Ballicules.com

Meclizine

ANTIVERT

What it isCentrally acting H1 antihistamine; vertigo and motion sickness.

Why this oneIt works on vestibular nausea, where ondansetron does not.

What limits itSedation and fall risk, so poor in the elderly. It suppresses vestibular compensation, so it should not be continued for weeks.

FDA-approved for

FDA label

FDA dosingPopulationStartTargetMax
Motion sickness preventionAdults & children ≥12 yr1–2 tablets QD1–2 tablets QD2 tablets QD

Renal Undefined

Hepatic Undefined

Instructions

Pregnancy Undefined

Lactation Undefined

NO BOXED WARNINGS

Principal riskSedation and fall risk

Cost, est. cash$5–$150/month

Generic entry1982

Classes and tags

Clinical profile

Therapeutic safety burden2 / 4
Overdose danger2 / 4
Weight-gain liability0 / 4
Sedation liability3 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk1 / 4

Legacy pregnancy categoryC

Defining liabilitySedation, QT prolongation, extrapyramidal symptoms or anticholinergic toxicity vary by receptor target.

Mechanism of action: Meclizine ballicule

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

Open Meclizine in the interactive console ↗

Memory aids: mascots and interaction avatars

Meclizine ANTIVERT mascot mnemonic cartoon
“McLizard is Anti-vertigo”
Meclizine Box: minimal PK interactions avatar
Box: minimal PK interactions

Open Meclizine in the interactive console ↗