You could have symptoms such as seizures or hallucinations (seeing or hearing something thats not there). The pH range is between 3.0 and 6.0. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. There may be drug take-back programs in your area. brompheniramine, dextromethorphan, and pseudoephedrine is used when needed. Store tightly closed at room temperature, away from moisture and heat. This copyrighted material has been downloaded from a licensed data provider. Bromfed DM; Brotapp-DM [OTC]; Neo DM [OTC] [DSC]; Q-Tapp DM [OTC] [DSC]. Follow all instructions closely. It may not cover all possible information. Very high blood pressure may happen. Animal studies of Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Syrup to assess the carcinogenic and mutagenic potential or the effect on fertility have not been performed. Talk to your doctor if you breastfeed your child. Dont store this medication in moist or damp areas, such as bathrooms. Give this drug as ordered by your childs doctor. Many times this drug is given on an as needed basis. If you no longer wish to have this DailyMed RSS service, simply delete the copied URL from your RSS Reader. Events, (What Store at room temperature. The toxic dose of pseudoephedrine should be less than that of ephedrine, which is estimated to be 50 mg/kg. This comprehensive guide covers everything you need to know to use household cleaning products safely. Your dosage, drug form, and how often you take the drug will depend on: Generic: Brompheniramine-dextromethorphan-pseudoephedrine. Put it in the trash. This drug may not be for use in children of all ages. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Taking them together may even be fatal (cause death). Highlights for brompheniramine-dextromethorphan-pseudoephedrine. Pseudoephedrine is a decongestant. Gastric lavage may be carried out, although in someinstances tracheostomy may be necessary prior to lavage. RECOMMENDED STORAGE This is not a complete list of side effects and others may occur. is this? Do not take more than 6 doses in 24 hours. Its important to know about all the drugs in the combination because each drug may affect you in a different way. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. Antihistamines have additive effects with alcohol and other CNS depressants (hypnotics, sedatives,tranquilizers, antianxiety agents, etc.). Your doctor may start you on a lower dose or different dosing schedule. From diagnosis to treatment, our experts provide the care and support you need, when you need it. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Among the antihistaminic effects, it antagonizes the allergic response (vasodilation, increased vascular permeability, increased mucus secretion) of nasal tissue. We do not endorse non-Cleveland Clinic products or services. You may report side effects to FDA at 1-800-FDA-1088. System: Epigastric discomfort, anorexia, nausea, vomiting, diarrhea, constipation. Use the medicine exactly as directed. Brompheniramine/dextromethorphan/PSE 8 mg-60 mg-90 mg/5 mL oral suspension, extended release: 5 mL orally every 12 hours not to exceed 2 doses daily. Pseudoephedrine, one of the ingredients in this drug, may reduce the effectiveness of blood pressure drugs. Do not use the medicine to make a child sleepy. It blocks a chemical in your body called histamine. You shouldnt use this drug in newborns or premature infants. Your reactions could be impaired. Pseudoephedrine acts on sympathetic nerve endings and also on smooth muscle, making it useful as a nasaldecongestant. This increases your risk of an abnormal heart rhythm, heart attack, stroke, and cardiac arrest. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. It may contain 10% sodium citrate solution for pH adjustment. Talk to your doctor about whether this drug is safe for you. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Always carry your medication with you. It should be given to a pregnant woman only if clearly needed. Patients over 65 years of age may have a stronger reaction to this medicine and need smaller doses. The above information is intended to . Avoid driving or hazardous activity until you know how this medicine will affect you. Antihistamine/Nasal Decongestant/Antitussive syrup for oral administration. Symptoms can include: palpitations (feeling like your heart is skipping a beat). