Antazoline + Tetryzoline

Generic Details

Generic Name

Antazoline-Tetryzoline

Other Names

  • Ocu-Hist
  • Otrivine-Antistin

Drug Class

  • Antihistamine
  • Vasoconstrictor

Chemical Formula

C28H34N4

Molecular Weight

422.59 g/mol

Mechanism of Action

  • Antazoline - Antihistamine
  • Tetryzoline - Alpha-adrenergic agonist

Indications

  • Allergic conjunctivitis
  • Eye redness
  • Eye irritation

Common Dosage Forms

  • Ophthalmic solution
  • Eye drops

Typical Dosage

  • 1 to 2 drops instilled into the affected eye(s) every 4 to 6 hours

Pediatric Dosage

  • Safety and efficacy not established in children under 6 years of age

Geriatric Dosage

  • Dose reduction may be required in elderly patients

Side Effects

  • Stinging or burning in the eye
  • Blurred vision
  • Headache
  • Increase in blood pressure

Contraindications

  • Hypersensitivity to antazoline or tetryzoline
  • Narrow-angle glaucoma
  • Severe cardiovascular disease

Pregnancy Category

  • C - Consult healthcare provider before use

Lactation Safety

  • Unknown if excreted in breast milk, consult healthcare provider before use

Drug Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Tricyclic antidepressants

Overdose Symptoms

  • Severe headache
  • Increased blood pressure
  • Tachycardia

Antidote for Overdose

  • No specific antidote, symptomatic and supportive treatment

Storage Conditions

  • Store at room temperature away from light and moisture

Pharmacokinetics

  • Absorption: Well absorbed through the conjunctiva
  • Distribution: Not well characterized
  • Metabolism: Metabolized in the liver
  • Excretion: Mainly excreted in the urine

Precautions

  • Avoid contact lens wear during therapy
  • Use with caution in patients with hypertension or hyperthyroidism

Warnings

  • Prolonged use may lead to rebound hyperemia
  • Discontinue use if irritation persists

Others

  • Always wash hands before and after use, avoid touching the tip of the dropper to prevent contamination