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Brompheniramine

Published: July 26, 2026Updated: August 26, 2026

Brompheniramine is a first-generation antihistamine used to relieve symptoms of allergic reactions, hay fever, and the common cold. It works by blocking histamine H1 receptors, which reduces sneezing, itching, watery eyes, and runny nose. This medication is available by prescription and over-the-counter, often in combination with other cold or allergy medications.

Quick summary

Brompheniramine is an antihistamine that treats allergy symptoms like sneezing, itching, and runny nose by blocking histamine receptors.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 26, 2026Editorial policy

Key facts at a glance

ATC
R06AB01
RxNorm
19711
Generic
Brompheniramine
Class
atc-r06
Brands
Bromfed DM, Respa-BR, BroveX CB, Brovex PBC, M-End PE, Mar-cof BP
Availability
otc
Pregnancy
C
Lactation
caution
Half-life (h)
25
Onset (min)
30
Duration (h)
6
Routes
oral
Forms
tablet, syrup, elixir, capsule, oral solution
Regions
United States, Canada, United Kingdom, Australia
Monitoring
none

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
4mg every 4-6 hours
Maximum
consult physician
Frequency
every 4-6 hours as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
2mg every 4-6 hours
Maximum
consult physician
Frequency
every 4-6 hours as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
2mg every 4-6 hours
Maximum
consult physician
Frequency
every 4-6 hours as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose of 500mg or more may cause serious toxicity in adults
Chronic overdose: Prolonged use exceeding recommended doses can lead to cumulative CNS depression, anticholinergic toxicity, and liver dysfunction
Immediate actions
Activated charcoal within 1-2 hours if patient is awake, gastric lavage for large recent ingestions, supportive care, IV fluids
Antidote
No specific antidote available(Treatment is supportive and symptomatic; no antidote reverses brompheniramine toxicity)
Poison Control: 1-800-222-1222

Special Populations

10 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second and third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring and uterine activity

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

brompheniramine passes into breast milk - avoid breastfeeding during treatment

Monitor

monitor infant for sedation or irritability

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

reduce dose and increase dosing interval

Key Recommendations

use lowest effective dose due to increased sensitivity to anticholinergic effects

Monitor

monitor for sedation, confusion, urinary retention

Use with caution and monitor for adverse effects.

✗

pediatric_age

infants and toddlers under 2
contraindicated
FDA Category
C
Dose Adjustment

not recommended

Key Recommendations

do not use in infants under 2 years due to risk of severe respiratory depression

Monitor

respiratory monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

children 2 to 12
caution
FDA Category
C
Dose Adjustment

weight-based dosing required

Key Recommendations

use with caution - may cause hyperactivity in some children

Monitor

monitor for sedation or paradoxical excitement

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose by 25-50%

Key Recommendations

use with caution and consider dose reduction in mild to moderate impairment

Monitor

monitor renal function and for excessive sedation

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid or use significantly reduced dose

Key Recommendations

avoid use in severe renal impairment unless benefits outweigh risks

Monitor

closely monitor renal function and drug accumulation

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose by 25-50%

Key Recommendations

use with caution due to hepatic metabolism

Monitor

monitor for excessive sedation and anticholinergic effects

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

avoid use in severe hepatic impairment

Monitor

monitor liver function and drug effects

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:First-generation antihistamine

H1 receptor antagonist antihistamine

usageFDA
2023

Common uses

Value:Allergic rhinitis, common cold, hay fever, urticaria

Therapeutic indications

prescribingFDA
2023

Commonly prescribed since

Value:1950s

Historical prescribing information

mechanismFDA
2023

Mechanism of action

Value:H1 receptor antagonist

Molecular mechanism

Brompheniramine is used to treat allergic rhinitis (hay fever), allergic conjunctivitis, urticaria (hives), angioedema, and to help relieve symptoms of the common cold such as sneezing and runny nose. It may also be used in the treatment of anaphylaxis as an adjunct therapy.

Brompheniramine works by competitively blocking H1 histamine receptors in the body. This prevents histamine from binding to these receptors and causing allergic symptoms. As a first-generation antihistamine, it also has anticholinergic properties which help reduce nasal secretions.

This medication may cause drowsiness and should be used with caution when driving or operating machinery. Alcohol and other CNS depressants can enhance this sedating effect. It should be avoided in patients with narrow-angle glaucoma, urinary retention, or severe hypertension. Caution is also needed in elderly patients due to increased sensitivity to anticholinergic effects. Always consult a healthcare provider before use, especially if taking other medications.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 26, 2026. · Read our editorial policy