Acrivastine

CLINICAL USE


Antihistamine:

  • Symptomatic relief of allergy such as

    hayfever, urticaria

    DOSE IN NORMAL RENAL FUNCTION


    8 mg 3 times a day

    PHARMACOKINETICS


  • Molecular weight &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    348.4
  • %Protein binding &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    50
  • %Excreted unchanged in urine &nbsp &nbsp :
    60
  • Volume of distribution (L/kg) &nbsp &nbsp &nbsp :
    0.6–0.7
  • half-life – normal/ESRD (hrs)&nbsp &nbsp &nbsp :
    1.5/–

    DOSE IN RENAL IMPAIRMENT


    GFR (mL/MIN)


  • 20 to 50 &nbsp &nbsp : 8 mg twice a day
  • 10 to 20 &nbsp &nbsp : 8 mg 1–2 times a day
  • <10 &nbsp &nbsp &nbsp &nbsp &nbsp :
    8 mg 1–2 times a day

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES


  • CAPD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp:
    Unknown dialysability. Dose as in
    GFR <10 mL/min

  • HD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    Unknown dialysability. Dose as in
    GFR <10 mL/min
  • HDF/high flux &nbsp :
    Unknown dialysability. Dose as in
    GFR <10 mL/min
  • CAV/VVHD &nbsp &nbsp &nbsp:
    Unknown dialysability. Dose as in
    GFR 10 to 20 mL/min

    IMPORTANT DRUG INTERACTIONS


    Potentially hazardous interactions with other drugs

  • Antidepressants: MAOIs and tricyclics

    increase the antimuscarinic and sedative
    effects

    ADMINISTRATION


    Reconstition



    Route


    Oral

    Rate of Administration



    Comments



    OTHER INFORMATION


    Manufacturers do not recommend use in

    patients with significant renal impairment