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What is/are Cetirizine and Pseudoephedrine?

CETIRIZINE; PSEUDOEPHEDRINE is an antihistamine and decongestant. This medicine is used to treat or prevent symptoms of allergies. It reduces congestion, sneezing, runny nose, and itching in the nose or throat. It also helps relieve itchy, watery, and red eyes. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

diabetes disease of the blood vessels or heart difficulty urinating glaucoma high blood pressure kidney disease liver disease prostate trouble untreated thyroid problems an unusual or allergic reaction to cetirizine, pseudoephedrine, hydroxyzine, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Do not break, crush, or chew the tablets. Take your doses at regular intervals, no more than every 12 hours. You may take with or without food. Do not take your medicine more often than directed.

Contact your doctor or health care professional regarding the use of this medicine in children. Special care may be needed. While this drug may be prescribed for children as young as 12 years of age for selected conditions, precautions do apply.

Patients over 60 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:

MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate medicines for colds, breathing difficulties medicines for headaches like dihydroergotamine, ergotamine procarbazine stimulants

This medicine may also interact with the following:

alcohol bromocriptine caffeine linezolid medicines for allergies medicines for depression like fluoxetine, paroxetine medicines for heart disease or blood pressure like atenolol, clonidine, digoxin, doxazosin, mecamylamine, reserpine methyldopa St. John’s wort tizanidine yohimbine

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue breathing problems changes in vision or hearing fast heartbeat or chest pain hallucinations high blood pressure infection tremors, muscle contractions trouble passing urine or change in the amount of urine yellowing of the eyes, skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

dry mouth loss of appetite or nausea nervousness or difficulty sleeping nose bleed sore throat stomach upset or pain

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups. Tell your doctor or health care professional if your symptoms do not improve. If you have high blood pressure, check your blood pressure regularly. Ask your health care professional what your blood pressure should be, and when you should contact him or her.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture. Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is loratadine?

• Loratadine is an antihistamine. Antihistamines prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms.
• Loratadine is used to treat allergies, hives (urticaria), and other allergic inflammatory conditions.
• Loratadine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about loratadine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Although unlikely, loratadine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities

What should I discuss with my healthcare provider before taking loratadine?

• Before taking loratadine, tell your doctor if you have
  • ever had an allergic reaction to an antihistamine;
  • kidney disease; or
  • liver disease.
• You may not be able to take loratadine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• The Alavert brand of loratadine orally-disintegrating tablets contain 8.4 mg phenylalanine per tablet. Individuals with phenylketonuria may need to monitor their intake of this additive.
• Loratadine is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take loratadine without first talking to your doctor if you are pregnant or could become pregnant during treatment. Loratadine passes into breast milk and may affect a nursing infant. Do not take loratadine without first talking to your doctor if you are breast-feeding a baby.

How should I take loratadine?

• Take loratadine exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass (8 ounces) of water. Do not crush, chew, or break the regular Claritin tablets. Swallow them whole.
• Place the loratadine rapidly-disintegrating-tablets (Claritin Reditabs, Alavert) on the tongue and allow them to dissolve. The tablet will disintegrate rapidly. Swallow with or without water.
• To ensure the correct dose, measure the syrup form of loratadine with a dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
• Loratadine is usually taken once a day. Follow your doctor’s instructions.
• Never take more of this medication than directed. If your symptoms do not improve, talk to your doctor.
• Store loratadine at room temperature away from moisture and heat. Use the loratadine rapidly-disintegrating-tablets (Claritin Reditabs) within 6 months of opening the laminated foil pouch, and immediately upon opening the individual tablet blisters.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a loratadine overdose include headache, drowsiness, irregular heartbeat, nausea, and vomiting.

What should I avoid while taking loratadine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Although unlikely, loratadine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Loratadine side effects

• If you experience any of the following serious side effects, stop taking loratadine and contact your doctor immediately or seek emergency medical attention.
  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
  • an irregular heartbeat; or
  • seizures.
• Other, less serious side effects may be more likely to occur. Continue to take loratadine and talk to your doctor if you experience
  • drowsiness or dizziness;
  • headache;
  • nervousness;
  • nausea, diarrhea, or abdominal discomfort;
  • dry mouth;
  • dry skin or itchiness; or
  • discoloration of urine.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect loratadine?