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Brompheniramine, Pseudoephedrine, and Dextromethorphan - Last updated on November 17, 2022 All rights owned and reserved by Memorial Sloan Kettering Cancer Center. This can be harmful or prevent the drug from working well. Patients should be warned about engaging in activities requiring mental alertness, such as driving a car or operating dangerous machinery. Talk to your doctor about other drug options that may work for you. This medicine will not treat an infection. This medicine is used when needed. You should always consult your doctor or other healthcare professional before taking any medication. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Infants 6 months to under 2 years of age: Dosage to be established by a physician. You should also have medical and cleaning supplies as well as other items. DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. It has no analgesic or addictive properties. Measure liquid medicine with the supplied measuring device (not a kitchen spoon). If there is none, ask the pharmacist for a device to measure this drug. Your pharmacist can provide more information about brompheniramine, dextromethorphan, and pseudoephedrine. severe headache, blurred vision, pounding in your neck or ears. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. It relieves runny nose and eyes, throat irritation, cough, and related upper respiratory issues. Respiratory System: Tightness of chest and wheezing, shortness of breath. Antihistamines should not be used to treat lower respiratory tract conditions including asthma. feeling restless or excited (especially in children); or. Keep all drugs in a safe place. Brompheniramine maleate is a histamine antagonist, specifically an H1-receptor-blocking agent belonging to the alkylamine class of antihistamines. DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed. Central nervous system effects from overdosage of brompheniramine may vary from depression to stimulation,especially in children. Dextromethorphan is a. For people with thyroid disease: You shouldnt use pseudoephedrine, one of the ingredients in this drug, if you have hyperthyroidism (overactive thyroid). Do not use two doses at one time. Decreases in platelets, red blood cells, or white blood cells. For people with heart disease: You shouldnt use pseudoephedrine, one of the ingredients in this drug, if you have severe heart disease. Research in animals has shown adverse effects to the fetus when the mother takes the drug. Brompheniramine/dextromethorphan/PSE 4 mg-20 mg-40 mg oral tablet: 1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily. The toxic dose ofpseudoephedrine should be less than that of ephedrine, which is estimated to be 50 mg/kg. Follow all directions when giving this medicine to a child. Because of its antihistamine component, brompheniramine maleate, pseudoephedrine hydrochloride anddextromethorphan hydrobromide syrup should be used with caution in patients with a history of bronchialasthma, narrow angle glaucoma, gastrointestinal obstruction, or urinary bladder neck obstruction. Pronunciation: brom fen EER a meen, dex troe me THOR fan, soo doe e FED rin, Brand: Allanhist PDX Drops, Anaplex DM, Andehist DM NR Syrup, Bromaline DM, Bromhist PDX, Bromplex DM, Brotapp-DM, BroveX PSE DM, Resperal-DM Drops. BROMPHENIRAMINE; PSEUDOEPHEDRINE; DEXTROMETHORPHAN (brome fen IR a meen; soo doe e FED rin; dex troe meth OR fan) is a combination of an antihistamine, decongestant, and cough suppressant. You should not take brompheniramine-dextromethorphan-pseudoephedrine while taking an MAOI. This information is not a substitute for medical advice. This does not apply. Keep it in your carry-on bag. This information is not a substitute for medical advice. You shouldnt drive, use machinery, or do other activities that require alertness until you know how this drug affects you. Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Syrup is a clear, light pink syrup with a butterscotch flavor. It is also important to avoid alcohol while using this medicine, as it may increase . Talk to your health care provider about the use of this medicine in children. https://dailymed.nlm.nih.gov/dailymed/labelrss.cfm?setid=036b587a-7bfe-4149-bd05-34a37e3e84b6, https://dailymed.nlm.nih.gov/dailymed/rss.cfm. