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Antivert
Antivert (meclizine) is a prescription antihistamine commonly used to treat vertigo, motion sickness, and symptoms related to inner ear conditions such as Meniere’s disease. It works by blocking certain signals in the brain that trigger nausea, vomiting, and dizziness. Antivert helps alleviate these symptoms by reducing the activity of the vestibular system in the inner ear. It is a well-tolerated medication, often used for short-term relief of dizziness and nausea.
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Frequently Asked Questions
How long does it take for Antivert to start working?
Antivert usually begins to work within 1 hour of taking the medication, making it effective for both vertigo and motion sickness if taken before travel.
Can I take Antivert daily for vertigo?
Yes, Antivert can be taken daily for vertigo as prescribed by your healthcare provider. However, long-term use should be monitored due to potential side effects like drowsiness and confusion, especially in older adults.
What should I do if I miss a dose of Antivert?
If you miss a dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue your regular schedule. Do not double up doses.
Can I use Antivert if I’m pregnant?
Antivert is generally considered safe during pregnancy, but you should always consult with your healthcare provider before starting any new medication during pregnancy.
Is Antivert available over the counter?
While meclizine is available over the counter in lower doses for motion sickness, Antivert is a prescription-strength formulation typically used for vertigo and other conditions.
Comprehensive Drug Guide
How Does Antivert Work?
Antivert works by blocking histamine H1 receptors and reducing the stimulation of the vestibular system in the inner ear. This reduces the transmission of signals to the brain that cause nausea, vomiting, and dizziness. By doing so, Antivert helps stabilize balance and reduce vertigo symptoms.
Common Dosages
- Tablets: 12.5 mg, 25 mg, 50 mg
- Chewable tablets: 25 mg
Typical Dosing
- For vertigo: The usual adult dose is 25 to 100 mg per day, divided into smaller doses based on the severity of symptoms.
- For motion sickness: The recommended dose is 25 to 50 mg, taken 1 hour before travel. The dose may be repeated every 24 hours if needed.
Typical Dosing
FDA Approved Indications
- Vertigo due to inner ear disorders
- Motion sickness (nausea, vomiting, and dizziness related to movement)
Who Shouldn't Take Antivert?
- Known hypersensitivity to meclizine or any other components of the drug
- Severe asthma or other lower respiratory diseases, as antihistamines may thicken mucus
- Caution is advised in elderly patients, as it may cause sedation and confusion.
Advice From The Pharmacist
- Antivert can be taken with or without food, but if it causes stomach upset, taking it with food may help.
- Avoid drinking alcohol while taking Antivert, as it can increase drowsiness and dizziness.
- Do not drive or operate heavy machinery until you know how Antivert affects you, as it can cause drowsiness and impair motor skills.
- If you are using Antivert for motion sickness, take it at least 1 hour before travel for the best effect.
Side Effects of Antivert
Common Side Effects
- Drowsiness
- Dry mouth
- Blurred vision
- Fatigue
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, swelling, difficulty breathing)
- Confusion or hallucinations in older adults
Risks and Warnings of Antivert
- Sedation: Antivert can cause significant drowsiness and should be used with caution if you need to stay alert.
- Elderly patients: There is an increased risk of confusion, falls, and cognitive decline in elderly individuals, so monitoring is advised.
- Anticholinergic effects: As an antihistamine, Antivert can cause dry mouth, urinary retention, and constipation, particularly in older adults.
Interactions with Antivert
Common Drug Interactions
- CNS depressants: Combining Antivert with other sedative medications (e.g., benzodiazepines, opioids, or alcohol) can increase the risk of drowsiness and impairment.
- Anticholinergics: Using Antivert with other anticholinergic medications can enhance side effects like dry mouth, constipation, and urinary retention.
- Tricyclic antidepressants: These drugs can also increase drowsiness and anticholinergic side effects when used with Antivert.
Alternatives to Antivert
- Dramamine (dimenhydrinate): Another antihistamine used for motion sickness, which is available OTC.
- Scopolamine patches: These are applied behind the ear for the prevention of motion sickness, offering a long-acting alternative.
- Promethazine: A prescription antihistamine and antiemetic used for severe motion sickness and nausea.
- Ondansetron: A non-antihistamine antiemetic that is used for preventing nausea and vomiting due to a variety of causes, including chemotherapy and surgery.