PROMETHEGAN

Manufacturer
Physicians Total Care, Inc.
Effective date
2012-11-05
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
3
Source
full-release
Hydrated at
2026-05-31 20:16:17

Label at a glance#

ProductPROMETHEGAN
Active ingredientPromethazine Hydrochloride
Label structure12 sections

Indications and uses

Promethazine HCl Suppositories are useful for: Perennial and seasonal allergic rhinitis. Vasomotor rhinitis. Allergic conjunctivitis due to inhalant allergens and foods. Mild, uncomplicated allergic skin manifestations of urticaria and angioedema. Amerlioration of allergic reactions to blood or plasma. Dermographism. Anaphylactic reactions, as adjunctive therapy to epinephrine and other standard measures, after th...

Dosage and administration

Promethazine HCl Rectal Suppositories, USP are contraindicated for children under 2 years of age (see WARNINGS – Black Box Warning and Use in Pediatric Patients ). Promethazine HCl Suppositories are for rectal administration only. The average dose is 25 mg taken before retiring; however, 12.5 mg may be taken before meals and on retiring, if necessary. Single 25-mg doses at bedtime or 6.25 to 12.5 mg taken three ti...

Label contents#

Full prescribing information#

DESCRIPTION

SPL UNCLASSIFIED SECTION

Each rectal suppository contains 50 mg promethazine HCl with ascorbyl palmitate and polysorbate 80 in a specially blended base of saturated vegetable fatty acids. Promethazine HCl Suppositories are for rectal administration only.

Promethazine HCl is a racemic compound; the empirical formula is C17H20N2S•HCl and its molecular weight is 320.88.

Promethazine HCl, a phenothiazine derivative, is designated chemically as 10H-Phenothiazine-10-ethanamine, N,N, α-trimethyl-,monohydrochloride- (±)-with the following structural formula:

DESCRIPTION
DESCRIPTION

Promethazine HCl occurs as a white to faint yellow, practically odorless, crystalline powder, which slowly oxidizes and turns blue on prolonged exposure to air. It is freely soluble in water and soluble in alcohol.

CLINICAL PHARMACOLOGY

SPL UNCLASSIFIED SECTION

Promethazine is a phenothiazine derivative which differs structurally from the antipsychotic phenothiazines by the presence of a branched side chain and no ring substitution. It is thought that this configuration is responsible for its relative lack (1/10 that of chlorpromazine) of dopamine antagonist properties.

Promethazine is an H1 receptor blocking agent. In addition to its antihistaminic action, it provides clinically useful sedative and antiemetic effects.

Promethazine is metabolized by the liver to a variety of compounds; the sulfoxides of promethazine and N-demethylpromethazine are the predominant metabolites appearing in the urine.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Promethazine HCl Suppositories are useful for:

Perennial and seasonal allergic rhinitis.

Vasomotor rhinitis.

Allergic conjunctivitis due to inhalant allergens and foods.

Mild, uncomplicated allergic skin manifestations of urticaria and angioedema.

Amerlioration of allergic reactions to blood or plasma.

Dermographism.

Anaphylactic reactions, as adjunctive therapy to epinephrine and other standard measures, after the acute manifestations have been controlled.

Preoperative, postoperative, or obstetric sedation.

Prevention and control of nausea and vomiting associated with certain types of anesthesia and surgery.

Therapy adjunctive to meperidine or other analgesics for control of postoperative pain.

Sedation in both children and adults, as well as relief of apprehension and production of light sleep from which the patient can be easily aroused.

Active and prophylactic treatment of motion sickness.

Antiemetic therapy in postoperative patients.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Promethazine HCl Suppositories are contraindicated for use in pediatric patients less than two years of age.

Promethazine HCl Suppositories are contraindicated in comatose states, and in individuals known to be hypersensitive or to have had an idiosyncratic reaction to promethazine or to other phenothiazines.

Antihistamines are contraindicated for use in the treatment of lower respiratory tract symptoms including asthma.

WARNINGS

SPL UNCLASSIFIED SECTION

BOXED WARNING SECTION

WARNING:

PROMETHAZINE HCL SUPPOSITORIES, USP SHOULD NOT BE USED IN PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE BECAUSE OF THE POTENTIAL FOR FATAL RESPIRATORY DEPRESSION.

