Meclizine Hydrochloride 25 mg Tablet, 1,000-count — NDC 42806-014-10 (Billing 42806-0014-10)
This is a package of 1,000 tablets of Meclizine Hydrochloride 25 mg Tablet from Epic Pharma LLC, marketed since Apr 2012 and currently FDA-listed; retail pharmacies pay about $0.0757 per tablet (NADAC). It is the main listing for this product, which comes in 2 package sizes.
NDC database record
One package, one record: these facts belong to NDC 42806-014-10 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 42806 labeler · 014 product · 10 package
- Package marketed since
- Apr 30, 2012
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Billing quantity
- 1,000 EA per package
- Barcode (UPC-A, from the NDC)
- 3 4280601410 3
- Medicaid fills, this package
- 100 prescriptions in the last four reported quarters
- FDA record last changed
- Jul 24, 2026
Other active recalls for Meclizine Hydrochloride (different manufacturers) — 1 · tap to view
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 004732
- GCN: 18302
- GPI-14 (Medi-Span): 50200050000310
- HICL (First Databank): 001975
- AHFS class code: 04:04.16.00
- RxCUI (RxNorm): 995624
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Antiemetic class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. It is most effective if taken before symptoms appear.
Read the full MedlinePlus article ↗- Meclizine is mainly used to prevent and treat the nausea, vomiting, and dizziness that comes with motion sickness — whether you're on a boat, in a car, or on a plane. It's also use...
- For the best chance of preventing motion sickness, take meclizine about one hour before you start traveling. After that first dose, you can take it once every 24 hours as needed fo...
- Yes, drowsiness is the most common side effect — it's actually worth planning around. Avoid driving or operating heavy machinery until you know how it affects you. And definitely s...
- This one requires a conversation with your doctor. Human studies haven't clearly linked meclizine to birth defects, but animal studies did show fetal harm at doses similar to what...
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per ea | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.076 | $75.70 / 1000 tablets |
| Medicaid paysCMS SDUD · 12 mo | $0.2966 | $296.60 / 1000 tablets |
| Medicare drug plans payPart D · Q2 2026 | $0.1825 | $182.50 / 1000 tablets |
Where does this data come from?
- CMS NADAC weekly file · file of Sep 30, 2026
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q1 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Marketing end | Status |
|---|---|---|---|---|---|---|
| 42806-0014-01 42806-014-01 | 100 TABLET in 1 BOTTLE | $0.0777 / ea | $7.77 | 2012-04-30 | — | Active |
| 42806-0014-10 You're viewing this Main listing | 1000 TABLET in 1 BOTTLE | $0.0757 / ea | $75.68 | 2012-04-30 | — | Active |
You're viewing the largest of 2 pack sizes for this product.
This pack has the lowest per-ea cost of the 2 priced pack sizes ($0.0757 NADAC).
In Medicaid, this is the most-dispensed pack of this product — about 52% of fills over the last four reported quarters. See all packs ↓
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 42806-0014-01?
What NDC number is used to bill for this package of Meclizine Hydrochloride 25 mg Tablet?
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Meclizine Hydrochloride 25 mg 00904-7376-61 | Major | 100 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 16571-0661-01 | Rising | 100 tablets | $0.076 | — | Availability likely | — |
| Meclizine Hydrochloride 25 mgthis 42806-0014-10 | Epic | 1000 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 50268-0523-15 | AvPAK | 50 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 53746-0442-01 | Amneal | 100 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 59651-0808-01 | Aurobindo | 100 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 60687-0730-01 | American | 100 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 62135-0953-90 | Chartwell | 90 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 70710-1162-00 | Zydus | 1000 tablets | $0.076 | AA | Availability likely | — |
| Meclizine Hydrochloride 25 mg 59746-0121-06 | Jubilant | 100 tablets | $0.080 | AA | Availability likely | +6% |
| Meclizine Hydrochloride 25 mg 24689-0139-01 | APNAR | 100 tablets | $0.128 | — | Availability likely | +69% |
| Meclizine Hydrochloride 25 mg 24689-0146-01 | APNAR | 100 tablets | $0.128 | — | Availability likely | +69% |
| Motion Sickness Relief 25 mg 46122-0535-51 | Amerisource | 8 tablets | $0.128 | — | Availability likely | +69% |
| Motion Sickness Relief 25 mg 70000-0097-01 | Cardinal | 32 tablets | $0.128 | — | Availability likely | +69% |
| Motion Sickness 25 mg 70677-1088-01 | Strategic | 8 tablets | $0.128 | — | Availability likely | +69% |
| Motion Sickness Relief 25 mg 00363-4030-21 | Walgreen | 16 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 00615-8515-39 | NCS | 30 tablets | — | AA | FDA listed | — |
| PhysiciansCare Motion Sickness 25 mg 00924-1008-00 | Acme | 2 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 11673-0356-08 | TARGET | 8 tablets | — | — | FDA listed | — |
| Less Drowsy Motion Sickness Relief 25 mg 11822-0775-09 | Rite | 8 tablets | — | — | FDA listed | — |
