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Pronunciation |
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(SYE
kli
zeen) |
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U.S. Brand
Names |
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Marezine®[OTC] |
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Generic
Available |
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No |
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Synonyms |
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Cyclizine Hydrochloride; Cyclizine Lactate |
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Pharmacological Index |
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Antihistamine |
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Use |
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Prevention and treatment of nausea, vomiting, and vertigo associated with
motion sickness; control of postoperative nausea and
vomiting |
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Pregnancy Risk
Factor |
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B |
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Contraindications |
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Hypersensitivity to cyclizine or any component |
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Adverse
Reactions |
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>10%:
Central nervous system: Drowsiness
Gastrointestinal: Xerostomia
1% to 10%:
Central nervous system: Headache
Dermatologic: Dermatitis
Gastrointestinal: Nausea
Genitourinary: Urinary retention
Ocular: Diplopia
Renal: Polyuria |
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Drug
Interactions |
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Increased effect/toxicity with CNS depressants, alcohol |
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Stability |
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I.M. formulation is incompatible when mixed in the same syringe with
tetracyclines, methohexital, penicillin, pentobarbital, phenobarbital,
secobarbital, thiopental |
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Mechanism of
Action |
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Cyclizine is a piperazine derivative with properties of histamines. The
precise mechanism of action in inhibiting the symptoms of motion sickness is not
known. It may have effects directly on the labyrinthine apparatus and central
actions on the labyrinthine apparatus and on the chemoreceptor trigger zone.
Cyclizine exerts a central anticholinergic action. |
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Usual Dosage |
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Oral:
Adults: 50 mg taken 30 minutes before departure, may repeat in 4-6 hours if
needed, up to 200 mg/day |
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Mental Health: Effects
on Mental Status |
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Drowsiness is common |
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Mental Health:
Effects on Psychiatric
Treatment |
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Concurrent use with psychotropics may exacerbate the dry mouth and sedation
commonly seen with cyclizine |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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>10% of patients will experience dry mouth |
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Patient
Information |
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May cause drowsiness, may impair judgment and coordination; avoid alcohol;
drink plenty of fluids for dry mouth and to prevent
constipation |
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Nursing
Implications |
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Monitor CNS effects or unusual movements |
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Dosage Forms |
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Injection, as lactate: 50 mg/mL (1 mL)
Tablet, as hydrochloride: 50 mg
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