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

Pronunciation
(SYE kli zeen)

U.S. Brand Names
Marezine®[OTC]

Generic Available

No


Synonyms
Cyclizine Hydrochloride; Cyclizine Lactate

Pharmacological Index

Antihistamine


Use

Prevention and treatment of nausea, vomiting, and vertigo associated with motion sickness; control of postoperative nausea and vomiting


Pregnancy Risk Factor

B


Contraindications

Hypersensitivity to cyclizine or any component


Adverse Reactions

>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


Drug Interactions

Increased effect/toxicity with CNS depressants, alcohol


Stability

I.M. formulation is incompatible when mixed in the same syringe with tetracyclines, methohexital, penicillin, pentobarbital, phenobarbital, secobarbital, thiopental


Mechanism of Action

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.


Usual Dosage

Oral:

Adults: 50 mg taken 30 minutes before departure, may repeat in 4-6 hours if needed, up to 200 mg/day


Mental Health: Effects on Mental Status

Drowsiness is common


Mental Health: Effects on Psychiatric Treatment

Concurrent use with psychotropics may exacerbate the dry mouth and sedation commonly seen with cyclizine


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

>10% of patients will experience dry mouth


Patient Information

May cause drowsiness, may impair judgment and coordination; avoid alcohol; drink plenty of fluids for dry mouth and to prevent constipation


Nursing Implications

Monitor CNS effects or unusual movements


Dosage Forms

Injection, as lactate: 50 mg/mL (1 mL)

Tablet, as hydrochloride: 50 mg


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