Shop products for Triotann-S Pediatric 
This drug is a combination of two antihistamines, pyrilamine and chlorpheniramine, and a decongestant, phenylephrine. Triotann-S is used to treat symptoms associated with the common cold and hay fever, such as runny nose, itchy eyes, and sneezing.
Summary of
Interactions with Vitamins, Herbs, and Foods
In some cases, an herb or supplement may appear in more than one category, which may seem
contradictory. For clarification, read the full article for details about the summarized
interactions.
 May be Beneficial: Depletion or
interference—The medication may deplete or interfere with the absorption or
function of the nutrient. Taking these nutrients may help replenish them. |
Polygonum multiflorum* |
| May be Beneficial: Supportive
interaction—Taking these supplements may support or otherwise help your medication
work better. |
Panax ginseng* |
 Avoid: Adverse interaction—Avoid these supplements
when taking this medication because taking them together may cause undesirable or dangerous
results. |
Henbane* |
| Side effect reduction/prevention |
None known |
| Reduced drug absorption/bioavailability |
None known |
An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
Interactions with Herbs
Korean or Chinese ginseng (Panax ginseng)
Laboratory studies have shown that compounds found in Panax ginseng enhance the ability of
phenylephrine to constrict blood vessels.1 Controlled studies are necessary to
determine whether taking Panax ginseng at the same time as phenylephrine will enhance the
beneficial effects of the drug.
Polygonum
multiflorum*
Many drugs used in the treatment of high blood
pressure cause relaxation or dilation of blood vessels. Laboratory studies show that
emodin, a compound in Polygonum multiflorum, also relaxes blood vessels. However,
animal studies reveal that phenylephrine blocks the action of emodin.2 Controlled
studies are needed to determine whether Polygonum multiflorum helps people with high
blood pressure and whether phenylephrine blocks its beneficial effects.
Henbane (Hyoscyamus niger)
Antihistamines, including chlorpheniramine, can cause “anticholinergic” side
effects such as dryness of mouth and heart palpitations. Henbane also has anticholinergic
activity and side effects. Therefore, use of henbane with chlorpheniramine could increase the
risk of anticholinergic side effects,3 though apparently no interactions have yet
been reported. Henbane should not be taken except by prescription from a physician trained in
its use, as it is extremely toxic.
Interactions with Foods and Other Compounds
Alcohol
Drinking alcoholic beverages together with antihistamines can enhance side effects such as
drowsiness and dizziness.4 Consequently, people who are taking pyrilamine and
chlorpheniramine should avoid alcohol, especially when staying alert is necessary.
References
1. Kwan CY. Vascular effects of selected antiphypertensive drugs derived from traditional medicinal herbs. Clin Exp Pharmacol Physiol 1995;22 Suppl 1:S297–9.
2. Huang HC, Lee CR, Chao PD, et al. Vasorelaxant effect of emodin, an anthraquinone from a Chinese herb. Eur J Pharmacol 1991;205:289–94.
3. Blumenthal M, ed. The Complete German Commission E Monographs. Austin, TX: American Botanical Council, 1998, 146.
4. Olin BR, ed. Respiratory Drugs, Antihistamines. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, 1993, 964–79.
