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chlorpheniramine

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Brand names: Chlor-Trimeton

First-Generation Antihistamine OTC

Chlorpheniramine is an antihistamine medicine. It helps relieve allergy symptoms.

What it does

This medicine temporarily relieves symptoms from allergies or a cold.

Common side effects

Dizziness, Constipation

Key warnings

There are no boxed warnings for this medication.

How It Works

Chlorpheniramine blocks histamine, a natural substance your body makes during an allergic reaction. By blocking histamine, it reduces allergy symptoms. This medicine is a first-generation antihistamine.

How to Take It

Adults and children 12 and over can take 1 tablet every 4 to 6 hours. Do not take more than 6 tablets (24 mg) in 24 hours. Follow your doctor's directions. Children under 12 should ask a doctor.

Pregnancy & Breastfeeding

If you are pregnant or breastfeeding, talk to your doctor before using this medicine. They can advise you on whether it is safe for you and your baby.

Missed Dose

If you miss a dose, take it as soon as you remember. Space it evenly with your other doses.

Storage

Store at room temperature away from moisture and heat.

Side Effects (from patient reports)

Based on 4,153 FDA adverse event reports.

Feeling sick to your stomach
601
Loose stools
568
Using the medicine for something it's not approved for
506
Feeling tired
467
Difficulty breathing
416
Fever
383
Throwing up
375
Low white blood cell count
292
Head pain
274
Lung infection
271

FDA Adverse Event Report Analysis

Detailed analysis of 6,221 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

6,221

Death-Related Reports

1,084

Hospitalization Reports

2,771

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 3,329 (60%)
Male 2,262 (40%)

Age Distribution

0–17 367
18–44 862
45–64 1,801
65–74 938
75+ 711

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 601
2 DIARRHOEA 568
3 OFF LABEL USE 506
4 FATIGUE 467
5 DYSPNOEA 416
6 PYREXIA 383
7 VOMITING 375
8 NEUTROPENIA 292
9 HEADACHE 274
10 PNEUMONIA 270
11 COUGH 259
12 NEUROPATHY PERIPHERAL 256
13 RASH 254
14 PRURITUS 246
15 DEATH 241

Reactions in Death Reports

DEATH 240
OFF LABEL USE 161
NAUSEA 151
DISEASE PROGRESSION 136
DIARRHOEA 131
FATIGUE 125
PNEUMONIA 105
NEUTROPENIA 104
NEUROPATHY PERIPHERAL 96
SEIZURE 94

Reactions in Hospitalization Reports

DIARRHOEA 372
NAUSEA 331
OFF LABEL USE 293
PYREXIA 263
VOMITING 260
FATIGUE 253
PNEUMONIA 208
DYSPNOEA 199
DISEASE PROGRESSION 195
FEBRILE NEUTROPENIA 193

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

There are no boxed warnings for this medication.

Known Drug Interactions

Terazosin has been used concomitantly in at least 50 patients on the following drugs or drug classes: analgesic/anti-inflammatory (e.g., acetaminophen, aspirin, codeine, ibuprofen, indomethacin); antibiotics (e.g., erythromycin, trimethoprim and sulfamethoxazole); anticholinergic/sympathomimetics (e.g., phenylephrine hydrochloride, phenylpropanolamine hydrochloride, pseudoephedrine hydrochloride); antigout (e.g., allopurinol); antihistamines (e.g., chlorpheniramine); cardiovascular agents (e.g., atenolol, hydrochlorothiazide, methyclothiazide, propranolol); corticosteroids; gastrointestinal...

Mechanism: These drugs can both cause sleepiness and may lower your blood pressure, making you feel more dizzy or lightheaded.

What to do: Be careful when performing activities that require you to be alert, such as driving, until you see how you react.

Common Questions

What is the most important thing to know about chlorpheniramine?
Follow the directions on the package or your doctor's instructions carefully.
Can children take chlorpheniramine?
Children under 12 should ask a doctor before taking it.
Can I take chlorpheniramine with other medicines?
Talk to your doctor or pharmacist before taking it with other medicines.
Will chlorpheniramine make me sleepy?
Yes, it can cause drowsiness.
How often can I take chlorpheniramine?
Adults and children 12 and over can take it every 4 to 6 hours as needed.
Can I drive after taking chlorpheniramine?
Do not drive or operate machinery until you know how this medicine affects you.
What should I do if I take too much?
Call a doctor or poison control center right away.
Can I drink alcohol while taking chlorpheniramine?
Avoid alcohol, as it can increase drowsiness.
Does chlorpheniramine interact with any foods?
There are no known food interactions.
How long does it take for chlorpheniramine to work?
It usually starts working within 15 to 30 minutes.
What are the common side effects of chlorpheniramine?
The most commonly reported side effects of chlorpheniramine include Dizziness, Constipation. Based on 4,153 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does chlorpheniramine interact with other medications?
Yes, chlorpheniramine has 1 known drug interactions. Notable interactions include terazosin. Always inform your doctor about all medications you are taking.
What drug class is chlorpheniramine?
chlorpheniramine belongs to the First-Generation Antihistamine drug class. It is available over the counter (OTC). This medicine temporarily relieves symptoms from allergies or a cold.
Is chlorpheniramine safe during pregnancy?
If you are pregnant or breastfeeding, talk to your doctor before using this medicine. They can advise you on whether it is safe for you and your baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in First-Generation Antihistamine

Other drugs grouped near chlorpheniramine — same-class peers and common alternatives.

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Medication Guides

Related Health & Safety Data

What the FDA Data Shows for chlorpheniramine

The FDA label for chlorpheniramine (sold under brand names such as Chlor-Trimeton) classifies it as an over-the-counter product in the First-Generation Antihistamine class. This medicine temporarily relieves symptoms from allergies or a cold. Official labeling lists 2 commonly reported side effects, including Dizziness, Constipation.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 4,153 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: November 13, 2025

All federal data sources used on this page