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Periactin

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Periactin (Cyproheptadine) is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, and itching. It blocks natural histamines in the body to manage seasonal allergies or skin reactions. It is also used occasionally to help with specific types of vascular headaches.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Cyproheptadine
Reference Brand
Periactin
Manufacturer
Amdipharm
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Allergy & Itch Relief
Product Category
Antihistamines for systemic use
Pharmacological Class
First-generation Antihistamine
Manufacturer Description
An antihistamine used for allergies that is also known to increase appetite in certain patients.
Mechanism of Action
Cyproheptadine is an older antihistamine that also has antiserotonergic properties. It works by competing with free histamine for binding at H1-receptor sites and also acts as a serotonin antagonist in the brain.
Route of Administration
Oral
Onset Time
1-2 hours
Duration
4-6 hours
Contraindications
Glaucoma, Stomach ulcer, Enlarged prostate, Elderly patients, Breastfeeding
Severe Adverse Events
Confusion, Hallucinations, Seizures, Blood disorders
Common Side Effects
Sleepiness, Dry mouth, Blurred vision
Uncommon Side Effects
Weight gain, Increased appetite, Dizziness, Coordination problems
Drug Interactions
MAO inhibitors, Alcohol, CNS depressants
Pregnancy Safety Warnings
Use only if clearly needed.
Age Restrictions
Not for use in newborns or premature infants
Storage Guidelines
Store below 25°C.
Related Products
Chlorphenamine, Promethazine, Hydroxyzine

Periactin FAQ

Can Periactin be taken on an empty stomach?

Yes, cyproheptadine tablets can be taken with or without food. Some patients prefer taking the dose with a meal to reduce mild stomach discomfort, but food does not significantly affect absorption.

How long does it take for Periactin to relieve allergy symptoms?

Most individuals notice an improvement within 30 minutes to 2 hours after the first dose, with peak effect occurring around the 1- to 2-hour mark. Full symptom control may require several days of consistent dosing.

Is Periactin safe for long-term use in adults?

When prescribed at the recommended dose, Periactin is generally safe for prolonged therapy. Regular monitoring of liver function and assessment for sedation are advisable during extended use.

What should I do if I experience excessive drowsiness?

If sedation interferes with daily activities, contact your prescriber. They may adjust the dose, change the timing of administration, or consider an alternative antihistamine with a lower sedative profile.

Can Periactin interact with herbal supplements?

Certain herbs, such as St. John’s Wort, induce cytochrome P450 enzymes and could lower cyproheptadine concentrations. Always inform your healthcare provider about any herbal or dietary supplements you are taking.

Is there a risk of weight gain when using Periactin for allergies?

Cyproheptadine’s appetite-stimulating effect can lead to modest weight gain, especially at higher frequencies. If weight gain becomes a concern, discuss dose adjustment or alternative allergy management with your clinician.

What does the imprint on a Periactin tablet look like?

In the UK, Periactin 4 mg tablets typically bear the imprint “P4” on one side, with a plain white or off-white coloration. Imprint details can vary by manufacturer, so checking the packaging label is recommended.

Can I travel internationally with Periactin?

Yes, but keep the medication in its original labeled container, carry a copy of the prescription, and be aware of country-specific import regulations. Some nations may require a doctor’s note for controlled or prescription medicines.

Does Periactin affect drug-testing results at work?

Cyproheptadine is not a substance screened for in standard occupational drug tests. However, its sedative effect could be relevant for safety-critical roles; disclose your medication use to occupational health services if required.

Why is Periactin prescription-only while some antihistamines are over-the-counter?

Cyproheptadine has stronger anticholinergic and sedative properties compared with many second-generation antihistamines, and it carries a higher risk of interactions. The MHRA therefore requires a prescriber’s assessment to ensure appropriate use.

What is Periactin?

Periactin is a brand-name medication that contains cyproheptadine as its sole active ingredient. It is supplied as a 4 mg oral pill and is classified in the United Kingdom as a prescription-only drug for the relief of allergic symptoms and, in some cases, for stimulating appetite. The Medicines and Healthcare products Regulatory Agency (MHRA) oversees its approval and safety monitoring in the UK.

How Periactin Works in the Body

Cyproheptadine belongs to the first-generation antihistamine class. Its therapeutic effect arises from several pharmacological actions:

  • H1-receptor antagonism - By blocking histamine H1 receptors, cyproheptadine reduces the vascular permeability, itching, and swelling that accompany allergic reactions.
  • Anticholinergic activity - The drug also inhibits muscarinic acetylcholine receptors, which contributes to its sedative properties and can stimulate appetite by modulating central pathways.
  • Serotonin antagonism - Cyproheptadine has modest antagonistic effects on certain serotonin (5-HT2) receptors, a property that underlies its occasional off-label use in serotonin syndrome.

After oral administration, cyproheptadine is rapidly absorbed, reaching peak plasma concentrations within 1-2 hours. Its bioavailability is high, and the drug is metabolised primarily by hepatic cytochrome P450 enzymes before being excreted in the urine.

Conditions Treated by Periactin

In the United Kingdom, Periactin is approved for the following indications:

  • Allergic rhinitis, urticaria, and other hypersensitivity reactions - It relieves itching, sneezing, nasal congestion, and skin rash caused by histamine release.
  • Appetite stimulation in patients with severe weight loss - It may be prescribed when nutritional intake is inadequate, such as in chronic illness or certain pediatric conditions.

