Rupall

Rupall Uses, Dosage, Side Effects, Food Interaction and all others data.

Rupall is a second generation, non-sedating, long-acting histamine antagonist with selective peripheral H1 receptor antagonist activity. It further blocks the receptors of the platelet-activating factor (PAF) according to in vitro and in vivo studies.

Rupall possesses anti-allergic properties such as the inhibition of the degranulation of mast cells induced by immunological and non-immunological stimuli, and inhibition of the release of cytokines, particularly of the tumor necrosis factors (TNF) in human mast cells and monocytes.

Rupall is an anti allergenic and acts to reduce allergic symptoms like urticaria, rhinorrhea, sneezing and itching .

Trade Name Rupall
Generic Rupatadine
Rupatadine Other Names Rupatadina, Rupatadine
Type
Formula C26H26ClN3
Weight Average: 415.97
Monoisotopic: 415.1815255
Protein binding

Rupatidine is 98.5-99.0% bound to human plasma proteins .

Groups Approved
Therapeutic Class Non-sedating antihistamines
Manufacturer
Available Country Canada, United States,
Last Updated: September 19, 2023 at 7:00 am
Rupall
Rupall

Uses

Rupall is used for the symptomatic treatment of seasonal & perennial allergic rhinitis and urticaria.

Rupall is also used to associated treatment for these conditions: Allergic Rhinitis (AR), Pruritus, Urticaria

How Rupall works

Rupall is a dual histamine H1 receptor and platelet activating (PAF) receptor antagonist . During allergic response mast cells undergo degranulation, releasing histamine and other substances . Histamine acts on H1 receptors to produce symptoms of nasal blockage, rhinorhea, itching, and swelling. PAF is produced from phospholipids cleaved by phospholipase A2. It acts to produce vascular leakage which contributes to rhinorhea and nasal blockage. By blocking both the H1 receptor and PAF receptor, rupatidine prevents these mediators from exerting their effects and so reduces the severity of allergic symptoms.

Dosage

Rupall dosage

Rupall Tablet: The recommended dosage is 10 mg once daily, with or without food.

Rupall Oral Solution (Children aged 2 to 11 year):

  • Children weighing 25 kg or more: 1 teaspoonful (5 ml) of oral solution once daily with or without food.
  • Children weighing equal or more than 10 kg to less than 25 kg: 1/2 teaspoonful (2.5 ml) oral solution once daily with or without food.

Side Effects

The most common undesirable effects occurs somnolence, headache and fatigue. Other common undesirable effects include dizziness, asthenia and increase appetite.

Precaution

Administration of a dose of 10 mg daily of Rupall has not shown significant effects on the function of the central nervous system as seen in specific studies done for psychomotor function. Nevetheless, the patient should take precaution in driving or managing machines. The administration of rupatadine with grape fruit juice is not recommended.

Interaction

CYP3A4 inhibitors like Erythromycin & Ketoconazole inhibits both the presystemic and systemic metabolism of Rupall. Due to this potential interaction, it is not recommended to use Rupall in combination with Ketoconazole, macrolides or any other inhibitors of CYP3A4. Co administration of Rupall and CNS depressants or alcohol may increase CNS depressant effect.

Food Interaction

  • Avoid grapefruit products. Grapefruit inhibits CYP3A metabolism, which may increase the serum concentration of rupatadine.
  • Take with or without food.

Volume of Distribution

The apparent volume of distribution is 9799 L .

Elimination Route

Rupatidine is rapidly absorbed with a Tmax of 1 h . Administration with a high fat meal increases exposure by 23% and increases Tmax to 2 h.

Half Life

The half life of elimination is 15.9 h in children 2-5 years old, 12.3 h in children 6-11 years old, 5.9 h in adults, and 8.7 h in geriatric patients .

Clearance

Systemic clearance is 1556.2 L/h in young adults and 798.2 L/h in geriatric patients .

