Triaminic for 4 year old

Triaminic Night Time Cold & Cough

Generic Name: diphenhydramine and phenylephrine (DYE fen HYE dra meen and FEN il EFF rin)
Brand Name: Children’s Triacting Night Time, Delsym Children’s Night Time Cough & Cold, Dimetapp Nighttime Cold & Congestion, Dytan-D, PediaCare Children’s Allergy & Cold, Robitussin Night Time Cough & Cold, Triaminic Night Time Cold & Cough

Medically reviewed by on Jul 22, 2019 – Written by Cerner Multum

  • Overview
  • Side Effects
  • Dosage
  • Interactions
  • Pregnancy
  • Pricing
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What is Triaminic Night Time Cold & Cough?

Diphenhydramine is an antihistamine that reduces the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

Triaminic Night Time Cold & Cough is a combination medicine used to treat symptoms of the common cold or seasonal allergies, including sneezing, runny or stuffy nose, and itchy, watery eyes.

Triaminic Night Time Cold & Cough may also be used for purposes not listed in this medication guide.

Important Information

Do not use Triaminic Night Time Cold & Cough if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.

You should not use antihistamine medication to make a child sleepy.

Before taking this medicine

You should not use this medicine if you are allergic to diphenhydramine or phenylephrine.

Do not use this medicine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions, especially:

  • asthma or COPD, cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;

  • kidney or liver disease;

  • high blood pressure, heart disease;

  • enlarged prostate, urination problems;

  • glaucoma;

  • diabetes; or

  • a thyroid disorder.

It is not known whether Triaminic Night Time Cold & Cough will harm an unborn baby. Do not use this medicine without your doctor’s advice if you are pregnant.

It is not known whether diphenhydramine and phenylephrine passes into breast milk or if it could affect a nursing baby. Antihistamines and decongestants may also slow breast milk production. Ask a doctor before using this medicine if you are breast-feeding.

Artificially sweetened liquid medicine may contain phenylalanine. Check the medication label if you have phenylketonuria (PKU).

How should I take Triaminic Night Time Cold & Cough?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cold or allergy medicine is usually taken only for a short time until your symptoms clear up.

Do not give Triaminic Night Time Cold & Cough to a child younger than 6 years old. Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

You should not use antihistamine medication to make a child sleepy.

The chewable tablet must be chewed before swallowing.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need surgery or medical tests, tell the doctor ahead of time if you have taken a cold medicine within the past few days.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Since cold or allergy medicine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Triaminic Night Time Cold & Cough?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol with Triaminic Night Time Cold & Cough can cause side effects.

Ask a doctor or pharmacist before using any other cold, allergy, or sleep medicine. Many combination medicines contain diphenhydramine (Benadryl) or phenylephrine. Taking certain products together can cause you to get too much of this medicine.

Triaminic Night Time Cold & Cough side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using this medicine and call your doctor at once if you have:

  • severe dizziness or nervousness;

  • severe drowsiness; or

  • little or no urination.

Side effects such as dry mouth, constipation, and confusion may be more likely in older adults.

Common side effects may include:

  • dizziness, drowsiness;

  • dry mouth, nose, or throat;

  • blurred vision; or

  • feeling restless or excited (especially in children).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1 800 FDA 1088.

What other drugs will affect Triaminic Night Time Cold & Cough?

Ask a doctor or pharmacist before using Triaminic Night Time Cold & Cough if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide.

Taking this medicine with other drugs that make you sleepy or slow your breathing can worsen these effects. Ask your doctor before taking Triaminic Night Time Cold & Cough with a sleeping pill, opioid pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Copyright 1996-2018 Cerner Multum, Inc. Version: 3.01.

Medical Disclaimer

More about Triaminic Night Time Cold & Cough (diphenhydramine / phenylephrine)

  • Side Effects
  • During Pregnancy
  • Dosage Information
  • Drug Interactions
  • Pricing & Coupons
  • En Español
  • Drug class: upper respiratory combinations
  • FDA Alerts (1)

Consumer resources

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The Food and Drug Administration this week issued a stern health advisory once again warning parents not to give babies under two years of age over-the-counter (OTC) cold and cough medicine because of potentially “serious and life-threatening side effects.” This includes decongestants, expectorants, antihistamines and antitussives (cough suppressants) that you can pick up at pharmacies and supermarkets, including Wyeth’s Robitussin, Novartis, AG’s Triaminic and Johnson & Johnson’s Tylenol Plus Cold.

