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Pronunciation |
|
(BYOO
kli
zeen) |
|
|
U.S. Brand
Names |
|
Bucladin®-S
Softab® |
|
|
Generic
Available |
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Yes |
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Synonyms |
|
Buclizine Hydrochloride |
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|
Pharmacological Index |
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Antihistamine |
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|
Use |
|
Prevention and treatment of motion sickness; symptomatic treatment of
vertigo |
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Pregnancy Risk
Factor |
|
C |
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Contraindications |
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Known hypersensitivity to buclizine |
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|
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
|
|
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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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