Meclizine

DEA Class; OTC

Common Brand Names; Antivert, Bonine, Meni D, meclozine, Dramamine Less Drowsy Formula, VertiCalm

  • Antiemetic Agents; 
  • Antiemetics, Antihistamine

Oral piperazine-derivative sedating antihistamine; structurally similar to hydroxyzine
Used primarily as an antivertigo and antiemetic agent for symptoms associated with motion sickness
Has also been used medically in the management of vertigo in diseases affecting the vestibular apparatus

Indicated for the treatment of nausea/vomiting and dizziness associated with motion sickness.

For control of vertigo associated with vestibular system diseases.

Hypersensitivity

  • Drowsiness
  • Thickening of bronchial secretions
  • Acute glaucoma attack
  • Blurred vision (rare)
  • Constipation
  • Fatigue
  • Vomiting
  • Xerostomia
  • Headache
  • Dry mouth
  • Urinary retention

Use cautioin in obstructive genitourinary tract disease, asthma, pyloric or duodenal obstruction, prostatic hyperplasia, narrow angle glaucoma

Hepatic impairment may increase meclizine systemic exposure

Renal impairment may increase meclizine or metabolite accumulation

May impair physical or mental abilities; use caution when operating heavy machinery or performing tasks which require mental alertness

Pregnancy category: B

Lactation: Not known if excreted in milk; use caution

Adults

100 mg/day PO for vertigo; 50 mg/day PO for nausea, vomiting, or dizziness associated with motion sickness.

Geriatric

100 mg/day PO for vertigo; 50 mg/day PO for nausea, vomiting, or dizziness associated with motion sickness.

Adolescents

50 mg/day PO for nausea, vomiting, or dizziness associated with motion sickness.

Children

12 years: 50 mg/day PO for nausea, vomiting, or dizziness associated with motion sickness.
Less than 12 years: Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Meclizine hydrochloride

tablet

  • 12.5mg
  • 25mg
  • 32mg

tablet, chewable

  • 25mg

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