• There are no known interactions between loratadine and other medications. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products, during treatment with loratadine.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Cetirizine is used for:

• Preventing or treating symptoms of hay fever and other upper respiratory allergies such as stuffy nose, runny nose, sneezing, itching of the nose and throat, and itchy, watery eyes. It is also used for preventing or treating chronic hives. It may also be used to treat certain conditions as determined by your doctor that may not be listed in the professional package insert.
• Cetirizine is an antihistamine. It works by blocking the action of histamine and reduces the symptoms of an allergic reaction.

Do NOT use Cetirizine if:

• • you are allergic to any ingredient in Cetirizine
  • you have an allergy to hydroxyzine
• Contact your doctor or health care provider right away if any of these apply to you.

Before using Cetirizine :

• Some medical conditions may interact with Cetirizine . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
  • if you are pregnant, plan to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have kidney or liver problems, or are receiving blood dialysis
• Some MEDICINES MAY INTERACT with Cetirizine . However, no specific interactions with Cetirizine are known at this time.
• This may not be a complete list of all interactions that may occur. Ask your health care provider if Cetirizine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Cetirizine :

• Use Cetirizine as directed by your doctor. Check the label on the medicine for exact dosing instructions.
  • Take Cetirizine by mouth with or without food.
  • If you miss a dose of Cetirizine , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
• Ask your health care provider any questions you may have about how to use Cetirizine .

Important safety information:

• Cetirizine may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Cetirizine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Cetirizine ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Cetirizine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Cetirizine . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Use Cetirizine with caution in the ELDERLY; they may be more sensitive to its effects, especially drowsiness.
• If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cetirizine while you are pregnant. Cetirizine is found in breast milk. Do not breast-feed while taking Cetirizine .

Possible side effects of Cetirizine :

• All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
  • Drowsiness
  • dry mouth
  • tiredness.
• Seek medical attention right away if any of these SEVERE side effects occur:
  • Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue)
  • dark urine
  • increased heart rate
  • persistent fatigue
  • yellowing of eyes or skin.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is desloratadine?

• Desloratadine is an antihistamine. Antihistamines prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms.
• Desloratadine is used to treat the symptoms of allergies.
• Desloratadine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about desloratadine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Although unlikely, desloratadine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

What should I discuss with my healthcare provider before taking desloratadine?

• Before taking desloratadine, tell your doctor if you have
  • ever had an allergic reaction to an antihistamine;
  • kidney disease; or
  • liver disease.
• You may not be able to take desloratadine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Desloratadine is in the FDA pregnancy category C. This means that it is not known whether desloratadine will be harmful to an unborn baby. Do not take desloratadine without first talking to your doctor if you are pregnant or could become pregnant during treatment. Desloratadine passes into breast milk and may affect a nursing infant. Do not take desloratadine without first talking to your doctor if you are breast-feeding a baby.

How should I take desloratadine?

• Take desloratadine exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each regular tablet with a full glass (8 ounces) of water.
• Place a desloratadine orally-disintegrating-tablets (Clarinex Reditabs) on the tongue and allow it dissolve. The tablet will disintegrate rapidly. Swallow with or without water. Take the desloratadine orally-disintegrating tablets immediately after removal from the blister packaging. Do not store for later use.
• Desloratadine can be taken with or without food.
• Desloratadine is usually taken once a day. Follow your doctor’s instructions.
• Never take more of this medication than directed. If your symptoms do not improve, talk to your doctor.
• Store desloratadine at room temperature away from moisture and heat. Avoid exposing the medication to temperatures above 86 degrees Fahrenheit (30 degrees Celsius ).

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a desloratadine overdose are not well known but may include drowsiness.

