Label: MECLIZINE HYDROCHLORIDE- meclizine tablet

  • NDC Code(s): 65162-441-03, 65162-441-10, 65162-441-11, 65162-441-50, view more
    65162-441-60, 65162-442-03, 65162-442-10, 65162-442-11, 65162-442-50, 65162-442-60, 65162-444-03, 65162-444-10, 65162-444-11, 65162-444-50, 65162-444-60
  • Packager: Amneal Pharmaceuticals LLC
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated July 11, 2019

If you are a consumer or patient please visit this version.

  • HIGHLIGHTS OF PRESCRIBING INFORMATION
    These highlights do not include all the information needed to use MECLIZINE HYDROCHLORIDE TABLETS safely and effectively. See full prescribing information for MECLIZINE HYDROCHLORIDE TABLETS.

    MECLIZINE hydrochloride tablets, for oral use
    Initial U.S. Approval: 1957

    INDICATIONS AND USAGE

    Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults (1).

    DOSAGE AND ADMINISTRATION

    • Recommended dosage: 25 mg to 100 mg daily, in divided doses (2.1).
    • Tablets: Swallow whole (2.2).

    DOSAGE FORMS AND STRENGTHS

    • Tablets: 12.5 mg, 25 mg, and 50 mg (3).

    CONTRAINDICATIONS

    Meclizine hydrochloride tablets are contraindicated in patients with hypersensitivity to meclizine or any of the inactive ingredients (4).

    WARNINGS AND PRECAUTIONS

    • May cause drowsiness: Use caution when driving a car or operating dangerous machinery (5.1).
    • Potential anticholinergic action: this drug should be prescribed with care to patients with a history of asthma, glaucoma, or enlargement of the prostate gland (5.2).

    ADVERSE REACTIONS

    Common adverse reactions are anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, and vomiting. On rare occasions blurred vision has been reported (6).

    To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

    DRUG INTERACTIONS

    • Co-administration of meclizine hydrochloride with other CNS depressants, including alcohol, may result in increased CNS depression (7.1).
    • CYP2D6 inhibitors: As meclizine is metabolized by CYP2D6, there is a potential for drug-drug interactions between meclizine hydrochloride and CYP2D6 inhibitors (7.2).

    See 17 for PATIENT COUNSELING INFORMATION.

    Revised: 7/2019

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  • FULL PRESCRIBING INFORMATION: CONTENTS*
  • 1 INDICATIONS AND USAGE

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

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  • 2 DOSAGE AND ADMINISTRATION

    2.1 Recommended Dosage

    The recommended dosage is 25 mg to 100 mg daily administered orally, in divided doses, depending upon clinical response.

    2.2 Administration Instructions

    Tablets

    Meclizine hydrochloride tablets must be swallowed whole.

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  • 3 DOSAGE FORMS AND STRENGTHS

    • 12.5 mg: light blue colored, oval shaped tablets with “AN 441” debossed on one side and plain on the other side.
    • 25 mg: light yellow colored, oval shaped tablets with “AN 442” debossed on one side and plain on the other side.
    • 50 mg: white, oval shaped, partially bisected tablets with “AN 444” debossed on one side and plain on the other side.
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  • 4 CONTRAINDICATIONS

    Meclizine hydrochloride tablets are contraindicated in patients with a hypersensitivity to meclizine or any of the inactive ingredients [see Adverse Reactions (6) and Description (11)].

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  • 5 WARNINGS AND PRECAUTIONS

    5.1 Drowsiness

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

    Patients should avoid alcoholic beverages while taking meclizine hydrochloride [see Drug Interactions (7.1)].

    5.2 Concurrent Medical Conditions

    Because of its potential anticholinergic action, meclizine hydrochloride should be used with caution in patients with asthma, glaucoma, or enlargement of the prostate gland.

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  • 6 ADVERSE REACTIONS

    The following adverse reactions associated with the use of meclizine hydrochloride were identified in clinical studies or postmarketing reports. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

    Anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, and vomiting. On rare occasions blurred vision has been reported.

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  • 7 DRUG INTERACTIONS

    7.1 CNS Depressants

    There may be increased CNS depression when meclizine hydrochloride is administered concurrently with other CNS depressants, including alcohol [see Warnings and Precautions (5.1)].

    7.2 CYP2D6 Inhibitors

    Based on in-vitro evaluation, meclizine is metabolized by CYP2D6. Therefore, there is a possibility for a drug interaction between meclizine hydrochloride and CYP2D6 inhibitors. Therefore, monitor for adverse reactions and clinical effect accordingly.

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  • 8 USE IN SPECIFIC POPULATIONS

    8.1 Pregnancy

    Risk Summary

    Data from epidemiological studies have not generally indicated a drug-associated risk of major birth defects with meclizine during pregnancy. However, in a published study, an increased incidence of fetal malformations was observed following oral administration of meclizine to pregnant rats during the period of organogenesis, at doses similar to those used clinically. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. The background risk of major birth defects and miscarriage for the indicated population is unknown.

