bitasafe 24 tablet - Betahistine (24mg) medicine

Betavert 24 Tablet (Betahistine 24 mg): Complete Medicine Guide

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🏭 Daxin Pharmaceutical Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate for Ménière's disease; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Sudden severe headache with confusion or vision changes
  • Swelling of the face, lips, tongue, or throat, or difficulty breathing
  • Black tarry stools or vomiting blood
  • Severe abdominal pain that does not go away
  • Chest pain, palpitations, or fainting
  • Yellowing of the skin or eyes
  • Sudden hearing loss in one or both ears
  • Weakness or numbness on one side of the body

If experiencing severe symptoms, call emergency services immediately.

What is bitasafe 24 tablet used for?

This medicine contains Betahistine 24 mg and is used to treat vertigo, dizziness, and tinnitus associated with Ménière's disease and other inner ear balance disorders. It works by improving blood flow in the inner ear and regulating histamine signals. It is taken by mouth, usually two or three times daily with food, and must be prescribed by a doctor.

  • Generic Name: Betahistine
  • Manufacturer: Daxin Pharmaceutical Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 bitasafe 24 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा बीटाहिस्टीन 24 मिलीग्राम की एक ओरल टैबलेट है, जिसका उपयोग मेनियर्स रोग और कान के अंदरूनी हिस्से से जुड़े चक्कर आने, सिर घूमने और कान में घंटी बजने जैसे लक्षणों के इलाज में किया जाता है। यह दवा कान की छोटी रक्त वाहिकाओं में रक्त के प्रवाह को सुधारती है और हिस्टामिन रिसेप्टर्स को प्रभावित करके संतुलन बनाने में मदद करती है। यह दवा डॉक्टर के पर्चे पर ही ली जानी चाहिए और इसे भोजन के साथ लेना चाहिए ताकि पेट में जलन या मतली न हो।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, उल्टी, पेट में गैस या अपच, और सिरदर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। कभी-कभी नींद आना, बेचैनी या त्वचा पर चकत्ते भी हो सकते हैं। बहुत कम मामलों में गंभीर एलर्जी, पेट के अल्सर से खून बहना या त्वचा की गंभीर प्रतिक्रिया हो सकती है। अगर आपको सांस लेने में तकलीफ, चेहरे या गले में सूजन, काला मल, खून की उल्टी या तेज पेट दर्द हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर भोजन के साथ। टैबलेट को चबाएं या तोड़ें नहीं। जब तक आपको पता न चल जाए कि यह दवा आप पर कैसा असर करती है, तब तक गाड़ी चलाने या मशीन चलाने से बचें। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं, खासकर एंटीहिस्टामिन। अगर आपको अस्थमा, पेट का अल्सर या लो ब्लड प्रेशर है, तो डॉक्टर को पहले ही बता दें। गर्भावस्था, स्तनपान या गर्भधारण की योजना बनाते समय डॉक्टर से सलाह लें। दवा को ठंडी और सूखी जगह पर, धूप से दूर, बच्चों की पहुंच से बाहर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 bitasafe 24 tablet Uses & Benefits

[{"condition":"Ménière's disease","description":"This medicine is used to reduce the frequency and severity of vertigo attacks, and may help ease tinnitus and hearing fluctuation in people with Ménière's disease.","evidence":"Established in clinical practice, though trial results are mixed"},{"condition":"Vestibular vertigo","description":"It is prescribed to help control dizziness and spinning sensations caused by disorders of the vestibular system in the inner ear.","evidence":"Commonly used, evidence is moderate"},{"condition":"Vestibular migraine-associated dizziness","description":"Some doctors use this medicine as part of a broader treatment plan for dizziness linked to vestibular migraine.","evidence":"Limited"},{"condition":"Tinnitus associated with inner ear disorders","description":"It may be prescribed to help reduce ringing in the ears when this is linked to a vestibular disorder, although response varies.","evidence":"Limited"}]