POSTMARKETING CASES OF RESPIRATORY DEPRESSION, INCLUDING FATALITIES, HAVE BEEN REPORTED WITH USE OF PROMETHAZINE HCL SUPPOSITORIES, USP IN PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE. A WIDE RANGE OF WEIGHT-BASED DOSES OF PROMETHAZINE HCL SUPPOSITORIES, USP HAVE RESULTED IN RESPIRATORY DEPRESSION IN THESE PATIENTS.

CAUTION SHOULD BE EXERCISED WHEN ADMINISTERING PROMETHAZINE HCL TO PEDIATRIC PATIENTS 2 YEARS OF AGE AND OLDER. IT IS RECOMMENDED THAT THE LOWEST EFFECTIVE DOSE OF PROMETHAZINE HCL BE USED IN PEDIATRIC PATIENTS 2 YEARS OF AGE AND OLDER AND CONCOMITANT ADMINISTRATION OF OTHER DRUGS WITH RESPIRATORY DEPRESSANT EFFECTS BE AVOIDED.

CNS Depression

SPL UNCLASSIFIED SECTION

Promethazine HCl Suppositories may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery. The impairment may be amplified by concomitant use of other central-nervous-system depressants such as alcohol, sedatives/ hypnotics (including barbiturates), narcotics, narcotic analgesics, general anesthetics, tricyclic antidepressants, and tranquilizers; therefore, such agents should either be eliminated or given in reduced dosage in the presence of promethazine HCl (see PRECAUTIONS– Information for Patients and Drug Interactions).

Respiratory Depression

SPL UNCLASSIFIED SECTION

Promethazine HCl Suppositories may lead to potentially fatal respiratory depression.

Use of Promethazine HCl Suppositories in patients with compromised respiratory function (e.g., COPD, sleep apnea) should be avoided.

Lower Seizure Threshold

SPL UNCLASSIFIED SECTION

Promethazine HCl Suppositories may lower seizure threshold. It should be used with caution in persons with seizure disorders or in persons who are using concomitant medications, such as narcotics or local anesthetics, which may also affect seizure threshold.

Bone-Marrow Depression

SPL UNCLASSIFIED SECTION

Promethazine HCl Suppositories should be used with caution in patients with bone-marrow depression. Leukopenia and agranulocytosis have been reported, usually when promethazine HCl has been used in association with other known marrow-toxic agents.

Neuroleptic Malignant Syndrome

SPL UNCLASSIFIED SECTION

A potentially fatal symptom complex sometimes referred to as Neuroleptic Malignant Syndrome (NMS) has been reported in association with promethazine HCl alone or in combination with antipsychotic drugs. Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis and cardiac dysrhythmias).

The diagnostic evaluation of patients with this syndrome is complicated. In arriving at a diagnosis, it is important to identify cases where the clinical presentation includes both serious medical illness (e.g. pneumonia, systemic infection, etc.) and untreated or inadequately treated extrapyramidal signs and symptoms (EPS). Other important considerations in the differential diagnosis include central anticholinergic toxicity, heat stroke, drug fever and primary central nervous system (CNS) pathology.

The management of NMS should include 1) immediate discontinuation of promethazine HCl, antipsychotic drugs, if any, and other drugs not essential to concurrent therapy, 2) intensive symptomatic treatment and medical monitoring, and 3) treatment of any concomitant serious medical problems for which specific treatments are available. There is no general agreement about specific pharmacological treatment regimens for uncomplicated NMS.

Since recurrences of NMS have been reported with phenothiazines, the reintroduction of promethazine HCl should be carefully considered.

Use in Pediatric Patients

SPL UNCLASSIFIED SECTION

PROMETHAZINE HCL SUPPOSITORIES, USP ARE CONTRAINDICATED FOR THE USE IN PEDIATRIC PATIENTS LESS THAN TWO YEARS OF AGE.

