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Meclizine

Generic Name: Meclizine hydrochloride
Dosage Form: tablet

Medically reviewed on May 1, 2018

Meclizine Description

Chemically, Meclizine hydrochloride is 1-(p-chloro-α-phenylbenzyl)-4-(m-methylbenzyl) piperazine dihydrochloride monohydrate.

C25H27CIN2·2HCl·H20 M.W. 481.89

Meclizine hydrochloride tablets, USP are available in two different strengths, 12.5 mg and 25 mg. Inactive ingredients: microcrystalline cellulose, lactose monohydrate, croscarmellose sodium and magnesium stearate. The 12.5 mg tablet also contains FD&C Blue #1 Aluminum Lake.

Meclizine - Clinical Pharmacology

Meclizine hydrochloride is an antihistamine that shows marked protective activity against nebulized histamine and lethal doses of intravenously injected histamine in guinea pigs. It has a marked effect in blocking the vasodepressor response to histamine, but only a slight blocking action against acetylcholine. Its activity is relatively weak in inhibiting the spasmogenic action of histamine on isolated guinea pig ileum.

Pharmacokinetics

The available pharmacokinetic information for Meclizine following oral administration has been summarized from published literature.

Absorption

Meclizine is absorbed after oral administration with maximum plasma concentrations reaching at a median Tmax value of 3 hours post-dose (range: 1.5 to 6 hours) for the tablet dosage form.

Distribution

Drug distribution characteristics for Meclizine in humans are unknown.

Metabolism

The metabolic fate of Meclizine in humans is unknown. In an in vitro metabolic study using human hepatic microsome and recombinant CYP enzyme, CYP 2D6 was found to be the dominant enzyme for metabolism of Meclizine.

The genetic polymorphism of CYP2D6 that results in extensive-, poor-, intermediate- and ultrarapid metabolizer phenotypes could contribute to large inter-individual variability in Meclizine exposure.

Elimination

Meclizine has a plasma elimination half-life of about 5-6 hours in humans.

Indications and Usage for Meclizine

Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system.

Contraindications

Meclizine hydrochloride tablets are contraindicated in individuals who have shown a previous hypersensitivity to it.

Warnings

Since drowsiness may, on occasion, occur with use of this drug, patients should be warned of this possibility and cautioned against driving a car or operating dangerous machinery.

Patients should avoid alcoholic beverages while taking this drug.

Due to its potential anticholinergic action, this drug should be used with caution in patients with asthma, glaucoma, or enlargement of the prostate gland.

Precautions

Pediatric Use

Clinical studies establishing safety and effectiveness in children have not been done; therefore, usage is not recommended in children under 12 years of age.

Pregnancy

Pregnancy Category B.

Reproduction studies in rats have shown cleft palates at 25-50 times the human dose. Epidemiological studies in pregnant women, however, do not indicate that Meclizine increases the risk of abnormalities when administered during pregnancy. Despite the animal findings, it would appear that the possibility of fetal harm is remote. Nevertheless, Meclizine, or any other medication, should be used during pregnancy only if clearly necessary.

Nursing Mothers

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Meclizine is administered to a nursing woman.

Hepatic Impairment

The effect of hepatic impairment on the pharmacokinetics of Meclizine has not been evaluated. As Meclizine undergoes metabolism, hepatic impairment may result in increased systemic exposure of the drug. Treatment with Meclizine should be administered with caution in patients with hepatic impairment.

Renal Impairment

The effect of renal impairment on the pharmacokinetics of Meclizine has not been evaluated. Due to a potential drug/metabolite accumulation, Meclizine should be administered with caution in patients with renal impairment and in the elderly as renal function generally declines with age.

Drug Interactions

There may be increased CNS depression when Meclizine is administered concurrently with other CNS depressants, including alcohol, tranquilizers, and sedatives. (see WARNINGS)

Based on in-vitro evaluation, Meclizine is metabolized by CYP2D6. Therefore there is a possibility for a drug interaction between Meclizine and CYP2D6 inhibitors.

Adverse Reactions

Anaphylactoid reaction, drowsiness, dry mouth, headache, fatigue, vomiting and, on rare occasions, blurred vision have been reported.

To report SUSPECTED ADVERSE REACTIONS, contact Epic Pharma, LLC at

1-888-374-2791 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Meclizine Dosage and Administration

For the treatment of vertigo associated with diseases affecting the vestibular system, the recommended dose is 25 to 100 mg daily, in divided dosage, depending upon clinical response.

How is Meclizine Supplied

Meclizine Hydrochloride Tablets, USP are available as follows:

12.5 mg, blue, modified oval-shaped tablets, de-bossed “Є12” on one side and plain on the other side. They are supplied as follows:

NDC 42806-012-01 in bottles of 100

NDC 42806-012-10 in bottles of 1000

25 mg, white, modified oval-shaped tablets, de-bossed “Є14” on one side and plain on the other side. They are supplied as follows:

NDC 42806-014-01 in bottles of 100

NDC 42806-014-10 in bottles of 1000

Store at 20º to 25ºC (68 to 77ºF) [See USP Controlled Room Temperature]. Dispense contents in a tight, light-resistant container as defined in the USP, with a child-resistant closure, as required.

Manufactured by:

Epic Pharma, LLC

Laurelton, NY 11413

Rev.05-2018-00

MF012REV05/18

OE1035

PRINCIPAL DISPLAY PANEL – 12.5 mg, 100 Count

Meclizine Hydrochloride Tablets USP, 12.5 mg

Rx Only

100 Tablets

PRINCIPAL DISPLAY PANEL – 25 mg, 100 Count

Meclizine Hydrochloride Tablets USP, 25 mg

Rx Only

100 Tablets

Meclizine HYDROCHLORIDE 
Meclizine hydrochloride tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:42806-012
Route of Administration ORAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Meclizine HYDROCHLORIDE (Meclizine) Meclizine HYDROCHLORIDE 12.5 mg
Inactive Ingredients
Ingredient Name Strength
LACTOSE MONOHYDRATE  
CELLULOSE, MICROCRYSTALLINE  
CROSCARMELLOSE SODIUM  
MAGNESIUM STEARATE  
FD&C BLUE NO. 1  
Product Characteristics
Color BLUE Score no score
Shape OVAL Size 10mm
Flavor Imprint Code E12
Contains     
Packaging
# Item Code Package Description
1 NDC:42806-012-01 100 TABLET in 1 BOTTLE
2 NDC:42806-012-10 1000 TABLET in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA200294 04/30/2012 03/31/2020
Meclizine HYDROCHLORIDE 
Meclizine hydrochloride tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:42806-014
Route of Administration ORAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Meclizine HYDROCHLORIDE (Meclizine) Meclizine HYDROCHLORIDE 25 mg
Inactive Ingredients
Ingredient Name Strength
CELLULOSE, MICROCRYSTALLINE  
LACTOSE MONOHYDRATE  
CROSCARMELLOSE SODIUM  
MAGNESIUM STEARATE  
Product Characteristics
Color WHITE Score no score
Shape OVAL Size 13mm
Flavor Imprint Code E14
Contains     
Packaging
# Item Code Package Description
1 NDC:42806-014-01 100 TABLET in 1 BOTTLE
2 NDC:42806-014-10 1000 TABLET in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA200294 04/30/2012 04/30/2020
Labeler - Epic Pharma, LLC (827915443)
 
Epic Pharma, LLC
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