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ketotifen (Zaditor, Zaditen, Alaway, Claritin Eye, Zyrtec Itchy Eye Drops)
Tradenames: Zaditor, Zaditen, Alaway, Claritin Eye, Zyrtec Itchy Eye Drops
Indications:
-> allergic conjunctivitis
Dosage: 1 drop in affected eye(s) BID Ophthalmic solution: 0.025%, 1 mL, 5 mL 0.345 mg ketotifen fumarate (0.25 mg ketotifen)/mL
Contains: glycerol, benzalkonium chloride 0.01% pH: 4.4-5.8, osmolality 210-300 mOsm/kg
Storage: 4-25 C
Pharmacokinetics:
-> systemic concentrations below detection (20 pg/mL) after topical administration
Adverse effects:
1) ocular:
-> allergic reactions, conjunctivitis, eye pain, keratitis, mydriasis, photophobia, rash
2) non-ocular
-> flu-like syndrome, pharyngitis
Toxicity:
-> no serious toxicity after ingestion of 20 mg of ketotifen fumarate (1.725 mg/5 mL bottle)
Mechanism of action:
1) non-competitive histamine H1 receptor antagonist
2) mast cell stabilizer
3) decreased chemotaxis & activation of eosinophils
Interactions
drug adverse effects of H1 receptor antagonists
General
H1 receptor antagonist (antihistamine)
mast cell stabilizer
Properties
SIZE: MW = 425.5 G/MOLE
MISC-INFO: pregnancy-category C
safety in lactation ?
Database Correlations
PUBCHEM correlations
References
- Novartis
- Prescriber's Letter 14(1): 2007
Ophthalmic Medications for Allergic Conjunctivitis
Detail-Document#: 230106
(subscription needed) http://www.prescribersletter.com
- Prescriber's Letter 16(10): 2009
CHART: OTC Brand Name Extensions
COMMENTARY: Brand Name Extensions, Reformulations, and
Labeling Revisions of OTC Products
Detail-Document#: 251012
(subscription needed) http://www.prescribersletter.com