    Data

    Human Data

    Epidemiological studies reporting on pregnancies exposed to meclizine have not identified an association between the use of meclizine during pregnancy and an increased risk of major birth defects.

    Animal Data

    In a published study, oral administration of meclizine (25 mg/kg to 250 mg/kg) to pregnant rats during the period of organogenesis resulted in a high incidence of fetal malformations. These effects occurred at doses as low as 25 mg/kg, which is approximately 2 times the maximum recommended human dose (100 mg) on a body surface area (mg/m2) basis.

    8.2 Lactation

    Risk Summary

    There are no data on the presence of meclizine in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for meclizine hydrochloride and any potential adverse effects on the breastfed infant from meclizine hydrochloride or from the underlying maternal condition.

    8.4 Pediatric Use

    Safety and effectiveness in pediatric patients have not been established.

    8.5 Geriatric Use

    In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

    8.6 Hepatic Impairment

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

    8.7 Renal Impairment

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

    8.8 Genetic CYP2D6 Polymorphism

    The genetic polymorphism of CYP2D6 that results in poor-, intermediate-, extensive-, and ultrarapid metabolizer phenotypes could contribute to large inter-individual variability in meclizine exposure. Therefore, when meclizine hydrochloride is administered to patients with CYP2D6 polymorphism, monitor for adverse reactions and clinical effect accordingly.

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  • 11 DESCRIPTION

    Meclizine hydrochloride, a histamine (H1) receptor antagonist, is a white or slightly yellowish, crystalline powder. It has the following structural formula:

    1

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

    Inactive ingredients for the tablets are: colloidal silicon dioxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium starch glycolate and talc. The 12.5 mg tablets also contain FD&C Blue #1 Aluminum Lake. The 25 mg tablets also contain D&C Yellow #10 Aluminum Lake.

    Each meclizine hydrochloride 12.5 mg tablet contains 12.5 mg of meclizine dihydrochloride equivalent to 10.53 mg of meclizine free base.

    Each meclizine hydrochloride 25 mg tablet contains 25 mg of meclizine dihydrochloride equivalent to 21.07 mg of meclizine free base.

    Each meclizine hydrochloride 50 mg tablet contains 50 mg of meclizine dihydrochloride equivalent to 42.14 mg of meclizine free base.

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  • 12 CLINICAL PHARMACOLOGY

    12.1 Mechanism of Action

    The precise mechanism by which meclizine exerts its therapeutic effect is unknown but is presumed to involve antagonism of the histamine H1 receptor.

    12.2 Pharmacodynamics

    There are no relevant pharmacodynamic data regarding meclizine.

    12.3 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.

    Elimination

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

    Metabolism In an in vitro metabolic study using human hepatic microsome and recombinant CYP enzyme, CYP2D6 was found to be the dominant enzyme for metabolism of meclizine.

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  • 13 NONCLINICAL TOXICOLOGY

    13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

    Carcinogenesis

    Animal studies to assess the carcinogenic potential of meclizine have not been conducted.

    Mutagenesis

    Genetic toxicology studies of meclizine have not been conducted.

    Impairment of Fertility

    Animal studies to assess the effects of meclizine on fertility and early embryonic development have not been conducted.

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  • 16 HOW SUPPLIED/STORAGE AND HANDLING

    16.1 How Supplied

    Meclizine Hydrochloride Tablets USP, 12.5 mg are supplied as light blue colored, oval shaped tablets with “AN 441” debossed on one side and plain on the other side.

    They are available as follows:

    Bottles of 30:              NDC 65162-441-03

    Bottles of 100:            NDC 65162-441-10

    Bottles of 500:            NDC 65162-441-50

    Bottles of 1000:          NDC 65162-441-11

    Blister packs:              NDC 65162-441-60

    (Packages of 100 unit doses, 10 cards of 10 tablets each)

    Meclizine Hydrochloride Tablets USP, 25 mg are supplied as light yellow colored, oval shaped tablets with “AN 442” debossed on one side and plain on the other side.

    They are available as follows:

    Bottles of 30:              NDC 65162-442-03

    Bottles of 100:            NDC 65162-442-10

    Bottles of 500:            NDC 65162-442-50

    Bottles of 1000:          NDC 65162-442-11

    Blister packs:              NDC 65162-442-60

    (Packages of 100 unit doses, 10 cards of 10 tablets each)

    Meclizine Hydrochloride Tablets USP, 50 mg are supplied as white, oval shaped, partially bisected tablets with “AN 444” debossed on one side and plain on the other side.

    They are available as follows:

    Bottles of 30:              NDC 65162-444-03

    Bottles of 100:            NDC 65162-444-10

    Bottles of 500:            NDC 65162-444-50

    Bottles of 1000:          NDC 65162-444-11

    Blister packs:              NDC 65162-444-60

    (Packages of 100 unit doses, 10 cards of 10 tablets each)

    16.2 Storage and Handling

    Store at 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

    Dispense in a tight, light-resistant container as defined in the USP.

