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Betahistine

SERC

What it isH3 antagonist and weak H1 agonist; Meniere disease.

Why this oneIt is standard therapy for Meniere vertigo across Europe and Canada.

What limits itA large randomized trial found no benefit over placebo. Not US-approved.

FDA-approved for

Off-label

NO BOXED WARNINGS

Principal riskA large randomized trial found no benefit over placebo

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Betahistine ballicule

Betahistine ballicule: receptor binding, kinetics and half-life diagram

Open Betahistine in the interactive console ↗

Memory aids: mascots and interaction avatars

Betahistine mascot mnemonic cartoon
“Bettor hissing”
Legos → theme for H3 antihistamine

Open Betahistine in the interactive console ↗