nicophen 22.75mg injection - Pheniramine (22.75mg) medicine

Eurovil 22.75mg Injection: Complete Medicine Guide

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🏭 Abbott 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 28, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for allergic conditions.
Reviewed by
SaathiMed Expert Panel | Oct 28, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swallowing
  • Swelling of the face, lips, tongue, or throat
  • Severe dizziness or fainting
  • Rapid or irregular heartbeat
  • Confusion or hallucinations
  • Inability to urinate
  • Yellowing of the skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is nicophen 22.75mg injection used for?

This medicine is a pheniramine injection used for rapid relief of severe allergic reactions. It works by blocking histamine H1 receptors and is given by a healthcare professional.

  • Generic Name: Pheniramine (22.75mg)
  • Manufacturer: Abbott
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nicophen 22.75mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा फेनिरामाइन इंजेक्शन है, जिसका उपयोग गंभीर एलर्जी प्रतिक्रियाओं जैसे पित्ती, एंजियोएडेमा, और एलर्जिक राइनाइटिस के त्वरित उपचार के लिए किया जाता है। यह केवल एक योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, धुंधली दृष्टि और थकान शामिल हैं। गंभीर दुष्प्रभावों में बहुत कम रक्तचाप, तेज़ धड़कन, भ्रम, और पेशाब रोकना शामिल हो सकते हैं।

सुरक्षा सलाह: यह दवा केवल डॉक्टर द्वारा दी जानी चाहिए। इंजेक्शन लेने के बाद कम से कम 30 मिनट तक निगरानी में रहें। शराब का सेवन न करें और वाहन चलाने से बचें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 nicophen 22.75mg injection Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Provides rapid relief from sneezing, runny nose, and itching when oral therapy is not possible.","evidence":"Well-established"},{"condition":"Urticaria","description":"Controls itching and hives in acute severe cases.","evidence":"Well-established"},{"condition":"Angioedema","description":"Used as an adjunct to reduce inflammation" class="semantic-link" title="Medicines for swelling">swelling and itching in allergic angioedema.","evidence":"Well-established"},{"condition":"Anaphylaxis (adjunct)","description":"Used alongside epinephrine to counteract histamine-mediated symptoms; not a substitute for epinephrine.","evidence":"Well-established"},{"condition":"Pre-operative sedation","description":"May be used as a component of premedication to reduce anxiety and allergic reactions.","evidence":"Limited"},{"condition":"Transfusion reactions","description":"Given to prevent or treat mild allergic reactions during blood transfusions.","evidence":"Limited"}]

Off-label uses: [{"condition":"Insomnia","description":"Occasionally used off-label for short-term management of insomnia due to its sedative properties.","evidence":"Limited"},{"condition":"Motion sickness","description":"May be used off-label for prevention of motion sickness, though less commonly than other antihistamines.","evidence":"Limited"}]

Primary treatment for: Allergic reactions

Also treats: Urticaria, Angioedema, Allergic rhinitis, Anaphylaxis (adjunct)

📋 Drug Information

Generic Name(s)Pheniramine (22.75mg)
Brand Namenicophen 22.75mg injection
ManufacturerAbbott
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassH1 Antihistaminics (First Generation)
Route of AdministrationParenteral (intramuscular or intravenous injection)
StorageStore below 25°C, protected from light. Do not freeze. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Administer this medicine only in a setting equipped to manage anaphylaxis.
2
Monitor patients for at least 30 minutes after injection for signs of hypotension or excessive sedation.
3
Avoid concomitant use with MAOIs due to risk of severe interactions.
4
Use with caution in elderly patients and those with cardiovascular disease.
5
Instruct patients to avoid alcohol and driving for at least 24 hours after receiving this medicine.
6
Consider dose reduction in patients with hepatic or renal impairment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Severe allergic reaction
This medicine is commonly prescribed for this.
Likely Use
✅
Hives
This medicine is used to treat hives.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFollowing intramuscular injection, pheniramine is rapidly and completely absorbed. The onset of action is typically within 15 to 30 minutes.
DistributionPheniramine is widely distributed throughout the body, including the central nervous system. It crosses the blood-brain barrier and the placenta, and it is excreted in breast milk.
Protein BindingNot established from the available information.
MetabolismPheniramine is metabolized in the liver, primarily through N-dealkylation and oxidative deamination.
Half-LifeThe elimination half-life of pheniramine is approximately 16 to 19 hours.
ExcretionPheniramine and its metabolites are excreted primarily in the urine.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action after intramuscular injection is typically within 15 to 30 minutes.
Peak Plasma TimePeak plasma concentrations are generally reached within 30 to 60 minutes after intramuscular administration.
Duration of ActionThe duration of action is typically 4 to 6 hours, but sedative effects may last longer.

