Cinnarizine

Cinnarizine

Basics

Cinnarizine is an antihistamine and calcium channel blocker from the diphenylmethylpiperazine group. It is prescribed for nausea and vomiting due to motion sickness or other causes such as chemotherapy, dizziness, or Ménière's disease. Cinnarizine is taken by mouth.

Effect

Pharmacodynamics

Cinnarizine is an antihistamine and a calcium channel blocker. Histamines mediate a number of activities including contraction of airway and gastrointestinal smooth muscle, vasodilation, cardiac stimulation, secretion of gastric acid, promotion of interleukin release, and chemotaxis of eosinophils and mast cells. Cinnarizine also blocks muscarinic acetylcholine receptors. Cinnarizine also inhibits calcium channels through its action resulting in a relaxing effect on vascular smooth muscle.

Pharmacokinetics

Cinnarizine is most commonly taken orally in tablet form. After ingestion, the substance is absorbed quite rapidly and reaches maximum plasma concentration within 1-3 hours after administration. Cinnarizine is CNS-responsive due to its high lipophilicity, which is why it can have a sedative effect on patients. Cinnarizine is metabolized in the liver, after which one-third is excreted in the urine and two-thirds in the stool. The elimination half-life varies between 3.4-60 hours depending on the age of the patient.

Toxicity

Side effects

Possible side effects are

  • drowsiness
  • Sweating
  • Dry mouth
  • headache
  • Skin problems
  • Lethargy
  • Gastrointestinal irritation
  • Hypersensitivity reactions
  • Movement problems/muscle stiffness
  • Tremors

Because cinnarizine can cause drowsiness and blurred vision, it is important not to operate heavy machinery while using it if side effects become apparent.

Chemical & physical properties

ATC Code N06DX12, N07CA02
Formula C26H28N2
Molar Mass (g·mol−1) 368.524
Physical State solid
CAS Number 298-57-7
PUB Number 1547484
Drugbank ID DB00568

Sources

  • Drugbank
  • PubChem
  • Aktories, Förstermann, Hofmann, Starke: Allgemeine und spezielle Pharmakologie und Toxikologie, Elsvier, 2017

Editorial principles

All information used for the content comes from verified sources (recognised institutions, experts, studies by renowned universities). We attach great importance to the qualification of the authors and the scientific background of the information. Thus, we ensure that our research is based on scientific findings.
Markus Falkenstätter, BSc

Markus Falkenstätter, BSc
Author

Markus Falkenstätter is a writer on pharmaceutical topics in Medikamio's medical editorial team. He is in the last semester of his pharmacy studies at the University of Vienna and loves scientific work in the field of natural sciences.

Mag. pharm. Stefanie Lehenauer

Mag. pharm. Stefanie Lehenauer
Lector

Stefanie Lehenauer has been a freelance writer for Medikamio since 2020 and studied pharmacy at the University of Vienna. She works as a pharmacist in Vienna and her passion is herbal medicines and their effects.

The content of this page is an automated and high-quality translation from DeepL. You can find the original content in German here.

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