| Motion Sickness Relief Less Drowsy 25 mg 21130-0778-02 | Better | 12 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 30142-0943-19 | Kroger | 8 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 36800-0943-19 | Topco | 8 tablets | — | — | FDA listed | — |
| Motion Sickness 25 mg 37808-0903-12 | H | 100 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 41163-0304-02 | United | 12 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 41250-0930-19 | Meijer | 8 tablets | — | — | FDA listed | — |
| Meclizine Hydrocloride 25 mg 42708-0102-30 | QPharma | 30 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 42708-0127-30 | QPharma | 30 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 42708-0189-30 | QPharma | 30 tablets | — | AA | FDA listed | — |
| Medique Medi-Meclizine 25 mg 47682-0481-15 | Unifirst | 1000 tablets | — | — | FDA listed | — |
| Less Drowsy Motion Sickness Relief 25 mg 49035-0403-19 | Wal-Mart | 8 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 50090-5727-02 | A-S | 12 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 50090-5728-00 | A-S | 20 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 50090-7416-02 | A-S | 12 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 50090-7417-00 | A-S | 20 tablets | — | AA | FDA listed | — |
| Dramamine Less Drowsy Meclizine Hydrochloride 25 mg 50269-0526-00 | JC | 40 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 50844-0403-19 | L.N.K. | 8 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 51655-0107-20 | Northwind | 20 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 51655-0175-52 | Northwind | 30 tablets | — | AA | FDA listed | — |
| Motion Sickness 25 mg 55301-0403-21 | ARMY | 16 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 55319-0903-19 | Family | 8 tablets | — | — | FDA listed | — |
| Motion Sickness Relief 25 mg 55910-0943-19 | DOLGENCORP, | 8 tablets | — | — | FDA listed | — |
| Less Drowsy Formula Motion Sickness Relief 25 mg 57243-0403-02 | Salado | 12 tablets | — | — | FDA listed | — |
| Travel-Ease 25 mg 57896-0378-01 | Geri-Care | 100 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 60760-0661-30 | St. | 30 tablets | — | — | FDA listed | — |
| Dramamine Less Drowsy 25 mg 63029-0903-01 | Medtech | 8 tablets | — | — | FDA listed | — |
| Dramamine - N 25 mg 63029-0905-10 | Medtech | 10 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 63187-0258-10 | Proficient | 10 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 63187-0996-10 | Proficient | 10 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 65162-0442-03 | Amneal | 30 tablets | — | AA | FDA listed | — |
| Dramamine Less Drowsy, Lil Drug Store 25 mg 66715-9734-01 | Lil' | 2 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 67296-2138-02 | Redpharm | 21 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 67296-2205-02 | Redpharm | 21 tablets | — | AA | FDA listed | — |
| Dramamine Less Drowsy 25 mg 67751-0242-02 | Navajo | 2 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 68071-2380-02 | NuCare | 20 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 68071-2416-06 | NuCare | 6 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 68071-3017-01 | NuCare | 12 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 68071-3748-04 | NuCare | 4 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 68071-3791-02 | NuCare | 20 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 69842-0857-05 | CVS | 16 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 70518-1308-00 | REMEDYREPACK | 90 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 70518-3815-00 | REMEDYREPACK | 21 tablets | — | — | Discontinued | — |
| Meclizine Hydrochloride 25 mg 70771-1540-00 | Zydus | 1000 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 71205-0786-10 | Proficient | 10 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 71335-0503-00 | Bryant | 14 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 71335-1825-00 | Bryant | 14 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 72189-0237-30 | Direct_Rx | 30 tablets | — | — | Discontinued | — |
| Meclizine Hydrochloride 25 mg 76420-0130-10 | Asclemed | 10 tablets | — | AA | FDA listed | — |
| Meclizine Hydrochloride 25 mg 76420-0798-01 | Asclemed | 100 tablets | — | — | FDA listed | — |
| Nausea Relief 25 mg 79903-0177-10 | WALMART | 10 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 80425-0494-01 | Advanced | 30 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 82868-0058-20 | Northwind | 20 tablets | — | AA | FDA listed | — |
| Motion Sickness Relief 25 mg 83059-0007-01 | Shield | 15 tablets | — | — | FDA listed | — |
| Pepto Nausea Motion Sickness 25 mg 84126-0340-01 | THE | 10 tablets | — | — | FDA listed | — |
| Medique Medi-Meclizine 25 mg 85766-0175-00 | Sportpharm | 1000 tablets | — | — | FDA listed | — |
| ZenTrip Motion Sickness 25 mg 49873-0805-01 | Sato | 12 tablets | — | — | FDA listed | — |
| Meclizine Hydrochloride 25 mg 67046-0869-03 | Coupler | 30 tablets | — | — | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file · file of Sep 30, 2026
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
What it looks like
Where does this data come from?
