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Prescription medicine · generic available

Carbinoxamine maleate

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Carbinoxamine maleate key facts

Used for
Carbinoxamine maleate is effective for the symptomatic treatment of: Seasonal and perennial allergic rhinitis. (source)
Prescription or over the counter
Prescription (Rx)
Generic available
Yes
Typical pharmacy cost
$0.4066 per tablet (carbinoxamine maleate 4 mg; NADAC)
Latest FDA recall
None listed

Sources: FDA label (March 6, 2024); FDA NDC Directory (October 30, 2026); CMS NADAC (November 4, 2026); FDA enforcement reports (October 27, 2026). Not medical advice.

Quick answers

What is Carbinoxamine maleate used for?
The FDA-approved label (Carbinoxamine Maleate, Genus Lifesciences Inc., March 6, 2024) says: “Carbinoxamine maleate is effective for the symptomatic treatment of: Seasonal and perennial allergic rhinitis. Vasomotor rhinitis. Allergic conjunctivitis due to inhalant allergens and foods. Mild, uncomplicated allergic skin manifestations of urticaria and angioedema. Dermatographism. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
What are the side effects of Carbinoxamine maleate?
The “Adverse Reactions” section of the FDA label (Carbinoxamine Maleate, Genus Lifesciences Inc., March 6, 2024) begins: “The most frequent adverse reactions are underlined: Body as a Whole: Urticaria, drug rash, anaphylactic shock, photosensitivity, excessive perspiration, chills, dryness of mouth, nose and throat. Cardiovascular: Hypotension, headache, palpitations, tachycardia, extrasystoles. Hematologic: Hemolytic anemia, thrombocytopenia, agranulocytosis.” … This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
What are the drug interactions of Carbinoxamine maleate?
The “Drug Interactions” section of the FDA label (Carbinoxamine Maleate, Genus Lifesciences Inc., March 6, 2024) begins: “Monoamine oxidase inhibitors prolong and intensify the anticholinergic (drying) effects of antihistamines. Carbinoxamine maleate has additive effects with alcohol and other CNS depressants (hypnotics sedatives, tranquilizers, etc.).” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Carbinoxamine maleate have a boxed warning?
No. None of the 8 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Carbinoxamine maleate?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Carbinoxamine maleate been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Carbinoxamine maleate?
9 companies list prescription products of Carbinoxamine maleate in the FDA NDC Directory, including Genus Lifesciences Inc., BluCrest Pharmaceuticals, LLC and Leading Pharma, LLC.

What Carbinoxamine maleate is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

Carbinoxamine maleate is effective for the symptomatic treatment of: Seasonal and perennial allergic rhinitis. Vasomotor rhinitis. Allergic conjunctivitis due to inhalant allergens and foods. Mild, uncomplicated allergic skin manifestations of urticaria and angioedema. Dermatographism. …

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Label quoted: the one for the most common form (tablet, oral), Carbinoxamine Maleate, Genus Lifesciences Inc.; it covers 2 products in the FDA NDC Directory. The side effects, interactions, dosage and pregnancy quotes below come from this same label.

The FDA has 8 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

The label quoted above has no boxed warning.

0 of 8 FDA labels for this medicine have a boxed warning.

Carbinoxamine maleate side effects

Quoted from the “Adverse Reactions” section of the FDA-approved label. Tell your doctor about any side effect that worries you.

The most frequent adverse reactions are underlined: Body as a Whole: Urticaria, drug rash, anaphylactic shock, photosensitivity, excessive perspiration, chills, dryness of mouth, nose and throat. Cardiovascular: Hypotension, headache, palpitations, tachycardia, extrasystoles. Hematologic: Hemolytic anemia, thrombocytopenia, agranulocytosis.

Read more of this section

Central Nervous System: Sedation, sleepiness, dizziness, disturbed coordination, fatigue, confusion, restlessness, excitation, nervousness, tremor, irritability, insomnia, euphoria, paresthesia, blurred vision, diplopia, vertigo, tinnitus, acute labyrinthitis, hysteria, neuritis, convulsions. Gastrointestinal: Epigastric distress, anorexia, nausea, vomiting, diarrhea, constipation. Urogenital: Urinary frequency, difficult urination, urinary retention, early menses. Respiratory: Thickening of bronchial secretions, tightness of chest and wheezing, nasal stuffiness. To report SUSPECTED ADVERSE REACTIONS, contact Allucent at 1-866-511-6754 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Carbinoxamine maleate drug interactions

Quoted from the “Drug Interactions” section of the FDA-approved label. Tell your pharmacist about every medicine, vitamin and herbal product you take.

Monoamine oxidase inhibitors prolong and intensify the anticholinergic (drying) effects of antihistamines. Carbinoxamine maleate has additive effects with alcohol and other CNS depressants (hypnotics sedatives, tranquilizers, etc.).

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Carbinoxamine maleate dosage

Quoted from the “Dosage and Administration” section of the FDA-approved label. Your own dose is the one your doctor prescribes: do not change it on your own.