How It Works

This medicine works by competitively blocking histamine H1 receptors on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract. By binding to these receptors, it prevents histamine from exerting its effects, thereby reducing allergic symptoms such as vasodilation, increased vascular permeability, itching, and bronchoconstriction. Additionally, because it crosses the blood-brain barrier, it causes central nervous system depression, which accounts for its sedative effects.

Mechanism Steps

1
Histamine release: In an allergic reaction, mast cells release histamine, which binds to H1 receptors on target cells.
2
Competitive antagonism: This medicine competes with histamine for binding sites on H1 receptors, preventing histamine from activating them.
3
Reduction of allergic symptoms: Blockade of H1 receptors leads to decreased vasodilation, vascular permeability, itching, and other allergic symptoms.
4
Central nervous system depression: The medicine crosses the blood-brain barrier and blocks central H1 receptors, causing sedation and drowsiness.

💡 How to Take nicophen 22.75mg injection

Strength: Injection: 22.75 mg

1This medicine is given by a healthcare professional as an intramuscular or intravenous injection.
2You will be monitored for at least 30 minutes after receiving the injection.
3Do not attempt to self-administer this medicine.
4Inform your doctor if you have any allergies or medical conditions.
5Avoid alcohol and driving after receiving this medicine.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 22.75 mg given by intramuscular or intravenous injection, as directed by a physician. The dose may be repeated every 4 to 6 hours as needed, but the maximum daily dose should not exceed 90 mg. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially drowsiness, dizziness, and anticholinergic effects. Use with caution and consider dose reduction. Dose must be individualized by a qualified clinician.
Renal ImpairmentIn patients with renal impairment, dose adjustment may be necessary. Consult a healthcare provider for individualized dosing.
Hepatic ImpairmentIn patients with hepatic impairment, dose adjustment may be necessary. Consult a healthcare provider for individualized dosing.
Maximum Daily Dose90 mg per day

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
No specific timing required
This medicine is given by injection, so food timing does not affect its absorption.
Alcohol
Avoid
Increases central nervous system depression and drowsiness.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of nicophen 22.75mg injection

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. Rest if needed. Consult your doctor if it persists.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid alcohol.
Dry mouth (Common (5-10%))
Sip water, chew sugar-free gum, or use a saliva substitute.
Blurred vision (Common (5-10%))
Avoid tasks requiring clear vision until it resolves. Consult your doctor if persistent.
Fatigue (Common (5-10%))
Get adequate rest. Inform your doctor if it interferes with daily activities.

🚨 Serious Side Effects

Severe hypotension (Rare (<0.1%))
Seek immediate medical attention if you feel faint, have a rapid heartbeat, or experience cold, clammy skin.
Tachycardia (Rare (<0.1%))
Report palpitations or a racing heart to your doctor immediately.
Confusion or hallucinations (Rare (<0.1%))
Discontinue use and seek medical attention if you experience altered mental status.
Urinary retention (Rare (<0.1%))
If you are unable to urinate, seek immediate medical care.
Blood dyscrasias (Very rare (<0.01%))
Report unusual bruising, bleeding, or signs of infection to your doctor promptly.

⚠️ Rare Side Effects

Jaundice
Seek medical attention if you notice yellowing of the skin or eyes.
Severe skin reactions (e.g., Stevens-Johnson syndrome)
Stop the medicine and seek emergency care if you develop a rash with blistering or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Alcohol Major
Opioids Major
Benzodiazepines Moderate
Tricyclic antidepressants Moderate
Anticholinergics Moderate
Cimetidine Minor
Ritonavir Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Alcohol
  • Opioids

⚡ Moderate Interactions

  • Benzodiazepines
  • Tricyclic antidepressants
  • Anticholinergic drugs (e.g., atropine)

🍷 Alcohol Interaction

Alcohol should be strictly avoided while receiving this medicine and for at least 24 hours afterward. Combining alcohol with this medicine can lead to severe drowsiness, impaired coordination, and increased risk of accidents. It can also intensify central nervous system depression, making it dangerous to drive or operate machinery.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to pheniramine or any component of the formulation","Narrow-angle glaucoma","Prostatic hypertrophy","Bladder neck obstruction","Acute asthma attack","Severe liver disease","Premature infants and neonates"]

⚠️ Warnings & Precautions

["This medicine may cause marked drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in patients with glaucoma, prostatic hypertrophy, or urinary retention.","Use with caution in patients with cardiovascular disease, hypertension, or hyperthyroidism.","Use with caution in elderly patients due to increased risk of confusion and falls.","Not recommended for children under 2 years of age.","May impair mental and physical abilities required for performing hazardous tasks."]

🤱 Lactation Safety

Pheniramine is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother.

💊 Overdose Management

Overdose of this medicine may cause severe drowsiness, coma, seizures, respiratory depression, and anticholinergic effects. Treatment is supportive and symptomatic. There is no specific antidote. If overdose is suspected, seek emergency medical attention immediately. Gastric lavage may be considered if ingestion was recent. Monitor vital signs and provide supportive care.

