Stuvert

Drug Information of Stuvert

Contents


Cinnarizine 20 mg, domperidone maleate 15 mg

Indications


Treatment & prophylaxis of motion sickness; short-term symptomatic treatment of dizziness or vertigo, nausea & vomiting (excluding pregnancy).

Dosage


Vestibular disorders & vertigo 1 tab bid.
Motion sickness Short trips:
Adult & childn >12 yr 1 tab.
Childn 5-12 yr 1/2 tab. Longer trips (>6 hr to few days):
Adult1 tab tid.
Childn >12 yr 1 tab bid-tid;
5-12 yr 1/2 tab tid.

Contraindications


GI hemorrhage, mechanical obstruction or perforation, prolactin-releasing pituitary tumor (prolactinoma).

Special Precautions


Hepatic impairment, severe renal insufficiency. May impair ability to drive or operate machinery. Pregnancy & lactation.

Adverse Drug Reactions


Cinnarizine: Somnolence, headache, dry mouth, perspiration & allergic reactions. Domperidone: Intestinal cramps. Extrapyramidal phenomena which is reversible when treatment is discontinued.
View ADR Monitoring Website

Drug Interactions


Alcohol, CNS depressants, TCAs. Anticholinergics. Azole antifungals, macrolides, HIV protease inhibitors, nefazodone.
View more drug interactions with Stugil

Adverse Effect cinnarizine causes additive toxicity with alcohol
Severity Level
5 - Moderate - These medications may interact resulting in the potential deterioration of the patient's condition. The patient should be monitored for the possible manifestations of the interaction. Medical intervention or a change in therapy may be required.

Documentation Level


Well established - There have been several published reports of this interaction. The pharmacological explanation of why the interaction occurs is well documented and understood. There are usually controlled studies that have established that the interactionexists.

cinnarizine belongs to the class of Antihistamines sedating
First generation antihistamines which inhibit the action of histamine at H1-receptors.

alcohol belongs to the class of Alcohol
Alcohol reacts to varying degrees with a large number of medicinal agents.

Probable Mechanism


Sedating antihistamines may potentiate the effects of alcohol resulting in increased sedation. Patients on sedating antihistamines should be advised to avoid alcohol, especially in large amounts and when driving.

Actions to be Taken


1. Avoid combination.

Reference


Burns M, Moskowitz H: Effects of diphenhydramine and alcohol on skills performance. Eur J Clin Pharmacol (1980) 17 (4/Apr): 259-66
Ridout F, Shamsi Z, Meadows R et al: A single-center, randomized, double-blind, placebo-controlled, crossover investigation of the effects of fexofenadine hydrochloride 180 mg alone and with alcohol, with hydroxyzine hydrochloride 50 mg as a positive internal control, on aspects of cognitive and psychomotor function related to driving a car. Clin Ther (2003) 25 (5/May): 1518-38
Vermeeren A, Ramaekers JG, O'Hanlon JF: Effects of emedastine and cetirizine alone and with alcohol, on actual driving of males and females. J Psychopharmacol (2002) 16 (1/Mar): 57-64
Franks HM, Hensley VR, Hensley WJ et al: The interaction between ethanol and antihistamines. 1: Dexchlorpheniramine. Med J Aust (1978) 1 (8/Apr 22): 449-52
Franks HM, Lawrie M, Schabinsky VV et al: Interaction between ethanol and antihistamines: 3. mebhydrolin. Med J Aust (1981) 2 (9/Oct 31): 477-9
Barbanoj MJ, GarcĂ­a-Gea C, Antonijoan R et al: Evaluation of the cognitive, psychomotor and pharmacokinetic profiles of rupatadine, hydroxyzine and cetirizine, in combination with alcohol, in healthy volunteers. Hum Psychopharmacol (2006) 21 (1/Jan): 13-26

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