Olopatadine

DEA Class; Rx

Common Brand Names; Patanase, Pataday, Patanol, Pazeo

  • Allergy, Intranasal; 
  • Antihistamines, Intranasal

Ophthamic and nasal antihistamine (H1-blocker) and mast cell stabilizer
Ophthalmic solution for prevention of ocular pruritus due to allergic conjunctivitis
Nasal spray for seasonal allergic rhinitis

Indicated for the treatment of the signs and symptoms of allergic conjunctivitis, including ocular pruritus.

For the management of nasal symptoms of seasonal allergies and seasonal allergic rhinitis (e.g., rhinorrhea, sneezing, and nasal pruritus).

Hypersensitivity

  • Bitter taste (12.8%; 1% pediatric)
  • Respiratory epistaxis (3-25%)
  • Headache (4.4%)
  • Depression (2%)
  • Fatigue (1%)
  • Somnolence (1%)
  • Weight gain (1%)
  • Epistaxis (3.2%; 5.7% pediatric)
  • Upper respiratory tract infection (2.6% pediatric)
  • Pharyngolaryngeal pain (2.2%)
  • Postnasal drip (1.5%)
  • Cough (1.4%)
  • Urinary tract infection (1.2%)
  • Upper respiratory tract infection in children (3%)

May cause epistaxis, nasal ulceration, or nasal septal perforation

Avoid with nasal disease other than allergic rhinitis

May impair mental/physical abilities required for hazardous tasks (eg, driving, operating machinery)

Avoid concurrent use of alcohol or other CNS depressants (possible additive sedation)

Published data from postmarketing experience with antihistamines, have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes

There are no data on presence of drug in human milk, effects on breastfed infant, or on milk production; although orally administered drug is present in rat milk, there is no information about nasally administered drug

Adults

2 drops/day 0.1% ophthalmic solution in each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye; 4 nasal sprays/day in each nostril.

Geriatric

2 drops/day 0.1% ophthalmic solution in each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye; 4 nasal sprays/day in each nostril.

Adolescents

2 drops/day 0.1% ophthalmic solution each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye; 4 nasal sprays/day in each nostril.

Children

12 years: 2 drops/day 0.1% ophthalmic solution each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye; 4 nasal sprays/day in each nostril.
6 to 11 years: 2 drops/day 0.1% ophthalmic solution each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye; 2 nasal sprays/day in each nostril.
2 to 5 years: 2 drops/day 0.1% ophthalmic solution in each affected eye; 1 drop/day 0.2% or 0.7% ophthalmic solution in each affected eye. Safety and efficacy have not been established for the nasal spray; however, 2 nasal sprays/day in each nostril has been studied.
younger than 2 years: Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Olopatadine hydrochloride 

nasal spray

  • 6% (665mcg/100 microliters spray)

ophthalmic solution

  • 0.1% (Patanol [OTC])
  • 0.2% (Pataday [OTC])
  • 0.7% (Pazeo)

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