VOVAMINE

API
Identification
- Active ingredient (INN)
- DIMENHYDRINATE
- Internal code
- 10 F 210
- Country of Origin
- Algeria
- Pharmaceutical form
- Scored Tablet
- Prescription List
- OTC
- Packaging
- b/20

DAWA Clinical Workbench v2.0
Information may not be accurate. Always consult a physician, pharmacist, or specialist before acting on any data shown here.
Description
Dimehydrinate was first described in the literature in and patented in 1950.
Early research into dimenhydrinate focused on its role as an antihistamine for urticaria; the treatment of motion sickness was an accidental discovery.
Dimenhydrinate, also known as B-dimethylaminoethyl benzohydrol ether 8-chlorotheophyllinate, is indicated to prevent nausea, vomiting, and dizziness caused by motion sickness. 9, 10, 11 Dimenhydrinate is a combination of Diphenhydramine and 8-chlorotheophylline in a salt form, with 53%-55.5% dried diphenhydramine, and 44%-47% died 8-chlorotheophylline.
The antiemetic properties of dimenhydrinate are primarily thought to be produced by diphenhydramine's antagonism of H1 histamine receptors in the vestibular system 2 while the excitatory effects are thought to be produced by 8-chlorotheophylline's adenosine receptor blockade.
When used in large doses, dimenhydrinate has been shown to cause a "high" characterized by hallucinations, excitement, incoordination, and disorientation.
Dimenhydrinate was granted
FDA approval on 31 May 1972.
Indications
Dimenhydrinate is indicated for the prevention and treatment of nausea, vomiting, or vertigo of motion sickness. 9,
Pharmacodynamics
Dimenhydrinate is indicated for the prevention and treatment of nausea, vomiting, or vertigo of motion sickness. 9, 10 It has a short duration of action of 4-8 hours.
Patients should be counselled regarding pronounced drowsiness, avoiding alcohol and other sedatives, and exercising caution when operating a motor vehicle or heavy machinery.
Absorption
A 50 mg oral film coated tablet reaches a C max of 72.6 ng/mL with a T max of 2.7 hours.
A 100 mg suppository reaches a C max of 112.2 ng/mL with a T max of 5.3 hours.
Volume of Distribution
The volume of distribution of dimenhydrinate is 3-4 L/kg.
Metabolism
Dimenhydrinate is a theoclate salt that separates into diphenhydramine and 8-chlorotheophylline. 10 diphenhydramine can either be N-glucuronidated by UGTs to diphenhydramine N-glucuronide or N-demethylated by CYP2D6, CYP1A2, CYP2C9, and CYP2C19 to N-desmethyldiphenhydramine.
N-desmethyldiphenhydramine can be
N-demethylated again by the same enzymes to N,N-didesmethyldiphenhydramine, which undergoes oxidative deamination to form diphenylmethoxyacetic acid.
Hover over products below to view reaction partners Dimenhydrinate 8-chlorotheophylline + Diphenhydramine N-Desmethyldiphenhydramine N,N-Didesmethyldiphenhydramine Diphenylmethoxyacetic acid Diphenhydramine N-glucuronide.
Route of Elimination
Dimenhydrinate is predominantly eliminated in the urine. 12 1-3% of the dissociated diphenhydramine is eliminated in the urine unchanged, while 64% of diphenhydramine is eliminated in the urine as metabolites.
The elimination of dimenhydrinate has not been fully studied.
Half-life
The plasma elimination half life of dimenhydrinate is 5-8 hours.
Adverse Effects
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Toxicity
Infants and children experiencing an overdose may lead to hallucinations, convulsions, or death.
Adults experiencing an overdose may present with drowsiness, convulsions, coma, or respiratory depression.
Treat overdoses with symptomatic and supportive measures including mechanically assisted ventilation.
In mice the oral
LD is 203 mg/kg, while in rats it is 1320 mg/kg.
The intraperitoneal
LD in mice is 149 mg/kg.
Warnings
Do not use for children under 2 years of age unless directed by a doctor.
Ask a doctor before use if you have a breathing problem such as emphysema or chronic bronchitis glaucoma difficulty in urination due to enlargement of the prostate gland Ask a doctor or pharmacist before use if you are taking sedatives or tranquilizers.
When using this product marked drowsiness may occur alcohol, sedatives, and tranquilizers may increase drowsiness use caution when driving a motor vehicle or operating machinery avoid alcoholic beverages If pregnant or breast-feeding, ask a health professional before use.
Keep out of reach of children.
In case of overdose, get medical help or contact a Poison Control Center right away.
Dosage & Administration
Directions to prevent motion sickness, the first dose should be taken one-half to one hour before starting activity adults and children 12 years and over to 2 tablets every 4-6 hours; do not exceed 8 tablets in 24 hours, or as directed by a doctor children to under 12 years 1/2 to 1 tablet every 6-8 hours; do not exceed 3 tablets in 24 hours, or as directed by a doctor children to under 6 years 1/2 tablet every 6-8 hours; do not exceed 1&1/2 tablets in 24 hours, or as directed by a doctor.
Storage & Handling
Other information each tablet contains: calcium 35 mg TAMPER EVIDENT: DO NOT USE IF OUTER PACKAGE IS OPENED OR BLISTER IS TORN OR BROKEN store at 25°C (77°F); excursions permitted between 15°-30°C (59°-86°F) protect from moisture see end flap for expiration date and lot number.