CAUTION SHOULD BE EXERCISED WHEN ADMINISTERING PROMETHAZINE HCL SUPPOSITORIES, USP TO PEDIATRIC PATIENTS 2 YEARS OF AGE AND OLDER BECAUSE OF THE POTENTIAL FOR FATAL RESPIRATORY DEPRESSION. RESPIRATORY DEPRESSION AND APNEA, SOMETIMES ASSOCIATED WITH DEATH, ARE STRONGLY ASSOCIATED WITH PROMETHAZINE PRODUCTS AND ARE NOT DIRECTLY RELATED TO INDIVIDUALIZED WEIGHT-BASED DOSING, WHICH MIGHT OTHERWISE PERMIT SAFE ADMINISTRATION. CONCOMITANT ADMINISTRATION OF PROMETHAZINE PRODUCTS WITH OTHER RESPIRATORY DEPRESSANTS HAS AN ASSOCIATION WITH RESPIRATORY DEPRESSION, AND SOMETIMES DEATH, IN PEDIATRIC PATIENTS.

ANTIEMETICS ARE NOT RECOMMENDED FOR TREATMENT OF UNCOMPLICATED VOMITING IN PEDIATRIC PATIENTS, AND THEIR USE SHOULD BE LIMITED TO PROLONGED VOMITING OF KNOWN ETIOLOGY. THE EXTRAPYRAMIDAL SYMPTOMS WHICH CAN OCCUR SECONDARY TO PROMETHAZINE HCL SUPPOSITORIES, USP ADMINISTRATION MAY BE CONFUSED WITH THE CNS SIGNS OF UNDIAGNOSED PRIMARY DISEASE, E.G., ENCEPHALOPATHY OR REYE’S SYNDROME. THE USE OF PROMETHAZINE HCL SUPPOSITORIES, USP SHOULD BE AVOIDED IN PEDIATRIC PATIENTS WHOSE SIGNS AND SYMPTOMS MAY SUGGEST REYE’S SYNDROME OR OTHER HEPATIC DISEASES.

Excessively large dosages of antihistamines, including Promethazine HCl Suppositories, in pediatric patients may cause sudden death (see OVERDOSAGE). Hallucinations and convulsions have occurred with therapeutic doses and overdoses of promethazine HCl in pediatric patients. In pediatric patients who are acutely ill associated with dehydration, there is an increased susceptibility to dystonias with the use of promethazine HCl.

Other Considerations

SPL UNCLASSIFIED SECTION

Administration of promethazine HCl has been associated with reported cholestatic jaundice.

PRECAUTIONS

SPL UNCLASSIFIED SECTION

General

SPL UNCLASSIFIED SECTION

Drugs having anticholinergic properties should be used with caution in patients with narrow-angle glaucoma, prostatic hypertrophy, stenosing peptic ulcer, pyloroduodenal obstruction, and bladder-neck obstruction.

Promethazine HCl Suppositories should be used cautiously in persons with cardiovascular disease or with impairment of liver function.

Information for Patients

SPL UNCLASSIFIED SECTION

Promethazine HCl Suppositories may cause marked drowsiness or impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery.

The use of alcohol or other central-nervous-system depressants such as sedatives/hypnotics (including barbiturates), narcotics, narcotic analgesics, general anesthetics, tricyclic antidepressants, and tranquilizers, may enhance impairment (see WARNINGS– CNS Depression and PRECAUTIONS– Drug Interactions). Pediatric patients should be supervised to avoid potential harm in bike riding or in other hazardous activities.

Patients should be advised to report any involuntary muscle movements.

Avoid prolonged exposure to the sun.

Drug Interactions

DRUG INTERACTIONS SECTION

CNS Depressants– Promethazine HCl Suppositories may increase, prolong, or intensify the sedative action of other central-nervous-system depressants, such as alcohol, sedatives/hypnotics (including barbiturates), narcotics, narcotic analgesics, general anesthetics, tricyclic antidepressants, and tranquilizers; therefore, such agents should be avoided or administered in reduced dosage to patients receiving promethazine HCl. When given concomitantly with Promethazine HCl Suppositories, the dose of barbiturates should be reduced by at least one-half, and the dose of narcotics should be reduced by one-quarter to one-half. Dosage must be individualized. Excessive amounts of promethazine HCl relative to a narcotic may lead to restlessness and motor hyperactivity in the patient with pain; these symptoms usually disappear with adequate control of the pain.

