Why is this medication prescribed?

Periactin is a brand name for the generic drug cyproheptadine. It is an antihistamine that is often prescribed to treat various conditions, primarily allergic reactions and symptoms such as itching, hives, and sneezing. Cyproheptadine can also be used to stimulate appetite and promote weight gain in conditions where weight loss may be a concern, such as in certain types of malnutrition or chronic illnesses. Here are some common uses of Periactin:

• Allergic Reactions: Periactin is often prescribed to relieve symptoms associated with allergic reactions, such as itching, redness, swelling, and hives.
• Appetite Stimulation: It may be used to stimulate appetite and promote weight gain in individuals who are underweight due to various reasons, including medical conditions.

How should this medicine be used?

Periactin (cyproheptadine) should be used exactly as prescribed by your healthcare provider. It’s important to follow their instructions and not to adjust the dosage without consulting them. The dosage of Periactin may vary depending on the specific condition being treated, the patient’s age, weight, and other factors.

Here are general guidelines on how Periactin is commonly used:

• Dosage for Allergic Reactions: The usual adult dose for allergic reactions is 4 mg to 20 mg per day, divided into smaller doses. The pediatric dose is generally based on the child’s weight. Consult with the healthcare provider for the appropriate dosage for children.
• Dosage for Appetite Stimulation: For appetite stimulation, the typical adult dose is 2 mg to 4 mg, three times a day. Pediatric dosages for appetite stimulation are often based on the child’s weight.
• Dosage for Migraine Prevention (Off-Label Use): The dosage for migraine prevention may vary, and your healthcare provider will determine the appropriate amount for your specific situation.
• Administration: Periactin is usually taken orally with or without food. The tablet form is typically taken two to three times a day, as prescribed by your healthcare provider.
• Special Precautions: Avoid activities that require mental alertness, such as driving or operating heavy machinery, until you know how Periactin affects you, as it can cause drowsiness. Do not consume alcohol or other central nervous system (CNS) depressants while taking Periactin, as it may increase sedation. Inform your healthcare provider about all medications, including over-the-counter drugs and herbal supplements, that you are currently taking to avoid potential interactions.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Periactin with your healthcare provider.

Always take Periactin exactly as prescribed, and do not stop taking it abruptly without consulting your healthcare provider. If you miss a dose, take it as soon as you remember, but if it’s close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

If you experience any side effects or have concerns about the medication, contact your healthcare provider promptly. They can provide guidance based on your specific medical history and condition.

Other uses for this medicine

Some off-label uses of Periactin may include:

• Migraine Prevention: There is some evidence to suggest that cyproheptadine may be effective in preventing migraines, particularly in certain individuals.
• Serotonin Syndrome Treatment: Periactin has been used off-label in the treatment of serotonin syndrome, a potentially serious condition that can occur when there is an excess of serotonin in the body.
• Cyclic Vomiting Syndrome: Cyproheptadine may be used in the management of cyclic vomiting syndrome, a disorder characterized by recurrent episodes of severe vomiting.
• Dermatologic Conditions: In some cases, Periactin may be prescribed for certain dermatologic conditions, especially those associated with severe itching.

What special precautions should I follow?

As for special precautions when using Periactin, here are some general considerations:

• Sedation: Periactin can cause drowsiness, so it’s important to avoid activities that require mental alertness, such as driving or operating heavy machinery, until you know how the medication affects you.
• Alcohol and Other CNS Depressants: Combining Periactin with alcohol or other central nervous system (CNS) depressants can increase the risk of sedation and other side effects.
• Medical Conditions: Inform your healthcare provider about any existing medical conditions, especially if you have a history of glaucoma, difficulty urinating, asthma, or other respiratory conditions.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Periactin with your healthcare provider.
• Interactions with Other Medications: Inform your healthcare provider about all the medications, including over-the-counter drugs and herbal supplements, that you are currently taking to avoid potential interactions.

