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Cautions
This medicine may cause some people to become drowsy or less alert than they are normally. Even if taken at bedtime, it may cause some people to feel drowsy or less alert on arising. Some antihistamin es are more likely to cause drowsiness than others. Drowsiness is less likely with cetirizine, and rare with desloratadine and loratadine. Make sure you know how you react to the antihistamine you are taking before you drive, use machines, or do anything else that could be dangerous if you are not alert.

Other Medicines
You should avoid drinking alcohol or taking sedatives, tranquilizers, sleeping pills, or muscle relaxants while using Zyrtec. They can lead to increased drowsiness and reduced mental alertness. Among the products to avoid are the following:

- Antidepressants such as Tofranil, Elavil, Ludiomil, and Anafranil
- Muscle relaxants such as Valium and Soma
- Pain-relieving narcotics s uch as codeine, Demerol, and Percocet
- Sedatives such as Nembutal, Seconal, and phenobarbital
- Sleeping pills such as Halcion, Restoril, and Ambien
- High doses of theophylline (Theo- Dur)

What is this Drug
Cetirizine, an antihistamine, is used to relieve hay fever and seasonal allergy symptoms, including runny nose; sneezing; and red, itchy, tearing eyes. It also may be used to treat itching and hives t hat result from certain skin conditions.

How to Use
Cetirizine comes as a tablet and syrup to take by mouth. It usually is taken once a day. It may be taken regularly or when allergy symptoms flare up. Follow the directions on your prescription label c arefully, and ask your doctor or pharmacist to explain any part you do not understand. Take cetirizine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Before Taking This Medicine
Children¡XSerious side effects, such as convulsions (seizures), are more likely to occur in younger patients and would be of greater risk to infants than to older children or adults. In general, child en are more sensitive to the effects of antihistamines. Also, nightmares or unusual excitement, nervousness, restlessness, or irritability may be more likely to occur in children.

Older adult s¡XElderly patients are usually more sensitive to the effects of antihistamines. Confusion; difficult or painful urination; dizziness; drowsiness; feeling faint; or dryness of mouth, nose, or throat m y be more likely to occur in elderly patients.

Symptoms of overdose may include:
Clumsiness or unsteadiness; convulsions (seizures); drowsiness (severe); dryness of mouth, nose, or throat (severe); feeling faint; flushing or redness of face; hallucinations (seeing, hearing, or feeling things that are not there); shortness of breath or troubled breathing ; trouble in sleeping


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