- FDA label on DailyMed · label index refreshed Oct 5, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
🧪 Avoiding an ingredient? See Meclizine inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII M28OL1HH48
Croscarmellose sodium is a plant-based substance derived from cellulose. It acts as a disintegrant, helping tablets and capsules break down quickly in the digestive system so the medicine can be absorbed.
-
UNII EWQ57Q8I5X
Lactose monohydrate is a natural sugar derived from milk. It serves as a filler and binder in tablets and capsules, helping create the proper size, texture, and consistency of the medicine.
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UNII 70097M6I30
Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
-
UNII OP1R32D61U
Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
4 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 5, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Epic Pharma LLC labeler code 42806
- Oxycodone Hydrochloride 15 mg Tablet NDC 42806-007-01
- Oxycodone Hydrochloride 30 mg Tablet NDC 42806-008-01
- Oxycodone Hydrochloride 20 mg Tablet NDC 42806-009-01
- Sulindac 200 mg Tablet NDC 42806-011-01
- Meclizine Hydrochloride 12.5 mg Tablet NDC 42806-012-01
- Sodium Polystyrene Sulfonate 4.1 meq/g Powder, For Suspension NDC 42806-013-94
- ivermectin 3 mg Tablet NDC 42806-017-20
- Sulindac 150 mg Tablet NDC 42806-018-01
- Citalopram 10 mg Tablet, Film Coated NDC 42806-019-01
- Citalopram 20 mg Tablet, Film Coated NDC 42806-020-01
- Citalopram 40 mg Tablet, Film Coated NDC 42806-021-01
- Amphetamine Sulfate 5 mg Tablet NDC 42806-029-01
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS AND USAGE Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults. Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults ( 1 ).
⏱️ Dosage and Administration ▾
2 DOSAGE AND ADMINISTRATION • Recommended dosage: 25 mg to 100 mg daily, in divided doses ( 2.1 ). • Tablets: Swallow whole ( 2.2 ).
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS AND STRENGTHS • 12.5 mg, blue, modified oval-shaped tablets, de-bossed with “Є12” on one side and plain on the other side. • 25 mg, white, modified oval-shaped tablets, de-bossed with “Є14” on one side, and plain on the other side. • Tablets: 12.5 mg and 25 mg ( 3 ).
⛔ Contraindications ▾
4 CONTRAINDICATIONS Meclizine hydrochloride tablets are contraindicated in patients with a hypersensitivity to meclizine or any of the inactive ingredients [see ADVERSE REACTIONS (6) and DESCRIPTION (11) ]. Meclizine hydrochloride tablets are contraindicated in patients with hypersensitivity to meclizine or any of the inactive ingredients ( 4 ).
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS • May cause drowsiness: Use caution when driving a car or operating dangerous machinery ( 5.1 ). • Potential anticholinergic action: this drug should be prescribed with care to patients with a history of asthma, glaucoma, or enlargement of the prostate gland ( 5.2 ).
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The following adverse reactions associated with the use of meclizine hydrochloride tablets were identified in clinical studies or postmarketing reports. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, and vomiting.
On rare occasions blurred vision has been reported. Common adverse reactions are anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, and vomiting. On rare occasions blurred vision has been reported ( 6 ).
To report SUSPECTED ADVERSE REACTIONS, contact Epic Pharma, LLC at 1-888-374-2791 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
🔄 Drug Interactions ▾
7 DRUG INTERACTIONS • Coadministration of meclizine hydrochloride tablets with other CNS depressants, including alcohol, may result in increased CNS depression ( 7.1 ). • CYP2D6 inhibitors: As meclizine is metabolized by CYP2D6, there is a potential for drug-drug interactions between meclizine hydrochloride and CYP2D6 inhibitors ( 7.2 ).
