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Alervin (Cetirizine)

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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:
Alergid, Alger, Allerhin, Anncold, Bancet, Biozin, Cetdex, Cetine, Cetmex, Cetos, Cetra, Cetract, Cetricent, Cetrila, Cetritab, Cetrizine, Cetscal, Cetzest, Cetzikan, Citrimin, Coldtil, Decet, Dexphen, Fluban, Incold, Merihist, Ocitiriz, Oricet, Oshzin, Raicen, Raucold, Rhinocet, Rincet, Rizkold, Siacet, Simozine, Sinact, Sinoclear, Sizon, Tecol, Trozan, Trucet, Unicet, Zimat, Zirtin

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Also known as: Cetirizine


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 .


This section provides information on the proper use of a number of products that contain ketotifen. It may not be specific to Alervin Itchy Eye. Please read with care.

Do not wear contact lenses if your eyes are red . Also, do not use this medicine to treat irritation related to contact lens use. If you wear contact lenses: Take out your contact lenses before using ketotifen eye drops. Wait at least 10 minutes after putting the eye drops in before putting the contact lenses back in.

To use the eye drops:

First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 to 2 minutes to allow the medicine to be absorbed by the eye. If you think you did not get the drop of medicine into your eye properly, use another drop. To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For ophthalmic dosage form (eye drops): For prevention of itching of the eye due to allergic conjunctivitis (eye allergy): Adults and children 3 years of age and older—Use one drop in each affected eye every 8 to 12 hours. Children up to 3 years of age—Use and dose must be determined by your doctor.


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.


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.


You should not use this medicine if you are allergic to cetirizine or pseudoephedrine, or if you have:

narrow-angle glaucoma; severe high blood pressure (hypertension); severe coronary artery disease; if you are unable to urinate; or if you are allergic to hydroxyzine (Atarax, Vistaril).

Do not use Alervin-D 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 safe for you to take this medicine if you have other medical conditions, especially:

heart disease, coronary artery disease, high 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 Alervin-D will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

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

Older adults may be more likely to have side effects from Alervin-D.

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Inclusion of letter writing skills in the medical curriculum, peer assessment and feedback have shown to improve the quality of referral letters. These data suggest that subjective, global assessments of social rank might play a role in developing adverse health outcomes. The rugged protein sequence-function landscape complicates efforts, both in nature and in the laboratory, to evolve protein function. The diagnosis of embolism severity can be safely and easily made with DCEUS. Healing of epidermis and scab formation in exposed sutured incisions. A 300-fold range in the size of the eye, indicated by the number of ganglion cells present, occurs among lungfishes, salamanders and frogs. Primary ovarian fibrosarcoma with long-term survival: a report of two cases. Activation of the erbB family of receptor tyrosine kinases by rhNRG-1 could provide a treatment option for heart failure, because neuregulin-stimulated erbB2/erbB4 heterodimerization is not only critical for myocardium formation in early heart development but prevents severe dysfunction of the adult heart and premature death. Using electron paramagnetic resonance spectroscopy and stopped-flow absorption spectroscopy to measure the rate of NO uptake and reaction with hemoglobin in red cells, we found that older stored red blood cells scavenge NO about 1.8 times faster than fresher ones. afrik University in Kosice, which was led by Professor Frantiek Pr.

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A novel mutation in the Albumin gene (R218S) causing familial dysalbuminemic hyperthyroxinemia in a family of Bangladeshi extraction. At the hospital, a coordinating nurse will visit each patient in the experimental group every 24 hours to identify the main caregiver, provide information about the disease, and explain treatment. A solid-state high performance flexible asymmetric supercapacitor (ASC) was fabricated. Although interventional procedures are not definitive therapies, they often relieve the strangling sensation produced by airway occlusion. Increasing lordosis occurs at the occipitocervical junction following fusion in skeletally immature children. Acute gastrointestinal hemorrhage with origin in the small intestine. Data from 854 children with CD from the Pediatric Inflammatory Bowel Disease Collaborative Research Group who were diagnosed with CD between 2002 and 2008 were analyzed. These spherical monoclinic Se nanoparticles can be transformed into highly anisotropic, one-dimensional (1D) trigonal structure after one day at the room temperature and grown from aqueous solutions how long can i take celebrex 200 mg . Fucosterol-24,28-epoxide, an intermediate in the oxidative biodegredation of fucosterol to cholesterol by the cricket (Locusta migratoria (R.

