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Chlorpheniramine Maleate

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At a glance

Chlorpheniramine Maleate is an antiallergic medication used in the treatment of various allergic conditions including urticaria, vasomotor rhinitis, cough, common cold, and motion sickness.

Description

Chlorpheniramine Maleate is an antiallergic medication used in the treatment of various allergic conditions. It provides relief from runny nose, sneezing, itching and watery eyes. Chlorpheniramine Maleate should be taken with or without food, but take it at the same time every day to get the most benefit. It should be taken as your doctor's advice. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. Sleepiness or drowsiness is the most common side effect of this medicine. Avoid driving or attention-seeking activity. In some cases, it may cause dryness of mouth, so it is advised to drink more water.

Chlorpheniramine Maleate is an antiallergic medication. When your body is exposed to an allergen (pollen, animal dander, house dust etc.), it produces a chemical called histamine. This causes watery eyes, runny or blocked nose, sneezing, skin rashes, itching etc. Chlorpheniramine Maleate works by blocking the action of histamine, thereby relieving these symptoms.

Indications
  • Urticaria
  • Sensitivity reactions
  • Angioneurotic edema
  • Vasomotor rhinitis
  • Cough
  • Common cold
  • Motion sickness
  • Other allergic conditions
Therapeutic class

Sedating Anti-histamine

Pharmacological class

Antihistamine (H1 Receptor Antagonist - Alkylamine)

Pharmacology

Chlorpheniramine Maleate is an alkylamine antihistamine. It is one of the most potent histamine H1-receptor blocking agents which is used as a potent antihistamine. This generally causes less sedation than promethazine. Chlorpheniramine Maleate exerts its effects by blocking H1-receptor competitively.

Mechanism of action

Chlorpheniramine competitively blocks H1-receptor sites on tissues. It prevents the action of histamine, thereby relieving allergy symptoms.

Dosage

Adult Dose (Oral): 4 mg every 4-6 hours, maximum 24 mg daily.

Adult Dose (Parenteral): Emergency treatment of anaphylactic shock: 10-20 mg IM, SC, or slow IV (over 1 min), max 40 mg/day.

Pediatric Dose (Oral):

AgeDoseScheduleMax
1-2 years1 mgTwice daily
2-5 years1 mgEvery 4-6 hours6 mg/day
6-12 years2 mgEvery 4-6 hours12 mg/day

Pediatric Dose (Parenteral): 87.5 mcg/kg SC 4 times daily.

Administration

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Chlorpheniramine Maleate may be taken with or without food, but it is better to take it at a fixed time.

Missed dose

If you miss a dose of Chlorpheniramine Maleate, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Side effects

Common Side Effects:

  • Dry mouth
  • Sleepiness
  • Drowsiness
  • Loss of appetite
  • Nausea
  • Dizziness
  • Muscular weakness
  • Gastrointestinal upset
Precautions & warnings
  • [UNSAFE] Chlorpheniramine Maleate may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
  • Avoid driving or operating dangerous machinery as it may decrease alertness.
  • Avoid consuming alcohol as it may cause excessive sleepiness or drowsiness.
  • Use with caution in patients with glaucoma and prostatic hypertrophy.
  • Avoid during the first trimester of pregnancy.
Contraindications
  • Hypersensitivity
  • Newborn or premature infants
Drug interactions

Potentiates sedative effect of psychotropic drugs (barbiturates, hypnotics, opioid analgesics, anxiolytics and antipsychotics). Interaction with alcohol could be dangerous (sedation/excitation). Incompatible with calcium chloride, kanamycin sulfate, noradrenaline acid tartrate, pentobarbital sodium, and meglumine adipiodone.

Food interactions

[UNSAFE] Chlorpheniramine Maleate may cause excessive drowsiness with alcohol.

Use in pregnancy

[SAFE IF PRESCRIBED] Chlorpheniramine Maleate is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies. Pregnancy Category B. Avoid use during the first trimester of pregnancy.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Use in lactation

[SAFE IF PRESCRIBED] Chlorpheniramine Maleate is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. Larger doses or prolonged use may cause sleepiness and other effects in the baby.

Pediatric use

Pediatric dose: 1-2 years: 1 mg twice daily; 2-5 years: 1 mg every 4-6 hours (max 6 mg/day); 6-12 years: 2 mg every 4-6 hours (max 12 mg/day). Use is not recommended in children below 1 year.

Geriatric use

Limited information is available regarding dose adjustment for elderly patients.

Renal / hepatic impairment

[SAFE IF PRESCRIBED] Chlorpheniramine Maleate is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment may not be needed. Please consult your doctor. May cause excessive sleepiness in patients with end stage kidney disease.

[CONSULT YOUR DOCTOR] There is limited information available on the use of Chlorpheniramine Maleate in patients with liver disease. Please consult your doctor.

Overdose effects

Overdose symptoms: CNS depression (sedation, apnea, CV collapse), CNS stimulation (insomnia, hallucinations, tremors, convulsions), tinnitus, blurred vision, dizziness, ataxia, hypotension. Stimulation and atropine-like signs (dry mouth, fixed dilated pupils, flushing, hyperthermia, GI symptoms) are more likely in children.

Storage conditions

Store in a cool (below 25°C) and dry place protected from light. Keep out of the reach of children.

Chemical structure

Chlorpheniramine Maleate

Common questions

What is Chlorpheniramine Maleate used for?
It is used for allergic rhinitis, urticaria, vasomotor rhinitis, cough, common cold, and motion sickness.
How should I take Chlorpheniramine Maleate?
Swallow it whole with or without food. It is better to take it at a fixed time.
What are the common side effects of Chlorpheniramine Maleate?
Dry mouth, sleepiness, drowsiness, loss of appetite, nausea, dizziness, and muscular weakness.
Is Chlorpheniramine Maleate safe during pregnancy?
Generally considered safe (Category B), but avoid during the first trimester. Consult your doctor.
Can I take alcohol with Chlorpheniramine Maleate?
No, alcohol may cause excessive drowsiness.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.