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Drug interactions

Brompheniramine + Diphenhydramine

Severity: Moderate

Brompheniramine and Diphenhydramine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Two first-generation antihistamines taken together increase sedation, psychomotor impairment and anticholinergic effects. Duplication often occurs with OTC cold and sleep products.

What this interaction means in plain words

Brompheniramine and Diphenhydramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Brompheniramine belongs to Respiratory; Diphenhydramine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive central H1-receptor antagonism and muscarinic blockade.

What to do

Avoid duplicate antihistamines and check the ingredients of combination products. Take extra care in older patients.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Brompheniramine with Diphenhydramine?

MediHelp rates the interaction as moderate. Brompheniramine and Diphenhydramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Two first-generation antihistamines taken together increase sedation, psychomotor impairment and anticholinergic effects. Duplication often occurs with OTC cold and sleep products.

How serious is the interaction between Brompheniramine and Diphenhydramine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid duplicate antihistamines and check the ingredients of combination products. Take extra care in older patients.

What other medicines interact with Brompheniramine?

MediHelp also lists interactions of Brompheniramine with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Brompheniramine page.

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