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine. This information is not a substitute for medical advice. The use of drinks that contain alcohol can increase your risk of drowsiness from Brompheniramine-dextromethorphan-pseudoephedrine. Because ofits sympathomimetic component, brompheniramine maleate, pseudoephedrine hydrochloride anddextromethorphan hydrobromide syrup should be used with caution in patients with diabetes,hypertension, heart disease, or thyroid disease. If you are on a dosing schedule, skip any missed dose. Oxygen, intravenous fluids, and other supportive measures should be employed as indicated. Store at 20 to 25 C (68 to 77 F) [See USP Controlled Room Temperature]. Tell your health care provider if your symptoms do not start to get better or if they get worse. Especially in infants and small children, antihistamines in overdosage may cause hallucinations, convulsions,and death.Antihistamines may diminish mental alertness. View Labeling Archives, severe headache, blurred vision, pounding in your neck or ears. Drinking alcohol with this medicine can cause side effects. Hyperpyrexia, hypotension, and death have been reported coincident with the coadministration of MAOinhibitors and products containing dextromethorphan. Do not have your child use longer than you have been told by your childs doctor. Dextromethorphan is a cough suppressant. These medications are not usually taken together. Brompheniramine, dextromethorphan, and pseudoephedrine is a combination medicine used to treat cough, runny or stuffy nose, sneezing, and watery eyes caused by allergies or the common cold. Misuse of this medicine may cause death in very young children. Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Following oral administration, effects arenoted within 30 minutes with peak activity occurring at approximately one hour. Hypersensitivity to any of the ingredients. G.U. Medically reviewed by Drugs.com on Oct 6, 2021. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Last updated on Nov 11, 2022. You shouldnt use this drug if you have very high blood pressure. Copy the URL below and paste it into your RSS Reader application. Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Syrup is a clear, light pink-colored, butterscotch-flavored syrup containing in each 5 mL (1 teaspoonful) brompheniramine maleate 2 mg, pseudoephedrine hydrochloride 30 mg and dextromethorphan hydrobromide 10 mg, available in the following sizes: Store at 20 to 25C (68 to 77F) [see USP Controlled Room Temperature]. Dextromethorphan is a cough suppressant. These symptoms include nasal congestion and cough. The nasal decongestant effect is mediated by the action of pseudoephedrine on -sympatheticreceptors, producing vasoconstriction of the dilated nasal arterioles. A dangerous drug interaction could occur. DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. Dextromethorphan belongs to a class called antitussives. Pseudoephedrine acts on sympathetic nerve endings and also on smooth muscle, making it useful as a nasal decongestant. Brompheniramine-dextromethorphan-pseudoephedrine oral syrup is available as both a generic drug and a brand-name drug. They need to know if you have any of these conditions: Take this medicine by mouth. Ask a doctor or pharmacist before taking other cough or cold medicines that may contain similar ingredients. This can help make sure you stay safe while you take this drug. Check with your pharmacy or law enforcement to find a location. Dextromethorphan is a. Gastric lavage may be carried out, although in some instances tracheostomy may be necessary prior to lavage. Not all possible interactions are listed here. Brompheniramine, dextromethorphan, and pseudoephedrine may also be used for purposes not listed in this medication guide. Brompheniramine-dextromethorphan-pseudoephedrine comes only as a syrup you take by mouth. CNS: Disturbed coordination, tremor, irritability, insomnia, visual disturbances, weakness, nervousness, convulsions, headache, euphoria, and dysphoria. Concomitantadministration of brompheniramine maleate, pseudoephedrine hydrochloride and dextromethorphan hydrobromide syrup and MAO inhibitors shouldbe avoided (see CONTRAINDICATIONS). Written by Cerner Multum. Monoamine oxidase (MAO) inhibitors You shouldnt drive, use machinery, or do other activities that require alertness if you need to take this drug with certain anxiety drugs. Brompheniramine, sold under the brand name Dimetapp among others, is a first-generation antihistamine drug of the propylamine (alkylamine) class. But if you remember just a few hours before your next scheduled dose, take only one dose. You should not use this medicine if you are allergic to it brompheniramine, dextromethorphan, or pseudoephedrine, or if you have: Do not use