Head-to-head comparisons of medication uses, side effects, warnings, and more.
Promethazine (Phenergan) and prochlorperazine (Compro) are both prescription medications used to treat nausea and vomiting, but they have some key differences. Promethazine is an antihistamine that also blocks dopamine and acetylcholine, making it useful for treating allergies, motion sickness, and as a sedative before surgery. It comes in various forms, including tablets, syrup, and injections. On the other hand, prochlorperazine is a phenothiazine that primarily blocks dopamine and is available as a rectal suppository. It is not a first-choice medication due to its serious side effects, such as uncontrolled muscle movements and extreme sleepiness. Promethazine can be used in children over 2 years old, while prochlorperazine is not recommended for children under 2 years old or under 20 pounds. Additionally, promethazine is available as a lower-cost generic, whereas prochlorperazine is also available in a generic form but might be less convenient due to its rectal administration.
Promethazine is a prescription medication with many uses, such as treatment or prevention of nausea, motion sickness, and allergy symptoms. Promethazine works by blocking several chemicals, including histamine, dopamine, and acetylcholine. It comes as tablets, an oral solution, rectal suppositories, and an injection. The dose of promethazine and how often you take it depends on your age and what medical condition you're taking it to treat. But it shouldn't be given to children younger than 2 years of age since it can cause serious breathing problems. Common side effects include sleepiness and dizziness.
Prochlorperazine (Compro) rectal suppository is a typical antipsychotic. It's FDA-approved to treat severe nausea and vomiting in adults. But prochlorperazine (Compro) isn't a first-choice antiemetic because it can cause serious side effects, such as extreme sleepiness and uncontrolled muscle movements. While prochlorperazine (Compro) is a good option for people who can't take medications by mouth, some people might find it unpleasant or difficult to use because it needs to be inserted into the rectum, typically twice daily. Prochlorperazine (Compro) comes as a brand-name and generic medication.
The following side effects are those additionally reported with promethazine injection at the injection site:
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