These uses are supported by MHRA-approved product information and clinical practice guidelines. The medication is intended for adult patients; dosing in children is determined on a case-by-case basis by the prescribing clinician.

Evidence-Based Off-Label Uses

  • Serotonin syndrome - Small case series and pharmacological rationale suggest cyproheptadine can counteract excess serotonergic activity. This use is not approved by the MHRA and should only be undertaken under specialist supervision.
  • Migraine prophylaxis - Limited observational data have reported benefit, but robust randomized trials are lacking. Clinicians may consider it only when standard migraine preventatives are unsuitable.

Off-label use requires individualized risk assessment and close medical oversight.

Who Should Not Use Periactin?

Absolute Contraindications

  • Known hypersensitivity to cyproheptadine or any formulation component.
  • Narrow-angle glaucoma or severe intra-ocular pressure elevation.
  • Severe urinary retention or obstructive disorders of the gastrointestinal tract.

Relative Contraindications

  • Pregnancy and lactation - Cyproheptadine is categorized as Category B3 in the UK; it should be avoided unless the potential benefit outweighs the risk.
  • Severe hepatic impairment - Impaired metabolism may increase drug exposure.
  • Elderly patients - Heightened sensitivity to anticholinergic effects (dry mouth, confusion) warrants dose adjustment and close monitoring.

Patients with any of the above conditions should discuss alternatives with their healthcare provider.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Drowsiness or sedation (most frequently reported)
  • Dry mouth, thirst, or reduced salivation
  • Increased appetite and modest weight gain
  • Constipation or mild gastrointestinal discomfort

These effects are generally mild and tend to diminish with continued therapy.

Serious Adverse Events

  • Hepatotoxicity - Rare elevation of liver enzymes; liver function tests are advisable during prolonged treatment.
  • Cardiac arrhythmias - Reports of QT-interval prolongation, especially when combined with other QT-prolonging agents.
  • Severe allergic reactions - Paradoxical rash or angioedema, requiring immediate medical attention.

Drug Interactions

  • Central nervous system depressants (e.g., benzodiazepines, opioid analgesics) - May potentiate sedation.
  • MAO inhibitors - Co-administration can exacerbate anticholinergic effects and increase the risk of hypertensive crises.
  • Other antihistamines - Additive anticholinergic burden may worsen dry mouth, constipation, or confusion.
  • Cytochrome P450 inhibitors (e.g., erythromycin, fluvoxamine) - Can raise cyproheptadine plasma levels.

Patients should provide a comprehensive medication list-including over-the-counter drugs and herbal supplements-to their prescriber.

Food and Lifestyle Interactions

  • Alcohol - Enhances sedative and anticholinergic effects; consumption should be limited.
  • Driving and machinery - Due to possible drowsiness, patients are advised to assess their own response before operating vehicles or heavy equipment.
  • Heavy meals - No major impact on absorption, but taking the pill with a glass of water can aid swallowing.

How to Take Periactin

  • Standard adult dosing: 4 mg taken once to three times daily as directed by the prescriber. The exact frequency depends on the therapeutic goal (allergy control versus appetite stimulation).
  • Administration: Swallow the tablet whole with water; do not crush or chew.
  • Timing: If drowsiness is problematic, the dose may be scheduled in the evening, but adherence to the prescribed schedule is essential for effectiveness.
  • Missed dose: Take the missed tablet as soon as remembered unless the next scheduled dose is near; do not double-dose.
  • Overdose: Symptoms may include pronounced drowsiness, seizures, or cardiac irregularities. Seek emergency medical assistance; activated charcoal may be considered if presentation is early.
  • Discontinuation: The medication can generally be stopped abruptly, but if it has been used long-term for appetite stimulation, a gradual reduction may minimise rebound loss of appetite.

Note: Dosing must be individualized by a qualified healthcare professional. The above regimen reflects typical practice and should not replace personalized medical advice.

Monitoring and Follow-Up

  • Liver function tests - Baseline and periodic checks are recommended for patients on long-term therapy.
  • Sedation assessment - Patients should be queried about daytime drowsiness, especially if they drive or operate machinery.
  • Weight and appetite - For those using Periactin as an appetite stimulant, regular weight measurements help gauge efficacy and safety.

Routine follow-up visits enable clinicians to adjust the dose, address side effects, and ensure the medication remains appropriate for the patient’s condition.

Storage and Handling

  • Store the tablets below 30 °C in a dry place away from direct sunlight.
  • Keep the container tightly closed to protect from moisture.
  • Do not use the medication after the printed expiry date.
  • Dispose of unused tablets according to local pharmacy take-back schemes or the MHRA’s guidance for safe disposal of medicines.

Medication-Specific Glossary

Antihistamine
A drug that blocks histamine H1 receptors, reducing allergic symptoms such as itching, swelling, and redness.
Anticholinergic
A pharmacologic effect that inhibits the action of acetylcholine at muscarinic receptors, often leading to dry mouth, constipation, and sedation.
QT-interval prolongation
An extension of the heart’s electrical repolarisation phase on an ECG, which can increase the risk of dangerous arrhythmias.
Hepatotoxicity
Liver damage caused by a medication, detectable through elevated liver enzymes or clinical signs of liver dysfunction.
Serotonin antagonism
Blocking serotonin (5-HT) receptors, a mechanism useful in counteracting excess serotonergic activity, as seen in serotonin syndrome.

Medical Disclaimer

This article provides educational information about Periactin and is not a substitute for professional medical advice. Treatment decisions, including the use of any medication for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Periactin is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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