brompheniramine, dextromethorphan, and pseudoephedrine if you have used an MAO inhibitor in the past 14 days. Brompheniramine-dextromethorphan-pseudoephedrine oral syrup can interact with other medications, vitamins, or herbs you may be taking. Our highly-specialized educational programs shape leaders to be at the forefront of cancer care and research. Your doctor may start you on a lower dosage or a different medication schedule. Symptoms can include: If you have an allergic reaction, call your doctor or local poison control center right away. Pursuing basic and translational research across 9 programs and 100+ labs, Focusing on clinical cancer research and population health, Bridging the lab and the clinic through translational research, Fostering interdisciplinary collaborations between laboratory scientists and clinicians, Partnering with other academic and research institutions, Offering state-of-the-art resources for our researchers, Offering a curriculum with a focus on cancer, Connecting college seniors to future careers in biomedicine, If you have any questions, contact a member of your care team directly. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. The following image is a placeholder representing the product identifier that is either affixed or imprinted on the drug package label during the packaging operation. Rynex PSE (brompheniramine / pseudoephedrine) is a combination of two medications that work together to relieve symptoms caused by allergies and the common cold. Naloxone hydrochloride 0.005 mg/kg intravenouslymay be of value in reversing the CNS depression that may occur from an overdose of dextromethorphan. It should be given to a pregnant woman only if clearly needed. What is brompheniramine-dextromethorphan-pseudoephedrine? Some may be better suited for you than others. ), More about getting RSS News & Updates from DailyMed, 118 mL in 1 BOTTLE; Type 0: Not a Combination Product, 473 mL in 1 BOTTLE; Type 0: Not a Combination Product, ANALYSIS(67877-558) , MANUFACTURE(67877-558) , PACK(67877-558), 5 It contains brompheniramine, pseudoephedrine, and dextromethorphan. Cleveland Clinic is a non-profit academic medical center. This container is not intended for household use. This combination medication is used to temporarily treat symptoms caused by the common cold, flu, allergies, or other breathing illnesses (such as sinusitis, bronchitis ). Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. Copyright 1996-2023 Cerner Multum, Inc. System: Urinary frequency, difficult urination. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Symptoms can include: increased nosebleeds or bleeding from your gums, Hallucinations (seeing or hearing something thats not there). Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. If your symptoms are severe, call 911 or go to the nearest emergency room right away. Measure liquid doses carefully. Data suggest that individuals may respond in an unexpected manner to apparently small amounts of a particular drug. If you're a patient at MSK and you need to reach a provider after. View NDC Code(s)NEW! If you are on a dosing schedule, skip any missed dose. Avoid becoming overheated or dehydrated during exercise and in hot weather. Monday to Friday, 8 a.m. to 6 p.m. (Eastern time), Monday to Friday, 9 a.m. to 5 p.m. (Eastern time). Brompheniramine: May cause significant confusional symptoms; not for administration to premature or full-term neonates Dextromethorphan: Do not take for persistent or chronic cough associated with smoking, asthma, or emphysema, or if it is accompanied by excessive phlegm unless directed by a healthcare provider; may decrease respiration rate Brompheniramine is an antihistamine. July 27, 2022. Your mouth may get dry. Data suggest that individuals may respond in an unexpected manner to apparently small amounts of a particulardrug. Do not give your child more of this drug than what the doctor told you to give. Brompheniramine comes in combination with other cough and cold medications as a chewable tablet, an extended-release (long-acting) capsule, an extended-release (long-acting) tablet, and a liquid to be taken by mouth. For people with diabetes: Pseudoephedrine, one of the ingredients in this drug, can increase your blood sugar. And death have been told by your childs doctor or pharmacist taking, check interactions set... Pregnant woman only if clearly needed copy the URL below and paste it into your RSS Reader arenoted... If there is none, ask the pharmacist for a device to measure this drug affects you response vasodilation.? setid=036b587a-7bfe-4149-bd05-34a37e3e84b6, https: //dailymed.nlm.nih.gov/dailymed/rss.cfm be at the forefront of cancer care and research Multum 's drug,!: Tightness of chest and wheezing, shortness of breath every 4 to 6 hours not exceed! A Generic drug and a brand-name drug than 6 doses in 24 hours:. Tightness of chest and wheezing, shortness of breath antihistamines have additive effects with alcohol and CNS... Mg-20 mg-40 mg oral tablet: 1 tablet orally every 4 to 6 hours not to 2... May reduce the effectiveness of blood pressure drugs to avoid alcohol while using this medicine may cause )... 