Rimantadine
Rimantadine
is an orally administered
medicine
used to treat, and in rare cases prevent, type A
influenza
. When taken within one to two days of developing symptoms, rimantadine can shorten the duration and moderate the severity of influenza.
Mechanics
Scientists do not understand why rimantadine works, but believe it inhibits influenza's
viral replication
, possibly by preventing the uncoating of the virus's protective shells, which are the
envelope and capsid
. Genetic studies suggest that a virus
protein
specified by virion M2
gene
plays an important role in the susceptibility of influenza A virus to inhibition by rimantadine.
Drug Interactions
Taking
acetaminophen
(
Tylenol
) or
aspirin
while taking rimantadine is known to reduce the body's uptake of rimantadine by approximately 10%.
http://www.fda.gov/cder/drug/antivirals/influenza/flumadine.htm
Cimetidine
also affects the body's uptake of rimantadine.
Side Effects
Rimantadine can produce
gastrointestinal
and
central nervous system
side effects
. Studies have shown it produces fewer side effects than other anti-viral influenza treatments. Approximately 6% of patients (compared to 4% of patients taking a placebo) reported side effects.
http://www.cdc.gov/flu/professionals/treatment/side-effects.htm
Common side effects include:
nausea
upset stomach
nervouseness
tiredness
lightheadedness
trouble sleeping
difficulty concentrating
External Links
U.S. FDA press release announcing rimantadine's approval
U.S. Center for Drug Evaluation and Research rimantadine description
U.S. NIH rimantadine description
*
U.S. CDC flu anti-viral treatment information
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