    Keep this and all medication out of the reach of children.

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  • 17 PATIENT COUNSELING INFORMATION

    Administration Instructions

    Advise patients that the tablets must be swallowed whole [see Dosage and Administration (2.1)].

    Adverse Reactions

    Advise patients that meclizine hydrochloride may cause anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, vomiting and, on rare occasions, blurred vision [see Warnings and Precautions (5.1), Adverse Reactions (6)].

    Inform patients that meclizine hydrochloride may impair their ability to engage in potentially dangerous activities, such as operating machinery or vehicles.

    Concomitant Drug Interactions

    Advise patients regarding medications that should not be taken in combination with meclizine hydrochloride or that may necessitate increased monitoring [see Drug Interactions (7.1, 7.2)]. Inform patients that alcohol may increase adverse reactions.

    Concurrent Medical Conditions

    Advise patients to notify their healthcare provider about all of their medical conditions, including if they are pregnant or plan to become pregnant or if they are breastfeeding [see Warnings and Precautions (5.2), Use in Specific Populations (8.1, 8.2)].

    Distributed by:

    Amneal Pharmaceuticals LLC

    Bridgewater, NJ 08807

    Rev. 07-2019-04

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  • PRINCIPAL DISPLAY PANEL

    NDC 65162-441-03

    Meclizine Hydrochloride Tablets, USP

    12.5 mg

    Rx Only

    Container Label

    Amneal Pharmaceuticals LLC

    1

     

    NDC 65162-442-03

    Meclizine Hydrochloride Tablets, USP

    25 mg

    Rx Only

    Container Label

    Amneal Pharmaceuticals LLC

    1

     

    NDC 65162-444-03

    Meclizine Hydrochloride Tablets, USP

    50 mg

    Rx Only

    Container Label

    Amneal Pharmaceuticals LLC

    1
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  • INGREDIENTS AND APPEARANCE
    MECLIZINE HYDROCHLORIDE 
    meclizine tablet
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:65162-441
    Route of Administration ORAL
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    MECLIZINE HYDROCHLORIDE (UNII: HDP7W44CIO) (MECLIZINE - UNII:3L5TQ84570) MECLIZINE HYDROCHLORIDE 12.5 mg
    Inactive Ingredients
    Ingredient Name Strength
    SILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
    LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)  
    SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)  
    TALC (UNII: 7SEV7J4R1U)  
    FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
    Product Characteristics
    Color BLUE (Light) Score no score
    Shape OVAL Size 10mm
    Flavor Imprint Code AN;441
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:65162-441-03 30 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    2 NDC:65162-441-10 100 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    3 NDC:65162-441-11 1000 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    4 NDC:65162-441-50 500 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    5 NDC:65162-441-60 100 in 1 BLISTER PACK; Type 0: Not a Combination Product 02/12/2010
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA201451 02/12/2010
    MECLIZINE HYDROCHLORIDE 
    meclizine hydrochloride tablet
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:65162-442
    Route of Administration ORAL
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    MECLIZINE HYDROCHLORIDE (UNII: HDP7W44CIO) (MECLIZINE - UNII:3L5TQ84570) MECLIZINE HYDROCHLORIDE 25 mg
    Inactive Ingredients
    Ingredient Name Strength
    SILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
    LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)  
    SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)  
    TALC (UNII: 7SEV7J4R1U)  
    D&C YELLOW NO. 10 (UNII: 35SW5USQ3G)  
    Product Characteristics
    Color YELLOW (Light) Score no score
    Shape OVAL Size 13mm
    Flavor Imprint Code AN;442
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:65162-442-03 30 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    2 NDC:65162-442-10 100 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    3 NDC:65162-442-11 1000 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    4 NDC:65162-442-50 500 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    5 NDC:65162-442-60 100 in 1 BLISTER PACK; Type 0: Not a Combination Product 02/12/2010
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA201451 02/12/2010
    MECLIZINE HYDROCHLORIDE 
    meclizine hydrochloride tablet
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:65162-444
    Route of Administration ORAL
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    MECLIZINE HYDROCHLORIDE (UNII: HDP7W44CIO) (MECLIZINE - UNII:3L5TQ84570) MECLIZINE HYDROCHLORIDE 50 mg
    Inactive Ingredients
    Ingredient Name Strength
    SILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
    LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)  
    SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)  
    TALC (UNII: 7SEV7J4R1U)  
    Product Characteristics
    Color WHITE Score 2 pieces
    Shape OVAL Size 16mm
    Flavor Imprint Code AN;444
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:65162-444-03 30 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    2 NDC:65162-444-10 100 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    3 NDC:65162-444-11 1000 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    4 NDC:65162-444-50 500 in 1 BOTTLE; Type 0: Not a Combination Product 02/12/2010
    5 NDC:65162-444-60 100 in 1 BLISTER PACK; Type 0: Not a Combination Product 02/12/2010
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA201451 02/12/2010
    Labeler - Amneal Pharmaceuticals LLC (123797875)
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