Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

PSEUDOEPHEDRINE/CETIRIZINE EXTENDED RELEASE - ORAL

(sue-doh-eff-ED-rin/set-EYE-rizz-een)

COMMON BRAND NAME(S): Zyrtec-D

Uses

This medication is an antihistamine and decongestant combination which provides relief of symptoms of seasonal and perennial allergies such as watery eyes, runny nose (rhinitis), itching eyes, sneezing, and stuffy nose (nasal congestion). This medication is not recommended for use in children under 12 years of age due to the high amount of pseudoephedrine.

How To Use

Take this medication by mouth twice daily; or use as directed by your doctor. This drug may be taken with or without food. Swallow the tablet whole. Do not break, crush, or chew the tablet; doing so will destroy the long action and increase the chance of side effects. Do not increase your dose or take this more often than directed. Do not take this medication for several days before allergy testing since test results can be affected.

Side Effects

Drowsiness, fatigue, dry mouth, dizziness, nervousness, nausea, headache, or trouble sleeping may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these serious side effects occur: fast/irregular heartbeat, uncontrolled shaking or tremor. Tell your doctor immediately if any of these unlikely but serious side effects occur: yellowing eyes and skin, dark urine, persistent fatigue, mental/mood changes, seizures, trouble breathing, trouble urinating. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: an allergy to the drug hydroxyzine, glaucoma (narrow angle type), severe difficulty urinating (urinary retention), severe high blood pressure, severe heart/blood vessel disease (coronary artery disease), experienced serious side effects with decongestants (e.g., irregular heart rhythm). Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, problems urinating (e.g., enlarged prostate), liver disease, high blood pressure, diabetes, heart disease, thyroid problems (hyperthyroidism), glaucoma (open angle type), any allergies. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk. Breast-feeding is not recommended while using this drug.

Drug Interactions

This drug should not be used with or within 14 days of taking MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine procarbazine, selegiline, isocarboxazid, tranylcypromine). Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: certain blood pressure drugs (e.g., methyldopa, guanethidine, reserpine, beta-blockers such as propranolol), adrenalin-like drugs (e.g., ephedrine, methylphenidate), certain herbal products (e.g., ephedra). Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of drugs that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, other antihistamines that cause drowsiness (e.g., diphenhydramine). Check the labels on all your medicines (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could cause drowsiness or increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: severe drowsiness, irregular or unusually fast heartbeat, seizures.

Notes

Do not share this medication with others.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature between 68 and 77 degrees F (20-25 degrees C) away from light and moisture. Brief storage between 59 to 86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Medical Alert

Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854- 1166 (USA) or 1-800-668-1507 (Canada).