Off-label uses: [{"condition":"Vertigo of unclear cause","description":"Sometimes tried when the cause of vertigo is not fully clear, after other serious causes have been ruled out.","evidence":"Limited"},{"condition":"Balance problems after head injury","description":"Occasionally used in specialist settings for persistent balance symptoms after a head injury.","evidence":"Insufficient"}]

Primary treatment for: Ménière's disease

Also treats: Vestibular vertigo, Tinnitus associated with inner ear disorders, Vestibular migraine-associated dizziness

📋 Drug Information

Generic Name(s)Betahistine
Brand NameActivert 16mg Tablet
ManufacturerDaxin Pharmaceutical Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassHistamine analog- Meniere's Disease
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C, in a dry place, away from direct sunlight and moisture. Keep the tablets in their original blister pack or container.
Shelf LifeTypically 24 to 36 months from the date of manufacture. Check the expiry date on the pack before use.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce the chance of nausea and stomach upset.
2
Keep a symptom diary to track how often vertigo attacks occur and how severe they are.
3
Do not drive or operate heavy machinery until you know how this medicine affects you.
4
Tell your doctor if you have asthma, a peptic ulcer, or low blood pressure before starting this medicine.
5
Avoid regular use of antihistamines while taking this medicine, as they may reduce its effect.
6
Do not stop this medicine suddenly; speak to your doctor first.
7
Attend follow-up appointments so your doctor can assess whether the dose needs adjusting.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Vertigo with spinning sensation
This medicine is commonly prescribed for vertigo linked to inner ear disorders.
Likely Use
✅
Tinnitus (ringing in the ears)
It may help tinnitus associated with Ménière's disease.
Likely Use
✅
Hearing fluctuation
It is used in Ménière's disease where hearing fluctuates.
Likely Use
❌
Dizziness due to low blood pressure
This medicine is not for dizziness caused by low blood pressure.
Not Primary
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is well absorbed from the gastrointestinal tract after oral administration. It undergoes some first-pass metabolism in the liver, which reduces the amount that reaches the bloodstream unchanged.
DistributionThis medicine is widely distributed in body tissues. It is known to cross the blood-brain barrier, which is important for its effects on the central vestibular pathways.
Protein BindingProtein binding is very low, reported to be less than 5%.
MetabolismThis medicine is metabolised in the liver. Its main metabolite is 2-pyridylacetic acid, which is formed by oxidation and does not have significant pharmacological activity.
Half-LifeThe elimination half-life is approximately 3 to 4 hours.
ExcretionThis medicine and its metabolites are excreted mainly in the urine. A smaller amount is eliminated in the faeces.
BioavailabilityOral bioavailability is low, estimated to be around 1% to 5% due to first-pass metabolism.
Onset of ActionImprovement in vertigo symptoms may begin within a few days, but full benefit often takes several weeks of regular use.
Peak Plasma TimePeak plasma levels are reached about 1 hour after taking the tablet.
Duration of ActionThe effect on symptoms is maintained with regular dosing. The plasma half-life is short, so the medicine is usually taken two or three times daily.

How It Works

This medicine is a synthetic analogue of histamine. It acts mainly as a partial agonist at histamine H1 receptors and as an antagonist at histamine H3 receptors. By blocking H3 receptors, it increases the release of histamine and other neurotransmitters in the brain and inner ear. This leads to improved blood flow in the microcirculation of the inner ear and helps regulate the fluid balance in the endolymphatic system. The overall effect is reduced pressure and improved signalling in the vestibular apparatus, which helps control vertigo and related symptoms.

Mechanism Steps

1
H3 receptor blockade: This medicine blocks presynaptic histamine H3 receptors, which normally act as a brake on histamine release.
2
Increased histamine release: With H3 receptors blocked, more histamine is released in the brain and inner ear.
3
H1 receptor stimulation: The released histamine stimulates H1 receptors, which helps dilate small blood vessels in the inner ear.
4
Improved inner ear circulation: Better blood flow reduces fluid pressure in the endolymphatic system and supports normal vestibular function.
5
Reduced vertigo: The combined effects help lessen the frequency and intensity of vertigo and dizziness.

