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Flumadine

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Flumadine

Flumadine Side Effects Center

Medical Editor: John P. Cunha, DO, FACOEP

Flumadine (rimantadine hydrochloride) is used to treat and prevent influenza A (a viral infection) in adults and in children. There may be some flu seasons during which Flumadine is not recommended because certain flu strains may be resistant to this drug. It is an antiviral medication. This medication is available in generic form. Common side effects include trouble sleeping, nausea, vomiting, loss of appetite, dry mouth, weakness, dizziness, drowsiness, or nervousness.

The recommended adult dose of Flumadine is 100 mg twice a day. The pediatric dose is 5 mg/kg but not exceeding 150 mg, once daily. Flumadine may interact with cimetidine, aspirin, acetaminophen, or nasal flu vaccine. Tell your doctor all medications and supplements you use. Flumadine should be used only when prescribed during pregnancy. It is unknown if this medication passes into breast milk. Similar drugs pass into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breastfeeding.

Our Flumadine (rimantadine hydrochloride) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is Patient Information in Detail?

Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum.

Flumadine in Detail - Patient Information: Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using rimantadine and call your doctor at once if you have a seizure (black-out or convulsions).

Less serious side effects may include:

  • nausea, vomiting, diarrhea, loss of appetite, stomach pain;
  • dry mouth;
  • sleep problems (insomnia);
  • dizziness;
  • headache; or
  • anxiety, trouble concentrating.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Flumadine (Rimantadine) »

What is Patient Information Overview?

A concise overview of the drug for the patient or caregiver from First DataBank.

Flumadine Overview - Patient Information: Side Effects

SIDE EFFECTS: Trouble sleeping, nausea, vomiting, loss of appetite, dry mouth, weakness, dizziness, drowsiness, or nervousness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these rare but very serious side effects occur: mental/mood changes (e.g., depression), seizures.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Read the entire patient information overview for Flumadine (Rimantadine)»

What is Prescribing information?

The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.

Flumadine FDA Prescribing Information: Side Effects
(Adverse Reactions)

SIDE EFFECTS

In 1,027 patients treated with Flumadine (rimantadine) in controlled clinical trials at the recommended dose of 200 mg daily, the most frequently reported adverse events involved the gastrointestinal and nervous systems.

Incidence > 1%: Adverse events reported most frequently (1-3%) at the recommended dose in controlled clinical trials are shown in the table below.

  Rimantadine
(n=1027)
Control
(n=986)
Nervous System
  Insomnia 2.1% 0.9%
  Dizziness 1.9% 1.1%
  Headache 1.4% 1.3%
  Nervousness 1.3% 0.6%
  Fatigue 1.0% 0.9%
Gastrointestinal System    
  Nausea 2.8% 1.6%
  Vomiting 1.7% 0.6%
  Anorexia 1.6% 0.8%
  Dry mouth 1.5% 0.6%
  Abdominal Pain 1.4% 0.8%
Body as a Whole    
  Asthenia 1.4% 0.5%

Less frequent adverse events (0.3 to 1%) at the recommended dose in controlled clinical trials were: Gastrointestinal System: diarrhea, dyspepsia; Nervous System: impairment of concentration, ataxia, somnolence, agitation, depression; Skin and Appendages: rash; Hearing and Vestibular: tinnitus; Respiratory: dyspnea.

Additional adverse events (less than 0.3%) reported at recommended doses in controlled clinical trials were: Nervous System: gait abnormality, euphoria, hyperkinesia, tremor, hallucination, confusion, convulsions; Respiratory: bronchospasm, cough; Cardiovascular: pallor, palpitation, hypertension, cerebrovascular disorder, cardiac failure, pedal edema, heart block, tachycardia, syncope; Reproduction: non-puerperal lactation; Special Senses: taste loss/change, parosmia. Rates of adverse events, particularly those involving the gastrointestinal and nervous systems, increased significantly in controlled studies using higher than recommended doses of Flumadine (rimantadine) . In most cases, symptoms resolved rapidly with discontinuation of treatment. In addition to the adverse events reported above, the following were also reported at higher than recommended doses: increased lacrimation, increased micturition frequency, fever, rigors, agitation, constipation, diaphoresis, dysphagia, stomatitis, hypesthesia and eye pain.

Adverse Reactions in Trials of Rimantadine and Amantadine: In a six-week prophylaxis study of 436 healthy adults comparing rimantadine with amantadine and placebo, the following adverse reactions were reported with an incidence > 1 %.

  Rimantadine
200 mg/day
(n=145)
Placebo
(n=143)
Amantadine
200 mg/day
(n=148)
Nervous System
Insomnia 3.4% 0.7% 7.0%
Nervousness 2.1% 0.7% 2.8%
Impaired Concentration 2.1% 1.4% 2.1%
Dizziness 0.7% 0.0% 2.1%
Depression 0.7% 0.7% 3.5%
Total % of subjects with adverse reactions 6.9% 4.1% 14.7%
Total % of subjects withdrawn due to adverse reactions 6.9% 3.4% 14.0%

Geriatric Use

Approximately 200 subjects over the age of 65 were evaluated for safety in controlled clinical trials with Flumadine (rimantadine hydrochloride). Geriatric subjects who received either 200 mg or 400 mg of rimantadine daily for 1 to 50 days experienced considerably more central nervous system and gastrointestinal adverse events than comparable geriatric subjects receiving placebo. Central nervous system events including dizziness, headache, anxiety, asthenia, and fatigue, occurred up to two times more often in subjects treated with rimantadine than in those treated with placebo. Gastrointestinal symptoms, particularly nausea, vomiting, and abdominal pain occurred at least twice as frequently in subjects receiving rimantadine than in those receiving placebo. The gastrointestinal symptoms appeared to be dose related. In patients over 65, the recommended dose is 100 mg, daily (see CLINICAL PHARMACOLOGY and DOSAGE AND ADMINISTRATION).

Read the entire FDA prescribing information for Flumadine (Rimantadine) »

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Flumadine - User Reviews

Flumadine User Reviews

Now you can gain knowledge and insight about a drug treatment with Patient Discussions.

Here is a collection of user reviews for the medication Flumadine sorted by most helpful. Patient Discussions FAQs

Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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