Epinephrine– Because of the potential for promethazine HCl to reverse epinephrine’s vasopressor effect, epinephrine should NOT be used to treat hypotension associated with Promethazine HCl Suppositories overdose.

Anticholinergics– Concomitant use of other agents with anticholinergic properties should be undertaken with caution.

Monoamine Oxidase Inhibitors (MAOI)– Drug interactions, including an increased incidence of extrapyramidal effects, have been reported when some MAOI and phenothiazines are used concomitantly. This possibility should be considered with Promethazine HCl Suppositories.

Drug and Laboratory Test Interactions

Drug & or Laboratory Test Interactions Section

The following laboratory tests may be affected in patients who are receiving therapy with promethazine HCl:

SPL UNCLASSIFIED SECTION

Pregnancy Tests

Diagnostic pregnancy tests based on immunological reactions between HCG and anti-HCG may result in false-negative or false-positive interpretations.

Glucose Tolerance Test

An increase in blood glucose has been reported in patients receiving promethazine HCl.

Carcinogenesis, Mutagenesis, Impairment of Fertility

Carcinogenesis & Mutagenesis & Impairment of Fertility Section

Long-term animal studies have not been performed to assess the carcinogenic potential of promethazine, nor are there other animal or human data concerning carcinogenicity, mutagenicity, or impairment of fertility with this drug. Promethazine was nonmutagenic in the Salmonella test system of Ames.

Pregnancy

Pregnancy Section

Teratogenic Effects - Pregnancy Category C

Teratogenic Effects Section

Teratogenic effects have not been demonstrated in rat-feeding studies at doses of 6.25 and 12.5 mg/kg of promethazine HCl. These doses are from approximately 2.1 to 4.2 times the maximum recommended total daily dose of promethazine for a 50-kg subject, depending upon the indication for which the drug is prescribed. Daily doses of 25 mg/kg intraperitoneally have been found to produce fetal mortality in rats.

Specific studies to test the action of the drug on parturition, lactation, and development of the animal neonate were not done, but a general preliminary study in rats indicated no effect on these parameters. Although antihistamines have been found to produce fetal mortality in rodents, the pharmacological effects of histamine in the rodent do not parallel those in man. There are no adequate and well-controlled studies of Promethazine HCl Suppositories in pregnant women.

Promethazine HCl Suppositories should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Nonteratogenic Effects

Nonteratogenic Effects Section

Promethazine HCl Suppositories administered to a pregnant woman within two weeks of delivery may inhibit platelet aggregation in the newborn.

Labor and Delivery

Labor & Delivery Section

Promethazine HCl may be used alone or as an adjunct to narcotic analgesics during labor (see DOSAGE AND ADMINISTRATION). Limited data suggest that use of promethazine HCl during labor and delivery does not have an appreciable effect on the duration of labor or delivery and does not increase the risk of need for intervention in the newborn. The effect on later growth and development of the newborn is unknown. (See also Nonteratogenic Effects.)

Nursing Mothers

Nursing Mothers Section

It is not known whether promethazine HCl is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Promethazine HCl Suppositories, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Pediatric Use

Pediatric Use Section

PROMETHAZINE HCL SUPPOSITORIES ARE CONTRAINDICATED FOR USE IN PEDIATRIC PATIENTS LESS THAN TWO YEARS OF AGE (see WARNINGS - Black Box Warning and Use in Pediatric Patients).

Promethazine HCl Suppositories should be used with caution in pediatric patients 2 years of age and older (see WARNINGS– Use in Pediatric Patients).

Geriatric Use

GERIATRIC USE SECTION

Clinical studies of Promethazine HCl formulations did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, rental or cardiac function, and of concomitant disease or other drug therapy.

Sedating drugs may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of Promethazine HCl Suppositories and observed closely.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Central Nervous System

SPL UNCLASSIFIED SECTION

Drowsiness is the most prominent CNS effect of this drug. Sedation, somnolence, blurred vision, dizziness; confusion, disorientation, and extrapyramidal symptoms such as oculogyric crisis, torticollis, and tongue protrusion; lassitude, tinnitus, incoordination, fatigue, euphoria, nervousness, diplopia, insomnia, tremors, convulsive seizures, excitation, catatonic-like states, hysteria. Hallucinations have also been reported.