💡 How to Take bitasafe 24 tablet

Strength: Immediate-release oral tablet containing Betahistine 24 mg.

1Take the tablet with a glass of water.
2Swallow the tablet whole; do not crush or chew it unless your doctor says it is safe.
3Take it with food or just after a meal to reduce stomach upset.
4Take it at the same times each day to keep a steady level in your body.
5If you miss a dose, follow the missed dose instructions.
6Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 24 mg taken two or three times daily, depending on the condition being treated and your doctor's assessment. Some people start on a lower dose and increase gradually. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow the prescription exactly and do not change the dose without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageOlder adults may be more sensitive to the effects of this medicine, especially drowsiness and low blood pressure. The dose is usually the same as for younger adults, but your doctor may start at a lower dose and monitor you more closely.
Renal ImpairmentThis medicine is excreted mainly by the kidneys. In severe kidney disease, the dose may need to be reduced. Your doctor will decide the appropriate dose based on your kidney function.
Hepatic ImpairmentThis medicine is metabolised in the liver. In severe liver disease, the dose may need to be adjusted. Your doctor will decide the appropriate dose based on your liver function.
Maximum Daily DoseThe maximum recommended daily dose is 72 mg (24 mg three times daily). Do not exceed this unless specifically instructed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take with food
Reduces nausea and stomach upset.
Alcohol
Avoid or limit
May worsen dizziness and drowsiness.
Antacids
Separate by 2 hours
Antacids may reduce absorption of this medicine.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of bitasafe 24 tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take the tablet with food or milk. If nausea persists, speak to your doctor.
Indigestion or abdominal bloating (Common (up to 10%))
Take with meals and avoid spicy or very fatty foods. Consult your doctor if it continues.
Headache (Common (up to 10%))
Rest and stay hydrated. If headaches are severe or frequent, contact your doctor.
Vomiting (Uncommon (1-10%))
Sip clear fluids and take the tablet with a small snack. Seek medical advice if vomiting is persistent.
Drowsiness (Uncommon (1-10%))
Avoid driving or operating machinery until you know how this medicine affects you.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you have swelling of the face, lips, tongue, or throat, difficulty breathing, or a widespread rash.
Peptic ulcer bleeding (Rare (<0.1%))
Go to the emergency department if you notice black tarry stools, vomiting blood, or severe stomach pain.
Severe skin reaction (Very rare (<0.01%))
Stop the medicine and seek urgent medical care if you develop painful skin blisters, peeling skin, or sores in the mouth or eyes.

⚠️ Rare Side Effects

Mild skin rash or itching
Tell your doctor if it does not settle. Do not restart the medicine without advice.
Restlessness or agitation
Discuss with your doctor if this becomes troublesome.
Palpitations
Report to your doctor if you notice a fast or irregular heartbeat.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Antihistamines Major
MAOIs Moderate
Beta-2 agonists Moderate
Antacids Minor

🚨 Major Interactions

  • Antihistamines (e.g., diphenhydramine, chlorpheniramine)

⚡ Moderate Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Beta-2 agonists (e.g., salbutamol)

🍷 Alcohol Interaction

Alcohol may increase dizziness, drowsiness, and low blood pressure while taking this medicine. It is best to avoid alcohol or keep it to a minimum until you know how this medicine affects you.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Allergy to betahistine or any ingredient in the tablet","Untreated pheochromocytoma","Active peptic ulcer","Severe low blood pressure","Children under 18 years of age (unless specifically prescribed by a specialist)"]

⚠️ Warnings & Precautions

["Use with caution in people with asthma, as this medicine may worsen bronchospasm in rare cases.","Use with caution in people with a history of peptic ulcer, as it can increase stomach acid.","Avoid driving or operating machinery until you know how this medicine affects you.","Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not stop the medicine suddenly without consulting your doctor.","Keep all follow-up appointments so your doctor can assess your response."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Breastfeeding is not recommended while taking this medicine unless your doctor advises otherwise.

