Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/1/2025

Brompheniramine Maleate Safety and Efficacy in Young Children

Critical Safety Considerations

  • The FDA and pediatric advisory committees have raised significant concerns about OTC cough and cold medications in young children, with 9 pediatric fatalities associated with brompheniramine between 1969-2006, primarily due to drug overdose and medication errors 1
  • Efficacy of antihistamine-decongestant combinations has not been established for upper respiratory infections in children under 6 years, leading to recommendations against using OTC cough and cold medications in this age group 1
  • Brompheniramine should only be used for clear allergic indications, such as allergic rhinitis or urticaria, rather than common cold symptoms in children under 6 years, as diagnosed by a healthcare professional 1

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