Table of Contents
- Understanding Promethazine HCl: Uses, Side Effects, and Legal Considerations
- What Does Promethazine Treat?
- Promethazine Side Effects
- Common Side Effects
- Severe Side Effects
- Who Should Not Use Promethazine
- Individuals to Avoid Promethazine
- What To Tell Your Healthcare Professional
- Potential Drug Interactions
- FDA Alert
- Notable Product Liability Case: Schork v. Baxter Healthcare Corp.
- Case Details
- Getting Legal Help
- Conclusion

Understanding Promethazine HCl: Uses, Side Effects, and Legal Considerations
What Does Promethazine Treat?
- Allergy Symptoms: Relieves runny nose, itchy eyes, and other allergy-related symptoms.
- Mild Allergic Skin Reactions: Helps reduce hives and skin irritation.
- Rhinitis and Conjunctivitis: Alleviates symptoms of nasal and eye inflammation.
- Motion Sickness: Prevents nausea and vomiting associated with travel.
- Dermographism: Treats a type of hives known as "skin writing."
- Severe Allergic Reactions: Used in conjunction with epinephrine for severe reactions.
- Sedation: Helps induce sleep and relaxation.
- Nausea and Vomiting Control: Prevents and controls nausea and vomiting.
- Anxiety Relief: Provides calming effects for anxiety.
- Pain Management: Used with pain medications like meperidine or codeine for enhanced relief.
Promethazine Side Effects
Common Side Effects
- Drowsiness: A common effect that can impair alertness.
- Constipation: May cause digestive discomfort.
- CNS Depression: Can lead to reduced central nervous system activity.
- Dry Mouth: Causes discomfort and increased thirst.
- Jaundice: Yellowing of the skin and eyes, indicating liver issues.
- Neuroleptic Malignant Syndrome: A rare but serious condition affecting the nervous system.
- Blood Pressure Changes: Can cause fluctuations in blood pressure.
- Skin Reactions: May lead to rashes or irritation.
- Blurred Vision: Affects visual clarity.
- Breathing Problems: Can cause respiratory issues, especially in vulnerable individuals.
Severe Side Effects
Who Should Not Use Promethazine
Individuals to Avoid Promethazine
- Children Under Two: Risk of severe respiratory issues.
- Unconscious Patients: Not suitable for those in a comatose state.
- Allergic Individuals: Those allergic to promethazine or phenothiazines.
- Lung Problem Patients: Individuals with respiratory conditions.
- Vomiting Children: Not recommended for children experiencing vomiting.
- Breathing Problem Patients: Those with sleep apnea or COPD.
- Seizure Disorder Patients: Risk of exacerbating seizures.
- Blood Cell Production Drug Users: Those on medications affecting blood cells.
- Bone Marrow Issue Patients: Individuals with bone marrow disorders.
What To Tell Your Healthcare Professional
- Bone Marrow Depression: Affects blood cell production.
- Enlarged Prostate: Can exacerbate urinary issues.
- Narrow-Angle Glaucoma: Risk of increased eye pressure.
- Stomach Ulcer: May worsen gastrointestinal conditions.
- Intestinal or Bladder Blockage: Can cause complications.
- Heart or Liver Problems: Affects drug metabolism and safety.
- Lung or Breathing Problems: Risk of respiratory depression.
- Sleep Apnea: Can worsen breathing issues during sleep.
- Seizures: Risk of increased seizure activity.
Potential Drug Interactions
- Brain-Affecting Medicines: Pain medicines, antidepressants, anti-anxiety medicine, narcotics, sleeping pills, tranquilizers, sedatives.
- MAOIs: Used for mental disorders, including depression.
- Epinephrine: Used for severe allergic reactions.
- Anticholinergic Medicines: Can interact adversely with Promethazine.
FDA Alert
Notable Product Liability Case: Schork v. Baxter Healthcare Corp.
Case Details
- Plaintiff: Debbie S. Schork
- Defendant: Baxter Healthcare Corp.
- Allegation: Injuries from a defective promethazine HCl injection.
- Outcome: Summary judgment for Baxter, claims preempted by federal law.
Getting Legal Help
Conclusion
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