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Drug interactions

Brompheniramine + Dipipanone

Severity: Major

Brompheniramine and Dipipanone: major 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

Dipipanone is a strong opioid, and a sedating antihistamine increases the risk of excessive sedation and respiratory depression.

What this interaction means in plain words

Brompheniramine and Dipipanone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression via opioid agonism and H1 antagonism.

What to do

Avoid if possible; otherwise use the lowest doses and monitor sedation and respiratory rate. Prefer a non-sedating antihistamine.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Dipipanone?

MediHelp rates the interaction as major. Brompheniramine and Dipipanone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dipipanone is a strong opioid, and a sedating antihistamine increases the risk of excessive sedation and respiratory depression.

How serious is the interaction between Brompheniramine and Dipipanone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; otherwise use the lowest doses and monitor sedation and respiratory rate. Prefer a non-sedating antihistamine.

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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