Cardiovascular– Increased or decreased blood pressure, tachycardia, bradycardia, faintness.

Dermatologic– Dermatitis, photosensitivity, urticaria.

Hematologic– Leukopenia, thrombocytopenia, thrombocytopenic purpura, agranulocytosis.

Gastrointestinal– Dry mouth, nausea, vomiting, jaundice.

Respiratory– Asthma, nasal stuffiness, respiratory depression (potentially fatal) and apnea (potentially fatal). (See WARNINGS– Respiratory Depression).

Other– Angioneurotic edema. Neuroleptic malignant syndrome (potentially fatal) has also been reported (See WARNINGS– Neuroleptic Malignant Syndrome).

Paradoxical Reactions

SPL UNCLASSIFIED SECTION

Hyperexcitability and abnormal movements have been reported in patients following a single administration of promethazine HCl. Consideration should be given to the discontinuation of promethazine HCl and to the use of other drugs if these reactions occur. Respiratory depression, nightmares, delirium, and agitated behavior have also been reported in some of these patients.

OVERDOSAGE

SPL UNCLASSIFIED SECTION

Signs and symptoms of overdosage with promethazine HCl range from mild depression of the central nervous system and cardiovascular system to profound hypotension, respiratory depression, unconsciousness, and sudden death. Other reported reactions include hyperreflexia, hypertonia, ataxia, athetosis, and extensor-plantar reflexes (Babinski reflex).

Stimulation may be evident, especially in children and geriatric patients. Convulsions may rarely occur. A paradoxical–type reaction has been reported in children receiving single doses of 75 mg to 125 mg orally, characterized by hyperexcitability and nightmares.

Atropine-like signs and symptoms-dry mouth, fixed, dilated pupils, flushing, as well as gastrointestinal symptoms-may occur.

Treatment

SPL UNCLASSIFIED SECTION

Treatment of overdosage is essentially symptomatic and supportive. Only in cases of extreme overdosage or individual sensitivity do vital signs, including respiration, pulse, blood pressure, temperature, and EKG, need to be monitored. Activated charcoal orally or by lavage may be given, or sodium or magnesium sulfate orally as a cathartic. Attention should be given to the reestablishment of adequate respiratory exchange through provision of a patent airway and institution of assisted or controlled ventilation. Diazepam may be used to control convulsions. Acidosis and electrolyte losses should be corrected. Note that any depressant effects of promethazine HCl are not reversed by naloxone. Avoid analeptics, which may cause convulsions.

The treatment of choice for resulting hypotension is administration of intravenous fluids, accompanied by repositioning if indicated. In the event that vasopressors are considered for the management of severe hypo-tension which does not respond to intravenous fluids and repositioning, the administration of norepinephrine or phenylephrine should be considered. EPINEPHRINE SHOULD NOT BE USED, since its use in patients with partial adrenergic blockade may further lower the blood pressure. Extrapyramidal reactions may be treated with anticholinergic antiparkinsonian agents, diphenhydramine, or barbiturates. Oxygen may also be administered.

Limited experience with dialysis indicates that it is not helpful.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

Promethazine HCl Rectal Suppositories, USP are contraindicated for children under 2 years of age (see WARNINGS– Black Box Warning and Use in Pediatric Patients).

Promethazine HCl Suppositories are for rectal administration only.

Allergy

SPL UNCLASSIFIED SECTION

The average dose is 25 mg taken before retiring; however, 12.5 mg may be taken before meals and on retiring, if necessary. Single 25-mg doses at bedtime or 6.25 to 12.5 mg taken three times daily will usually suffice. After initiation of treatment in children or adults, dosage should be adjusted to the smallest amount adequate to relieve symptoms. The administration of promethazine hydrochloride in 25-mg doses will control minor transfusion reactions of an allergic nature.

Motion Sickness

SPL UNCLASSIFIED SECTION

The average adult dose is 25 mg taken twice daily. The initial dose should be taken one-half to one hour before anticipated travel and be repeated 8 to 12 hours later, if necessary. On succeeding days of travel, it is recommended that 25 mg be given on arising and again before the evening meal. For children, Promethazine HCl Rectal Suppositories, 12.5 to 25 mg, twice daily, may be administered.

