Drug factorsAmantadine (Symmetrel)Rimantadine (Flumadine)
Generic availabilityYesYes
Dosage formsLiquid and tabletLiquid and tablet
Treatment and prevention of influenza type A in adultsYesYes
Treatment of influenza type A in childrenYesNot approved
Prevention of influenza type A in childrenYesYes
Dosages for treatment of influenza type AAdults* and children 12 years of age: 200 mg daily until 24 to 48 hours after symptoms have disappearedAdults* and children 10 years of age: 100 mg twice daily for seven days
orNot approved for children < 10 years of age
100 mg twice daily† until 24 to 48 hours after symptoms have disappeared
Children one to nine years of age: 5 mg per kg daily (up to 150 mg daily) until 24 to 48 hours after symptoms have disappeared
Children 10 to 11 years of age: 100 mg twice daily until 24 to 48 hours after symptoms have disappeared
Dosages for prevention of influenza A‡Adults* and children 12 years of age: 200 mg daily for at least seven daysAdults* and children 10 years of age: 100 mg twice daily for at least seven days
or
100 mg twice daily for at least seven daysChildren < 10 years of age: 5 mg per kg daily (up to 150 mg daily) for at least seven days
Children one to nine years of age: 5 mg per kg daily (up to 150 mg daily) for at least seven days
Children 10 to 11 years of age: 100 mg twice daily for at least seven days
Prevention and treatment of influenza BNoNo
Dosage reduction in renal impairmentYes (creatinine clearance 50 mL per minute [0.83 mL per second])Yes (creatinine clearance 10 mL per min [0.17 mL per second])
Side effectsCNS and GIPrimarily GI
Cost (generic)§
Five-day treatment (adult dosage)$18 ($4 to $5)$29 ($26)
42-day treatment (adult dosage in community outbreaks)$106 ($28 to $31)$171 ($154)