Generic Name: Emedastine Difumarate
Class: Antiallergic Agents
ATC Class: S03AA07
VA Class: OP900
Chemical Name: 1-(2-Ethoxyethyl)-2-(hexahydro-4-methyl-1H-1,4-diazepin-1-yl)benzimidazole fumerate (1:2)
Molecular Formula: C17H26N4O•2C4H4O4
CAS Number: 87233-62-3
Uses for Emadine
Symptomatic relief of allergic conjunctivitis.1
Emadine Dosage and Administration
Remove soft contact lenses prior to administration of each dose (since benzalkonium chloride preservative may be absorbed by the lenses); may reinsert lenses 10 minutes after administration if eyes are not red.1
If more than one topical ophthalmic drug is used, administer the drugs at least 5 minutes apart.12
Avoid contamination of the solution container.1
Do not use if solution is discolored.1
Available as emedastine difumarate; dosage expressed in terms of emedastine.1
Children ≥3 years of age: 1 drop of a 0.05% solution in the affected eye(s) up to 4 times daily.1
1 drop of a 0.05% solution in the affected eye(s) up to 4 times daily.1
Cautions for Emadine
Known hypersensitivity to emedastine or any ingredient in the formulation.1
Safety and efficacy not established in children <3 years of age.1
Adverse effect profile in children 3–16 years of age is similar to that in individuals ≥17 years of age.14
No substantial differences in safety and efficacy relative to younger adults.1
Common Adverse Effects
Interactions for Emadine
No formal drug interaction studies to date.12
44% of an oral dose is recovered in urine within 24 hours.1
3–4 hours following oral administration.1
Tightly closed bottle at 4–30°C.1
Advice to Patients
Importance of removing soft contact lenses prior to administration of each dose.1 Delay reinsertion for 10 minutes after administration if eyes are not red; do not wear contact lenses if eye(s) are red.1 Not indicated for contact lens-related irritation.1
Importance of administering different topical ophthalmic preparations at least 5 minutes apart.1
Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.1
Importance of informing clinicians of existing or contemplated therapy, including prescription and OTC drugs as well as any concomitant illnesses.
Importance of informing patients of other important precautionary information.1 (See Cautions.)
Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.
Please refer to the ASHP Drug Shortages Resource Center for information on shortages of one or more of these preparations.
0.05% (of emedastine)
Emadine (with benzalkonium chloride)
AHFS DI Essentials. © Copyright, 2016, American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814. Review Date: September 06, 2016.
1. Alcon Laboratories Inc. Emadine (emedastine difumarate) ophthalmic solution 0.05% prescribing information. Forth Worth, TX; 2003 Aug.
2. Yanni JM, Stephens DJ, Parnell DW et al. Preclinical efficacy of emedastine, a potent, selective histamine H1 antagonist for topical ocular use. J Ocular Pharmacol. 1994; 10:665-75.
3. Sharif NA, Su SX, Yanni JM. Emedastine: a potent, high affinity histamine H1 receptor-selective antagonist for ocular use: receptor binding and second messenger studies. J Ocular Pharmacol. 1994; 10:653-64.
4. Fukuda T, Saito T, Yoshidomi M et al. Influence of 1-(2-ethoxyethyl)-2-(4-methyl-1-homopiperazinyl)benzimidazole difumarate (KB-2413), a new antiallergic, on ciliary movement. Arzneimittelforschung. 1984; 34:816-8. [PubMed 6149756]
5. Budavari S, O’Neil MJ, Smith A et al, eds. The Merck index. 12th ed. Rahway, NJ: Merck & Co, Inc; 1996:601.
6. Ciprandi G, Buscaglia S, Cerqueti PM et al. Drug treatment of allergic conjunctivitis: a review of the evidence. Drugs. 1992; 43:154-76. [IDIS 360840] [PubMed 1372215]
7. Morrow GL, Abbott RL. Conjunctivitis. Am Fam Physician. 1998; 57:735-46. [IDIS 418448] [PubMed 9490996]
8. Titi MJ. A critical look at ocular allergy drugs. Am Fam Physician. 1996; 53:2637-42. [IDIS 367250] [PubMed 8644576]
9. Galindez OA, Kaufman HE. Coping with the itchy-burnies: the management of allergic conjunctivitis. Ophthalmology. 1996; 103:1335-6. [IDIS 373485] [PubMed 8841290]
10. Friedlaender MH. Current concepts in ocular allergy. Ann Allergy. 1991; 67:5-10,13. [IDIS 312766] [PubMed 1859041]
11. Trocme SD. Medical therapy for ocular allergy. Mayo Clin Proc. 1992; 67:557-65. [IDIS 296611] [PubMed 1359206]
12. Alcon Laboratories; Fort Worth, TX: Personal communication.
13. Reviewers’ comments (personal observations).
14. Alcon Laboratories. Emadine (emedastine difumarate) ophthalmic solution 0.05% product monograph. Fort Worth, TX: (not dated).
15. Verin P, Secchi A, Easty DL et al. Efficacy and safety of emedastine eye drops 0.05% compared to levocabastine eye drops 0.05% in allergic conjunctivitis. Invest Ophthalmol Vis Sci. 1998; 39:S549.