“The FDA strongly recommends to parents and caregivers that OTC cough and cold medicines not be used for children younger than two,” Charles Ganley, director of the FDA’s Office of Nonprescription Products said. “These medicines, which treat the symptoms and not the underlying condition, have not been shown to be safe or effective in children under two.”

The announcement comes on the heels of a high-profile meeting last October at which experts warned of dangerous side effects in children and recommended they not be given to those younger than six years old. Besides fatalities, adverse effects reported include convulsions, rapid heart rates, and reduced levels of consciousness.

The FDA noted in its public advisory that it is “aware of reports of serious side effects” in children between two and 11 years old, but is still reviewing information about risks in that age group. The agency in August warned parents not to give over-the-counter cough and cold remedies to tykes under two years old, but issued the current alert because it was worried parents did not get or heed the message.

After last year’s huddle, many drug companies voluntarily pulled 14 cough and cold products targeted at toddlers from store shelves. The FDA in the past has not required pharmaceutical manufacturers to prove the elixirs, which have been sold for decades, work in children, allowing dosing to be gleaned from adult data. But pediatricians have been increasingly concerned about the safety of these products in their young patients.

“Children metabolize and react to medications differently than adults, often in unanticipated ways,” the American Academy of Pediatrics said in a statement released after the FDA alert. “Studies have shown cough and cold products are ineffective in treating symptoms of children under six years old and may pose serious risks.”

Physicians have suggested using old-fashioned remedies to help ease cold symptoms, including drinking lots of fluids (among them, Mom’s favorite chicken soup), humidifiers and rubbing babies’ backs in a steamed-up bathroom.

The FDA is expected to rule by the spring on whether the drugs should also be nixed for kids between the ages of two and 11. In the meantime, it cautions parents who use them in that age group to, among other things, carefully follow dosing directions, only use measuring spoons or cups that come with or are specifically designed to be used with the drugs, and remember that the drugs, at best, temporarily mask symptoms of but neither cure nor shorten the duration of colds or coughs.


My ped explained to me that one reason they pulled the meds for kids under 6 is that the drug manufacturers never actually did studies on appropriate dosage for kids and infants – they just estimated by halving or quartering the adult dose, not taking into account different metabolisms and things. I went ahead and gave some cold medicine to DD (dear daughter) starting when she was over one, but I’m not really comfortable giving medicine to DS (dear son) at 5 months knowing how much of a shot in the dark the dosing is for someone his size.

Benadryl, on the other hand, does seem to be okayed more by doctors and can definitely help with congestion and coughing. See if your ped will give you a dosage for that.

Here’s what my ped’s office has posted on their website:

Since colds are viral infections antibiotics will not help and are not prescribed for simple colds.

We agree with the Academy of Pediatrics and FDA statements that recommend that over the counter cold and cough preparations NOT be used in infants under age 2 years because of the high risk of life threatening side effects. Also there are now many studies show that cough and cold preparations don’t work in children under 6 years. In fact there are no studies that were done to determine proper dosages and most manufacturers have changed the labels on their products to say do not use under age 4 or 6 years.

What is safe?

Tylenol and Motrin (over 6 months)

Honey before bed has been shown to help some coughs. The dose is ½ teaspoon for 1 year—5 years, 1 teaspoon for 6-11 years, and 2 teaspoons for over age 12. Honey should not be used under age 1year.

Benadryl is an antihistamine safe for children over age 1year. It may cause drowsiness and a few kids will get hyper, but it is a good medicine for itching and allergic reactions. It sometimes will help with a runny nose and drainage. It can be given every 6 hours and the liquid is dosed the same as Tylenol—if your child by weight gets 1 teaspoon of Tylenol the Benadryl dose is also 1 teaspoon.

Over age 2 years : Vicks VapoRub is approved for this age group, but there is no medical evidence that it helps the symptoms in all patients.

Over age 4 years: Non combination ingredient over the counter medicines may not help, but are safe to try if you follow the dosing directions on the bottle very carefully.

What You Can Do:

· Saline nose drops— Can use OTC drops or make your own. Put a few drops in each nostril and after a minute or two gently suck the nose with a nasal aspirator. This can be irritating, so it is not necessary if your baby is sleeping and eating well.

· Cool mist humidifier

· Elevate the head of the bed

· Keep your child well hydrated

· Tylenol or Motrin (over 6 months) can be used for comfort or fever. See dosing guide here.

Humidifiers, sleeping on an incline, and tylenol seemed to give DD (dear daughter) some relief when she was tiny and sick. Fortunately DS (dear son) hansn’t been sick yet.

