Dimenhydrinate
(Dramamine)
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Category:
Description:
Indications:
Contraindications:
Precautions:
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Pregnancy
category B; has been used for the treatment of hyperemesis gravidarum;
small amounts excreted in breast milk; use caution in nursing mothers
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Children,
protstatic hypertrophy, stenosing peptic ulcer, pyloroduodenal
obstruction
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Bladder
neck obstruction, narrow-angle glaucoma, cardiac dysrhythmias, elderly
Adverse
Reactions (Side Effects):
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CNS:
confusion, dizziness, drowsiness, excitation, headache, heaviness and
weakness of hands, insomnia (especially in children), lassitude,
nervousness, tingling, vertigo
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CV:
palpitations, tachycardia
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EENT:
blurring of vision, diplopia, nasal stuffiness
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GI:
anorexia, constipation, diarrhea, dry mouth, epigastric distress,
nausea, vomiting
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GU:
difficult or painful urination
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HEME:
hemolytic anemia
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SKIN:
drug rash, photosensitivity, urticaria
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Dosage:
Administered
orally, intravenously, intramuscularly
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Adult:
PO 50-100mg every 4-6 hours, do not exceed 400mg daily; IM/IV 50mg as
needed
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Child
6-12 years: PO 25-50mg every 6-8 hours, do not exceed 150mg daily; IM
1.25 mg/kg or 37.5mg per meter square 4 times daily, do not exceed
300mg daily
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Child
2-6 years: PO 12.5-25mg every 6-8 hours, do not exceed 75mg daily
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Source:
Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington,
D.C., 20372-5300
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