 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 substances you are taking, check with your doctor, nurse, or pharmacist.