Carbinoxamine maleate

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Carbinoxamine Maleate is an antihistamine and anticholinergic medication used in the treatment of allergic reactions, hay fever, and common cold symptoms such as runny nose, sneezing, and watery eyes. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms. Carbinoxamine maleate is also effective in reducing itching associated with skin conditions and allergies.

Medical Uses[edit | edit source]

Carbinoxamine maleate is primarily used to manage symptoms of allergic rhinitis, urticaria (hives), and other allergic symptoms. It may also be used as part of the treatment for common cold and other respiratory tract infections, where it helps alleviate runny nose, sneezing, and congestion. Due to its anticholinergic effects, it can also help reduce nausea and motion sickness in some patients.

Mechanism of Action[edit | edit source]

As an antihistamine, carbinoxamine maleate exerts its effects by competitively inhibiting the H1 histamine receptors. This inhibition prevents histamine from binding to its receptors, thereby reducing the allergic response. Its anticholinergic properties further help in drying up body secretions, making it useful in treating symptoms of the common cold and other nasal congestion issues.

Side Effects[edit | edit source]

Common side effects of carbinoxamine maleate include drowsiness, dizziness, dry mouth, blurred vision, and urinary retention. Due to its sedative effects, it may impair the ability to drive or operate heavy machinery. Elderly patients may be more susceptible to the anticholinergic effects of the drug, such as confusion and agitation. It is important to consult a healthcare provider for a complete list of possible side effects and interactions with other medications.

Contraindications[edit | edit source]

Carbinoxamine maleate is contraindicated in patients with a known hypersensitivity to the drug or any of its components. It should be used with caution in patients with glaucoma, prostatic hypertrophy, bladder neck obstruction, peptic ulcer, or pyloroduodenal obstruction due to its anticholinergic effects. It is also not recommended for use in newborns or premature infants.

Drug Interactions[edit | edit source]

Carbinoxamine maleate may interact with other medications, leading to increased side effects or decreased effectiveness. It can enhance the effects of other CNS depressants such as alcohol, barbiturates, and benzodiazepines, leading to increased drowsiness and sedation. It may also interact with monoamine oxidase inhibitors (MAOIs), potentially causing hypertensive crises. Patients should inform their healthcare provider of all medications they are taking to avoid potential interactions.

Dosage and Administration[edit | edit source]

The dosage of carbinoxamine maleate varies depending on the age, condition being treated, and response to the medication. It is available in oral tablet and liquid forms. The medication should be taken as prescribed by a healthcare provider, with or without food. It is important not to exceed the recommended dose to avoid increased risk of side effects.

Conclusion[edit | edit source]

Carbinoxamine maleate is a valuable medication in the management of allergic conditions and symptoms of the common cold. However, due to its potential side effects and interactions with other medications, it should be used under the guidance of a healthcare provider. Patients should discuss their medical history and any current medications with their healthcare provider to ensure the safe use of carbinoxamine maleate.


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Contributors: Prab R. Tumpati, MD