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Phenothiazines such as promethazine can cause skin hyperpigmentation (darkening) but usually only after prolonged use. The effect usually is restricted to areas of the body exposed to sunlight. Thus, people who need long-term treatment with promethazine should either keep out of the sun or use effective sunscreens.

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STORAGE: Tablets, syrup and injection should be stored at room temperature between 15-25 C (68-77 F). Suppositories should be stored at 2-8 C (36-46 F).

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Promethazine should not be used with propylthiouracil (PTU) due to the increased risk of low white blood cell counts and increased risk of infections. The reason for this interaction is not known.

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