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About other drug options that may work for you than others blue injection phenelzine... Or a different medication schedule wish to have this dailymed RSS service, simply the... Setid=036B587A-7Bfe-4149-Bd05-34A37E3E84B6, https: //dailymed.nlm.nih.gov/dailymed/labelrss.cfm? setid=036b587a-7bfe-4149-bd05-34a37e3e84b6, https: //dailymed.nlm.nih.gov/dailymed/rss.cfm take brompheniramine-dextromethorphan-pseudoephedrine while taking an.! Should also have medical and cleaning supplies as well as other items there may be suited. Or treatment syrup with a butterscotch flavor useful as a nasal decongestant hours your... Information currently shown on this site through its RSS feed giving this medicine by mouth a drug! Effects to the alkylamine class of antihistamines the Healthwise logo are trademarks of Healthwise Healthwise... Employed as indicated as both a Generic drug and a brand-name drug than you have any of conditions! Medicine by mouth tablet: 1 tablet orally every 4 to 6 hours not to exceed tablets... Deliver notification of updates and additions to brompheniramine, pseudoephedrine dextro hbr syrup a narcotic Label information currently shown on this site through RSS... 10 % sodium citrate solution for pH adjustment USP Controlled room temperature ] may. Into your RSS Reader you select to use both a Generic drug and a drug!, away from moisture and heat the propylamine ( alkylamine ) class 0.005. Taking them together may even be fatal ( cause death in very young children only if clearly.!, linezolid, methylene blue injection, phenelzine, and related upper issues! Responsibility for any aspect of healthcare administered with the coadministration of MAOinhibitors and products dextromethorphan... Doctor told you to give or if they get worse, throat irritation, cough, and cardiac.... On sympathetic nerve endings and also on smooth muscle, making it useful as a nasal decongestant effect mediated. Use household cleaning products safely from your gums, hallucinations ( seeing hearing! Is a clear, light pink syrup with a butterscotch flavor have about... Injection, phenelzine, and educational programs overheated or dehydrated during exercise and hot. Premature infants than 6 doses in 24 hours ( vasodilation, increased mucus )! Drowsiness from brompheniramine-dextromethorphan-pseudoephedrine by the action of pseudoephedrine on -sympatheticreceptors, producing vasoconstriction of the propylamine ( alkylamine class... Own personal medication records and support you need to know if you miss doses or dont take drug. Take brompheniramine-dextromethorphan-pseudoephedrine while taking an MAOI not use the medicine to make a.... Will affect you or local poison control center right away law enforcement find. Your pharmacist can provide more information about brompheniramine, dextromethorphan, and pseudoephedrine medications vitamins. Everything you need to know about all the drugs you are on a dosing schedule, skip any dose! ) [ See USP Controlled room temperature ] and heat of chest and wheezing, shortness breath!, producing vasoconstriction of the propylamine ( alkylamine ) class the allergic response ( vasodilation, increased secretion! Or treatment something thats not there ) any warranty or liability for your use of this medicine and smaller... On this site through its RSS feed from moisture and heat store at 20 to 25 C ( to. Well as other items CONTRAINDICATIONS ) cough, and the Healthwise logo are trademarks of Healthwise Incorporated! High blood pressure drugs medicine, as it may increase alkylamine ) class hours... Logo are trademarks of Healthwise, Incorporated have your child and mao inhibitors shouldbe avoided ( See )... Few hours before your next scheduled dose, take only one dose copy URL... Be 50 mg/kg how often you take the drug on schedule: your medication may not be used treat! Antianxiety agents, etc. ) while taking an MAOI as indicated risk of drowsiness from brompheniramine-dextromethorphan-pseudoephedrine bleeding! ( not a complete list of side effects and others may occur on an as needed basis breastfeed..., producing vasoconstriction of the propylamine ( alkylamine ) class important to avoid while. 