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HomeDrugsBromfed DM Prices

brompheniramine / dextromethorphan / pseudoephedrine

Generic Bromfed DM

Used for Nasal Congestion, Allergic Rhinitis, Cold Symptoms, Cough

Bromfed DM is a combination of three medications: brompheniramine (an antihistamine), pseudoephedrine (a decongestant), and dextromethorphan (a cough suppressant). It's used to relieve symptoms from allergies and the common cold. Bromfed DM is available only with a prescription and comes as a liquid.

Reviewed by:

Robert Chad Hakim, PharmD, BCCCP

Kristianne Hannemann, PharmD

Last reviewed on November 29, 2022

Basics Side effects Pros & cons Pharmacist tips FAQs Warnings Dosage Cost Contraindications Alternatives Latest news Images Prices Medicare

What is Bromfed DM?

What is Bromfed DM used for?

Short-term relief of symptoms from allergies and the common cold:

Cough
Runny nose
Sneezing
Itchy or watery eyes
Itching of the nose or throat
Stuffy nose (nasal congestion)

How Bromfed DM works

Bromfed DM is a combination of three medications that work together to relieve symptoms caused by allergies and the common cold.

Brompheniramine is an antihistamine. It blocks a natural substance in your body called histamine that normally causes allergy or common cold symptoms. By blocking histamine, brompheniramine lowers inflammation (swelling) and relieves runny or itchy nose, sneezing, and watery eyes.
Pseudoephedrine is a decongestant that clears your sinuses to relieve sinus pressure.
Dextromethorphan is a cough suppressant that works in the brain to lower your urge to cough.

Are you looking for information on Rynex DM (brompheniramine / dextromethorphan / phenylephrine) instead?

When does Bromfed DM start working?

Time passed since treatment started:

MINUTES

HOURS

DAYS

WEEKS

MONTHS

Initial effect

Full effect

Drug Facts

Common BrandsBromfed DM

Drug ClassAntihistamine / Decongestant / Cough suppressant

Controlled Substance ClassificationNot a controlled medication

Generic StatusLower-cost generic available

AvailabilityPrescription only

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Avg retail price

$20.300

GoodRx discount

$20.30

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What are the side effects of Bromfed DM?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Sleepiness
Dizziness
Dry mouth, nose, or throat

Other Side Effects

Headache
Feeling restless
Constipation
Trouble urinating
Trouble sleeping
Temporary changes in blood pressure (up or down)

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.

Excessive sleepiness or dizziness
Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing, skin reddening
Serotonin syndrome: fast heart rate, sweating, muscle stiffness or spasms, high fever, confusion
Accidentally taking too much medication (overdose): seizures, heart rhythm problems, hallucinations, confusion, flushed skin, skin that's warm to the touch, vision changes

When do Bromfed DM possible side effects begin and end?

Time passed since treatment started:

MINUTES

HOURS

DAYS

WEEKS

MONTHS

Drowsiness

Dizziness

Dryness of nose, mouth, or throat

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Heart palpitations—rapid, pounding, or irregular heartbeat
Increase in blood pressure
Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
Trouble passing urine

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

Anxiety, nervousness
Confusion
Constipation
Dizziness
Drowsiness
Dry mouth
Fatigue

Pros and cons of Bromfed DM

Pros

Convenient to take three medications in a single liquid

Typically starts working within 30 minutes

Flavored liquid for better taste

Available as a lower-cost, generic form

Cons

Might have to take as often as every 4 hours to relieve symptoms

More difficult to customize the dose since Bromfed DM is a fixed combination of three medications

Available only as a liquid

Might not be the best choice for people over 65 years old, people with glaucoma, or people with breathing, heart, or urinary problems

Pharmacist tips for Bromfed DM

Follow your provider's instructions on how to take Bromfed DM. Typically, you can take the medication up to every 4 hours to relieve your cold and allergy symptoms.

Use a medication dose cup or an oral syringe to measure your dose of Bromfed DM. Don't use household spoons because they might not be accurate and might cause you to take the wrong dose. Ask your pharmacy to provide you with one if the product doesn't include it in its packaging or if you need extras.

Bromfed DM can make you feel sleepy or dizzy. Don't drive until you know how the medication affects you.

While Bromfed DM usually makes adults sleepy, it's possible for children who use the medication to become overly excited or energetic. If this happens to your child, speak to your child's provider.

Don't start any new medications while taking Bromfed DM, especially other antihistamines, cough suppressants, or decongestants, without talking to your provider or pharmacist first. Doing so can raise your risk of severe side effects from taking too much of any one ingredient, including daytime sleepiness, dizziness, high blood pressure, fast heart rate, hallucinations (seeing things that aren't real), or even death.

Bromfed DM can interact with a lot of commonly used prescription and over-the-counter medications. Make sure to tell your provider about all the medications you're taking before starting Bromfed DM. Don't start any new medications while taking Bromfed DM without talking to your provider or pharmacist first to make sure the combination is safe to take together.

Store Bromfed DM in a cool and dry place at room temperature in it's original container to protect from light.

Frequently asked questions about Bromfed DM

What does it mean if Bromfed DM is considered a controlled substance in certain states?

Certain states like Oregon consider pseudoephedrine (an ingredient in Bromfed DM) a controlled substance and put strict regulations on the medication. Depending on your state's laws, you might need to show identification when picking Bromfed DM up at the pharmacy or follow certain regulations.

How do I know if Bromfed DM is safe for me to take?

