Chlorpheniramine is an over-the-counter (OTC) antihistamine that treats allergy symptoms like sneezing, runny nose, and itchy throat. It works by blocking a chemical called histamine in our bodies. The medication is typically taken by mouth every 4 to 6 hours as needed, but there's an extended-release tablet that can be taken twice daily. Chlorpheniramine is available as a generic and many different brand-name products. Some side effects include drowsiness and dry mouth. It's generally considered safe to take during pregnancy.
Short-term relief of allergy symptoms:
Sneezing
Runny nose
Itchy or watery eyes
Itchy nose or throat
Chlorpheniramine is an antihistamine. It blocks a chemical called histamine in your body, reducing inflammation and treating allergy symptoms like runny nose and itchy eyes.
Source: DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
Available over the counter
Works quickly compared to other similar medications
Available in both immediate-release (IR) and extended-release (ER) forms
Safe for children and adults
Can make you feel sleepy or dizzy
Might need to take multiple times a day
Not the best choice for older adults
Can worsen certain medical conditions including glaucoma, stomach ulcers, and urinary problems
Chlorpheniramine can make you sleepy and dizzy. Don't drive until you know how this medication affects you. It's best to avoid drinking alcohol while taking this medication because it can make these side effects worse.
Don't use chlorpheniramine as a way to make a child go to sleep. While this medication usually makes adults sleepy, it can have the opposite effect in children and make them hyper. If your child is having trouble sleeping, contact their pediatrician for other options.
If you're taking chlorpheniramine liquid, use the measuring device provided with the product or ask your pharmacist for one. Don't use household spoons because this could cause you to take or give the wrong dose.
If you're taking chlorpheniramine extended-release tablets, don't crush or chew them. Be sure to swallow them whole, because breaking the tablets could cause the medication to not work as well.
Avoid taking chlorpheniramine with other antihistamines, as it can cause more drowsiness or dizziness. Many OTC cold or allergy medications contain antihistamines, so check labels carefully. Ask your pharmacist if you’re unsure.
Chlorpheniramine 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.
Risk factors: Drinking alcohol while taking chlorpheniramine | Taking other medications that cause sleepiness | Ages 65 and older
Chlorpheniramine can make you very sleepy, which can affect your ability to focus, think, or react. This side effect is more likely or might be stronger if you're over 65 years old, drink alcohol while taking this medication, or take other medications that cause sleepiness (e.g., opioids, benzodiazepines, sleep medications). Don't drive or operate machinery until you know how this medication affects you.
Risk factors: Breathing problems | Glaucoma | Enlarged prostate problems
Don't take chlorpheniramine if you have breathing problems, glaucoma, or an enlarged prostate unless your primary care provider said it was safe to do so. This medication can worsen these conditions and lead to serious side effects. Make sure your care team knows about all medical conditions you have before starting chlorpheniramine.
Chlorpheniramine is an antihistamine, which is in many other OTC products. Using more than one medication containing an antihistamine can lead to an accidental overdose and cause serious side effects, such as extreme drowsiness. Very rarely, it can result in seizures, hallucinations, or even death. To prevent an accidental overdose, read package labels carefully. If you're not sure if a product has an antihistamine, ask your pharmacist. If you or your loved one experiences an accidental overdose, get medical help right away or contact Poison Control at 1-800-222-1222.
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 4mg | 30 tablets | $2.76 | $0.09 |
There are several manufacturers of chlorpheniramine that might have various strengths and concentrations. The dose and age cut-offs might differ depending on the product you have. Always check the box for specific directions. Below are some examples of dosing instructions.
Chlorpheniramine immediate-release tablets:
Adults and children 12 years and up: The typical dose is 4 mg every 4 to 6 hours. Don't take more than 24 mg in a 24-hour period.
Children 6 to under 12 years: The typical dose is 2 mg (½ tablet) every 4 to 6 hours. Don't take more than 12 mg in a 24-hour period.
Children under 6 years: Ask your child's pediatrician.
Chlorpheniramine extended-release tablets:
Adults and children 12 years and up: The typical dose is 12 mg by mouth every 12 hours. Don't take more than 24 mg in a 24-hour period.
Children ages under 12 years: Ask your child's pediatrician.
Ed Chlorped Jr (chlorpheniramine) liquid: Each 5 mL contains 2 mg of chlorpheniramine.
Adults and children 12 years and up: Take 10 mL (2 teaspoonfuls) by mouth every 4 to 6 hours. Don't take more than 120 mL (12 teaspoonfuls) in a 24-hour period.
Children 6 to under 12 years: Take 5 mL (1 teaspoonful) by mouth every 4 to 6 hours. Don't take more than 30 mL (6 teaspoonfuls) in a 24-hour period.
Children under 6 years: Ask your child's pediatrician.
Short-term relief of allergy symptoms:
Sneezing
Runny nose
Itchy or watery eyes
Itchy nose or throat
Allergies
Common cold symptoms
Trouble sleeping for people 12 years and older
Short-term relief of allergy symptoms (sneezing, runny nose, itchy or watery eyes, itchy nose or throat)
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American College of Obstetricians and Gynecologists. (2021). What medicine can I take for allergies while I’m pregnant?
Borowy, C. S., et al. (2023). Antihistamine toxicity. StatPearls.
Centers for Disease Control and Prevention. (n.d.). PROTECT your child: Use the right tool to give the right dose.
Edwards Pharmaceuticals, Inc. (2024). ED Chlorped Jr- chlorpheniramine maleate liquid [package insert]. DailyMed.
KVK-Tech, Inc. (2018). Chlorphen-12- chlorpheniramine maleate tablet, film coated, extended release [package insert]. DailyMed.
Major Pharmaceuticals. (2024). Allergy- chlorpheniramine maleate tablet [package insert]. DailyMed.
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