Carbinoxamine maleate is contraindicated in children younger than 2 years of age (see CONTRAINDICATIONS). Carbinoxamine maleate should be taken on an empty stomach with water. DOSAGE SHOULD BE INDIVIDUALIZED ACCORDING TO THE NEEDS AND THE RESPONSE OF THE PATIENT. Carbinoxamine maleate dosage should be based on the severity of the condition and the response of the patient.

Read more of this section

The drug is well tolerated in adults in doses as high as 24 mg daily, in divided doses, over prolonged periods. On the other hand, some patients respond to as little as 4 mg daily. Clinical experience suggests the following dosage schedules: Tablets Usual Adult Dosage: 1 or 2 tablets (4 to 8 mg) 3 to 4 times daily Usual Child's Dosage: Six to eleven years – ½ to 1 tablet (2 to 4 mg) 3 to 4 times daily. Oral Solution Usual Adult Dosage: 1 or 2 teaspoonfuls (4 to 8 mg) 3 to 4 times daily Usual Child's Dosage (approximately 0.2 to 0.4 mg/kg/day, divided into 3 to 4 doses): Six to eleven years– ½ to 1 teaspoonful (2 to 4 mg) 3 to 4 times daily. Dosing for children 2 to 5 years of age should be based on weight whenever possible. The usual dosage for children 2 to 5 years of age is approximately 0.2 to 0.4 mg/kg/day, divided into 3 to 4 daily doses. In general, this corresponds to a dose of ¼ to ½ teaspoonful (1 to 2 mg) 3 to 4 times daily.

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Carbinoxamine maleate in pregnancy

Quoted from the pregnancy part of the FDA-approved label. Ask your doctor before you take any medicine while pregnant or planning a pregnancy.

Pregnancy Category C Animal reproductive studies have not been conducted with carbinoxamine maleate. It is also not known whether carbinoxamine maleate can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. Carbinoxamine maleate should be given to a pregnant woman only if clearly needed.

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Carbinoxamine maleate and breastfeeding

Quoted from the nursing mothers / lactation part of the FDA-approved label.

Because of the higher risk of antihistamines for infants generally and for newborns and prematures in particular, use of carbinoxamine maleate is contraindicated in nursing mothers (see CONTRAINDICATIONS section).

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

When Carbinoxamine maleate should not be used

Quoted from the “Contraindications” section of the FDA-approved label.

Carbinoxamine maleate is contraindicated in children younger than 2 years of age. Carbinoxamine maleate is contraindicated in nursing mothers. Carbinoxamine maleate is contraindicated in patients who are hypersensitive to the drug or on monoamine oxidase inhibitor therapy. (See Drug Interactions section).

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Carbinoxamine maleate overdose

Quoted from the “Overdosage” section of the FDA-approved label. If someone may have taken too much, call Poison Help at 1-800-222-1222 (or 911 in an emergency).

Manifestations Antihistamine overdosage reactions may vary from central nervous system depression to stimulation. Stimulation is particularly likely in children. Atropine-like signs and symptoms - dry mouth; fixed, dilated pupils; flushing; and gastrointestinal symptoms may also occur. Especially in infants and children, antihistamine overdosage may cause hallucinations, convulsions, or death.

Read more of this section

The oral LD 50 of carbinoxamine maleate in guinea pigs is 411 mg/kg. Treatment The treatment of overdosage with carbinoxamine maleate is essentially symptomatic and supportive. Vital signs (including respiration, pulse, blood pressure, and temperature) and EKG should be monitored. Induction of vomiting is not recommended. Activated charcoal should be given and gastric lavage should be considered after ingestion of a potentially life-threatening amount of drug. In the presence of severe anticholinergic effects, physostigmine may be useful. Vasopressors may be used to treat hypotension.

— FDA label: Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024. Read the full label on DailyMed →

Forms and how it is given

Dosage formsTablet · Suspension, extended release · Solution
RouteOral
Prescription products10 in the FDA NDC Directory
Brand namesKarbinal ER, Carbzah, Ryvent

What pharmacies pay (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.

This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.

NADAC per unit for Carbinoxamine maleate, by strength and form
Strength and formGeneric or brandPharmacies pay
carbinoxamine maleate 4 mg
tablet
Generic $0.4066 per tablet
carbinoxamine maleate 4 mg/5 mL
suspension, extended release
Generic $1.05 per mL
carbinoxamine maleate 4 mg/5 mL
suspension, extended release
Brand: Karbinal ER $1.19 per mL

NADAC list of November 4, 2026; these prices took effect on October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.

Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
  • ANDA: Abbreviated New Drug Application: how a generic version is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA022556
KARBINAL ER
AytuMarch 28, 2013 5, latest March 10, 2026
2026: Labeling · 2021: Labeling · 2016: Manufacturing (CMC)

Generic approvals (5)

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)1010696, 1012904, 1374770, 1374776, 1795581, 1869883
SPL set ID of the quoted label9d11b197-cfdc-4b9b-9935-2920ccb6e522
FDA labels (SPL)8
FDA applicationsNDA022556, 5 ANDA
Active ingredients (FDA)CARBINOXAMINE

Next steps

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Carbinoxamine Maleate, Genus Lifesciences Inc., effective March 6, 2024; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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