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Promethazine-Dm

Promethazine-DM 118ML of 6.25-15MG/5ML

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What is Promethazine-Dm?

Promethazine-DM is a combination cough suppressant and antihistamine medication used to temporarily relieve coughs caused by minor throat and bronchial irritation associated with the common cold or allergies. Promethazine acts as an antihistamine, reducing the effects of natural chemical histamine in the body, while dextromethorphan (DM) suppresses the cough reflex in the brain. This product is typically not for long-term use and should be used as directed by a healthcare provider to avoid potential side effects.

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What is Promethazine-Dm ?

Promethazine-DM is a combination cough suppressant and antihistamine medication used to temporarily relieve coughs caused by minor throat and bronchial irritation associated with the common cold or allergies. Promethazine acts as an antihistamine, reducing the effects of natural chemical histamine in the body, while dextromethorphan (DM) suppresses the cough reflex in the brain. This product is typically not for long-term use and should be used as directed by a healthcare provider to avoid potential side effects.
  • Thickened mucus
  • Confusion
  • Skin rash, hives, or itching
  • Extreme weakness
  • Trouble breathing
  • Fast, slow, or irregular heartbeat
  • This medicine might contain phenylalanine (aspartame). This is only a concern if you have a disorder called phenylketonuria (a problem with amino acids). Talk to your doctor before using this medicine.
  • If you are pregnant or breastfeeding, talk to your doctor before using this medicine.
  • This medicine may make you drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
  • Some liquid cough medicines contain alcohol.
  • Call your doctor if your symptoms get worse after 2 or 3 days of treatment, or if they do not improve after 7 days. Also call if you develop a severe sore throat or fever; or cough up thick yellow mucus.
  • Children may be more sensitive to this medicine than adults, especially if they take too much medicine. Always read medicine labels carefully and give your child the right amount. Ask your pharmacist if you are not sure how much medicine to use.
  • Make sure your doctor knows if you have heart disease, high blood pressure, diabetes, glaucoma, an enlarged prostate, seizure disorder, asthma, emphysema, or an overactive thyroid.
What is promethazine DM used for?
Promethazine DM is a prescription oral syrup approved for the temporary relief of cough and upper respiratory symptoms — such as runny nose and sneezing — associated with allergies or the common cold. It combines the antihistamine promethazine with the cough suppressant dextromethorphan. It is not approved for children under 2.
Is promethazine DM a narcotic or controlled substance?
No. Promethazine DM is not a federally controlled substance. That's a key difference from promethazine with codeine (promethazine AC), which contains the opioid codeine and is scheduled. Even though it's not controlled, promethazine DM still causes significant drowsiness and should be used with care.
Can you take promethazine DM with Benadryl or other cold medicine?
Check with your doctor or pharmacist before combining it with other cold, allergy, or sleep products. Promethazine DM already contains a sedating antihistamine and causes meaningful CNS depression on its own, so adding another antihistamine like diphenhydramine (Benadryl) or other sedating ingredients raises the risk of excessive drowsiness. Multi-symptom cold products can also duplicate ingredients without you realizing it, so read labels carefully.
How much does promethazine DM cost without insurance?
Cash prices for this generic syrup vary quite a bit by pharmacy, and since there's no brand-name version to compare, shopping around is the main lever you have to control cost. Enter your ZIP code above to see today's price at pharmacies near you.
Is promethazine DM safe for children?
It carries an FDA boxed warning against use in children under 2 years old because of the risk of fatal respiratory depression. For children 2 and older, it should be used with caution and only as directed by their doctor, and never combined with other medications that depress breathing.
How much does Promethazine-Dm cost without insurance?
The price of Promethazine-Dm without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 46% off retail prices with a free Rx.com coupon.
What are the common side effects of Promethazine-Dm?
Common side effects of Promethazine-Dm may include: Thickened mucus, Confusion, Skin rash, hives, or itching, Extreme weakness, Trouble breathing. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Promethazine-Dm?
Generic versions may be available for Promethazine-Dm. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Promethazine-Dm on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Promethazine-Dm?
The cheapest pharmacy for Promethazine-Dm depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Promethazine-Dm near you.

Promethazine-Dm Coupons & Prices

Promethazine-DM 118ML of 6.25-15MG/5ML

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Promethazine-Dm Bottle — prescription drug image
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Searching for a promethazine DM coupon? Promethazine DM (promethazine hydrochloride / dextromethorphan hydrobromide) is a prescription cough-and-cold syrup that combines a sedating antihistamine with a cough suppressant, and there's no current branded version of the combination — every prescription is filled generically. That doesn't mean every pharmacy charges the same price for it, though: cash prices for this syrup can vary widely from one pharmacy to the next. Rx.com compares pricing across 60,000+ pharmacies so you can see where it costs less near you — enter your ZIP above to check today's price.

What Is Promethazine DM and How Does It Work?

Promethazine DM combines two active ingredients in one oral syrup: promethazine hydrochloride, a phenothiazine antihistamine, and dextromethorphan hydrobromide, a cough suppressant that works on NMDA receptors. It's FDA-approved for the temporary relief of cough and upper respiratory symptoms — including runny nose and sneezing — associated with allergies or the common cold.

It's available only by prescription and is not approved for children under 2 years old.

How Much Does Promethazine DM Cost, and How Can You Save?

Because promethazine DM is sold only as a generic, there's no brand-name price to compare it against — but that doesn't mean every pharmacy's cash price is the same. Prices for generic syrups like this one can differ significantly from pharmacy to pharmacy in the same city, so comparing before you fill is one of the most reliable ways to control what you pay.

There's no manufacturer savings card for this generic combination. The best way to find out what it actually costs where you live is to enter your ZIP code above and compare current prices across pharmacies near you.

Promethazine DM vs. Related Cough, Allergy, and Congestion Medications

Promethazine DM bundles two ingredients you can also get separately: promethazine alone (an antihistamine formerly sold under the brand name Phenergan, which is no longer marketed as a branded product and is now available only generically) and dextromethorphan alone (an OTC cough suppressant). Combining them in one syrup means one prescription instead of two products.

A related but different product is promethazine with codeine (promethazine AC). It swaps the cough suppressant dextromethorphan for the opioid codeine — which makes it a federally controlled substance, unlike promethazine DM, which is not scheduled. If your cough is productive (bringing up mucus) rather than dry, your doctor might instead consider guaifenesin, an expectorant used for cold-related chest congestion that works by thinning mucus rather than suppressing cough or treating allergy symptoms.

Safety Information for Promethazine DM

Promethazine DM carries an FDA boxed warning: it must never be given to children under 2 years old because of the risk of fatal respiratory depression. In children 2 and older, it should be used with caution, and it should never be combined with other drugs that depress breathing.

  • Contraindicated with MAO inhibitors (risk of hyperpyrexia, hypotension, and death), in comatose patients, and in people with lower-respiratory-tract disease such as asthma
  • Causes significant CNS depression and sedation and can impair driving or operating machinery
  • May lower the seizure threshold and carries a risk of neuroleptic malignant syndrome
  • Contains roughly 7% alcohol
  • Has additive CNS-depressant effects with alcohol, sedatives, opioids, and other depressant medications

This is general safety information, not medical advice — talk to your doctor or pharmacist about whether promethazine DM is right for you or your child, and about any other medications you're taking.

Sources & accuracy

This Promethazine-Dm information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Promethazine-Dm on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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