Optimine Side Effects
Generic Name: azatadine
Note: This page contains side effects data for the generic drug azatadine. It is possible that some of the dosage forms included below may not apply to the brand name Optimine.
For the Consumer
Applies to azatadine: oral tablet
Stop taking azatadine (the active ingredient contained in Optimine) and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
Other, less serious side effects may be more likely to occur. Continue to take azatadine and talk to your doctor if you experience
sleepiness, fatigue, or dizziness;
dry mouth; or
difficulty urinating or an enlarged prostate.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
For Healthcare Professionals
Applies to azatadine: oral tablet
Nervous system side effects have commonly included central nervous system depression with resulting drowsiness. Azatadine (the active ingredient contained in Optimine) has also caused dizziness and affected coordination.[Ref]
The drowsiness caused by azatadine may subside in some patients following prolonged use. Patients should be warned against driving, as well as concomitant ingestion of alcohol and other sedative-hypnotic drugs, while taking azatadine.
At dosages above what is normally recommended, dystonic reactions have occurred.[Ref]
Gastrointestinal side effects have included dry mouth and constipation due to anticholinergic effects. Patients have also experienced epigastric distress and nausea. Increased appetite has been reported.[Ref]
Cardiovascular side effects have included hypotension, tachycardia, and palpitations.[Ref]
Ocular side effects have included blurred vision, diplopia, and dry eyes due to cholinergic blockade.[Ref]
Genitourinary side effects have included dysuria, urinary hesitancy, decrease in urinary flow, and in rare cases, acute urinary retention. These urinary tract effects may have been due to azatadine (the active ingredient contained in Optimine) s anticholinergic effects.[Ref]
Hematologic side effects have included reports of bone marrow suppression, thrombocytopenia, and aplastic anemia.[Ref]
Respiratory side effects have included thickening of bronchial secretions.[Ref]
Hypersensitivity reactions to azatadine (the active ingredient contained in Optimine) have included rash and urticaria.[Ref]
1. Kaminszczik I, Barbon L "Relieving symptoms of upper respiratory allergies and the common cold: azatadine maleate/pseudoephedrine sulfate syrup versus placebo." J Int Med Res 11 (1983): 101-7
2. Luscombe DK, Nicholls PJ, Parish PA "Comparison of the effects of azatadine maleate and terfenadine on human performance." Pharmatherapeutica 3 (1983): 370-5
3. Luscombe DK, Nicholls PJ, Spencer PS "Effect of azatadine on human performance." Br J Clin Pract 34 (1980): 75-9
4. Schuller DE, Turkewitz D "Adverse effects of antihistamines." Postgrad Med 79 (1986): 75-86
5. Small P, Barrett D, Biskin N "Effects of azatadine, terfenadine, and astemizole on allergen-induced nasal provocation." Ann Allergy 64 (1990): 129-31
6. Joske DJ "Dystonic reaction to azatadine." Med J Aust 141 (1984): 449
7. "Product Information. Optimine (azatadine)." Schering Laboratories, Kenilworth, NJ.
8. "Azatadine (optimine)--a new antihistamine." Med Lett Drugs Ther 19 (1977): 77-9
9. Wilson JD, Hillas JL, Somerfield SD "Azatadine maleate (Zadine): evaluation in the management of allergic rhinitis." N Z Med J 94 (1981): 79-81
It is possible that some side effects of Optimine may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.
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