What should I avoid while taking desloratadine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Although unlikely, desloratadine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Desloratadine side effects

• If you experience any of the following rare but serious side effects, stop taking desloratadine and contact your doctor immediately or seek emergency medical attention.
  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
  • irregular or fast heartbeats.
• Other, less serious side effects may be more likely to occur. Continue to take desloratadine and talk to your doctor if you experience
  • drowsiness or dizziness;
  • nausea;
  • dry mouth or throat; or
  • muscle aches.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect desloratadine?

• There are no known interactions between desloratadine and other medications. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products, during treatment with desloratadine.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is/are Clemastine Tablets?

CLEMASTINE is an antihistamine. It is used to treat the symptoms of allergies and mild allergic reactions. This medicine will not treat an infection. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

glaucoma high blood pressure or heart disease if you have taken an MAOI like Carbex, Eldepryl, Marplan, Nardil, or Parnate in last 14 days lung or breathing disease, like asthma pain or trouble passing urine stomach problems an unusual or allergic reaction to clemastine, other medicines foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 12 years old for selected conditions, precautions do apply.

Patients over 60 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:

MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

This medicine may also interact with the following:

alcohol barbiturates like phenobarbital medicines for depression, anxiety, or psychotic disturbances medicines for sleep muscle relaxers narcotic pain medicines other medicines for cold, cough or allergy

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue changes in vision confused, agitated, nervous fast, irregular heartbeat low blood pressure seizures tremor trouble breathing trouble passing urine uncoordinated unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

constipation, diarrhea drowsy, tired dry mouth, nose, throat headache loss of appetite stomach upset, vomiting thick mucous unusual sweating

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups. Tell your doctor if your symptoms do not improve or if they get worse.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature, between 15 and 25 degrees C (59 and 77 degrees F). Keep away from heat and light. Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is Hydroxyzine?

• Hydroxyzine depresses activity in the central nervous system (brain and spinal cord), which causes relaxation and relief from anxiety. Therefore, hydroxyzine is used to treat anxiety disorders and tension in stressful situations–before surgery, for example.
• Hydroxyzine may also increase the effects of other medicines, such as pain relievers and sedatives, so it is useful after surgery also.
• Hydroxyzine is also an antihistamine. It blocks the effects of the naturally occurring chemical histamine in your body. This makes hydroxyzine useful for treating allergic conditions, especially those that involve the skin, such as hives, itching, and rashes.
• Hydroxyzine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about hydroxyzine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Hydroxyzine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking hydroxyzine.

Who should not take hydroxyzine?

• Before taking hydroxyzine, tell your doctor if you have any other medical conditions, especially heart, liver, or kidney disease. You may require a lower dose or special monitoring during hydroxyzine therapy if you have any other medical conditions.
• It is not known whether hydroxyzine will harm an unborn baby. Do not take hydroxyzine without first talking to your doctor if you are pregnant. It is also not known whether hydroxyzine passes into breast milk. Do not take hydroxyzine without first talking to your doctor if you are breast-feeding a baby. If you are over 60 years of age, you may be more likely to experience side effects from hydroxyzine. You may require a lower dose of this medication.

How should I take hydroxyzine?

• Take hydroxyzine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• To ensure that you get a correct dose, measure the syrup form of hydroxyzine with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Store hydroxyzine at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a hydroxyzine overdose include extreme drowsiness, nausea, vomiting, seizures, hallucinations, and decreased breathing.

What should I avoid while taking hydroxyzine?

• Use caution when driving, operating machinery, or performing other hazardous activities. Hydroxyzine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking hydroxyzine.

Hydroxyzine side effects

• Stop taking hydroxyzine and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
• Other, less serious side effects may be more likely to occur. Continue to take hydroxyzine and talk to your doctor if you experience
  • dizziness, drowsiness, sleepiness, or confusion;
  • blurred vision or a dry mouth; or
  • nausea or vomiting.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect hydroxyzine?

