CETIRIZINE AND PSEUDOEPHEDRINE

(se TIR i zeen and SOO doe e FED rin) Brand: All Day Allergy-D, Goodsense Cetirizine D-12 Hour, ZyrTEC-D

What is the most significant information I must know about cetirizine and pseudoephedrine?

• You must not use this medication if you have narrow-angle glaucoma, severe tall blood pressure (hypertension), severe coronary artery malady, if you are unable to urinate, or if you are allergic to hydroxyzine (Atarax, Vistaril).

• Do not use this medication if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Ask a doctor or pharmacist till using any another cool or allergy medication. Taking determined commodity together can reason you to get too many of an antihistamine or decongestant.

• Call your doctor if your symptoms do not improve, if they get worse, or if you also have a fever.

What is cetirizine and pseudoephedrine?

• Cetirizine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can manufacture symptoms of sneezing, itching, watery eyes, and runny nose.

• Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can reason nasal congestion (stuffy nose).

• Cetirizine and pseudoephedrine is a combination medication used to treat cool or allergy symptoms such as nasal and sinus congestion, sneezing, itching, watery eyes, or runny nose.

• Cetirizine and pseudoephedrine may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking cetirizine and pseudoephedrine?

• You must not use this medication if you are allergic to cetirizine or pseudoephedrine, or if you have:

· narrow-angle glaucoma;

· severe tall blood pressure (hypertension);

· severe coronary artery disease;

· if you are unable to urinate; or

· if you are allergic to hydralazine (Atarax, Vistaril).

• Do not use cetirizine and pseudoephedrine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Ask a doctor or pharmacist if it is safety for you to take this medication if you have another medical conditions, especially:

· heart malady, coronary artery malady, tall blood pressure, or heart rhythm disorder;

· diabetes;

· a thyroid disorder;

· glaucoma;

· kidney or liver disease;

· an enlarged prostate; or

· problems with urination.

• FDA pregnancy category C. It is not known whether cetirizine and pseudoephedrine will harm an unborn child. Do not use this medication without a doctor's advice if you are pregnant.

• Cetirizine and pseudoephedrine may pass into breast milk and may harm a nursing child. Antihistamines and decongestants may also slow breast milk manufacture. Do not use this medication without a doctor's advice if you are breast-feeding a baby.

• Older adults may be more likely to have side effects from cetirizine and pseudoephedrine.

How must I take cetirizine and pseudoephedrine?

• Use exactly as directed on the label, or as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended.

• Do not crush, chew, or interrupt an extended-release tablet. Swallow it intact.

• Take one tablet each 12 hours, unless your doctor tells you otherwise. You may take this medicine with or without food.

• Call your doctor if your symptoms do not improve, if they get worse, or if you have also have a fever.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If it is nearly time for your following doze, wait before then to take the medication and skip the missed doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medicine.

What must I avoid while taking cetirizine and pseudoephedrine?

• This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

• Avoid drinking alcohol. It can magnify some of the side effects of cetirizine.

• Ask a doctor or pharmacist till using any another cool or allergy medication. Antihistamines and decongestants are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined drug. Check the label to see if a medication contains an antihistamine or decongestant.

What are the possible side effects of cetirizine and pseudoephedrine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using cetirizine and pseudoephedrine and call your doctor at once if you have:

· quick, pounding, or uneven heartbeat;

· weakness, tremors (uncontrolled shaking)

· severe restless feeling, hyperactivity, extreme feeling of fear or confusion;

· problems with vision;

· few or no urinating; or

· tall blood pressure (severe headache, buzzing in your ears, chest pain, shortness of breath, uneven heartbeats).

• General side effects may include:

· dizziness, drowsiness, weary feeling;

· sleep problems (insomnia);

· dry mouth, nausea, stomach pain, constipation; or

· trouble concentrating.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect cetirizine and pseudoephedrine?

• Taking with another drugs that create you sleepy or slow your breathing can magnify these effects. Ask your doctor till taking cetirizine and pseudoephedrine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with cetirizine and pseudoephedrine, especially:

· digoxin, digitalis;

· blood pressure medication--methyldopa, mecamylamine, reserpine; or

· diet pills, stimulants, or ADHD medications.

• This list is not complete. Another drugs may interact with cetirizine and pseudoephedrine, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist can provide more information about cetirizine and pseudoephedrine.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.