Drug intelligence / Profile preview

promethazine + phenylephrine

Development stage
Unknown
Lead developer
Pfizer
Modality
Small Molecules
Administration
Oral
01

Overview

Promethazine + phenylephrine is a fixed-dose combination pharmaceutical product containing the first-generation antihistamine promethazine and the sympathomimetic decongestant phenylephrine. Promethazine functions primarily as a competitive Histamine H1 receptor antagonist, which alleviates upper respiratory symptoms such as sneezing, rhinorrhea, and watery eyes, while also providing sedative and antiemetic effects. Phenylephrine acts as a selective Alpha-1 adrenergic receptor agonist, inducing vasoconstriction in the nasal mucosa to reduce swelling and relieve nasal congestion. This combination is indicated for the symptomatic relief of the common cold, hay fever, and other upper respiratory allergies or flu-like symptoms. While the historical branded product Phenergan VC has been discontinued, the combination remains widely available in various generic syrup formulations.

Brand names
Phenergan VCPromethazine VC PlainPrometh VC Syrup
Other names
promethazine hydrochloride and phenylephrine hydrochloride syruppromethazine and phenylephrine
02

Targets

ADRA1 (Alpha-1 adrenergic receptor family)ADRA1A (α1A)M1 (Muscarinic acetylcholine receptor M1)HRH1 (Histamine H1 Receptor)

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