Related Experiment Video
Updated: Jul 13, 2026

A Convenient Method for Extraction and Analysis with High-Pressure Liquid Chromatography of Catecholamine Neurotransmitters and Their Metabolites
Published on: March 1, 2018
The clinical pharmacology of brompheniramine in children
F E Simons1, J R Roberts, X Gu
1Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
Insights
Brompheniramine provides prompt and long-lasting H1-blockade in children, supporting its use for allergic rhinitis. Further research may refine pediatric dosing for this antihistamine.
Area of Science:
- Pharmacology
- Pediatric Medicine
- Allergy & Immunology
Background:
- Brompheniramine is a widely used antihistamine for allergic rhinitis.
- Clinical pharmacology studies in children are lacking.
Purpose of the Study:
- To evaluate the onset and duration of action of brompheniramine in children.
- To test the hypothesis of a prompt and 24-hour effect.
Main Methods:
- Plasma brompheniramine concentrations were measured using HPLC.
- Histamine-induced wheals and flares were assessed to determine H1-blockade.
- Measurements were taken at intervals up to 30 hours post-dose.
Main Results:
- Peak plasma concentrations were reached at 3.2 hours.
- Significant reduction in histamine response observed for up to 30 hours.
- Terminal elimination half-life was 12.4 hours.
Conclusions:
- A single dose of brompheniramine offers prompt and sustained peripheral H1-blockade in pediatric patients.
- Current pediatric dosage regimens may require revision based on these findings.
Background:
Brompheniramine has been widely used in the treatment of allergic rhinitis and other disorders during the past 4 decades. There are no published studies of its clinical pharmacology in children.
Objectives:
This study was performed to test the hypothesis that brompheniramine would have a prompt onset of action and a 24-hour duration of action in children.
Methods:
Before brompheniramine 4 mg was ingested, and at intervals from 0.5 to 30 hours thereafter, blood samples were obtained for quantitation of plasma brompheniramine concentrations by means of HPLC. Concurrently, epicutaneous tests with histamine phosphate were performed; wheals and flares were traced at 10 minutes, and the areas were measured by using a computerized digitizing system.
Results:
In 14 children, mean age 9.5 +/- 0.4 years (SEM), the peak brompheniramine concentration was 7.7 +/- 0.7 ng/mL, and the time at which peak concentrations occurred was 3.2 +/- 0.3 hours. The terminal elimination half-life was 12.4 +/- 1.1 hours, and the oral clearance was 20.2 +/- 2.1 mL/min/kg. Compared with predose areas, the wheals and flares produced by histamine phosphate 1 mg/mL were significantly decreased from 0.5 to 30 hours and from 1 to 30 hours, respectively (P <.05), with mean maximum inhibition at 12 (52% +/- 9%) and 6 hours (72% +/- 10%), respectively.
Conclusions:
In children a single dose of brompheniramine produces prompt, long-lasting peripheral H1 -blockade. Revised dosage regimens may be needed in this population.
More Related Videos
07:02A Computerized Test Battery to Study Pharmacodynamic Effects on the Central Nervous System of Cholinergic Drugs in Early Phase Drug Development
Published on: February 11, 2019
10:02Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)
Published on: March 12, 2020
Related Concept Videos
Adrenergic Agonists: Mixed-Action Agents
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Excretion