Look Up > Drugs > Buclizine
Buclizine
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Overdosage/Toxicology
Drug Interactions
Mechanism of Action
Usual Dosage
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(BYOO kli zeen)

U.S. Brand Names
Bucladin®-S Softab®

Generic Available

Yes


Synonyms
Buclizine Hydrochloride

Pharmacological Index

Antihistamine


Use

Prevention and treatment of motion sickness; symptomatic treatment of vertigo


Pregnancy Risk Factor

C


Contraindications

Known hypersensitivity to buclizine


Warnings/Precautions

Product contains tartrazine; use with caution in patients with angle-closure glaucoma, peptic ulcer, urinary tract obstruction, hyperthyroidism; some preparations contain sodium bisulfite; syrup contains alcohol


Adverse Reactions

>10%: Central nervous system: Drowsiness

<1%: Hypotension, palpitations, sedation, dizziness, paradoxical excitement, fatigue, insomnia, nausea, vomiting, urinary retention, tremor, blurred vision


Overdosage/Toxicology

CNS stimulation or depression; overdose may result in death in infants and children

There is no specific treatment for an antihistamine overdose, however, most of its clinical toxicity is due to anticholinergic effects; anticholinesterase inhibitors including physostigmine, neostigmine, pyridostigmine, and edrophonium may be useful by reducing acetylcholinesterase; for anticholinergic overdose with severe life-threatening symptoms, physostigmine 1-2 mg (0.5 mg or 0.02 mg/kg for children) I.V., slowly may be given to reverse these effects


Drug Interactions

Increased toxicity: CNS depressants, MAO inhibitors, tricyclic antidepressants


Mechanism of Action

Buclizine acts centrally to suppress nausea and vomiting. It is a piperazine antihistamine closely related to cyclizine and meclizine. It also has CNS depressant, anticholinergic, antispasmodic, and local anesthetic effects, and suppresses labyrinthine activity and conduction in vestibular-cerebellar nerve pathways.


Usual Dosage

Adults: Oral:

Vertigo: 50 mg twice daily, up to 150 mg/day


Mental Health: Effects on Mental Status

Drowsiness is common


Mental Health: Effects on Psychiatric Treatment

Concurrent use with psychotropics may produce additive sedation


Patient Information

Take as directed. Do not increase dose or take more often than recommended. May cause drowsiness; use caution when driving or engaging in tasks that require alertness until response to drug is known. May cause dry mouth; lozenges, gum, or liquids may help. May cause headache or feelings of jitteriness or anxiety; these will go away when drug is discontinued. Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend to be pregnant. Do not breast-feed.


Nursing Implications

Bucladin®-S Softab® may be chewed, swallowed whole, or allowed to dissolve in mouth


Dosage Forms

Tablet, chewable, as hydrochloride: 50 mg


References

Atkinson R and Appenzeller O, "Headache," Postgrad Med J, 1984, 60(710):841-6.


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