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Drug interactions

Chlorpheniramine + Cyclizine

Severity: Moderate

Chlorpheniramine and Cyclizine: 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

Both drugs are sedating H1 antihistamines with anticholinergic properties, so together they can cause marked drowsiness, dry mouth and confusion, especially in older adults.

What this interaction means in plain words

Chlorpheniramine and Cyclizine 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.

Chlorpheniramine belongs to Respiratory; Cyclizine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive H1 blockade, CNS depression and muscarinic antagonism.

What to do

Avoid concurrent use where possible, particularly in the elderly. Counsel on avoiding driving if both are taken.

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 Chlorpheniramine with Cyclizine?

MediHelp rates the interaction as moderate. Chlorpheniramine and Cyclizine 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. Both drugs are sedating H1 antihistamines with anticholinergic properties, so together they can cause marked drowsiness, dry mouth and confusion, especially in older adults.

How serious is the interaction between Chlorpheniramine and Cyclizine?

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 concurrent use where possible, particularly in the elderly. Counsel on avoiding driving if both are taken.

What other medicines interact with Chlorpheniramine?

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

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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