Dextromethorphan + Cetirizine + Pseudoephedrine Pharmacology

Dextromethorphan + Cetirizine + Pseudoephedrine

About Dextromethorphan + Cetirizine + Pseudoephedrine
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Mechanism of Action of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Pharmacokinets of Dextromethorphan + Cetirizine + Pseudoephedrine
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Onset of Action for Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Duration of Action for Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Half Life of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Side Effects of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Contra-indications of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Special Precautions while taking Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Pregnancy Related Information
Contraindicated; since Dextromethorphan and Cetirizine are contraindicated in pregnancy, the combination generic cannot be used in pregnancy.
Old Age Related Information
N/A
Breast Feeding Related Information
Contraindicated; since Dextromethorphan, Pseudoephedrine and Cetirizine are contraindicated in lactation, the combination generic cannot be used in breast feeding mother
Children Related Information
N/A
Indications for Dextromethorphan + Cetirizine + Pseudoephedrine
1.Cough
2.Throat smoothening
3.Condition where retention of sputum is a problem
Interactions for Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Typical Dosage for Dextromethorphan + Cetirizine + Pseudoephedrine
Adult - 1 to 2 teaspoonful to be taken 4 times a day
Children (6 to 12 years) - 1 teaspoonful to be taken 3 - 4 times daily
Schedule of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Storage Requirements for Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Effects of Missed Dosage of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A
Effects of Overdose of Dextromethorphan + Cetirizine + Pseudoephedrine
N/A

Dextromethorphan

About Dextromethorphan
A synthetic morphine (((dextrorotatory methyl ether of Levorphanol))) derivative,A synthetic narcotic antitussive.
Mechanism of Action of Dextromethorphan
Dextromethorphan hydrobromide is a selective antitussive which raises threshold of cough centre and suppresses the cough reflex by direct action on the cough centre in the medulla. It does not depress mucociliary function of the airway mucosa and is also devoid of constipating and addicting actions. (((Its antitussive action is not exerted through opioid receptors)))
Pharmacokinets of Dextromethorphan
Absorption: Well absorbed orally, Metabolism: Extensively metabolized by liver, Excretion: Excreted primarily through urine as metabolites; about 7 to 10% is excreted through faeces.
Onset of Action for Dextromethorphan
Below ? an hour
Duration of Action for Dextromethorphan
3 to 6 hours
Half Life of Dextromethorphan
11 hours
Side Effects of Dextromethorphan
1. Dizziness
2. Nausea
3. Vomiting
4. Stomach pain
5. Drowsiness
6. Ataxia.
Contra-indications of Dextromethorphan
Patients currently taking MAO inhibitors or within two weeks of discontinuing MAO inhibitors.
Special Precautions while taking Dextromethorphan
1. Atopic children
2. Sedated or deliberate patients
3. Those patients confined to the supine position
4. Patients sensitive to aspirin
Pregnancy Related Information
Contraindicated
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
May be used
Children below 2 years: Syrup, tablets, or lozenges are contraindicated
Indications for Dextromethorphan
Chronic nonproductive cough.
Interactions for Dextromethorphan
N/A
Typical Dosage for Dextromethorphan
Oral:
Chronic nonproductive cough:
Adults and children above 12 years: 10 to 20mg every 4 hours; or 30mg three to four times daily.
Maximum dose: 120mg daily.
Children (((age 6 to 12))): 5 to 10mg every four hours
Maximum dose: 60mg daily
Children (((age 2 to 6))): 2.5 to 5mg every four hours.
Maximum dose: 30mg daily.
Schedule of Dextromethorphan
N/A
Storage Requirements for Dextromethorphan
Store at room temperature in a well closed light resistant container. Protect from excess heat and moisture. Keep out of reach of children.
Effects of Missed Dosage of Dextromethorphan
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Dextromethorphan
Remove drug from the body by administration of activated charcoal and provide symptomatic treatment and supportive measures.

Cetirizine

About Cetirizine
Second Generation H1 Antagonist, Metabolite of hydroxyzine, Antihistamine.
Mechanism of Action of Cetirizine
This drug is a selective peripheral H1 receptor antagonist. Thus it inhibits the allergic symptoms produced by histamines like cold, rhinorrhea, sneezing, urticaria etc. The drug has some mast cell stabilizing properties. It also inhibit eotaxin-induced eosinophil TEM through both dermal and lung micro vascular endothelial cells. So inhibit eosinophil chemotaxis and also inflammation caused by it.
Pharmacokinets of Cetirizine
Absorption- Well absorbed after oral administration
Distribution-Widely distributed in the body. 93% bound to the plasma proteins. It enters to the CNS in small amounts.
Metabolism-Metabolized in the liver to its metabolites by oxidative O-dealkylation
Excretion- Excreted through urine (50% as unchanged form) and a small amount through feces
Onset of Action for Cetirizine
10-30 min
Duration of Action for Cetirizine
12-24hrs
Half Life of Cetirizine
Its plasma half life is 8.3 hrs
Side Effects of Cetirizine
1. Somnolence.
2. Fatigue
3. Malaise
4. Headache
5. Dry mouth
6. CNS stimulation in children
7. Dizziness
8. Tinnitus
9. Incordination
10. Blurred vision
12. Diplopia
13. Euphoria
14. Nervousness
15. Drowsiness
16. Excessive tiredness
17. Vomiting
18. Diarrhea
19. Sore throat
20. Stomach pain
Contra-indications of Cetirizine
Hypersensitivity to the drug or hydroxyzine.
Special Precautions while taking Cetirizine
1. Renal impairment.
2. Hepatic dysfunction.
3. Haemodialysis.
4. Any work which require mental alertness like driving or machine operation.
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Cetirizine
1. Sneezing
2. Rhinorrhoea
3. Postnasal discharge.
4. Common coughs
5. Colds.
6. Chronic urticaria
7. Dermatitis
8. Pruritic skin disorders
9. Hay fever
10. Angioedema
Interactions for Cetirizine
Alcohol: Avoid excessive alcohol consumption.
Typical Dosage for Cetirizine
Oral-
Adult - 10 mg daily, single dose
Children (6-12 years) -5 mg daily.
Schedule of Cetirizine
N/A
Storage Requirements for Cetirizine
Store in cool, dry, dark place
Effects of Missed Dosage of Cetirizine
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Cetirizine
Give symptomatic and supportive treatment.

