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Formulas

Meclizine HCl 50 mg Rectal Suppository

The Meclizine HCl 50 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon administration, the suppository dissolves or melts, facilitating the release of Meclizine Hydrochloride for absorption. This medication is primarily used to manage and treat conditions such as nausea, vomiting, and dizziness associated with motion sickness. Additionally, it may be prescribed for the management of vertigo and balance disorders related to the vestibular system. The rectal route of administration provides an alternative for patients who may have difficulties with oral intake or require rapid symptom control.

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Meclizine Hydrochloride
Suppository
65ba61e35ba289e15fa584a6
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Formula Information

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Meclizine HCl 50 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release the active pharmaceutical ingredient, Meclizine HCl, for local or systemic absorption. This route of administration can be particularly beneficial for patients who are unable to take medications orally due to nausea, vomiting, or difficulty swallowing. Meclizine is an antihistamine that is commonly used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness, and it may also be used to manage symptoms associated with vestibular disorders such as vertigo.

The 50 mg dose of Meclizine HCl in the rectal suppository form ensures that a sufficient amount of the drug is delivered directly into the bloodstream, bypassing the gastrointestinal tract, which can be advantageous in situations where the oral route is compromised. This can lead to a more predictable pharmacokinetic profile and potentially reduce gastrointestinal side effects. The rectal route can also provide a relatively quick onset of action, which is crucial for patients seeking rapid relief from acute symptoms.

When using Meclizine HCl rectal suppositories, it is important for patients and prescribers to be aware of the potential side effects, which may include drowsiness, dry mouth, blurred vision, or constipation. Caution is advised when performing tasks that require mental alertness, such as driving or operating heavy machinery. Additionally, patients with certain medical conditions or those taking other medications should consult with a healthcare provider to ensure the safe use of this medication.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. Our pharmacists are available to answer any questions and provide guidance on the proper use of Meclizine HCl rectal suppositories. We work closely with prescribers to ensure that the formulation is tailored to the specific requirements of the patient, taking into account any allergies, sensitivities, or other medications they may be taking. If you have any questions or need further information about this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Meclizine HCl, an antihistamine with antiemetic and antivertigo properties, is used to manage nausea, vomiting, and dizziness associated with motion sickness and vestibular disorders. When formulated as a 50 mg rectal suppository, meclizine is absorbed through the rectal mucosa, which can be beneficial for patients who are unable to take medications orally. However, it is important to consider potential drug interactions when prescribing or using this medication.

Meclizine is metabolized by the liver and may interact with other medications that affect hepatic enzymes, particularly CYP2D6. Inhibitors of this enzyme, such as quinidine, selective serotonin reuptake inhibitors (SSRIs), and certain beta blockers, may increase meclizine plasma levels, potentially leading to enhanced effects or adverse reactions. Conversely, inducers of CYP2D6, such as rifampin and St. John's Wort, may decrease the efficacy of meclizine by increasing its metabolism.

Additionally, meclizine has central nervous system (CNS) depressant effects and may enhance the sedative properties of other CNS depressants, including alcohol, benzodiazepines, opioids, tricyclic antidepressants, and other antihistamines. Patients should be advised to avoid or limit the use of alcohol and other CNS depressants while using meclizine suppositories to prevent excessive sedation and dizziness.

Anticholinergic drugs, such as atropine, scopolamine, and some antipsychotic medications, can also interact with meclizine. The concurrent use of these medications may increase the risk of anticholinergic side effects, such as dry mouth, urinary retention, constipation, and confusion, especially in the elderly. Caution is advised when co-administering these drugs with meclizine.

Patients with a history of cardiovascular disease should use meclizine with caution, as it may interact with certain cardiovascular medications, including antihypertensives and antiarrhythmics. Meclizine can potentially affect blood pressure and heart rate, so monitoring is recommended when used in conjunction with these medications.

It is essential for patients and prescribers to be aware of all medications, including over-the-counter drugs and herbal supplements, that the patient is taking to identify potential interactions with meclizine. Adjustments in dosing or close monitoring may be necessary to ensure safe and effective use of meclizine suppositories. If you have any questions or concerns regarding the use of meclizine HCl 50 mg rectal suppositories or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Meclizine HCl, the active ingredient in this formulation, is an antihistamine that is commonly used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness, and to a lesser extent, vertigo and other balance disorders. When formulated as a 50 mg rectal suppository, meclizine is administered via the rectal route, which can be particularly beneficial for patients who are unable to take medications orally due to vomiting or other conditions that affect the gastrointestinal tract.

The rectal suppository is a solid dosage form designed to be inserted into the rectum, where it dissolves or melts at body temperature. Upon administration, the meclizine is absorbed through the rectal mucosa, entering the bloodstream. This route of administration bypasses the digestive system, which means that the medication can be effective even in the presence of gastrointestinal distress. Additionally, rectal administration can result in more consistent blood levels of the medication, avoiding the first-pass metabolism that occurs when drugs are taken orally and processed through the liver.

Once absorbed, meclizine works by blocking the action of acetylcholine (a neurotransmitter) and histamine at H1 receptors in the brain. This action helps to reduce the activity of the vestibular system, which is responsible for sensing motion and maintaining balance. By dampening the signals that cause nausea, vomiting, and dizziness, meclizine can alleviate the symptoms associated with motion sickness and vertigo.