• Many drugs may increase the effects of hydroxyzine and lead to heavy sedation. Before taking this medication, tell your doctor if you are taking any of the following drugs:
  • other antihistamines, such as brompheniramine (Dimetane, Bromphen, others), chlorpheniramine (Chlor-Trimeton, Teldrin, others), azatadine (Optimine), clemastine (Tavist), and many others;
  • narcotics (pain killers) such as meperidine (Demerol), morphine (MS Contin, MSIR, others), propoxyphene (Darvon, Darvocet), hydrocodone (Lorcet, Vicodin), oxycodone (Percocet, Percodan), fentanyl (Duragesic), and codeine (Fiorinal, Fioricet, Tylenol #3, others);
  • sedatives such as phenobarbital (Solfoton, Luminal), amobarbital (Amytal), and secobarbital (Seconal);
  • phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine), thioridazine (Mellaril), and trifluoperazine (Stelazine); or
  • antidepressants such as amitriptyline (Elavil), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Pamelor), fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), phenelzine (Nardil), and tranylcypromine (Parnate).
• Drugs other than those listed here may also interact with hydroxyzine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Montelukast is used for:

Prevention and long-term treatment of asthma. It is also used to relieve allergy symptoms. It may also be used for other conditions as determined by your doctor.

Montelukast is a leukotriene receptor antagonist. It works by blocking a substance called leukotriene, which helps to decrease certain asthma and allergy symptoms.

Do NOT use Montelukast if:

• you are allergic to any ingredient in Montelukast

Contact your doctor or health care provider right away if any of these apply to you.

Before using Montelukast :

Some medical conditions may interact with Montelukast. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have liver problems

Some MEDICINES MAY INTERACT with Montelukast. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Certain anticonvulsants (eg, phenobarbital) or rifampin because they may decrease Montelukast ’s effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Montelukast may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Montelukast :

Use Montelukast as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Montelukast. Talk to your pharmacist if you have questions about this information.
• Montelukast may be taken with or without food.
• Continue to use Montelukast even if you feel well. Do not miss any doses.
• If you miss a dose of Montelukast , take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Montelukast.

Important safety information:

• Montelukast may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Montelukast with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Montelukast will not stop an asthma attack once one has started. Be sure you always carry appropriate medicine (eg, bronchodilator inhalers) with you in case of an asthma attack.
• Contact your doctor promptly if your short-acting inhaler use increases or if use exceeds the 24-hour maximum prescribed by your doctor. Contact your doctor if your asthma worsens.
• Do not decrease your dose or stop using Montelukast or other asthma medicines without first checking with your doctor.
• If your asthma is sensitive to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), continue to avoid those medicines as directed by your doctor.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor right away. You will need to discuss the benefits and risks of using Montelukast while you are pregnant. It is not known if Montelukast is found in breast milk. If you are or will be breast-feeding while you are using Montelukast , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Montelukast :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; dizziness; headache; indigestion; nausea; stomach upset or pain; stuffy nose; tiredness; trouble sleeping; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); aggressive behavior; agitation; dark urine; fever; flu-like symptoms; hallucinations; irregular heartbeat; new or worsening wheezing or other breathing problems; numbness or tingling of hands or feet; seizures; severe or persistent stomach pain; severe sinus inflammation; swelling; unusual bruising or bleeding; upper respiratory tract infection; yellowing of the skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is/are Allegra-D 12-hour Extended-Release Tablets ?

FEXOFENADINE; PSEUDOEPHEDRINE is an antihistamine and a decongestant. This medicine is used to treat or prevent symptoms of allergies. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

• diabetes
• difficulty urinating
• disease of the blood vessels or heart
• glaucoma
• high blood pressure
• kidney disease
• prostate trouble
• untreated thyroid problems
• an unusual or allergic reaction to fexofenadine, pseudoephedrine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Swallow this medicine with a glass of water. Do not break, crush, or chew. Follow the directions on the prescription label. Take the tablet on an empty stomach, one hour before or two hours after a meal. Take your doses at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Patients over 60 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:

• bromocriptine
• ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
• procarbazine
• stimulant medicines for attention disorders, weight loss, or to stay awake

This medicine may also interact with the following:

