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tripelennamine (PBZ, Pyribenzamine, Pyrinamine, Stanzamine)
Tradename: PBZ. (tripelennamine hydrochloride or citrate)
Indications:
- perenial or seasonal allergies
- allergic rhinitis, allergic conjunctivitis
- nasal congestion, cough, sneezing, rhinorrhea
- other allergic conditions
- urticaria, pruritus [3]
Contraindications:
1) narrow-angle glaucoma
2) bladder neck obstruction
3) symptomatic prostatic hypertrophy
4) stenosing peptic ulcer
Dosage:
1) adults
a) 25-50 mg PO every 4-6 hours
b) maximum 600 mg/day
c) extended release: 100 mg BID-TID
2) infants & children
a) 5 mg/kg/day in 4-6 divided doses
b) maximum: 300 mg/day
Tabs: 50 mg.
Extended release: 100 mg.
Adverse effects:
1) common (> 10%)
- drowsiness (slight to moderate)
- thickening of bronchial secretions
2) less common (1-10%)
- headache, fatigue, increased appetite, increased weight, nervousness, dizziness, nausea, diarrhea, abdominal pain, dry mouth, pharyngitis, arthralgia
3) uncommon (< 1%)
- angioedema, bronchospasm, depression, edema, epistaxis, hepatitis, myalgia, palpitations, paresthesias, photosensitivity, rash, hypotension, sedation, paradoxical excitement, insomnia, tremor, blurred vision, urinary retention
Laboratory:
1) specimen: serum
2) methods: GLC
3) labs with Loincs
- tripelennamine in blood
- tripelennamine in gastric fluid
- tripelennamine in serum/plasma
- tripelennamine in serum/plasma/urine
- tripelennamine in urine
Interactions
drug adverse effects of H1 receptor antagonists
General
ethylenediamine
H1 receptor antagonist (antihistamine)
Properties
MISC-INFO: therapeutic-range 20-60 NG/ML
toxic-range >0.5 UG/ML
>1.96 UMOL/L
Database Correlations
PUBCHEM correlations
References
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Clinical Guide to Laboratory Tests, 3rd ed. Teitz ed.,
W.B. Saunders, 1995
- Deprecated Reference
Component-of
diphenhydramine/tripelennamine