7.1CNS Depressants There may be increased CNS depression when meclizine hydrochloride tablets are administered concurrently with other CNS depressants, including alcohol [see WARNINGS AND PRECAUTIONS (5.1 )].
7.2CYP2D6 Inhibitors Based on in-vitro evaluation, meclizine is metabolized by CYP2D6. Therefore, there is a possibility for a drug interaction between meclizine and CYP2D6 inhibitors. Therefore, monitor for adverse reactions and clinical effect accordingly
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS
8.1Pregnancy Risk Summary Data from epidemiological studies have not generally indicated a drug-associated risk of major birth defects with meclizine during pregnancy. However, in a published study, an increased incidence of fetal malformations was observed following oral administration of meclizine to pregnant rats during the period of organogenesis, at doses similar to those used clinically. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.
The background risk of major birth defects and miscarriage for the indicated population is unknown. Data Human Data Epidemiological studies reporting on pregnancies exposed to meclizine have not identified an association between the use of meclizine during pregnancy and an increased risk of major birth defects. Animal Data In a published study, oral administration of meclizine (25 to 250 mg/kg) to pregnant rats during the period of organogenesis resulted in a high incidence of fetal malformations.
These effects occurred at doses as low as 25 mg/kg, which is approximately 2 times the maximum recommended human dose (100 mg) on a body surface area (mg/m 2 ) basis
8.2Lactation Risk Summary There are no data on the presence of meclizine in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for meclizine and any potential adverse effects on the breastfed infant from meclizine or from the underlying maternal condition.
8.4Pediatric Use Safety and effectiveness in pediatric patients have not been established.
8.5Geriatric Use In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
8.6Hepatic Impairment The effect of hepatic impairment on the pharmacokinetics of meclizine has not been evaluated. As meclizine undergoes metabolism, hepatic impairment may result in increased systemic exposure of meclizine. Treatment with meclizine hydrochloride tablets should be administered with caution in patients with hepatic impairment.
8.7Renal Impairment The effect of renal impairment on the pharmacokinetics of meclizine has not been evaluated. Because of a potential for drug/metabolite accumulation, meclizine hydrochloride tablets should be administered with caution in patients with renal impairment and in the elderly, as renal function generally declines with age.
8.8Genetic CYP2D6 Polymorphism The genetic polymorphism of CYP2D6 that results in poor-, intermediate-, extensive-, and ultrarapid metabolizer phenotypes could contribute to large inter-individual variability in meclizine exposure. Therefore, when meclizine hydrochloride tablets are administered to patients with CYP2D6 polymorphism, monitor for adverse reactions and clinical effect accordingly.
🤰 Pregnancy ▾
8.1Pregnancy Risk Summary Data from epidemiological studies have not generally indicated a drug-associated risk of major birth defects with meclizine during pregnancy. However, in a published study, an increased incidence of fetal malformations was observed following oral administration of meclizine to pregnant rats during the period of organogenesis, at doses similar to those used clinically. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.
The background risk of major birth defects and miscarriage for the indicated population is unknown. Data Human Data Epidemiological studies reporting on pregnancies exposed to meclizine have not identified an association between the use of meclizine during pregnancy and an increased risk of major birth defects. Animal Data In a published study, oral administration of meclizine (25 to 250 mg/kg) to pregnant rats during the period of organogenesis resulted in a high incidence of fetal malformations.
These effects occurred at doses as low as 25 mg/kg, which is approximately 2 times the maximum recommended human dose (100 mg) on a body surface area (mg/m 2 ) basis
🧒 Pediatric Use ▾
8.4Pediatric Use Safety and effectiveness in pediatric patients have not been established.
🧓 Geriatric Use ▾
8.5Geriatric Use In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1Mechanism of Action The precise mechanism by which meclizine exerts its therapeutic effect is unknown but is presumed to involve antagonism of the histamine H1 receptor.
12.2Pharmacodynamics There are no relevant pharmacodynamic data regarding meclizine.
12.3Pharmacokinetics The available pharmacokinetic information for meclizine following oral administration has been summarized from published literature. Absorption Meclizine is absorbed after oral administration with maximum plasma concentrations reaching at a median T max value of 3 hours post-dose (range: 1.5 to 6 hours) for the tablet dosage form. Distribution Drug distribution characteristics for meclizine in humans are unknown.
Elimination Meclizine has a plasma elimination half-life of about 5-6 hours in humans. Metabolism In an in vitro metabolic study using human hepatic microsome and recombinant CYP enzyme, CYP2D6 was found to be the dominant enzyme for metabolism of meclizine.