Always follow your healthcare provider’s instructions and inform them of any side effects or concerns you may have while taking Periactin.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Periactin. However, it’s advisable to follow a balanced and nutritious diet, especially if Periactin is being used for appetite stimulation or weight gain. Consult with your healthcare provider or a registered dietitian for personalized dietary advice.

What should I do if I forget a dose?

If you forget a dose of Periactin:

• If you forget a dose of Periactin, take it as soon as you remember.
• If it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Periactin (cyproheptadine) can cause side effects, and it’s important to be aware of them. Not everyone will experience these side effects, and some individuals may have a more tolerable reaction to the medication. Common side effects of Periactin include:

• Sedation: One of the most common side effects is drowsiness or sedation. This can impair your ability to perform tasks that require mental alertness, such as driving or operating machinery.
• Dry Mouth: Periactin can cause a dry mouth, which can be alleviated by drinking water or using sugar-free gum or candy.
• Blurred Vision: Some individuals may experience blurred vision while taking Periactin.
• Constipation: Periactin may cause constipation in some people.
• Urinary Retention: In rare cases, cyproheptadine may cause difficulty in urination.
• Increased Appetite and Weight Gain: While this is often an intended effect when using Periactin to stimulate appetite, it may be considered a side effect if it occurs unexpectedly or is not desired.
• Dizziness or Lightheadedness: Some individuals may experience dizziness or lightheadedness, especially when getting up from a sitting or lying position.
• Nausea or Upset Stomach: Periactin can cause gastrointestinal symptoms in some people.
• Increased Sweating: Sweating may be increased in some individuals.

It’s important to note that not everyone will experience these side effects, and the severity can vary from person to person. If you notice any persistent or severe side effects, it’s crucial to contact your healthcare provider. Additionally, if you experience signs of an allergic reaction, such as difficulty breathing, swelling of the face or throat, or a severe skin rash, seek immediate medical attention.

This is not an exhaustive list of side effects, and individual responses to medication can vary. Always consult with your healthcare provider for personalized advice and guidance based on your specific medical history and condition.

What should I know about storage and disposal of this medication?

Storage and Disposal of Periactin:

• Storage:
  • Store Periactin at room temperature, away from moisture and heat.
  • Keep it out of reach of children and pets.
• Disposal:
  • Dispose of Periactin according to local regulations and guidelines.
  • Do not flush medications down the toilet unless instructed to do so.
  • If in doubt about proper disposal, consult with your healthcare provider or a local pharmacy.

In case of emergency/overdose

If you suspect an overdose of Periactin, seek emergency medical attention or contact your local poison control center immediately. Overdose symptoms may include extreme drowsiness, hallucinations, seizures, or loss of consciousness.

What other information should I know?

• Medical History: Inform your healthcare provider about your complete medical history, including any pre-existing conditions or allergies.
• Follow-up Appointments: Attend scheduled follow-up appointments with your healthcare provider to monitor your response to Periactin and address any concerns.
• Interactions: Inform your healthcare provider about all medications, including over-the-counter drugs and herbal supplements, to avoid potential interactions.
• Allergies: If you are allergic to cyproheptadine or any other ingredients in Periactin, inform your healthcare provider.
• Pregnancy/Breastfeeding: Discuss the use of Periactin with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.
• Driving and Operating Machinery: Be cautious about activities that require mental alertness, as Periactin can cause sedation.
• Alcohol/CNS Depressants: Avoid alcohol and other central nervous system (CNS) depressants while taking Periactin.
• Medical Alert Bracelet: If you have a medical condition that may require emergency intervention, consider wearing a medical alert bracelet.

Always follow your healthcare provider’s instructions and contact them if you have any questions or concerns about Periactin. In case of an emergency, seek prompt medical attention.

This information is not exhaustive, and individual circumstances may vary. It’s important to consult with your healthcare provider for personalized advice based on your specific medical history and condition.