Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescriptionClass: Phenothiazines, Antihistamines

Promethazine

Generic Name: Promethazine

Common Brand Names: Phenergan
Dosage Form:Tablet, Oral Solution, Suppository, Injection
Route:Oral, Rectal, IM, IV
Pregnancy Category:C
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Treatment of allergic conditions, motion sickness, nausea and vomiting

Medical Conditions Treated:

Nausea/Vomiting, Motion Sickness, Allergic Rhinitis, Sedation

Dosage & Administration Guidelines

Adult Dosage

12.5-25 mg every 4-6 hours PRN

Pediatric Dosage

0.25-1 mg/kg every 4-6 hours PRN (Children >= 2 years)

Elderly / Geriatric Considerations

Start at lower doses due to anticholinergic effects

Maximum Dose Limit

100 mg/day

Renal Impairment:

No specific adjustment required

Hepatic Impairment:

Use with caution in hepatic impairment

Side Effects & Safety Warnings

Common Side Effects

Drowsiness, dry mouth, blurred vision, dizziness

Serious Adverse Reactions

Respiratory depression, extrapyramidal symptoms, neuroleptic malignant syndrome

Contraindications:

Children < 2 years, coma, treatment of lower respiratory tract symptoms

Important Warnings & Precautions:

Black box warning: Fatal respiratory depression in children < 2 years

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

CNS depressants, anticholinergics, MAOIs

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

Increases CNS depression significantly

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Use if potential benefit justifies risk; avoid near term

Breastfeeding / Lactation

Use caution; may inhibit lactation or cause sedation in infant

Patient Counseling & Practical Advice

How to Take:

Causes extreme drowsiness. Do not drive. Avoid alcohol.

What to Do if You Miss a Dose:

Take as soon as remembered if needed. Skip if near next dose.

Recommended Monitoring & Lab Tests:

Respiratory rate, mental status, anticholinergic effects

Trustworthy Sources & Medical Review

Content for Promethazine was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.