Pronunciation:

me-ka-MIL-a-meen

Brand Names:

• Inversine

Dosage Forms:

• Tablet

Classifications:

Therapeutic

Antihypertensive

Pharmacologic

Ganglionic Blocker, Long Acting

Uses of This Medicine:

Mecamylamine belongs to the general class of medicines called antihypertensives. It is used to treat high blood pressure (hypertension).

High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Mecamylamine works by controlling impulses along certain nerve pathways. As a result, it relaxes blood vessels so that blood passes through them more easily. This helps to lower blood pressure.

Mecamylamine was available only with your doctor's prescription.

Mecamylamine (Inversine®) tablets were withdrawn from the U.S. market by Targacept, Inc. on September 30, 2009.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children

Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of mecamylamine in children with use in other age groups.

Older adults

Dizziness or lightheadedness may be more likely to occur in the elderly, who are more sensitive to the effects of mecamylamine.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast-feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Other medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Bladder or prostate problems Mecamylamine may interfere with urination.

• Bowel problems Patients with bowel problems who take mecamylamine may be at increased risk for serious bowel side effects of mecamylamine.

• Diarrhea or
• Fever or infection or
• Nausea or vomiting Effects of mecamylamine on blood pressure may be increased.

• Glaucoma Mecamylamine may make this condition worse.

• Heart or blood vessel disease or
• Heart attack or stroke (recent) Lowering of blood pressure by mecamylamine may make problems resulting from these conditions worse.

• Kidney disease Effects may be increased because of slower removal from the body.

Proper Use of This Medicine:

In addition to the use of the medicine your doctor has prescribed, treatment for your high blood pressure may include weight control and care in the types of foods you eat, especially foods high in sodium. Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.

Remember that this medicine will not cure your high blood pressure but it does help control it. Therefore, you must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.

To help you remember to take your medicine, try to get into the habit of taking it at the same time each day.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage forms (tablets):
  • For high blood pressure:
    • Adults 2.5 milligrams (mg) two times a day to 25 mg three times a day.

Missed dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss two or more doses in a row, check with your doctor right away. If your body goes without this medicine for too long, your blood pressure may go up to a dangerously high level.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using This Medicine:

It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly.

Check with your doctor before you stop taking this medicine. Your doctor may want you to gradually reduce the amount you are taking before stopping completely.

Make sure that you have enough medicine on hand to last through weekends, holidays, or vacations. You should not miss taking any doses. You may want to ask your doctor for another written prescription for mecamylamine to carry in your wallet or purse. You can then have it filled if you run out of medicine when you are away from home.

Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, since they may tend to increase your blood pressure.

Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. This is more likely to occur in the morning. Getting up slowly may help. When you get up from lying down, sit on the edge of the bed with your feet dangling for one or two minutes. Then stand up slowly. If you feel dizzy, sit or lie down. If the problem continues or gets worse, check with your doctor.

Dizziness, lightheadedness, or fainting is also more likely to occur if you drink alcohol, stand for a long time, exercise, or if the weather is hot. While you are taking this medicine, be careful to limit the amount of alcohol you drink. Also, use extra care during exercise or hot weather or if you must stand for a long time.

Sodium bicarbonate (commonly known as baking soda) may cause you to get a greater than normal effect from this medicine. To prevent problems, check with your doctor before using an antacid or medicine for heartburn since some of these contain sodium bicarbonate.

Tell your doctor if you get a fever or infection since that may change the amount of medicine you have to take.

Mecamylamine may cause dryness of the mouth, nose, and throat. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position

Less common

Difficult urination

Rare

Bloating and frequent loose stools

confusion or excitement

constipation (severe)

convulsions (seizures)

mental depression

shortness of breath

trembling

uncontrolled movements of the face, hands, arms, or legs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Constipation

drowsiness

unusual tiredness

Less common or rare

Blurred vision

decreased sexual ability or interest in sex

dryness of the mouth

enlarged pupils

loss of appetite

nausea and vomiting

weakness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.