Cetiri-D: Uses, indications and precautions when using

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Cetiri-D is used to relieve allergy symptoms such as watery eyes, runny nose, stuffy nose, itchy eyes, nose, and sneezing. Cetiri-D contains 2 active ingredients: Cetirizine HCl 5mg and Pseudoephedrine HCl 120mg.

1. What does Cetiri-D do?

Cetiri-D drug works to temporarily relieve symptoms caused by hay fever or allergic diseases of the upper respiratory tract such as:
Runny nose; Sneezing; Itching, watery eyes; Itchy nose or throat; Stuffy nose; Reducing swelling of the nasal passages; Temporarily relieves congestion and sinus pressure; Temporarily restore natural breathing through the nose.

2. How to use Cetiri-D

When using an over-the-counter product for self-treatment, read all instructions on the product packaging carefully before taking this medication. If prescribed by your doctor, take the medication as directed with or without food, usually 2 times daily (every 12 hours).
The medicine is in the form of an extended-release tablet, so do not crush or chew it as it can release all of the medicine at once, increasing the risk of side effects. Also, do not break tablets unless they have broken lines or are directed by your doctor or pharmacist. Swallow the tablet whole with water without crushing or chewing.
Dosage is based on age, medical condition and response to treatment. Do not increase the dose or take the medicine more often than directed.
Inform your doctor when symptoms do not improve after about 1 week of treatment, when symptoms worsen or occur with fever.

3. Side effects

Side effects when taking Cetiri-D may include: Drowsiness, dizziness, fatigue, dry mouth, nausea, headache or trouble sleeping.
If any side effects persist or get worse, tell your doctor or pharmacist right away. Serious side effects include: Difficulty urinating; fast, irregular, or pounding heartbeats; tremors, mood changes (such as anxiety, confusion, nervousness, restlessness); attenuate.
Get medical help right away if a very serious side effect such as a seizure occurs.
Very serious allergic drug reactions to Cetiri-D are very rare. However, seek immediate medical help if you notice any symptoms of a serious allergic reaction, including: Rash; swelling, itching (especially of the face, tongue, throat); severe dizziness, trouble breathing.
The above is not a complete list of all possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist for prompt treatment.

4. Precautions

Before taking Cetiri-D, tell your doctor or pharmacist if you are allergic to any of the following active ingredients: Cetirizine, pseudoephedrine, hydroxyzine, levocetirizine, or if you are allergic to any other medications. Also, tell your doctor if you have ever experienced serious side effects from similar medicines such as other decongestants including phenylephrine.
Before using Cetiri-D, tell your doctor or pharmacist your medical history, especially of: Glaucoma, difficulty urinating due to an enlarged prostate gland, high blood pressure (hypertension), cardiovascular disease (such as coronary artery disease), overactive thyroid (hyperthyroidism), diabetes, kidney disease, liver disease.
Cetiri-D may cause dizziness or drowsiness. Therefore, do not drive, use machinery, or do any work that requires alertness until it can be done safely. Avoid alcoholic beverages.
Before surgery, tell your doctor or dentist about all products you use (including prescription drugs, over-the-counter medicines, and herbal products).
Older adults may be more sensitive to the side effects of the drug, especially a fast or irregular heartbeat, dizziness, trouble urinating, trouble sleeping, or confusion.
During pregnancy, Cetiri-D should only be used when absolutely necessary. The risks and benefits should be discussed with your doctor.
The drug can pass into breast milk so consult your doctor before breast-feeding.

5. Drug interactions

Drug interactions can change the way a drug works or increase the risk of serious side effects. Keep a list of all products you are using (including prescription drugs, over-the-counter medicines, and herbal products) and share them with your doctor or pharmacist. Do not start, stop, or change the dose of any medicine without your doctor's approval.
Taking an MAOI (monoaminooxydase enzyme inhibitor) antidepressant together with Cetiri-D can cause a serious (possibly fatal) drug interaction. Avoid taking MAOIs (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with Cetiri-D. Most MAOIs also should not be taken for 2 weeks prior to treatment with Cetiri-D.
Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain relievers or cough suppressants (such as codeine, hydrocodone), alcohol, marijuana, sleeping pills (such as alprazolam, lorazepam, zolpidem), a muscle relaxant (such as carisoprodol, cyclobenzaprine), or another antihistamine (such as chlorpheniramine, diphenhydramine).
Check the labels of all medications you are taking (such as allergy or cough and cold products) as they may contain active ingredients that cause drowsiness or they may contain similar ingredients (medicines). decongestants such as phenylephrine).
Do not take Cetiri-D with any other topical antihistamines (such as creams, ointments, diphenhydramine sprays) because additional side effects may occur.
Cetirizine is structurally similar to hydroxyzine and levocetirizine. Do not use these medicines while using cetirizine.
Citeri-D may interfere with certain laboratory tests (including allergic skin tests), resulting in erroneous test results. Make sure laboratory staff and all doctors know when to use this medicine.

6. Notes when using Cetiri-D

Cetiri-D is not recommended for use in children under 12 years of age due to the large amount of pseudoephedrine in it.
Symptoms of overdose may include: Severe drowsiness; fast or irregular heartbeat; mental or mood changes (such as anxiety, restlessness); convulsions. If you overdose and have serious symptoms such as unconsciousness or difficulty breathing, call 911 immediately.
If you miss a dose, take it as soon as you remember. In case it is almost time for the next dose, skip the missed dose without doubling the dose.
Store the medicine at room temperature, away from direct sunlight and moisture. Medicines should be kept out of reach of children and pets. Do not flush medication down the toilet or down the drain unless instructed to do so. Product should be disposed of properly when it has expired or is no longer needed.

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References: Webmd.com, dailymed.nlm.nih.gov