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Biperiden hydrochloride
Biperiden hydrochloride (Akineton Hydrochloride)
Biperiden hydrochloride
(bye-PER-ih-den)
Pregnancy Category: C Akineton Hydrochloride (Rx)

Classification: Synthetic anticholinergic, antiparkinson agent

See Also: See also Antiparkinson Drugs and Cholinergic Blocking Agents.

Action/Kinetics: Synthetic anticholinergic. Tremor may increase as spasticity is relieved. Slight respiratory and CV effects. Time to peak levels: 60-90 min. Peak levels: 4-5 mcg/L. t1/2: About 18-24 hr. Tolerance may develop.

Uses: Parkinsonism, especially of the postencephalitic, arteriosclerotic, and idiopathic types. Drug-induced (e.g., phenothiazines) extrapyramidal manifestations.

Additional Contraindications: Children under the age of 3 years.

Special Concerns: Use with caution in older children.

Additional Side Effects: Muscle weakness, inability to move certain muscles.

How Supplied: Tablet: 2 mg.

Dosage
•Tablets Parkinsonism.
Adults: 2 mg t.i.d.-q.i.d., to a maximum of 16 mg/day.
Drug-induced extrapyramidal effects.
Adults: 2 mg 1-3 times/day. Maximum daily dose: 16 mg.
Adults: 2 mg; repeat q 30 min until symptoms improve, but not more than four doses daily. Pediatric: 0.04 mg/kg (1.2 mg/m2); repeat q 30 min until symptoms improve, but not more than four doses daily.

 
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