Bromfed DM is generally safe to take, but it's not the best choice for everyone. Make sure to ask your provider if this medication is safe for you if you're 65 years of age or older, since side effects can be more intense in this age group. Also ask your provider if Bromfed DM is right for you if you're taking other medications, or if you have asthma or certain other medical conditions (e.g., heart disease, high blood pressure, high blood sugar (diabetes), trouble urinating, glaucoma, thyroid problems), or are taking other medications. This is because Bromfed DM can interact with other medications or worsen certain health conditions and cause side effects.

Can I drink alcohol while taking Bromfed DM?

Avoid drinking alcohol while taking Bromfed DM because this combination raises your risk of sleepiness and dizziness.

Can I use Bromfed DM if I'm pregnant?

Bromfed DM is a combination medication containing brompheniramin, pseudoephedrine, and dextromethorphan. Most antihistamines like brompheniramine are generally considered safe during pregnancy. But pseudoephedrine is usually not recommended for expecting mothers during the first 3 months of pregnancy due to a risk of harm to babies. Bromfed DM should only be used while you're expecting if it's clearly needed. If you're pregnant or thinking of becoming pregnant, don't use Bromfed DM until you've talked to your provider first.

Can I use Bromfed DM if I'm breastfeeding?

You shouldn't take Bromfed DM if you're nursing. Bromfed DM contains brompheniramine (an antihistamine), and there might be a higher risk of side effects from the antihistamine in infants, particularly newborns and premature babies. Additionally, medications that contain pseudoephedrine like Bromfed DM can affect your ability to breastfeed and potentially cause irritability and other side effects in your baby. If you're breastfeeding, don't use Bromfed DM, and contact your provider or pharmacist for other available options for treating cold and allergy symptoms.

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What are the risks and warnings for Bromfed DM?

Bromfed DM can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

Sleepiness

Risk factors: Drinking alcohol while taking Bromfed DM | Taking other medications that cause sleepiness | Age 65 or older

Bromfed DM can make you very sleepy, which can affect your ability to focus, think, or react. This side effect is more likely to happen or be more intense if you're 65 years or older, drink alcohol while taking this medication, or take other medications that cause sleepiness, such as opioids, benzodiazepines, or sleep medications. Don't drive or operate machinery until you know how this medication affects you.

Serotonin syndrome

Risk factors: Taking monoamine oxidase inhibitors (MAOI) 14 days before starting Bromfed DM | Taking other medications that raise serotonin levels

Serotonin syndrome is a rare, but potentially life-threatening condition where there's too much serotonin in the brain. Serotonin is one of the chemicals in your brain responsible for your mood. Your risk for this condition goes up if you use Bromfed DM with other medications that affect serotonin levels, such as antidepressants like sertraline (Zoloft) and duloxetine (Cymbalta), MAOIs like phenelzine (Nardil), and migraine medications like sumatriptan (Imitrex). Let your provider know about all the medications you take or plan to take (including over-the-counter medications and supplements). They can make sure Bromfed DM is safe for you to take. Symptoms of serotonin syndrome include fast heart rate, sweating, muscle stiffness or spasms, high fever, and confusion. Seek medical help right away if you have any of these symptoms.

Possible worsening of medical conditions

Risk factors: Heart disease or high blood pressure | Thyroid problems | High blood sugar (diabetes) | Asthma | Glaucoma | Gut blockage | Urinary problems

Tell your provider if you have any of the risk factors listed above. Taking Bromfed DM can worsen certain medical condition(s) and cause serious side effects. Make sure your provider knows about all medical conditions you have or have had in the past before starting Bromfed DM so they can make sure it's safe for you.

Accidental overdose

Bromfed DM contains an antihistamine (brompheniramine), a decongestant (pseudoephedrine), and a cough suppressant (dextromethorphan), which can all be found in many other over-the-counter and prescription medications. Using more than one medication containing these types of ingredients can lead to an accidental overdose and cause serious side effects. These serious side effects can include high blood pressure, seizures, hallucinations (seeing things that aren't real), or even death. Tell your provider or pharmacist about the medications you take before starting Bromfed DM. Also don't start any new medications while taking Bromfed DM without talking to your provider or pharmacist first. They can make sure your medications are safe for you to take.

Early signs of overdose include daytime sleepiness, dizziness, confusion, not being aware of your surroundings, flushed skin, skin that's warm to the touch, and vision changes. If you or your loved one experiences an accidental overdose, get medical help right away or contact a poison control center at 1-800-222-1222.

Bromfed DM dosage forms

The average cost for 118 ml of 2mg/30mg/10mg/5ml of Bromfed DM is $26.52 with a free GoodRx coupon. This is 7.36% off the average retail price of $28.63.

Ml of syrup

Dosage	Quantity	Price as low as	Price per unit
2mg/30mg/10mg/5ml	120 ml	$26.52	$0.22

Typical dosing for Bromfed DM

Each 5 mL of medication contains 2 mg of brompheniramine, 30 mg of pseudoephedrine, and 10 mg of dextromethorphan.

Adults and children 12 years and older: The typical dose is 10 mL (2 teaspoonfuls) by mouth every 4 hours.
Children 6 to under 12 years old: The typical dose is 5 mL (1 teaspoonful) by mouth every 4 hours.
Children 2 to under 6 years old: The typical dose is 2.5 mL (one-half teaspoonful) by mouth every 4 hours.
Children under 2 years old: Ask your child's provider.

Don't use more than 6 doses in a 24-hour period.

How much does Bromfed DM cost?

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Bromfed DM (brand)

GoodRx lowest price

$26.08

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Bromfed DM (generic)

GoodRx lowest price

$20.30

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Bromfed DM contraindications

Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Bromfed DM will not be safe for you to take.