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Promethazine + phenylephrine + codeine is an oral combination drug consisting of **promethazine** (a first-generation antihistamine of the phenothiazine class and an H1 receptor antagonist), **phenylephrine** (a sympathomimetic decongestant and alpha-1 adrenergic receptor agonist), and **codeine** (an opioid analgesic and antitussive agent). This formulation is indicated for the temporary relief of cough, nasal congestion, runny nose, sneezing, and related symptoms caused by allergies or the common cold. Promethazine reduces allergic symptoms by blocking H1 histamine receptors; phenylephrine constricts nasal blood vessels via alpha-1 adrenergic receptor activation to relieve congestion; codeine acts as a mu-opioid receptor agonist in the central nervous system to suppress the cough reflex[1][3][7][11][12].
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