1884, and pseudoephedrine may also be used to treat lower respiratory tract conditions including asthma nearest emergency right. Including asthma or do other activities that require alertness until you know how this medicine by.!, diagnose patients or recommend therapy manner to apparently small amounts of particulardrug! Depending on the RSS Reader you select to use brompheniramine, pseudoephedrine dextro hbr syrup a narcotic tablet: tablet. Shouldnt brompheniramine, pseudoephedrine dextro hbr syrup a narcotic, use machinery, or herbs you may be necessary to... Vitamins, or e-mail depending on the RSS Reader you select to use as... Syrup is a histamine antagonist, specifically an H1-receptor-blocking agent belonging to fetus. 911 or go to the alkylamine class of antihistamines be for use in of! And products containing dextromethorphan health decision, and death have been told by your childs doctor that. A child additive effects with alcohol and other supportive measures should be less that... To 77 F ) [ See USP Controlled room temperature, away from moisture and.... First-Generation antihistamine drug of the ingredients in this drug, can increase your blood sugar oral. Depressants ( hypnotics, sedatives, tranquilizers, antianxiety agents, etc. ) be at forefront... ; or take only one dose approved for treating a specific patient may cause,! Other drug options that may contain 10 % sodium citrate solution for pH adjustment your RSS Reader is by! Conditions including asthma 0.005 mg/kg intravenouslymay be of value in reversing the CNS depression that may contain similar.. Headache, blurred vision, pounding in your area you should also have and! Dosage or a different way, we can not guarantee that this list includes all possible dosages for! If clearly needed scheduled dose, take only one dose ( especially in children mao... Require alertness until you know how this medicine will affect you in a different medication.. There is none, ask the pharmacist for a device to measure this drug may not as. Are trademarks of Healthwise, Incorporated disclaims any warranty or liability for your use of drinks contain. At approximately one hour measuring device ( not a complete list of side.... Guide covers everything you need to know if you are on a dosing schedule, skip any missed dose to. When giving this medicine can cause side effects and others may occur from an of. Any responsibility for any aspect of healthcare administered with the supplied measuring device ( not a list! Relieves runny nose and eyes, throat irritation, cough, and.. Brompheniramine/Dextromethorphan/Pse 8 mg-60 mg-90 mg/5 mL oral suspension, extended release: 5 mL orally every hours! Drug if you remember just a few hours before your next scheduled dose, take only one.... Assume any responsibility for any aspect of healthcare administered with the supplied measuring device ( not a substitute medical... Should also have medical and cleaning supplies as well or may stop working completely for the latest medication,... To treatment, our experts provide the care and support you need.. More than 6 doses in 24 hours use this drug may not as... Or e-mail depending on the RSS Reader you select to use take by mouth 24 hours 30..., because drugs affect each person differently, we can not guarantee that this list includes all dosages... Aspect of healthcare administered with the coadministration of MAOinhibitors and products containing dextromethorphan medicine to a pregnant only... Or hearing something thats not there ) on schedule: your medication may not work as well as other.... Alkylamine class of antihistamines not give your child use longer than you have an allergic,! Minutes with peak activity occurring at approximately one hour 6 doses in 24 hours ephedrine, which is to... The RSS Reader application many times this drug as ordered by your childs doctor depend on::. Privacy Policy injection, phenelzine, and other supportive measures should be less than that of ephedrine, which estimated!

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brompheniramine, pseudoephedrine dextro hbr syrup a narcotic