For patients and prescribers considering the use of meclizine HCl 50 mg rectal suppository, it is important to note that this formulation provides a convenient and effective alternative to oral administration, especially in cases where the oral route is compromised. It is also critical to follow the specific dosing instructions provided by the healthcare provider to ensure optimal efficacy and safety of the medication.

If you have any questions about this formulation or its use in treating motion sickness, vertigo, or related conditions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the information and support you need to make informed decisions about your healthcare or the care of your patients.

Other Uses

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Meclizine HCl suppositories, while primarily prescribed for the prevention and treatment of nausea, vomiting, and dizziness associated with motion sickness, have a variety of off-label uses that prescribers may consider. Due to its antihistamine properties, meclizine may also be beneficial for patients experiencing vertigo related to vestibular disorders such as Ménière’s disease. It is especially useful in patients who are unable to take oral medications due to vomiting or gastric issues. Additionally, its sedative effects can be advantageous in managing short-term anxiety and could provide symptomatic relief in situations where first-line treatments are contraindicated or causing adverse effects.

In palliative care settings, meclizine suppositories may serve as part of the regimen for managing severe nausea and vomiting when oral administration is not feasible due to various patient conditions, such as dysphagia or persistent vomiting. Furthermore, its anticholinergic effect could potentially reduce drooling in patients with neurological conditions. However, the use of meclizine in such contexts should be carefully evaluated due to potential side effects, especially in the elderly or in individuals with preexisting medical conditions, keeping in mind the balance between therapeutic benefits and risks for each patient.

Its utility is not limited to the symptomatic treatment of conditions. In certain chemotherapy protocols, meclizine suppositories might be considered for adjunctive use in antiemetic regimens, particularly when the patient is refractory to other treatments or is experiencing severe side effects from standard antiemetics. While not the first line of defense, it provides an additional option for consideration, which could be significant in comprehensive patient care.

Patients and prescribers looking to use this formulation for purposes other than those approved should engage in a thorough discussion regarding the potential benefits and risks. In clinical practice, these decisions must be based on a careful review of the patient’s overall health profile, the patient's specific scenario, and the latest clinical guidelines and evidence. Always remember that close monitoring is recommended when using meclizine in any capacity, to ensure safety and efficacy. For further information or if you have any questions regarding the use of Meclizine HCl 50 mg Rectal Suppository for off-label applications, please reach out to us at Bayview Pharmacy. We are here to support and provide guidance to ensure the best possible care for your patients.

Frequently Asked Questions

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What is a Meclizine HCl 50 mg Rectal Suppository?

A Meclizine HCl 50 mg Rectal Suppository is a solid dosage form containing 50 milligrams of Meclizine Hydrochloride. It is designed to be inserted into the rectum where it dissolves or melts, releasing the medication for absorption into the body to treat conditions such as motion sickness and vertigo.

How do you use a rectal suppository properly?

To use a rectal suppository, first wash your hands thoroughly. Remove any wrapping from the suppository, then lie on your side with your lower leg straightened out and your upper leg bent. Gently insert the suppository into the rectum, pointed end first, pushing it about 1 inch in adults or 1/2 inch in children. Stay lying down for a few minutes so the suppository doesn't come out.

Is it safe to drive after taking a Meclizine HCl 50 mg Rectal Suppository?

Meclizine can cause drowsiness, so it is not recommended to drive or operate heavy machinery until you know how the medication affects you. If you feel drowsy or sedated, do not drive or engage in activities requiring alertness.

Can Meclizine HCl 50 mg Rectal Suppositories be used in children?

Meclizine HCl suppositories may be used in children, but the dosage may vary based on the child's age and weight. It is essential to consult a healthcare professional for the correct dosage and to determine if it is appropriate for your child.

How often can I use these suppositories?

The frequency of use for Meclizine HCl 50 mg Rectal Suppositories depends on the individual's medical condition and response to treatment. It is important to follow the dosing instructions provided by your healthcare provider or pharmacist.

How should I store Meclizine HCl Rectal Suppositories?

Meclizine HCl Rectal Suppositories should be stored at room temperature away from light and moisture. Do not store in the bathroom or freeze them. Keep suppositories out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose of Meclizine HCl Rectal Suppositories, insert one as soon as you remember, then continue with your regular dosing schedule. However, if it is almost time for your next dose, skip the missed dose and resume your usual schedule. Do not double the dose to catch up.

Can Meclizine HCl Rectal Suppositories cause side effects?

Like all medications, Meclizine HCl rectal suppositories may cause side effects, although not everyone gets them. Some common side effects include drowsiness, dry mouth, and headache. If you experience any severe or concerning symptoms, seek medical attention immediately.

What should I avoid while using Meclizine HCl suppositories?

While using Meclizine HCl suppositories, avoid consuming alcohol as it may enhance the drowsiness effect of the medication. Also, consult your healthcare provider about any other medications you are taking to prevent potential interactions.

Can I use Meclizine HCl Rectal Suppositories if I am pregnant or breastfeeding?

You should only use Meclizine HCl Rectal Suppositories during pregnancy or while breastfeeding if clearly needed and prescribed by a healthcare provider. Discuss the risks and benefits with your healthcare provider before use.

What should I do in case of an overdose?

If you or someone else may have used too many Meclizine HCl Rectal Suppositories, seek emergency medical attention immediately. Overdose symptoms may include severe drowsiness, seizures, or difficulty breathing.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.