🧬 Mechanism of Action ▾
12.1Mechanism of Action The precise mechanism by which meclizine exerts its therapeutic effect is unknown but is presumed to involve antagonism of the histamine H1 receptor.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING Meclizine Hydrochloride Tablets, USP are available as follows: 12.5 mg, blue, modified oval-shaped tablets, de-bossed with “Є12” on one side, and plain on the other side. They are supplied as follows: NDC 42806-012-01 in bottles of 100 NDC 42806-012-10 in bottles of 1000 25 mg, white, modified oval-shaped tablets, de-bossed with “Є14” on one side, and plain on the other side. They are supplied as follows: NDC 42806-014-01 in bottles of 100 NDC 42806-014-10 in bottles of 1000
16.2Storage and Handling Store at 20 o C to 25 o C (68 o F to 77 o F) [See USP Controlled Room Temperature]. Dispense in a tight, light-resistant container (USP).
📋 Description ▾
11 DESCRIPTION Meclizine hydrochloride, a histamine (H1) receptor antagonist, is a white or slightly yellowish, crystalline powder. It has the following structural formula: Chemically, meclizine hydrochloride is 1-(p-chloro-α-phenylbenzyl)-4-(m-methylbenzyl) piperazine dihydrochloride monohydrate. Meclizine hydrochloride tablets, USP are available in two different strengths, 12.5 mg and 25 mg.
Inactive ingredients: microcrystalline cellulose, lactose monohydrate, croscarmellose sodium and magnesium stearate. The 12.5 mg tablet also contains FD&C Blue #1 Aluminum Lake. structure
💬 Information for Patients ▾
17 PATIENT COUNSELING INFORMATION Administration Instructions Advise patients that the tablets must be swallowed whole [see DOSAGE AND ADMINISTRATION (2.1 )]. Adverse Reactions Advise patients that meclizine hydrochloride tablets may cause anaphylactic reaction, drowsiness, dry mouth, headache, fatigue, vomiting and, on rare occasions, blurred vision [see WARNINGS AND PRECAUTIONS (5.1 ), ADVERSE REACTIONS (6) ]. Inform patients that meclizine hydrochloride tablets may impair their ability to engage in potentially dangerous activities, such as operating machinery or vehicles.
Concomitant Drug Interactions Advise patients regarding medications that should not be taken in combination with meclizine or that may necessitate increased monitoring [see DRUG INTERACTIONS ( 7.1 , 7.2 )]. Inform patients that alcohol may increase adverse reactions. Concurrent Medical Conditions Advise patients to notify their healthcare provider about all of their medical conditions, including if they are pregnant or plan to become pregnant or if they are breastfeeding [see WARNINGS AND PRECAUTIONS (5.2), USE IN SPECIFIC POPULATIONS ( 8.1 , 8.2 )].
Distributed by: Epic Pharma, LLC Laurelton, NY 11413 Rev. 07-2019-00 MF012REV07/19 OE1035
🧬 Pharmacokinetics ▾
12.3Pharmacokinetics The available pharmacokinetic information for meclizine following oral administration has been summarized from published literature. Absorption Meclizine is absorbed after oral administration with maximum plasma concentrations reaching at a median T max value of 3 hours post-dose (range: 1.5 to 6 hours) for the tablet dosage form. Distribution Drug distribution characteristics for meclizine in humans are unknown.
Elimination Meclizine has a plasma elimination half-life of about 5-6 hours in humans. Metabolism In an in vitro metabolic study using human hepatic microsome and recombinant CYP enzyme, CYP2D6 was found to be the dominant enzyme for metabolism of meclizine.
🧬 Pharmacodynamics ▾
12.2Pharmacodynamics There are no relevant pharmacodynamic data regarding meclizine.
🧪 Nonclinical Toxicology ▾
13 NONCLINICAL TOXICOLOGY
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenesis Animal studies to assess the carcinogenic potential of meclizine have not been conducted. Mutagenesis Genetic toxicology studies of meclizine have not been conducted. Impairment of Fertility Animal studies to assess the effects of meclizine on fertility and early embryonic development have not been conducted.
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenesis Animal studies to assess the carcinogenic potential of meclizine have not been conducted. Mutagenesis Genetic toxicology studies of meclizine have not been conducted. Impairment of Fertility Animal studies to assess the effects of meclizine on fertility and early embryonic development have not been conducted.
📄 Package Label / Principal Display Panel ▾
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL Meclizine Hydrochloride Tablets, USP 12.5 mg 100 Tablets 12.5 mg 100ct
Package/Label Display Panel Meclizine Hydrochloride Tablets, USP 25 mg 100 Tablets 25 mg 100ct