Rimantadine

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Drug Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Bulgaria: Remantadin; Latvia: Remantadins, Rimantadine; Lithuania: Remantadins; Poland: Rimantin.

North America

USA: Flumadine, Rimantadine.

Latin America

Mexico: Gabirol.

Drug combinations

Chemistry

Rimantadine Hydrochloride: C~12~H~21~N HCl. Mw: 215.76. (1) Tricyclo[3.3.1.1^3,7^]-decane-1-methanamine, α-methyl-, hydrochloride; (2) α-Methyl-1-adamantanemethylamine hydrochloride. CAS-1501-84-4; CAS-13392-28-4 (rimantadine)(1966).

Pharmacologic Category

Antivirals; Adamantanes. (ATC-Code: J05AC02).

Mechanism of action

Exerts its inhibitory effect on three antigenic subtypes of influenza A virus (H1N1, H2N2, H3N2) early in viral replicative cycle, possibly inhibiting uncoating process.

Therapeutic use

Prophylaxis (adults and children >1 year of age) and treatment (adults) of influenza A viral infection.

Pregnancy and lactiation implications

Not recommended during pregnancy or in nursing women.

Unlabeled use

Contraindications

Hypersensitivity to drugs of adamantine class, including rimantadine and amantadine, or any component of the formulation.

Warnings and precautions

Use should be avoided, if possible, in recurrent and eczematoid dermatitis. Use with caution in hepatic impairment. Avoid use, if possible, in uncontrolled psychosis or severe psychoneurosis. Use with caution in renal impairment, and in history of seizure disorder (increase in seizure incidence may occur). Discontinue if seizures occur. Resistance may develop during treatment; viruses exhibit cross-resistance between amantadine and rimantadine.

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