Nausea and Vomiting

SPL UNCLASSIFIED SECTION

Antiemetics should not be used in vomiting of unknown etiology in children and adolescents (see WARNINGS– Use in Pediatric Patients).

The average effective dose of promethazine HCl for the active therapy of nausea and vomiting in children or adults is 25 mg. 12.5- to 25-mg doses may be repeated, as necessary, at 4- to 6-hour intervals.

For nausea and vomiting in children, the usual dose is 0.5 mg per pound of body weight, and the dose should be adjusted to the age and weight of the patient and the severity of the condition being treated.

For prophylaxis of nausea and vomiting, as during surgery and the postoperative period, the average dose is 25 mg repeated at 4- to 6-hour intervals, as necessary.

Sedation

SPL UNCLASSIFIED SECTION

This product relieves apprehension and induces a quiet sleep from which the patient can be easily aroused. Administration of 12.5 to 25 mg promethazine HCl by rectal suppository at bedtime will provide sedation in children. Adults usually require 25 to 50 mg for nighttime, presurgical, or obstetrical sedation.

Pre- and Postoperative Use

SPL UNCLASSIFIED SECTION

Promethazine HCl in 12.5- to 25-mg doses for children and 50-mg doses for adults the night before surgery relieves apprehension and produces a quiet sleep.

For preoperative medication, children require doses of 0.5 mg per pound of body weight in combination with an appropriately reduced dose of narcotic or barbiturate and the appropriate dose of an atropine-like drug. Usual adult dosage is 50 mg promethazine HCl with an appropriately reduced dose of narcotic or barbiturate and the required amount of a belladonna alkaloid.

Postoperative sedation and adjunctive use with analgesics may be obtained by the administration of 12.5 to 25 mg in children and 25- to 50-mg doses in adults.

Promethazine HCl Rectal Suppositories are not recommended for children under 2 years of age.

HOW SUPPLIED

HOW SUPPLIED SECTION

Promethazine HCl Rectal Suppositories are available as follows:

50 mg, white bullet-shaped suppository wrapped in silver foil.

Bottle of 10 NDC 54868-1613-3

Store refrigerated between 2º-8ºC (36º - 46ºF).

Dispense in well-closed container.

G&W Laboratories, Inc.

South Plainfield, NJ 07080

8-0132GW5 Rev. 8/06

SPL UNCLASSIFIED SECTION

Distributed and Repackaged by:
Physicians Total Care, Inc.
Tulsa, Oklahoma      74146

PACKAGE LABEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

G&W®
NDC 54868-1613-3
50 mg
PROMETHEGANTM
Promethazine Hydrochloride Suppositories USP
Rx Only
For Rectal Administration
10 Suppositories

Each suppository contains 50 mg promethazine hydrochloride with ascorbyl palmitate and polysorbate 80 in a specially blended base of saturated vegetable fatty acids.
Directions: Remove foil wrapper and insert one suppository well up into rectum as directed by a physician.
Usual Dosage: See insert for detailed information regarding dosage and precautions for use.
Note: Store in a cold place 2°-8°C (36°-46°F).
Warning:
Keep this and all drugs out of the reach of children. In case of accidental ingestion, seek professional assistance or contact a poison control center immediately.

Manufactured by: G&W Laboratories, Inc.
South Plainfield, N.J. 07080
Visit our website @ www.gwlabs.com

Label for Promethazine Hydrochloride Suppositories, 10 suppositories
Label for Promethazine Hydrochloride Suppositories, 10 suppositories

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
992478promethazine HCl 50 MG Rectal SuppositoryPSN3
992481PROMETHEGAN 50 MG Rectal SuppositoryPSN3
992481promethazine hydrochloride 50 MG Rectal Suppository [Promethegan]SBD3
992478promethazine hydrochloride 50 MG Rectal SuppositorySCD3
992481Promethegan 50 MG Rectal SuppositorySY3

