Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Rupatadine

Generic name
Rupatadine
Brand name
ATC Code
R06AX28

Pharmacokinetics in children

In a subgroup of children (average age: 10 years), rupatadine was absorbed quickly after administration of an average dose of 5 mg rupatadine with an average Tmax of 0.5 hours after intake. The average Cmax was 2.5 ng/ml after a single oral dose. With regards to exposure the average total surface was below the curve (AUC) 8.86 ng·hour/ml. All these values are comparable to the values obtained for adults and adolescents.

The average elimination half-life of rupatadine in children was 3.12 hours, which is shorter than that for the tablets in adults and adolescents.

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Allergic rhinitis and chronic urticaria
  • Oral
    • 2 years up to 12 years and 10 up to 25 kg
      • 2.5 mg/day in 1 dose
      • In chronic urticaria, raising the dose can be considered up to a maximum of 4 times the daily dose.

    • 2 years up to 12 years and ≥ 25 kg
      • 5 mg/day in 1 dose
      • In chronic urticaria, raising the dose can be considered up to a maximum of 4 times the daily dose.

    • 12 years up to 18 years
      • 10 mg/day in 1 dose
      • In chronic urticaria, raising the dose can be considered up to a maximum of 4 times the daily dose.

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Liquid formulation:
Common (1–10%): headache, drowsiness.
Occasional (0.1–1%): upper respiratory tract infections, influenza. Dizziness, fatigue. Nausea. Eczema, night sweats. Neutropenia, eosinophilia. against the chikungunya virus

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. J. Uriach & Cía., S.A., SmpC Rupafin (RVG 108903) 29-05-14, www.cbg-meb.nl, Geraadpleegd 13 jan 2015
  2. Nederlandse Vereniging voor Dermatologie en Venereologie, Richtlijn Chronische spontane urticaria, www.ndvd.nl, 03-12-2015
  3. Zuberbier T, et al,, The EAACI/GA(2) LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update,, Allergy,, 2014, Jul;69(7), 868-87

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Changes

Changes