โ Active Ingredient Overview Table:
| ๐ฌ Active Ingredient (Generic Name): | Cyproheptadine Hydrochloride |
|---|---|
| ๐ Indication: | Allergic Rhinitis, Vasomotor Rhinitis, Appetite Stimulation, Serotonin Syndrome Adjunct |
| ๐บ๐ธ US Brand: | Periactin |
| ๐ญ Manufacturer: | Cipla Limited (Founded: 1935) |
| ๐ฆ Packaging: | 15 Tablets per Strip |
| ๐งช Strength: | 4 mg |
| ๐ Delivery Time: | 6โ15 days |
๐ฟ What is Cyproheptadine 4 mg (Ciplactin)?
Ciplactin contains Cyproheptadine HCl, a first-generation antihistamine with antiserotonergic properties. It alleviates symptoms of allergic conditions by blocking H1 receptors and can also be used off-label to stimulate appetite and treat serotonin syndrome.
In clinical use, Ciplactin shows rapid onset within 30 minutes, providing relief from sneezing, runny nose, and itching. Its antagonism of 5-HT2 receptors underlies its utility in weight gain protocols for patients with anorexia or cachexia.
For complete prescribing guidance and safety data, refer to the FDA label for Periactin and the Drugs.com monograph. Additional information is available via the NHS Medicines AโZ entry and the WHO Essential Medicines List.
๐งฌ Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C21H21ClN2O |
| Molecular Weight | 320.84 g/mol |
| Bioavailability | ~90% |
| Metabolism | Hepatic (CYP3A4, CYP2D6) |
| Half-Life | ~8 hours |
Cyproheptadineโs H1 antagonism reduces allergic symptoms, while 5-HT2 blockade contributes to appetite stimulation and antiserotonin effects.
๐ก Indications & Dosing
| Condition | Dose |
|---|---|
| Allergic Rhinitis | 4 mg three times daily |
| Vasomotor Rhinitis | 4 mg two to three times daily |
| Appetite Stimulation (Off-Label) | 4โ8 mg at bedtime |
| Serotonin Syndrome Adjunct (Off-Label) | 2 mg every 2 hours as needed, up to 12 mg/day |
Administer doses with water; may cause sedationโprefer evening dosing for appetite stimulation.
โ ๏ธ Warnings & Side Effects
Common:
- Sedation, dizziness
- Dry mouth, blurred vision
- Increased appetite, weight gain
Serious:
- Confusion in elderly
- Seizures (rare)
- QT prolongation (dose-dependent)
Use caution in patients with glaucoma, urinary retention, or cardiovascular disease. Avoid alcohol and CNS depressants.
๐ฅ Storage Instructions
Store at 20โ25ยฐC in original packaging. Protect from moisture and light. Keep out of reach of children.
๐ Availability & Purchasing
- USA: Prescription-only (Periactin); limited availability.
- UK & EU: Prescription required; not widely marketed.
- Australia: Prescription and TGA approval required.
Importing from India may lower costs; ensure compliance with local regulations and valid prescription.
๐ Related Therapies
- Mirtazapine 15 mg โ appetite stimulant antidepressant.
- Ondansetron 4 mg โ antiemetic in serotonin syndrome.
๐ฅ Educational Video on Cyproheptadine
๐ฉโโ๏ธ Expert Insight: Dr. Shalini Rao, Allergist
โCyproheptadine is a versatile agentโeffective for allergies and as an appetite stimulant. Sedation is common, so dosing at bedtime often reduces daytime drowsiness.โ






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