Phensilex 5 mg/5 ml (Oral Solution)

60 ml bottle: ৳ 10.00

Medicine Details

Indications

  • Potent long-acting antihistamine
  • Anti-emetic effect
  • Sedative/calming effects
  • Treatment of allergic conditions
  • Sensitization reactions
  • Anaphylactic reactions
  • Allergic rhinitis
  • Urticaria
  • Insomnia
  • Pre-operative sedation
  • Paediatric sedative

Pharmacology

  • Blocks postsynaptic mesolimbic dopaminergic receptors
  • Exhibits α-adrenergic blocking effect
  • Depresses release of hypothalamic and hypophyseal hormones
  • Competes with histamine for the H1-receptor
  • Muscarinic blocking effect
  • Reduces stimuli to brainstem reticular system

Dosage & Administration

  • Initial dose of one 25 mg tablet at night for adults
  • Increased dosage to two or three 25 mg tablets if necessary
  • Different dosage for children
  • Elixir containing 5 mg/5 ml for children
  • Specific doses for antihistamine and sedative effects

Interaction

  • Enhancement of anticholinergic agents
  • Interference with immunologic urine pregnancy tests
  • Discontinuation before skin tests using allergen extracts

Contraindications

  • Not for children less than two years of age
  • Hypersensitivity to promethazine or excipients
  • Not for patients in coma or suffering from CNS depression
  • Avoid in patients taking monoamine oxidase inhibitors

Side Effects

  • Nervous system disorders
  • Neuroleptic Malignant Syndrome
  • Allergic reactions
  • Photosensitivity reaction
  • Anorexia
  • Gastrointestinal discomfort
  • Blurred vision
  • Blood dyscrasias
  • Urinary retention
  • Psychiatric disorders
  • Cardiac disorders
  • Hypotension
  • Jaundice
  • Tiredness
  • Case reports of promethazine abuse

Pregnancy & Lactation

  • Epidemiological evidence for safety in pregnancy
  • Not recommended in the two weeks prior to delivery
  • Excreted in breastmilk
  • Risks of neonatal irritability and excitement

Precautions & Warnings

  • Avoid in children and adolescents with signs of Reye's syndrome
  • May thicken or dry lung secretions
  • Use with caution in patients with various conditions

Overdose Effects

  • Symptoms of severe overdose
  • Excitation, ataxia, incoordination, athetosis, hallucinations
  • Drowsiness, coma, convulsions
  • Tachycardia
  • Cardiorespiratory depression

Therapeutic Class

  • Anti-emetic drugs
  • Miscellaneous sedatives & hypnotics
  • Sedating anti-histamine

Storage Conditions

  • Protection from light
  • Not for use after expiry date
  • Keep out of the reach of children
  • Dispensed only on the prescription of a registered physician

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