Ketotifen: Difference between revisions

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|genericName=Ketotifen fumarate
|genericName=Ketotifen fumarate
|aOrAn=an
|aOrAn=an
|drugClass=Antihistamine
|drugClass=[[Antihistamine]]
|indicationType=prophylaxis
|indicationType=prophylaxis
|indication=Allergic conjuntivitis
|indication=[[Allergic conjunctivitis]]
|blackBoxWarningTitle=<b><span style="color:#FF0000;">TITLE</span></b>
|blackBoxWarningTitle=<b><span style="color:#FF0000;">TITLE</span></b>
|blackBoxWarningBody=<i><span style="color:#FF0000;">Condition Name:</span></i> (Content)
|blackBoxWarningBody=<i><span style="color:#FF0000;">Condition Name:</span></i> (Content)
Line 35: Line 35:
|FDAPregCat=C
|FDAPregCat=C
|administration=*Ophthalmic
|administration=*Ophthalmic
|drugBox={{Drugbox
| Watchedfields = changed
| verifiedrevid = 457461975
| IUPAC_name = 4-(1-Methylpiperidin-4-ylidene)-4,9-dihydro-10''H''-benzo[4,5]cyclohepta[1,2-''b'']thiophen-10-one
| image = Ketotifen fumarate chemical structure.png
<!--Clinical data-->
| tradename =  Zaditor<ref>http://www.webmd.com/drugs/2/drug-17484/zaditor-opht/details</ref>
| Drugs.com = {{drugs.com|CONS|ketotifen}}
| MedlinePlus = a604033
| pregnancy_US = C
| legal_US = Oral - Prescription; Eye Drops - OTC
| legal_status =
| routes_of_administration = Oral, Eye Drops
<!--Pharmacokinetic data-->
| bioavailability = 60%
| protein_bound = 75%
| metabolism = Hepatic
| elimination_half-life = 12 Hours
<!--Identifiers-->
| CASNo_Ref = {{cascite|correct|CAS}}
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 34580-14-8
| ATC_prefix = R06
| ATC_suffix = AX17
| ATC_supplemental =  {{ATC|S01|GX08}}
| PubChem = 3827
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB00920
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 3695
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = HBD503WORO
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D01332
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 534
<!--Chemical data-->
| C=19 | H=19 | N=1 | O=1 | S=1
| molecular_weight = 309.426 g/mol
| smiles = O=C3c1sccc1C(\c2c(cccc2)C3)=C4/CCN(C)CC4
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C19H19NOS/c1-20-9-6-13(7-10-20)18-15-5-3-2-4-14(15)12-17(21)19-16(18)8-11-22-19/h2-5,8,11H,6-7,9-10,12H2,1H3
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = ZCVMWBYGMWKGHF-UHFFFAOYSA-N
}}
|storage=*Store at 20° to 25°C (68° to 77°F)
|storage=*Store at 20° to 25°C (68° to 77°F)
|packLabel=[[File:Ketotifen FDA label.png|none|450px]]
|packLabel=[[File:Ketotifen FDA label.png|none|450px]]

Latest revision as of 14:44, 22 January 2015

Ketotifen
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Stefano Giannoni [2]

Disclaimer

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Overview

Ketotifen is an Antihistamine that is FDA approved for the prophylaxis of Allergic conjunctivitis. Common adverse reactions include {{{adverseReactions}}}.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Allergic conjuntivitis

  • 1 drop in the affected eye(s) twice daily, every 8 to 12 hours, no more than twice per day.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Ketotifen in adult patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Ketotifen in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Allergic conjuntivitis

  • Children 3 years of age and older: Put 1 drop in the affected eye(s) twice daily, every 8 to 12 hours, no more than twice per day.
  • Children under 3 years of age: Consult a doctor.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Ketotifen in pediatric patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Ketotifen in pediatric patients.

Contraindications

There is limited information regarding Ketotifen Contraindications in the drug label.

Warnings

Do not use

  • If you are sensitive to any ingredient in this product
  • If solution changes color or becomes cloudy
  • To treat contact lens related irritation

When using this product

  • Remove contact lenses before use
  • Wait at least 10 minutes before re-inserting contact lenses after use
  • Do not touch tip of container to any surface to avoid contamination
  • Replace cap after each use

Stop use and ask doctor if you experience any of the following:

  • Eye pain
  • Changes in vision
  • Medness of the eyes
  • Itching that worsens or lasts more than 72 hours

K*eep out of reach of children.

  • If swallowed, get medical help or contact a Poison Control Center right away.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Ketotifen Clinical Trials Experience in the drug label.