Pregnancy & Breastfeeding use

Pregnancy category B2 (by TGA, Australia). There is no clinical data available on the exposure of Rupall during pregnancy. Pregnant women should therefore not use Rupall, unless the potential benefit outweighs the potential risk for the fetus. No information is available, whether Rupall is excreted in the mother's milk. Therefore, it should not be used during lactation, unless the potential benefits for the mother justify the potential risk to the infant.

Contraindication

Hypersensitivity to Rupall or to any of the excipients.

Special Warning

Elderly: Rupall should be used with caution in elderly. No information is available that indicates the requirement of any dose adjustment in this population.

Children: Neither the safety nor the efficacy of Rupall has been established in patients less than 12 years of age.

Patients with renal or hepatic insufficiency: Use of Rupall is not recommended in patients with renal or hepatic insufficiency. As no relevant clinical data is available.

Innovators Monograph

You find simplified version here Rupall

Rupall contains Rupatadine see full prescribing information from innovator Rupall Monograph, Rupall MSDS, Rupall FDA label

FAQ

What is Rupall used for?

Rupall is also used to relieve the symptoms associated with urticaria such as itching and hives (localised skin redness and swelling).

How safe is Rupall?

Rupall has been found to be effective and safe Iin a variety of randomized clinical trials both in both seasonal and perennial allergic rhinitis, as well as inbut also chronic urticaria Rupatadine has been found as effective and safe.

How does Rupall work?

Rupall works by blocking the action of one of the body's natural chemicals known as histamine.

What are the common side effects of Rupall?

Common side effects of Rupall are Sleepiness, headache, dizziness, dry mouth, sensation of weakness and fatigue.

Is Rupall safe during pregnancy?

Rupall is preferable to avoid the use of rupatadine during pregnancy.

Is Rupall safe during breastfeeding?

Rupall is excreted in animal milk. It is unknown whether Rupall is excreted into breast milk. A decision must be made whether to discontinue breastfeeding or to discontinue/abstain from Rupall therapy taking into account the benefit of breastfeeding for the child and the benefit of therapy for the woman.

Can I drink alcohol with Rupall?

Drink of alcohol is not recommended during treatment with this medicine due to the increased risk of severe adverse effects.

How long does it take for Rupall to work?

Rupall usually starts working within 2 hours and lasts for 24 hours.

How long does Rupall stay in my system?

The mean elimination half-life of Rupall in elderly and young volunteers was 8.7 hours and 5.9 hours respectively.

Is Rupall a sedative?

Rupall is a second generation, non-sedating, long-acting histamine antagonist with selective peripheral H1 receptor antagonist activity.

Does Rupall make I sleepy?

This drug may make you drowsy.Talk to your doctor about using Rupall safely.

Can I drive after taking Rupall?

At the recommended dosage, Rupall is not expected to influence your ability to drive or use machinery.

Is Rupall an anti inflammatory?

Rupall has a dual anti inflammatory effect by blocking both histamine H1 and PAF receptors.

Can I take Rupall for a long time?

Rupall 10 and 20mg once-daily doses were well tolerated in long-term use.

How long can you take Rupall?

All patients received Rupall 10 mg/day and were allowed to continue their normal concomitant medication for all conditions, other than rhinitis, for up to 6 or 12 months.

Is Rupall a mast cell stabilizer?

Rupall can inhibit histamine and cytokine secretion from human mast cells in response to allergic, immune and neuropeptide triggers.

What happens if I miss a dose?

If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost 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. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

How effective is Rupall for kindney?

The safety and effectiveness of Rupall have not been established for people with reduced kidney function. Rupall is not recommended for people with reduced kidney function.

How effective is Rupall for liver?

The safety and effectiveness of Rupall have not been established for people with reduced liver function. Rupall  is not recommended for people with reduced liver function.

*** Taking medicines without doctor's advice can cause long-term problems.
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