💊 Overdose Management

Overdose with this medicine may cause nausea, vomiting, abdominal pain, drowsiness, and low blood pressure. If you suspect an overdose, contact your doctor or a poison control centre immediately. Treatment is supportive and may include activated charcoal if the overdose is recent and the patient is stable. Do not try to make yourself vomit unless a healthcare professional tells you to.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember, provided there is enough time before your next dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor, usually with food to reduce the chance of stomach upset. Do not crush, chew, or break the tablet unless your doctor or pharmacist has told you it is safe to do so. Keep a record of your symptoms, including when dizziness or vertigo occurs, so your doctor can judge how well the medicine is working. Avoid driving, cycling, or operating heavy machinery until you know how this medicine affects you, because it can cause drowsiness in some people. Tell your doctor about all other medicines you take, especially antihistamines, because they may interfere with how this medicine works. If you have asthma, a peptic ulcer, or a history of low blood pressure, remind your doctor before starting this medicine. Do not drink alcohol heavily while taking this medicine, as it can worsen dizziness. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine. Store the tablets in their original packaging, away from moisture and direct sunlight, and keep them out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Older adults may be more sensitive to drowsiness and low blood pressure caused by this medicine. They should get up slowly from sitting or lying positions to avoid falls. Kidney and liver function should be checked, and the dose may need adjustment. Regular reviews are important.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, speak to your doctor before continuing this medicine. The safety of this medicine in pregnancy is not fully established, so your doctor will weigh the benefits and risks. Do not start or stop the medicine without medical advice.

🏥 Post-Surgery Considerations

Tell your surgeon and anaesthetist that you are taking this medicine before any surgery. It may need to be stopped temporarily, depending on the type of surgery and your overall health. Do not stop it on your own; follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. There are no major known interactions with local anaesthetics used in dentistry, but it is important for your dental team to know your full medication list.

💚 Lifestyle Tips for Better Results

🏃
Reduce salt intake to help manage fluid balance in the inner ear.
🥗
Avoid alcohol and caffeine if they trigger your dizziness.
😴
Get enough sleep and manage stress, as both can worsen vertigo.
💧
Stay hydrated by drinking plenty of water throughout the day.
🧘
Avoid sudden head movements and change positions slowly.
🌞
Consider vestibular rehabilitation exercises if advised by your doctor.

🏋️ Exercise Considerations

Avoid exercises that involve rapid head movements, sudden bending, or balance challenges until your vertigo is well controlled. Walking, swimming, and stationary cycling are usually safe. If you feel dizzy during exercise, stop and sit down. Ask your doctor about vestibular rehabilitation, which can help retrain your balance system.

🥗 Diet Recommendations

Limit salt and salty processed foods to reduce fluid retention.
Avoid alcohol, as it can worsen dizziness.
Reduce caffeine if it seems to trigger symptoms.
Eat regular meals and take the tablet with food.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness in some people, so avoid driving or operating heavy machinery until you know how it affects you. If your job involves heights, driving, or operating dangerous equipment, discuss with your doctor whether it is safe to continue. Most people can continue their usual daily activities, but vertigo itself may affect concentration and balance until it is controlled.

🛑 When to Stop This Medicine

Do not stop this medicine on your own. Your doctor will decide when it is appropriate to stop, usually after your symptoms have been well controlled for some time or if side effects become troublesome. If you experience a serious side effect such as an allergic reaction, stop the medicine and seek medical help immediately.

📅 Long-Term Use Effects

Long-term use of this medicine is generally well tolerated when prescribed and monitored by a doctor. There is no strong evidence that it causes serious organ damage with prolonged use, but regular reviews are advised to confirm that it is still helping and that the dose is appropriate. People with asthma, peptic ulcer, or low blood pressure need closer monitoring. If you have been taking it for several months, your doctor may reassess your condition and decide whether to continue, change the dose, or try another treatment.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Vestibular rehabilitation therapy

A specialised exercise programme that helps retrain the brain to compensate for inner ear balance problems.

Evidence: Well-established
Low-salt diet

Reducing salt intake may help reduce fluid pressure in the inner ear in Ménière's disease.