⏰ Missed Dose

Since this medicine is usually given as a single dose or as needed under medical supervision, a missed dose is unlikely. If you miss a scheduled dose, contact your healthcare provider for guidance. Do not double the dose to catch up.

Additional Safety Advice

General Safety

This medicine must be given only by a qualified healthcare professional. Do not attempt to self-administer. After receiving this injection, remain under medical supervision for at least 30 minutes to monitor for any adverse reactions. Avoid alcohol and other central nervous system depressants for at least 24 hours after receiving this medicine, as they can increase drowsiness and impair your ability to think clearly. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Also tell your doctor about all other medicines you are taking, especially sedatives, opioids, and antidepressants, as interactions may occur. Keep all follow-up appointments and report any unusual symptoms immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the sedative and anticholinergic effects of this medicine. Use with caution and consider dose reduction. Monitor for confusion, falls, and urinary retention.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before receiving this medicine. It is classified as Pregnancy Category C, and its use should be avoided unless clearly needed.

🏥 Post-Surgery Considerations

This medicine may be used as a pre-operative medication. After surgery, it may contribute to sedation and should be used with caution. Inform your surgeon if you have received this medicine recently.

🦷 Dental Procedures

Inform your dentist if you have received this medicine, as it may interact with sedatives or anesthetics used during dental procedures. It can also cause dry mouth, which may affect dental health.

💚 Lifestyle Tips for Better Results

🏃
Avoid alcohol and other central nervous system depressants.
🥗
Do not drive or operate heavy machinery until you know how this medicine affects you.
😴
Stay well hydrated to help alleviate dry mouth.
💧
Get adequate rest to manage drowsiness.
🧘
Inform your doctor about all other medications you are taking.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities requiring mental alertness until the sedative effects of this medicine have worn off. Dizziness and drowsiness may increase the risk of injury.

🥗 Diet Recommendations

Stay well hydrated
Avoid alcohol
Eat a balanced diet to support overall health

💼 Impact on Daily Work & Life

This medicine can cause significant drowsiness and impair your ability to drive or operate machinery. It is advisable to arrange for transportation after receiving the injection and to avoid work that requires alertness for at least 24 hours.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects, seek medical attention immediately. Your doctor will determine if and when to discontinue treatment based on your condition and response.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to tolerance, dependence, and increased risk of side effects such as sedation, anticholinergic effects, and cognitive impairment. Regular monitoring by a healthcare provider is advised if long-term therapy is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral antihistamines

For milder allergic reactions, oral antihistamines may be sufficient.

Evidence: Well-established
Allergen avoidance

Identifying and avoiding allergens can reduce the need for medication.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If traveling across time zones, consult your doctor about any adjustments to your dosing schedule. Keep it in your carry-on luggage if flying, and be prepared to present documentation at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with acute urticaria
She received this medicine as an intramuscular injection for severe hives that did not respond to oral antihistamines. Within 30 minutes, her itching and swelling significantly decreased. She was advised to avoid driving for the rest of the day due to drowsiness.
💡 Lesson: This medicine provides rapid relief for severe allergic reactions but requires monitoring and precautions against sedation.
👤 A 60-year-old man with a history of hypertension
He was given this medicine as an adjunct for an allergic reaction. His blood pressure was monitored closely, and he experienced mild drowsiness but no serious adverse effects. He was advised to avoid alcohol and to follow up with his doctor.
💡 Lesson: Elderly patients and those with cardiovascular disease require careful monitoring when receiving this medicine.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 15 to 30 minutes after injection.

Q: How long do the effects last?

A: The effects usually last for 4 to 6 hours, but drowsiness may persist longer.

Q: Can I drive after receiving this medicine?

A: No, you should avoid driving or operating machinery until you know how this medicine affects you, as it can cause significant drowsiness.

Q: Is this medicine safe during pregnancy?

A: It is classified as Pregnancy Category C. Use during pregnancy only if the potential benefit justifies the potential risk to the fetus. Consult your doctor.

Q: Can I breastfeed while taking this medicine?

A: This medicine is excreted in breast milk. Consult your doctor before breastfeeding.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for nicophen 22.75mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be self-administered at home.
    Fact: This medicine must be given by a healthcare professional in a medical setting.
  • Myth: This medicine is safe to use with alcohol.
    Fact: Alcohol increases the sedative effects and should be avoided.
  • Myth: This medicine can replace epinephrine in anaphylaxis.
    Fact: This medicine is an adjunct and does not replace epinephrine.

🔄 Alternative Options

Generic Alternatives

  • Pheniramine injection

Brand Alternatives

  • Eurovil 22.75mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Pheniramine","class":"First-generation antihistamine","sedation":"High","route":"Parenteral"},{"medicine":"Chlorpheniramine","class":"First-generation antihistamine","sedation":"Moderate","route":"Oral, Parenteral"},{"medicine":"Diphenhydramine","class":"First-generation antihistamine","sedation":"High","route":"Oral, Parenteral, Topical"}]

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