amantadine (Symmetrel - Discontinued) (cont.)

Pharmacy Author:
Medical and Pharmacy Editor:

Such combinations can cause dizziness, confusion, lightheadedness, fainting, or dizziness upon standing (orthostatic hypotension).

Since amantadine amplifies the actions of dopamine in the brain, drugs which block the effects of dopamine should be avoided in persons taking amantadine when amantadine is used for the treatment of Parkinson's disease. Such drugs include haloperidol (Haldol), metoclopramide (Reglan), and phenothiazines, for example, thioridazine (Mellaril) or triflupromazine (Stelazine).

The use of the diuretics hydrochlorothiazide or triamterene (Dyazide; Maxzide) with amantadine can reduce the kidney's ability to eliminate amantadine. This can lead to high levels of amantadine in the blood and amantadine-associated toxicity.

PREGNANCY: No well-controlled studies have been done in pregnant women to evaluate amantadine's safety. Physicians may choose to use amantadine during pregnancy when the potential benefits outweigh the potential but unknown risks to the fetus.

NURSING MOTHERS: Amantadine is excreted into breast milk in low concentrations. Although no information is available on the effects in infants, the manufacturer recommends that amantadine be used cautiously in women who are breastfeeding.

Reference: FDA Prescribing Information

Last Editorial Review: 3/26/2012

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