Monograph Details

Gastrointestinal Tract > Nausea
PHENERGAN RECTAL SUPPOSITORIES
Manufacturer
Wyeth Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Phenothiazine.
Generic Name
Promethazine HCl 12.5mg, 25mg, 50mg.
Also
PHENERGAN
Indications
Motion sickness. Perioperative nausea & vomiting.
Children
<2 years: see Contraindications. Motion sickness: ≥2 years: 12.5–25mg twice daily. Perioperative nausea & vomiting: 0.5mg/lb or 25mg; may give additional doses of 12.5–25mg or 0.5mg/lb at 4–6 hour intervals.
Adults
Motion sickness: 25mg 30–60 minutes before travel; may repeat in 8–12 hours; maintenance 25mg twice daily. Perioperative nausea & vomiting: 25mg; may give additional doses of 12.5–25mg at 4–6 hour intervals.
Contraindications
Children <2 years. Dehydrated or ill children (esp. Reye's syndrome). History of sleep apnea. Asthma and lower respiratory disorders. Uncomplicated nausea in children.
Precautions
Glaucoma. GI or urinary obstruction. Cardiovascular or liver disease. Seizure disorders. Peptic ulcer. Bone marrow depression. Elderly. Children ≥2 years. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Potentiates CNS depression with alcohol, other CNS depressants. Caution with MAOIs. May alter hCG pregnancy test results.
Adverse Reactions
Drowsiness, lowered seizure threshold, cholestatic jaundice, anticholinergic and extrapyramidal effects, photosensitivity, hypo- or hypertension, rash, blood dyscrasias, nausea, neonatal platelet abnormalities; children: respiratory depression (may be fatal).
How Supplied
Tabs—100
Supp—12
Additional Resources
Related Prescribing Note