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
PROMETHAZINE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
3036445d-7d13-4411-a100-f2ac5ab8a276Product name120240110
2e7222fb-e3f1-febd-962f-ddbb495d6b5fProduct name220220126
09d8330d-4fec-be98-3a66-f985140646b2Product name220210513
4f881de7-085a-407e-abc2-faa3c0127432Product name120170811
e0b6c8be-f2bd-9f86-a9fc-3ed56ffaa814Product name320150910
76633df9-0d59-4b88-03ed-21dee1b966f8Product name120140508
d51697af-7f97-0559-95d1-fe94f3f031d5Product name120140508
e949165d-714d-e548-2b76-0cb5def16f30Product name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
54868-1613-32019-09-24C16284748780-19350213a-4694-c013-e053-90daa90a1393b8a7573c-e8e0-4b33-ac8c-da9a8fe948c8

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
54868-1613-3PROMETHEGAN10 in 1 BOTTLE, PLASTICSUPPOSITORY103

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
54868-1613PROMETHEGAN (PROMETHAZINE HYDROCHLORIDE) SUPPOSITORY [PHYSICIANS TOTAL CARE, INC.]31 package rows20121127_b8a7573c-e8e0-4b33-ac8c-da9a8fe948c8.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
54868-1613-3EA - Each54868-161398f51d96-3c9a-4a52-94c0-07d44cc4b4fc12012-07-24
0713-0132-12EA - Each0713-0132e9dde532-19e5-409f-8740-40b3c41177bd12012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
Promethazine HydrochlorideACTIVE INGREDIENTR61ZEH7I1I3
PromethazineACTIVE MOIETYFF28EJQ4943
Ascorbyl palmitateINACTIVE INGREDIENTQN83US2B0N3
Fat, HardINACTIVE INGREDIENT8334LX7S213
Polysorbate 80INACTIVE INGREDIENT6OZP39ZG8H3

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 6 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
54868-161354868-1613-3
0713-0132

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 4 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 1 · 3 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
Fat, HardHARD FAT8334LX7S21SUPPOSITORY / RECTAL7657 mgExact identifier — unii+route+dosage form
Ascorbyl palmitateASCORBYL PALMITATEQN83US2B0NSUPPOSITORY / RECTAL16 mgExact identifier — unii+route+dosage form
Polysorbate 80POLYSORBATE 806OZP39ZG8HSUPPOSITORY / RECTAL72.15 mgExact identifier — unii+route+dosage form

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A087165-001PROMETHEGANPROMETHAZINE HYDROCHLORIDE50MGSUPPOSITORY / RECTALRS1987-08-14

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1484e616aacf4f…
2026-08-18 06:07:402026-07A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1431067a03dcf5…
2025-08-23 18:47 UTC2025-08A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-146a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1403ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-142680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-145bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1479d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-141e350fbaab3a…
2024-05-31 18:47 UTC2024-05A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-148072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-145c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-145d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-144b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1474a2ff9319b5…
2022-03-09 01:35 UTC2022-03A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-1487673890dc5c…
2021-03-12 10:30 UTC2021-03A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-145aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-148869cabd3fbd…
2020-11-12 02:37 UTC2020-11A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14c0c555d07b60…
2019-12-14 00:12 UTC2019-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-143f01610625f2…
2019-09-15 20:21 UTC2019-09A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14b00525d2431f…
2019-07-19 19:46 UTC2019-07A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-146a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-141c564ffb4f44…
2023-12-20 04:57 UTC2023-12A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-149b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-143f0d92c62455…
2023-05-13 08:27 UTC2023-05A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14053a50430f4f…
2023-01-26 05:58 UTC2023-01A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-143bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-143a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A087165-001PROMETHEGAN50MGSUPPOSITORY / RECTALRS1987-08-14f41ea6bd6efb…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 2 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
PROMETHEGANPROMETHAZINE HYDROCHLORIDECosette Pharmaceuticals, Inc.636bb9bc-0cc5-4d6a-85be-6471acf01ffc2023-11-30Boxed warning, Adverse reactionsExact identifier
ndc (product): 0713-0132
8763e5a9-9b87-493d-83d2-78042b0feed7b8a7573c-e8e0-4b33-ac8c-da9a8fe948c82012-11-05Boxed warning, Adverse reactionsExact identifier
spl id: 8763e5a9-9b87-493d-83d2-78042b0feed7
spl set id: b8a7573c-e8e0-4b33-ac8c-da9a8fe948c8

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.