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Twelve kinds of fatty acid were detected, both in the free and crestor generic vs brand total fatty acids, and were well separated. A method of transjugular catheterization of the thoracic duct with formation of lymphovenous anastomosis. The wild-type strain and other strains that feed only by phagocytosis produced indistinct, fuzzy tracks, whereas mutants capable of axenic growth produced clear, sharp tracks. Our study suggests that consumption of fatty fish may reduce the occurrence of RCC in women. A significant increase in image quality was achieved in conjunction with a parallel increase in resolution. Anatomy of the orbit, lacrimal apparatus, and lateral nasal wall. Plants have antioxidative systems that will limit the negative effects caused by reactive oxygen species. The deubiquitinating enzyme AMSH3 is required for intracellular trafficking and vacuole biogenesis in Arabidopsis thaliana.

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Accumulation of the protein was confirmed by ELISA, in situ immunological detection, and Western blotting. (2010) that efficiently uses summary birth histories for creating local-level measures of under-five child mortality (5q0). Our method could identify target live cells and improve the efficiency of cell purification from heterogeneous populations. Measurements were made as a function of SC depth by progressively tape-stripping the membrane in the normal way. An investigation into disordered adolescents by means of the Brook Reaction Test. Changes in some oxidoreducing enzyme activities in tumors and peritumoral tissues. Multicenter Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Study for Identification of Clinically Relevant Nocardia spp. The practice of medicine and the utilitarian redefinition of the beginning and end of human life.

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Production of biotin and biotin-like compounds by a pseudomonad. The pattern of clinical response and trend of follow up those that received neoadjuvant chemotherapy and radiotherapy and radiotherapy alone are discussed. They usually did not occur in the first 30 to 40 mum of aceclofenac tablet uses in telugu the hyphal tip cell, but were concentrated in a zone extending from 30 to 200 mum from the hyphal apex. We analyzed literature data according to different categories of risk and different routes of administration. A normally functioning retina should elicit an ERG response that fits the normal curve regardless of the apparatus used for ERG recording. However, after hull split, the level of microbial diversity increased, which was mostly due to increased levels of bacteria that are not normally associated with the phyllosphere, including Salm. Many of these injuries are of little consequence, but if they are inappropriately treated, serious consequences can ensue. The startle reflex is an objective behavioral measurement of defensive response to abrupt and intense sensory stimulus of surroundings, with potential to be used as an assessment on the dissociative status in both humans and rodents. It is concluded that renal dysfunction is unlikely to follow enflurane anaesthesia in patients with previously normal hepatic and renal function. In view of its ability to create airway compromise, the pathogenesis, preoperative evaluation, and surgical management of this rare lesion will be discussed.

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The findings in the present case emphasize that vitreous opacities could be the first manifestation of FAP. Damage-associated molecular patterns (DAMPs) are found in transfusion products, but their potential impacts are not fully understood. These genes and environmental factors differ across different populations. Recent studies indicate that reactive oxygen species (ROS) are involved in persistent pain, including neuropathic and inflammatory pain. The presence of the latter substances is discussed, together with the probable mechanical function that they perform. Unexpected plateauing of childhood obesity rates in developed countries. In conclusion, the acridine derivative with a higher nuclear localization appeared a better candidate for application in targeted radionuclide therapy using (125)I.

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Rotor locations were well represented by DF, and their virtual ablation altered wave dynamics and terminated AF. All peptides possess homoserine at C-terminal position because one methionyl residue is situated at the C-terminal position in the native protein. Combination of metformin and 5-aminosalicylic acid cooperates to decrease proliferation and induce apoptosis in colorectal cancer cell lines. In contrast, we do not find convincing evidence for the production of virus-derived miRNAs. Effects of Interrupted Wetness Periods on Conidial Germination, Germ Tube Elongation and Infection Periods of Botryosphaeria dothidea Causing Apple White Rot. The magnitude of macrophage entry by Env-pseudotyped reporter viruses correlated with increased immunoreactivity of CD4-induced gp120 epitopes, increased ability to scavenge low levels of cell-surface CCR5, reduced sensitivity to the CCR5 inhibitor maraviroc, and increased dependence on specific residues in the CCR5 ECL2 region. A systematic review of intervention studies about anxiety in caregivers of people with dementia. Current guidelines suggest that we need to pay special attention to those on aromatase inhibitors to prevent adverse bone outcomes. To examine the role of training, an active control group received tDCS during a non-mathematical task.

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