Chlorpheniramine is generally taken by mouth. The medication should be taken with or without food, depending on the specific form you are using. If you’re taking tablets, swallow them whole with water. If you are using the syrup, carefully measure the prescribed amount with a medicine cup or spoon.
- Adults and Children Over 12 Years Old: Typically, 4 mg every 4-6 hours, not exceeding 24 mg per day.
- Children Under 12 Years Old: The dosage will depend on the child’s age and weight. Always follow your healthcare provider’s instructions for pediatric use.
If you miss a dose, take it as soon as you remember, but if it is close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses to make up for a missed dose.
Chlorpheniramine works by blocking the action of histamine, a substance that is naturally released by the body during allergic reactions. Histamine binds to H1 receptors in the body and triggers symptoms like sneezing, itching, runny nose, and watery eyes. By blocking these receptors, chlorpheniramine prevents or reduces these allergic responses.
Additionally, chlorpheniramine has some sedative effects because it can cross the blood-brain barrier, which leads to drowsiness. This is one of the side effects of first-generation antihistamines. The sedative effect is often used to help treat conditions such as insomnia or motion sickness but can be a drawback for some individuals during the day.
Like all medications, chlorpheniramine can cause side effects. Some common side effects include:
- Drowsiness: Due to its sedative effects, chlorpheniramine often causes drowsiness, making it suitable for treating sleep disturbances related to allergies but not ideal for daytime use in certain individuals.
- Dry Mouth: Chlorpheniramine can reduce saliva production, leading to a dry mouth, which may be uncomfortable.
- Dizziness or Lightheadedness: Some people may feel dizzy or lightheaded, especially when standing up quickly.
- Blurred Vision: In some cases, chlorpheniramine can cause temporary blurred vision.
- Constipation: The medication may lead to difficulty passing stools.
More serious side effects, though rare, can include:
- Allergic Reactions: Some individuals may experience rashes, difficulty breathing, or swelling of the face or throat. If these symptoms occur, immediate medical attention should be sought.
- Severe Confusion or Hallucinations: High doses or prolonged use may cause confusion or hallucinations, especially in older adults.
If you experience any severe or unusual symptoms, contact your healthcare provider immediately.
Before using chlorpheniramine, take the following precautions:
- Pregnancy and Breastfeeding: Chlorpheniramine should be used during pregnancy only if clearly needed, and it can pass into breast milk. Discuss with your healthcare provider whether this medication is suitable for you during pregnancy or while breastfeeding.
- Liver or Kidney Issues: Individuals with liver or kidney problems may need dosage adjustments or closer monitoring while using chlorpheniramine.
- Avoid Alcohol: Since chlorpheniramine can cause drowsiness, avoid alcohol, as it can amplify this effect and lead to dangerous sedation.
- Driving or Operating Machinery: Due to its sedative effects, chlorpheniramine may impair your ability to perform tasks that require alertness, such as driving or operating heavy machinery.
Always inform your doctor about any pre-existing health conditions and medications you’re taking to ensure chlorpheniramine is safe for you.
Chlorpheniramine can interact with several other medications, including:
- Other sedatives or tranquilizers: Taking chlorpheniramine with other sedatives (such as benzodiazepines or alcohol) may enhance the sedative effects, leading to excessive drowsiness or respiratory depression.
- Antidepressants (e.g., monoamine oxidase inhibitors): Chlorpheniramine may interact with certain antidepressants, leading to dangerously high blood pressure.
- Cough or cold medications: Combining chlorpheniramine with other medications that treat cold symptoms (like decongestants) may lead to increased side effects or worsen certain conditions.
Be sure to inform your doctor or pharmacist about all medications you are currently taking, including over-the-counter drugs and herbal supplements, to avoid harmful interactions.
For adults, the usual recommended dose is 4 mg every 4-6 hours, with a maximum of 24 mg per day. For children, the dose will depend on their age and weight, and it is crucial to follow the doctor’s instructions carefully to avoid overuse.
Chlorpheniramine is commonly available as an over-the-counter medication in many countries. However, for higher-strength preparations or combination products, a prescription may be required. Always follow the dosage instructions provided by your healthcare provider and do not exceed the recommended dosage.