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Alervin (Cetirizine)
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Alervin

Alervin is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction.

Other names for this medication:
Cetag, Cetanj, Cetnaz, Cetnyl, Cetoday, Cetracare, Cetri, Cetriwal, Cezcold, Cezen, Citrizine, Combit, Elart, Eltrazin, Esnopil, Fazine, Hisdin, Incid, Intazin, Jyocet, Mastifen, Nymopt, Odiday, Olcet, Oshzin, Rekof, Rhynal, Sinocet, Teezkof, Trilert, Vencare, Zenrid, Zocold

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Also known as: Cetirizine

Description

Cough/cold combinations are used mainly to relieve the cough due to colds, influenza, or hay fever. They are not to be used for the chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm (pronounced flem) with the cough.

Cough/cold combination products contain more than one ingredient. For example, some products may contain an antihistamine, a decongestant, and an analgesic, in addition to a medicine for coughing. If you are treating yourself, it is important to select a product that is best for your symptoms. Also, in general, it is best to buy a product that includes only those medicines you really need. If you have questions about which product to buy, check with your pharmacist.

Since different products contain ingredients that will have different precautions and side effects, it is important that you know the ingredients of the medicine you are taking. The different kinds of ingredients that may be found in cough/cold combinations include:

Antihistamines—Antihistamines are used to relieve or prevent the symptoms of hay fever and other types of allergy. They also help relieve some symptoms of the common cold, such as sneezing and runny nose. They work by preventing the effects of a substance called histamine, which is produced by the body. Some examples of antihistamines contained in these combinations are:

Bromodiphenhydramine Brompheniramine Carbinoxamine Chlorpheniramine Dexchlorpheniramine Diphenhydramine Doxylamine Phenindamine Pheniramine Phenyltoloxamine Pyrilamine Promethazine Triprolidine

Decongestants—Decongestants produce a narrowing of blood vessels. This leads to clearing of nasal congestion. However, this effect may also increase blood pressure in patients who have high blood pressure. These include:

Ephedrine Phenylephrine Pseudoephedrine

Antitussives—Antitussives help relieve coughing and are some contain a narcotic. These antitussives act directly on the cough center in the brain. Narcotics may become habit-forming, causing mental or physical dependence, if used for a long time. Physical dependence may lead to withdrawal side effects when you stop taking the medicine.

Narcotic antitussives Codeine Dihydrocodeine Hydrocodone Hydromorphone

Non-narcotic antitussives Carbetapentane Caramiphen Dextromethorphan

Expectorants—Expectorants work by loosening the mucus or phlegm in the lungs. The main expectorant used in cough and cold medicines is guaifenesin. Other ingredients added as expectorants (for example, ammonium chloride, calcium iodide, iodinated glycerol, ipecac, potassium guaiacolsulfonate, potassium iodide, and sodium citrate) have not been proven to be effective. In general, the best thing you can do to loosen mucus or phlegm is to drink plenty of water.

Analgesics—Analgesics are used in these combination medicines to help relieve the aches and pain that may occur with the common cold. These include:

Acetaminophen Aspirin Other salicylates such as salicylamide and sodium salicylate

The use of too much acetaminophen and salicylates at the same time may cause kidney damage or cancer of the kidney or urinary bladder. This may occur if large amounts of both medicines are taken together for a long time. However, taking the recommended amounts of combination medicines that contain both acetaminophen and a salicylate for short periods of time has not been shown to cause these unwanted effects.

Anticholinergics—Anticholinergics, such as homatropine may help produce a drying effect in the nose and chest.

These cough and cold combinations are available both over-the-counter (OTC) and with your doctor's prescription.

Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .

Dosage

Alervin can be taken in tablets (5 mg, 10 mg), syrup (1ml), chewable tablets (5 mg, 10 mg). You should take it by mouth. It would be better to take Alervin every day at the same time. It is better to take Alervin once a day (with or without meals). Alervin of 10 mg works for 24 hours. Alervin can be given to children of 2 years and infants of 6 months. Elderly people who are over 60 years should use Alervin lowest dose. If you want to achieve most effective results do not stop taking Alervin suddenly.

Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme drowsiness, vision problems, agitation, feeling restless and then drowsy or tired, fast heartbeats, stomach pain, nausea, vomiting, trouble walking, or trouble swallowing or speaking.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Keep the liquid form of this medicine from freezing. Do not refrigerate the syrup.

Side effects

The most common side effects associated with Alervin are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Do not take Alervin if you are allergic to Alervin components. Try to be careful with Alervin if you're pregnant or you plan to have a baby, or you are a nursing mother. Alervin can harm your baby. Try to be careful with Alervin usage in case of having kidney or liver disease. Try to be careful with Alervin usage in case of taking cough, cold or allergy medication, depression medication (paroxetine as Paxil, nortriptyline as Pamelor, amitriptyline as Elavil; sertraline as Zoloft, fluoxetine as Prozac, doxepin as Sinequan), medicines for anxiety or sleep (triazolam as Halcion, chlordiazepoxide as Librium, alprazolam as Xanax, diazepam as Valium, temazepam as Restoril). Try to avoid machine driving. Alervin can be given to children of 2 years and infants of 6 months. Elderly people who are over 60 years should use Alervin lowest dose. If you want to achieve most effective results without any side effects it is better to avoid alcohol. Do not stop taking Alervin suddenly.

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Automated data analysis to rapidly derive and communicate ecological insights from satellite-tag data: a case study of reintroduced red kites. Due to the considerable challenges posed by the experimental methods of structural determination (primarily X-ray crystallography and nuclear magnetic resonance spectroscopy) it is important to select and prioritise candidate molecules that will maximise the information gained from each new structure. Deliberate infection of other early passage melanoma cell lines aliquots induced variable and unpredictable effects on expression of putative cancer stem cell markers, clonogenicity, proliferation and global gene expression. Adsorption of oppositely charged polyelectrolyte/surfactant complexes at the air/water interface: formation of interfacial gels. Two additional 10-ns MD simulations, one with Asp202 protonated and the other with Glu196 protonated compared to the neutral pH simulation, were carried out.

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Psychological concomitants and determinants of vocational choice. These modifications are deprivation of essential hormones and hormone interference by giving large amounts of critical compounds. Factors predictive of complete resection of operable esophageal cancer: a prospective study. Elevated nuclear maspin expression is associated with microsatellite instability and high imdur 30 mg er tab tumour grade in colorectal cancer. Phosphatherium, however, retains plesiomorphies such as a true crus commune secundaria. Total folate content and retention in rosehips (Rosa ssp.) after drying. However, inability of IVUS in measuring plaque activity limits its value in detection of vulnerable plaques.

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Having access to standardized data would make it easier to file patient safety event reports and to conduct root cause analyses in a consistent fashion. Using functional magnetic resonance imaging (fMRI), we investigated a sample of 30 subjects, 14 of them with a lifetime history of NSSI. Diverse populations may require individualized approaches to ensure that messages are delivered appropriately. Mortality is still higher than in general population, with respiratory infections among the major causes of death. Economic factors and timely access to primary PCI provide the impetus for growth in PCI centers, and this is balanced by volume standards and the benefits of regionalized care. In contrast, PMA-U937 cells co-cultured with WiDr cells exposed to HMGB1/amphoterin anti-sense S-ODN were preserved in number.

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A harmonious smile arc relationship and less gingival display during a smile are significantly associated with smile attractiveness in patients considered successfully treated according to ABO standards. ASI is an approach where cancer cells are attacked at one of the few widely occurring and consistently weak points: the loss of large segments of DNA. Effects of intraoperative autologous blood donation and tepid temperature cardiopulmonary bypass on blood system. This is a prospective follow-up study of 1651 men and 1756 women, aged 25-64 years, who were enrolled in the northern Sweden MONICA project (entry in 1986, 1990, 1994) and who were followed-up in 1999. Induced ubiquitous expression of sema3a1 in hsp70:(gfp)sema3a1(myc) transgenic embryos inhibited migration of angioblasts ventral and lateral to the somites and retarded development of the dorsal aorta, resulting in severely reduced blood circulation. The relative volume of a second song nucleus, area X, is not significantly correlated with either measure. Numerous studies have shown that OSAS was associated with an increased cardiovascular morbidity and mortality.

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