Drug & supplement interaction

Camphor + Acetaminophen, Brompheniramine, Phenylpropanolamine

Acetaminophen, Brompheniramine, Phenylpropanolamine brand name: Dimetapp Cold and Flu.

Moderate Interaction
The bottom line Moderate

Camphor has a moderate interaction with Acetaminophen, Brompheniramine, Phenylpropanolamine. Theoretically, concomitant use of camphor with other hepatotoxic drugs might increase the risk of liver damage.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Camphor and Acetaminophen, Brompheniramine, Phenylpropanolamine

Here is the interaction we found between these two, with the evidence behind it.

Moderate

HEPATOTOXIC DRUGS

Why this applies to Acetaminophen, Brompheniramine, Phenylpropanolamine

Acetaminophen, Brompheniramine, Phenylpropanolamine falls under HEPATOTOXIC DRUGS — the group Camphor interacts with.

Theoretically, concomitant use of camphor with other hepatotoxic drugs might increase the risk of liver damage.
There have been a few case reports of transient elevations in liver enzymes in adults after oral or topical use of camphor. There has also been one case of hepatotoxicity in an infant after topical camphor use.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the connection to keep in mind: the acetaminophen in your Dimetapp Cold and Flu is processed by your liver, and in large or frequent doses it can stress that organ. Camphor has also been linked, in a handful of case reports, to temporary bumps in liver enzymes. So the worry is that pairing the two could add a little extra strain on your liver. I'll be honest with you, this is a theoretical concern based on how both work, not something proven to happen often.

Most folks using a camphor rub on their skin while taking the recommended amount of acetaminophen will be fine. The bigger risk comes from too much acetaminophen itself. Never swallow camphor, stay within the acetaminophen limits on the label, and check with your pharmacist if you use either regularly.

References
  1. Uc A, Bishop WP, Sanders KD. Camphor hepatotoxicity. South Med J 2000;93:596-8. DOI
  2. Rampini, S. K., Schneemann, M., Rentsch, K., and Bachli, E. B. Camphor intoxication after cao gio (coin rubbing). JAMA 7-3-2002;288(1):45.
  3. Cordoba Torres IT, Marino-Nieto J, Barkin HB, Fort AC, Cobas M. Vicks VapoRub intoxication: an unusual presentation of multiorgan failure. J Clin Anesth 2018;48:46-7. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Camphor Also Interacts With Other Medications

Camphor has 369 moderate known drug interactions in our database — the Acetaminophen, Brompheniramine, Phenylpropanolamine one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Camphor

Covers the 2,830 medications we’ve checked against Camphor. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Acetaminophen, Brompheniramine, Phenylpropanolamine

This page covers Camphor only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Acetaminophen, Brompheniramine, Phenylpropanolamine page lists 216 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Beer (major), Ephedra (major) and Peyote (major).

By severity: 9 major · 168 moderate · 39 minor.

From our pharmacist’s overview on the Acetaminophen, Brompheniramine, Phenylpropanolamine page

“This combination cold medicine deserves real care around supplements, mainly because of the decongestant it contains. Phenylpropanolamine, one of the three ingredients in Dimetapp Cold and Flu (alongside acetaminophen and brompheniramine), is a stimulant, and the most serious entries here are herbs like ephedra that push heart rate and…”

Reviewed by 2 · Jul 18, 2026

Open the Acetaminophen, Brompheniramine, Phenylpropanolamine interaction page

One more smart check

Taking Camphor as Part of a Dietary Supplement Product? Check It for Interactions

We hold 51 real supplement products containing Camphor, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Camphor. Your product may carry other ingredients that interact with Acetaminophen, Brompheniramine, Phenylpropanolamine too, on top of Camphor — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Camphor and Acetaminophen, Brompheniramine, Phenylpropanolamine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Camphor
Steady interest

#1,078 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Acetaminophen, Brompheniramine, Phenylpropanolamine
Top half

#1,085 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Camphor

What is Camphor?

  • Muscle and joint aches
  • Cough and chest congestion
  • Itching and skin irritation
  • Cold sores or minor wounds
  • Counterirritant for pain

Camphor is a strong-smelling compound from the camphor tree (or made synthetically) that is used in many topical rub-on products for muscle aches, itching, and chest congestion. It can be helpful for these uses when applied to the skin in small, regulated amounts, but it is toxic and potentially deadly if swallowed, so it should never be taken by mouth. Keep camphor products away from children and check with a pharmacist before use.

Read the full Camphor monograph & all interactions
Keep checking

Other Drugs & Camphor

Browse every other medication we’ve checked against Camphor — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
369Moderate
0Minor
2,460No known interaction
Moderate

369 interactions

Showing 60 of 369 moderate interactions — see all 369 on the Camphor page.

No interaction 2,460 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Camphor and Acetaminophen, Brompheniramine, Phenylpropanolamine Together: Common Questions

Can you take Camphor with Acetaminophen, Brompheniramine, Phenylpropanolamine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Camphor and Acetaminophen, Brompheniramine, Phenylpropanolamine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Acetaminophen, Brompheniramine, Phenylpropanolamine and Camphor?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.