Postmarketing Experience

There is limited information regarding Ketotifen Postmarketing Experience in the drug label.

Drug Interactions

There is limited information regarding Ketotifen Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): C There is no FDA guidance on usage of Ketotifen in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Ketotifen in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Ketotifen during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Ketotifen in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Ketotifen in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Ketotifen in geriatric settings.

Gender

There is no FDA guidance on the use of Ketotifen with respect to specific gender populations.

Race

There is no FDA guidance on the use of Ketotifen with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Ketotifen in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Ketotifen in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Ketotifen in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Ketotifen in patients who are immunocompromised.

Administration and Monitoring

Administration

  • Ophthalmic

Monitoring

There is limited information regarding Ketotifen Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Ketotifen and IV administrations.

Overdosage

There is limited information regarding Ketotifen overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.

Pharmacology

Ketotifen
Clinical data
Trade namesZaditor[1]
AHFS/Drugs.comMicromedex Detailed Consumer Information
MedlinePlusa604033
Pregnancy
category
  • US: C (Risk not ruled out)
Routes of
administration
Oral, Eye Drops
ATC code
Legal status
Legal status
  • US: Oral - Prescription; Eye Drops - OTC
Pharmacokinetic data
Bioavailability60%
Protein binding75%
MetabolismHepatic
Elimination half-life12 Hours
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
E number{{#property:P628}}
ECHA InfoCard{{#property:P2566}}Lua error in Module:EditAtWikidata at line 36: attempt to index field 'wikibase' (a nil value).
Chemical and physical data
FormulaC19H19NOS
Molar mass309.426 g/mol
3D model (JSmol)
  (verify)

Mechanism of Action

There is limited information regarding Ketotifen Mechanism of Action in the drug label.

Structure

There is limited information regarding Ketotifen Structure in the drug label.

Pharmacodynamics

There is limited information regarding Ketotifen Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Ketotifen Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Ketotifen Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Ketotifen Clinical Studies in the drug label.

How Supplied

There is limited information regarding Ketotifen How Supplied in the drug label.

Storage

  • Store at 20° to 25°C (68° to 77°F)

Images

Drug Images

{{#ask: Page Name::Ketotifen |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}

Package and Label Display Panel

{{#ask: Label Page::Ketotifen |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}

Patient Counseling Information

There is limited information regarding Ketotifen Patient Counseling Information in the drug label.

Precautions with Alcohol

Alcohol-Ketotifen interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

  • Zaditor[2]
  • Alaway
  • Claritin Eye
  • Zyrtec Itchy Eye

Look-Alike Drug Names

There is limited information regarding Ketotifen Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

  1. http://www.webmd.com/drugs/2/drug-17484/zaditor-opht/details
  2. "ALAWAY- ketotifen fumarate solution/ drops".

{{#subobject:

 |Label Page=Ketotifen
 |Label Name=Ketotifen fumarate package (2).png

}}

{{#subobject:

 |Label Page=Ketotifen
 |Label Name=Ketotifen fumarate package 2.png

}}

Ketotifen
File:Ketotifen structure.svg
Clinical data
Routes of
administration
Oral, Eye Drops
ATC code
Pharmacokinetic data
Bioavailability60%
Protein binding75%
MetabolismHepatic
Elimination half-life21 Hours
Identifiers
CAS Number
PubChem CID
DrugBank
E number{{#property:P628}}
ECHA InfoCard{{#property:P2566}}Lua error in Module:EditAtWikidata at line 36: attempt to index field 'wikibase' (a nil value).
Chemical and physical data
FormulaC19H19NOS
Molar mass309.426 g/mol

Ketotifen fumarate (ophthalmic solutions marketed under the brand name Zaditor (Novartis) and Alaway (Bausch and Lomb)) is an H1-antihistamine/mast cell stabilizer available in two forms. In its ophthalmic form, it is used to treat allergic conjunctivitis, or the itchy red eyes caused by allergies. In its oral form, it is used to prevent asthma attacks. Side effects include drowsiness, weight gain, dry mouth, irritability, and increased nosebleeds.

General Information

Ketotifen relieves and prevents eye itchiness and/or irritation associated with most seasonal allergies. It starts working within minutes after administering the drops. The drug has not been studied in children under 3.

Overdosage

Accidental ingestion of an entire bottle of ketotifen is unlikely to cause side effects since it contains less than 2 mg of medicine.

External links

Template:Pharma-stub

bg:Кетотифен it:Ketotifene th:คีโตติเฟน Template:WikiDoc Sources