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fexofenadine hydrochloride
Overview
What is Allegra?
Fexofenadine hydrochloride,
the active ingredient of ALLEGRA Tablets, ALLEGRA ODT and ALLEGRA
Oral Suspension, is a histamine H-receptor antagonist
with the chemical name (±)-4-[1 hydroxy-4-[4-(hydroxydiphenylmethyl)-1-piperidinyl]-butyl]-α,α-dimethyl
benzeneacetic acid hydrochloride. It has the following chemical structure
The molecular
weight is 538.13 and the empirical formula is CHNO•HCl.
Fexofenadine hydrochloride is a white to off-white crystalline powder.
It is freely soluble in methanol and ethanol, slightly soluble in
chloroform and water, and insoluble in hexane. Fexofenadine hydrochloride
is a racemate and exists as a zwitterion in aqueous media at physiological
pH.
ALLEGRA is formulated
as a tablet for oral administration. Each tablet contains 30, 60,
or 180 mg fexofenadine hydrochloride (depending on the dosage strength)
and the following excipients: croscarmellose sodium, magnesium stearate,
microcrystalline cellulose, and pregelatinized starch. The aqueous
tablet film coating is made from hypromellose, iron oxide blends,
polyethylene glycol, povidone, silicone dioxide, and titanium dioxide.
ALLEGRA ODT is formulated for
rapid disintegration in the mouth immediately following administration.
Each orally disintegrating tablet contains 30 mg fexofenadine hydrochloride
and the following excipients: citric acid anhydrous, crospovidone,
magnesium stearate, mannitol, methacrylate copolymer, microcrystalline
cellulose, povidone K-30, sodium bicarbonate, sodium starch glycolate,
aspartame, natural and artificial orange flavor, artificial cream
flavor, and alcohol anhydrous; the alcohol is predominantly removed
during the manufacturing process.
ALLEGRA Oral Suspension, a white uniform suspension, contains 6 mg
fexofenadine hydrochloride per mL and the following excipients: polypropylene
glycol, edetate disodium, propylparaben, butylparaben, xanthan gum,
poloxamer 407, titanium dioxide, sodium phosphate monobasic monohydrate,
sodium phosphate dibasic heptahydrate, artificial raspberry cream
flavor, sucrose, xylitol and purified water.
What does Allegra look like?


What are the available doses of Allegra?
ALLEGRA tablets are available
in 30 mg, 60 mg, and 180 mg strengths. ALLEGRA tablets are coated
with a peach colored film coating. Tablets have the following unique
shape and identifiers: 30 mg tablets are round, bi-convex and have
03 on one side and a scripted “e” on the other; 60 mg
tablets are oval, bi-convex and have 06 on one side and a scripted“e” on the other; and 180 mg tablets are oblong, bi-convex
and have 018 on one side and a scripted “e” on the other.
ALLEGRA ODT is available as a
30 mg orally disintegrating tablet and is white, flat-faced, ½-inch
round shaped with beveled edges and debossed with a scripted “e”
on one side and “311AV” on the other side.
ALLEGRA oral suspension is available
as 30 mg/ 5 mL (6 mg/mL)
What should I talk to my health care provider before I take Allegra?
See for PATIENT
COUNSELING INFORMATION
How should I use Allegra?
ALLEGRA is indicated
for the relief of symptoms associated with seasonal allergic rhinitis
in adults and children 2 years of age and older.
What interacts with Allegra?
Sorry No Records found
What are the warnings of Allegra?
Sorry No Records found
What are the precautions of Allegra?
Sorry No Records found
What are the side effects of Allegra?
Sorry No records found
What should I look out for while using Allegra?
ALLEGRA tablets, ALLEGRA
ODT and ALLEGRA oral suspension are contraindicated in patients with
known hypersensitivity to fexofenadine and any of the ingredients
of ALLEGRA. Rare cases of hypersensitivity reactions with manifestations
such as angioedema, chest tightness, dyspnea, flushing and systemic
anaphylaxis have been reported.
What might happen if I take too much Allegra?
Reports of fexofenadine
hydrochloride overdose have been infrequent and contain limited information.
However, dizziness, drowsiness, and dry mouth have been reported.
Single doses of fexofenadine hydrochloride up to 800 mg (6 healthy
subjects at this dose level), and doses up to 690 mg twice daily for
1 month (3 healthy subjects at this dose level) or 240 mg once daily
for 1 year (234 healthy subjects at this dose level) were administered
without the development of clinically significant adverse events as
compared to placebo.
In the event of overdose, consider standard measures to remove any
unabsorbed drug. Symptomatic and supportive treatment is recommended.
Following administration of terfenadine, hemodialysis did not effectively
remove fexofenadine, the major active metabolite of terfenadine, from
blood (up to 1.7% removed).
No deaths occurred at oral doses of fexofenadine hydrochloride up
to 5000 mg/kg in mice (110 times the maximum recommended daily oral
dose in adults and children based on mg/m) and up to 5000
mg/kg in rats (230 times the maximum recommended daily oral dose in
adults and 210 times the maximum recommended daily oral dose in children
based on mg/m). Additionally, no clinical signs of toxicity
or gross pathological findings were observed. In dogs, no evidence
of toxicity was observed at oral doses up to 2000 mg/kg (300 times
the maximum recommended daily oral dose in adults and 280 times the
maximum recommended daily oral dose in children based on mg/m).
How should I store and handle Allegra?
Store bottles of 1000 SINGULAIR 5-mg chewable tablets and 8000 SINGULAIR 10-mg film-coated tablets at 25°C (77°F), excursions permitted to 15-30°C (59-86°F) [see USP Controlled Room Temperature]. Protect from moisture and light. Store in original container. When product container is subdivided, repackage into a well-closed, light resistant container.
Clinical Information
Chemical Structure
No Image foundClinical Pharmacology
Fexofenadine hydrochloride,
the major active metabolite of terfenadine, is an antihistamine with
selective peripheral H-receptor antagonist activity. Both
enantiomers of fexofenadine hydrochloride displayed approximately
equipotent antihistaminic effects. Fexofenadine hydrochloride inhibited
antigen-induced bronchospasm in sensitized guinea pigs and histamine
release from peritoneal mast cells in rats. The clinical significance
of these findings is unknown. In laboratory animals, no anticholinergic
or alpha-adrenergic blocking effects were observed. Moreover,
no sedative or other central nervous system effects were observed.
Radiolabeled tissue distribution studies in rats indicated that fexofenadine
does not cross the blood-brain barrier.
Non-Clinical Toxicology
ALLEGRA tablets, ALLEGRA ODT and ALLEGRA oral suspension are contraindicated in patients with known hypersensitivity to fexofenadine and any of the ingredients of ALLEGRA. Rare cases of hypersensitivity reactions with manifestations such as angioedema, chest tightness, dyspnea, flushing and systemic anaphylaxis have been reported.Drug Interactions:
ALLEGRA ODT contains phenylalanine, a component of aspartame. Each 30 mg ALLEGRA ODT contains 5.3 mg phenylalanine. ALLEGRA products other than ALLEGRA ODT do not contain phenylalanine
Reference
This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"
While we update our database periodically, we cannot guarantee it is always updated to the latest version.
Review
Professional
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Tips
Interactions
Interactions
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