Mar. 23 —

THURSDAY, Oct. 11 (HealthDay News) — Leading drug makers announced a voluntary withdrawal Thursday of oral cough and cold medicines marketed for use in infants.

The move affects only “infant” oral medicines, not those intended and labeled for use in children age 2 and older. And it comes as U.S. regulators review the products’ safety, following reports of dozens of deaths since 1969.

“The reason the makers of over-the-counter, oral cough and cold medicines for infants are voluntarily withdrawing these medicines is that there have been rare patterns of misuse leading to overdose recently identified, particularly in infants, and safety is our top priority,” Linda A. Suydam, president of the Consumer Healthcare Products Association (CHPA), said in a prepared statement.

The move was applauded by health experts in the field.

“Recalling the products until the public and health care providers are fully educated about the safety and effectiveness of these products is the right thing to do right now,” said Catherine Tom-Revzon, the clinical pharmacy manager at Children’s Hospital at Montefiore in New York City.

She added, “Combination products are dangerous if parents do not know what ingredients are in them and extra doses of single ingredients are given. Children under two are at higher risk for side effects compared to older children. What’s worse is that infants can’t tell us if their hearts are racing or they are overly drowsy. “

According to the CHPA, the cough and cold medicines that are being withdrawn are:

  • Dimetapp(R) Decongestant Plus Cough Infant Drops,
  • Dimetapp(R) Decongestant Infant Drops,
  • Little Colds(R) Decongestant Plus Cough,
  • Little Colds(R) Multi-Symptom Cold Formula,
  • PEDIACARE(R) Infant Drops Decongestant (containing pseudoephedrine),
  • PEDIACARE(R) Infant Dropper Decongestant (containing phenylephrine),
  • PEDIACARE(R) Infant Dropper Long-Acting Cough,
  • PEDIACARE(R) Infant Dropper Decongestant & Cough (containing phenylephrine),
  • Robitussin(R) Infant Cough DM Drops,
  • Triaminic(R) Infant & Toddler Thin Strips(R) Decongestant,
  • Triaminic(R) Infant & Toddler Thin Strips(R) Decongestant Plus Cough,
  • TYLENOL(R) Concentrated Infants’ Drops Plus Cold,
  • TYLENOL(R) Concentrated Infants’ Drops Plus Cold & Cough.
  • Last month, U.S. health experts urged the federal Food and Drug Administration to consider banning the sale of over-the-counter cough and cold medicines for young children. The recommendation, from FDA safety officials, would apply to decongestant use in children under 2, and antihistamines in those younger than 6, according to FDA documents.

    An FDA advisory panel is scheduled to consider the recommendation during a meeting on Oct. 18 and 19, and will then offer an opinion to the full agency. The FDA typically follows the recommendations of its advisory boards but is not required to do so.

    In the safety review released Sept. 28, the FDA experts recommended that all infant cough and cold products be removed from the market. They also recommended that the sizes of the droppers, cups and syringes packaged with products be standardized to reduce the possibility of confusion and overdose, The New York Times reported.

    An FDA review of records filed with the agency between 1969 and September 2006 found 54 reports of deaths in children associated with decongestant medicines made with pseudoephedrine, phenylephrine or ephedrine. It also found 69 reports of deaths associated with antihistamine medicines containing diphenhydramine, brompheniramine or chlorpheniramine, the Associated Press reported.

    Most of the deaths involved children younger than 2.

    Dr. Daniel Rauch, director of New York University Medical Center’s Pediatric Hospitalist Program, said the manufacturers’ decision to withdraw the drugs “confirms multiple years of evidence that these medications don’t work and are potentially dangerous. When parents think these medications will work, and they don’t, the natural response is to give an infant more medication, leading to potentially dangerous side effects. Kids get sick, and parents need to realize it will pass.”

    The Consumer Healthcare Products Association, which represents makers of over-the-counter medicines, said it and its member companies have put forth recommendations to the FDA to strengthen the labels on all oral OTC children’s cough and cold medicines from “ask a doctor” before using to “do not use” in children under 2 years of age.

    More information

    To learn more about the voluntary withdrawal, visit the Consumer Healthcare Products Association.

    SOURCES: Oct. 11, 2007, prepared statement, Consumer Healthcare Products Association, Washington, D.C.; Catherine Tom-Revzon, Pharm.D, clinical pharmacy manager, Children’s Hospital at Montefiore, New York City; Daniel Rauch, M.D., FAAP, director of the Pediatric Hospitalist Program, New York University Medical Center, and associate professor of pediatrics, New York University School of Medicine, New York City; Sept. 28, 2007, U.S. Department of Health and Human Services report; The New York Times; Associated Press

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