Promethazine and Esgic-plus drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Promethazine (promethazine hydrochloride) and Esgic-plus (acetaminophen; butalbital; caffeine). Common drug interactions include sinusitis among females.

The phase IV clinical study analyzes what interactions people have when they take Promethazine and Esgic-plus. It is created by eHealthMe based on reports of 18 people who take the same drugs from the FDA, and is updated regularly.

What is Promethazine?

Promethazine has active ingredients of promethazine hydrochloride. It is often used in nausea. eHealthMe is studying from 32,300 Promethazine users. Check the latest studies of Promethazine.

What is Esgic-plus?

Esgic-plus has active ingredients of acetaminophen; butalbital; caffeine. It is often used in migraine. eHealthMe is studying from 269 Esgic-plus users. Check the latest studies of Esgic-plus.



On Jul, 04, 2026

18 people who take Promethazine and Esgic-plus together, and have interactions are studied.

Promethazine and Esgic-plus drug interactions.

What are the common drug interactions of Promethazine and Esgic-Plus, by gender? *:

female:

  1. Sinusitis (inflammation of sinus)
  2. Malaise (a feeling of general discomfort or uneasiness)
  3. Diarrhoea
  4. Diplopia (double vision)
  5. Ear infection
  6. Eyelid ptosis (falling of the upper or lower eyelid)
  7. Food poisoning (poison in food)
  8. Gastroenteritis viral (inflammation of stomach and intestine caused by virus infection)
  9. Gastrooesophageal reflux disease (stomach contents (food or liquid) leak backwards from the stomach into the oesophagus)
  10. Haemorrhage (bleeding)

male:

n/a

What are the common drug interactions of Promethazine and Esgic-Plus, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

n/a

40-49:

  1. Adjustment disorder with depressed mood
  2. Aphonia (inability to produce voice)
  3. Contusion (a type of hematoma of tissue in which capillaries)
  4. Ear infection
  5. Haemorrhage (bleeding)
  6. Influenza
  7. Malaise (a feeling of general discomfort or uneasiness)
  8. Mental disorder (a psychological term for a mental or behavioural pattern or anomaly that causes distress or disability)
  9. Nasopharyngitis (inflammation of the nasopharynx)
  10. Post-traumatic stress disorder

50-59:

  1. Agitation (state of anxiety or nervous excitement)
  2. Bladder neck suspension
  3. Neuromyopathy (disease of both muscles and nerves)
  4. Osteoporosis (bones weak and more likely to break)
  5. Otitis media (inflammation of the middle ear)
  6. Rhabdomyolysis (a condition in which damaged skeletal muscle tissue breaks down)
  7. Sinusitis (inflammation of sinus)
  8. Tachycardia (a heart rate that exceeds the range of 100 beats/min)
  9. Visual impairment
  10. Bradycardia (abnormally slow heart action)

60+:

n/a

What are the existing conditions these people have? *

  1. Narcolepsy (brain's inability to regulate sleep-wake cycles normally): 14 people, 77.78%
  2. Cataplexy (loss of muscle tone accompanied by full conscious awareness): 14 people, 77.78%
  3. Sleep Disorder: 4 people, 22.22%

* Approximation only. Some reports may have incomplete information.

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Promethazine and Esgic-plus:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Promethazine:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Esgic-plus:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Promethazine and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Esgic-plus and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on promethazine hydrochloride and acetaminophen; butalbital; caffeine (the active ingredients of Promethazine and Esgic-plus, respectively), and Promethazine and Esgic-plus (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.



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