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Drug interactions

Brompheniramine + Metoclopramide intranasal

Severity: Moderate

Brompheniramine and Metoclopramide intranasal: 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

Sedating antihistamines may add to the drowsiness caused by metoclopramide. Their anticholinergic effects can also oppose metoclopramide's prokinetic action.

What this interaction means in plain words

Brompheniramine and Metoclopramide intranasal 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.

Evidence level: Low

Why it happens

Additive CNS depression and anticholinergic antagonism of prokinetic effect.

What to do

Warn the patient about sedation and avoid driving until response is known. Reassess the need for the antihistamine if gastric emptying symptoms persist.

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 Metoclopramide intranasal?

MediHelp rates the interaction as moderate. Brompheniramine and Metoclopramide intranasal 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. Sedating antihistamines may add to the drowsiness caused by metoclopramide. Their anticholinergic effects can also oppose metoclopramide's prokinetic action.

How serious is the interaction between Brompheniramine and Metoclopramide intranasal?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Warn the patient about sedation and avoid driving until response is known. Reassess the need for the antihistamine if gastric emptying symptoms persist.

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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