Pseudoephedrine

About Pseudoephedrine
Alpha/Beta Adrenergic Agonist, a phenethylamine derivative, A nasal decongestant.
Mechanism of Action of Pseudoephedrine
It is a nasal decongestant with alpha-2 agonistic action. It produces local vasoconstriction, reduces blood flow, and causes shrinkage of mucosa which provides relief of nasal congestion. It reduces oedema of the nasal mucosa, thus improving ventilation, drainage and nasal stuffiness.
Pharmacokinets of Pseudoephedrine
Absorption: Well absorbed orally, Distribution: Widely distributed throughout the body, Metabolism: Partially metabolized in liver by N-demethylation, Excretion: Excreted through urine mainly as unchanged drug and also as metabolites.
Onset of Action for Pseudoephedrine
30 minutes
Duration of Action for Pseudoephedrine
4 to 8 hours
Half Life of Pseudoephedrine
N/A
Side Effects of Pseudoephedrine
1. Rise in blood pressure
2. Tachycardia
3. Arrhythmias
4. CNS stimulation
5. Restlessness
6. Insomnia
7. Anxiety
8. Tremors
9. Skin rashes
10. Urinary retention
11. Respiratory difficulties
Contra-indications of Pseudoephedrine
1. Hypersensitivity to the drug
2. Severe hypertension
3. Coronary artery disease
4. Patients taking monoamine oxidase inhibitors (MAOIs) or who have taken MAOIs within the previous 14 days
5. Extended release preparations are contraindicated in children below 12 years
Special Precautions while taking Pseudoephedrine
1. Hypertension
2. Cardiac diseases
3. Diabetes
4. Glaucoma
5. Prostatic hyperplasia
6. Hyperthyroidism

Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Pseudoephedrine
1. Nasal and Eustachian tube congestion
2.Upper respiratory tract congestion
3.Adjunctive therapy in symptomatic relief of common cold, allergic rhinitis, blocked Eustachian tube, and upper respiratory tract infections
Interactions for Pseudoephedrine
N/A
Typical Dosage for Pseudoephedrine
Oral:
Adults and children over 12 years: 60mg 3 to 4 times daily
Maximum dose: 240mg/day
Children (age 6 to 12): 30mg 3 to 4 times daily
Maximum dose: 120mg/day
Children (age 2 to 6): 15mg 3 to 4 times daily
Maximum dose: 60mg/day or 4mg/kg.

Schedule of Pseudoephedrine
N/A
Storage Requirements for Pseudoephedrine
Store at controlled room temperature at a range of 15 to 30 degree C. Keep out of reach of children
Effects of Missed Dosage of Pseudoephedrine
Take the missed dose as soon as noticed and if it is the time for next dose
Effects of Overdose of Pseudoephedrine
Continue the regular schedule. Do not double the dose.
Over dosage and poisoning: Provide symptomatic treatment and supportive measures. Perform emesis and gastric lavage within 4 hours of ingestion. If renal function is adequate forced diuresis will increase elimination of the drug. (Do not force diuresis in severe poisoning). Monitor and assist vital signs, cardiac state and electrolyte balance. Treat cardiac toxicity with Propranolol or other effective drugs. Treat seizures with Diazepam (I.V.) and give dilute Potassium chloride solution for hypokalaemia.

Home Delivery for Dextromethorphan + Cetirizine + Pseudoephedrine in Your City

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However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for dextromethorphan + cetirizine + pseudoephedrine and other medicines and health products. Home delivery services for dextromethorphan + cetirizine + pseudoephedrine may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.

Please be aware that you should take dextromethorphan + cetirizine + pseudoephedrine only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for dextromethorphan + cetirizine + pseudoephedrine before they complete the sale. You can get this information while placing the order for dextromethorphan + cetirizine + pseudoephedrine with the pharmacy.

Dextromethorphan + Cetirizine + Pseudoephedrine is a generic medicine name and there are several brands available for it. Some of the brands for dextromethorphan + cetirizine + pseudoephedrine might be better known than dextromethorphan + cetirizine + pseudoephedrine itself. If the pharmacy that's willing to deliver medicines to your home doesn't have dextromethorphan + cetirizine + pseudoephedrine in stock, you can ask for one of the branded alternatives for dextromethorphan + cetirizine + pseudoephedrine.