Evidence: Moderate
Stress management and relaxation

Stress can trigger vertigo attacks; relaxation techniques may help reduce frequency.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. You can receive routine vaccinations while taking this medicine unless your doctor advises otherwise.

📦 Storage Guide

✅ DO

Store at room temperature between 15°C and 30°C

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in the original blister pack or container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight and moisture

❌ DON'T

Do not store in the bathroom cabinet

✅ DO

Keep out of reach of children

❌ DON'T

Do not use after the expiry date

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label visible. Bring a copy of your prescription or a doctor&#039;s letter, especially for international travel. Keep the tablets in your hand luggage rather than checked baggage. Store them at room temperature and away from direct sunlight. If you are crossing time zones, continue taking the medicine at the same intervals as prescribed; you do not need to adjust the timing unless your doctor advises. Declare the medicine at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old teacher with recurrent vertigo attacks
She was diagnosed with Ménière's disease after experiencing spinning sensations, hearing loss, and ringing in the ear. Her doctor prescribed this medicine at 24 mg twice daily with food. After about three weeks, the vertigo attacks became less frequent and less severe. She kept a diary of her symptoms and attended regular follow-ups. She also reduced her salt intake and avoided alcohol, which helped further.
💡 Lesson: Taking this medicine regularly with food and keeping a symptom diary helps both the patient and doctor judge the benefit.
👤 A 38-year-old office worker with dizziness and tinnitus
He had persistent dizziness and ringing in the ears that made it hard to concentrate at work. His doctor started him on this medicine 24 mg three times daily. He initially felt nauseous, but taking the tablet with meals solved the problem. After six weeks, his dizziness was much better, though the tinnitus only partially improved. He was advised to continue for a few more months and review regularly.
💡 Lesson: Side effects like nausea can often be managed by taking the tablet with food, and improvement may take several weeks.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Some people notice improvement within a few days, but it often takes several weeks of regular use to get the full benefit. Your doctor will review your progress.

Q: Can I take this medicine with food?

A: Yes, it is best taken with food or just after a meal to reduce nausea and stomach upset.

Q: What should I do if I miss a dose?

A: If you remember within a short time, take it. If it is almost time for your next dose, skip the missed dose and continue as usual. Do not double dose.

Q: Can I stop this medicine on my own?

A: No, do not stop without talking to your doctor. Stopping suddenly may cause your symptoms to return.

Q: Is this medicine safe in pregnancy?

A: It should be used in pregnancy only if your doctor decides it is clearly needed. Discuss your options with your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney or liver?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is it safe in pregnancy?
  • How long until I feel better?

🔄 Substitutes for bitasafe 24 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a general cure for all types of dizziness.
    Fact: This medicine is specifically for vertigo linked to inner ear disorders. It is not effective for dizziness caused by low blood pressure, anaemia, or heart problems.
  • Myth: This medicine works immediately like a painkiller.
    Fact: It may take several days to weeks of regular use before you notice improvement in vertigo.
  • Myth: You can stop this medicine as soon as you feel better.
    Fact: Stopping suddenly may cause symptoms to return. Always consult your doctor before stopping.
  • Myth: This medicine is a sedative.
    Fact: This medicine is not a sedative. It works on histamine receptors in the inner ear and brain to reduce vertigo.

🔄 Alternative Options

Generic Alternatives

  • Betahistine 24 mg tablet

Brand Alternatives

  • Betavert 24 Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (Betahistine 24 mg)","class":"Histamine analogue","main_use":"Ménière's disease and vestibular vertigo","route":"Oral","common_side_effects":"Nausea, headache, indigestion"},{"medicine":"Prochlorperazine","class":"Antipsychotic / antiemetic","main_use":"Vertigo and nausea","route":"Oral, injection","common_side_effects":"Drowsiness, dry mouth, movement disorders"},{"medicine":"Cinnarizine","class":"Calcium channel blocker / antihistamine","main_use":"Vertigo and motion sickness","route":"Oral","common_side_effects":"Drowsiness, weight gain, dry mouth"}]

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