Acrivastine + Pseudoephedrine
Indications
Acrivastine + Pseudoephedrine is used for:
Seasonal Allergic Rhinitis, Nasal Congestion
Adult Dose
Seasonal Allergic Rhinitis or Nasal Congestion
8 mg/60 mg (1 capsule) PO q4-6h
>14 days continuous treatment efficacy not adequately investigated
Child Dose
Seasonal Allergic Rhinitis or Nasal Congestion
<12 years: Safety and efficacy not established
>12 years: 8 mg/60 mg (1 capsule) PO q4-6h
>14 days continuous treatment efficacy not adequately investigated
Renal Dose
Renal Impairment
CrCl>48mL/min: Dose adjustment not necessary
CrCl <48mL/min: Not recommended
Administration
Contra Indications
Hypersensitivity to acrivastine or other alkylamine antihistamines
Hypersensitivity to pseudoephedrine or other sympathomimetic amines
Severe hypertension
Severe coronary artery disease
Patients taking monoamine oxidase (MAO) inhibitors and for 14 days after stopping use of an MAO inhibitor
Precautions
Due to potential for sedation, assess individual responses before engaging in any activity requiring mental alertness, such as driving a motor vehicle or operating machinery
Concurrent use with alcohol or other CNS depressants may cause additional reductions in alertness and impairment of CNS performance and should be avoided
Not adequately studied for relieving common cold symptoms
Pregnancy-Lactation
Pregnancy Category: B
Lactation: Unknown whether acrivastine is distributed in breast milk, caution advised ; pseudoephedrine is excreted in human milk, caution advised
Interactions
MAO inhibitors and beta-adrenergic agonists increase the effects of sympathomimetic amines. Concomitant use of sympathomimetic amines with MAO inhibitors can result in a hypertensive crisis. Because MAO inhibitors are long-acting, Acrivastine + Pseudoephedrine Capsules should not be taken with an MAO inhibitor or for 14 days after stopping the use of an MAO inhibitor.
Because of their pseudoephedrine content, Acrivastine + Pseudoephedrine Capsules may reduce the antihypertensive effects of drugs that interfere with sympathetic activity. Care should be taken in the administration of Acrivastine + Pseudoephedrine Capsules concomitantly with other sympathomimetic amines because the combined effects on the cardiovascular system may be harmful to the patient.
Concomitant administration of Acrivastine + Pseudoephedrine Capsules with alcohol and other CNS depressants may result in additional reductions in alertness and impairment of CNS performance and should be avoided.
Contraindicated (16)
dihydroergotamine
dihydroergotamine inhaled
dihydroergotamine intranasal
ergoloid mesylates
ergonovine
ergotamine
isocarboxazid
linezolid
methylergonovine
phenelzine
procarbazine
rasagiline
selegiline
selegiline transdermal
thalidomide
tranylcypromine
Serious - Use Alternative (51)
alfentanil
amisulpride
amitriptyline
amoxapine
benzhydrocodone/acetaminophen
buprenorphine
buprenorphine buccal
buprenorphine subdermal implant
buprenorphine transdermal
buprenorphine, long-acting injection
cabergoline
clomipramine
cocaine topical
codeine
desipramine
desvenlafaxine
deutetrabenazine
doxapram
doxepin
duloxetine
fentanyl
fentanyl intranasal
fentanyl iontophoretic transdermal system
fentanyl transdermal
fentanyl transmucosal
hydrocodone
hydromorphone
imipramine
iobenguane I 123
iobenguane I 131
isoflurane
levomilnacipran
lofepramine
maprotiline
methadone
methocarbamol
methoxyflurane
metoclopramide intranasal
milnacipran
morphine
nortriptyline
oxycodone
oxymorphone
ozanimod
protriptyline
selinexor
sevoflurane
tramadol
trazodone
triazolam
trimipramine
Adverse Effects
Side effects of Acrivastine + Pseudoephedrine :
1-10%
Somnolence
Nervousness
Insomnia
Dry mouth
<1%
Headache
Dizziness
Asthenia
Nausea
Dyspepsia
Pharyngitis
Cough increase
Dysmenorrhea
Mechanism of Action
Acrivastine exhibits H1-antihistaminic receptor activity, which prevents histamine from binding to its receptor in target cells
Pseudoephedrine: Indirect sympathomimetic agent, releases norepinephrine from adrenergic nerves