• antacids
• erythromycin
• grapefruit, apple, or orange juice
• ketoconazole
• linezolid
• magnesium products
• medicines for blood pressure
• medicines for heart problems
• methyldopa
• some medicines for colds, allergies and breathing difficulties

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash or hives, swelling of the face, lips, or tongue
• difficulty urinating
• dizzy or confused
• fast heartbeat or chest pain
• infection or fever
• nausea or vomiting
• nervousness or difficulty sleeping
• rise in blood pressure
• tremor or muscle contractions
• trouble breathing

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• back pain
• dry mouth
• headache
• loss of appetite

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups. Tell your doctor or health care professional if your symptoms do not improve. If you have high blood pressure, check your blood pressure regularly. Ask your health care professional what your blood pressure should be, and when you should contact them.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 20 to 25 degrees C (68 and 77 degrees F). Protect from moisture. Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Promethazine is used for:

Relieving allergy symptoms, including hives and nasal congestion. It is used to prevent and control pain and nausea during and after surgery. It is also used to help produce light sleep, and for the prevention of motion sickness. Promethazine is not to be used to treat asthma. It may also be used for other conditions as determined by your doctor.

Promethazine is a phenothiazine antihistamine. It works by blocking the sights where histamine acts.

Do NOT use Promethazine if:

• you are allergic to any ingredient in Promethazine
• you have a severe central nervous system depression or are in a coma
• you are also taking astemizole, cisapride, terfenadine, or tramadol

Contact your doctor or health care provider right away if any of these apply to you.

Before using Promethazine:

Some medical conditions may interact with Promethazine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, plan to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or other substances
• if you have nervous system problems, bone marrow depression, heart problems, a blood disease, glaucoma, increased eye pressure, low blood pressure, liver problems, prostate problems, Parkinson disease, seizures, or Reye syndrome
• if you regularly consume large amounts of alcohol

Some MEDICINES MAY INTERACT with Promethazine. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Charcoal or lithium because the effectiveness of Promethazine may be decreased
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), astemizole, cisapride, general anesthetics (eg, thiopental), methyldopa, terfenadine, or tramadol because side effects such as low blood pressure and seizures may occur
• ACE inhibitors (eg, enalapril), haloperidol, lithium, meperidine, metrizamide, monoamine oxidase (MAO) inhibitors (eg, phenelzine), naltrexone, polypeptide antibiotics (eg, actinomycin), or trazodone because the actions and side effects of these medicines may be increased
• Bromocriptine, epinephrine, levodopa, or pergolide because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Promethazine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Promethazine:

Use Promethazine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Promethazine may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you are using Promethazine for motion sickness, take a dose at least 30 to 60 minutes before you begin traveling.
• If you miss a dose of Promethazine and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to you regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Promethazine.

Important safety information:

• Promethazine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Promethazine. Using Promethazine alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
• Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Promethazine. Promethazine will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
• Neuroleptic malignant syndrome (NMS) is a potentially deadly syndrome associated with Promethazine. Symptoms include increased body heat; muscle rigidness; altered mental abilities, including lack of response to your surroundings; irregular pulse and blood pressure; increased heart rate; sweating; irregular heart rhythm. Contact your doctor at once if any of these symptoms occur.
• Promethazine may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Promethazine. Use a sunscreen or protective clothing if you must be outside for a prolonged period.
• Use extreme caution when using Promethazine in the ELDERLY as they may be more sensitive to the effects of this medicine.
• Promethazine should not be used in CHILDREN under 2 years of age. Serious, and sometimes fatal, side effects (difficult or slowed breathing, drowsiness leading to coma) have occurred when Promethazine has been used in children in this age group. Promethazine should also be used with extreme caution in children 2 years of age and older. The lowest effective dose should be used in children 2 years of age and older.
• If you are pregnant or plan on becoming pregnant, discuss with your doctor the benefits and risks of using Promethazine during pregnancy. Promethazine is excreted in breast milk. If you are or will be breast-feeding while you are using Promethazine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Promethazine:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; dry mouth; increased or decreased blood pressure; nausea; occasional blurred vision; rash; sleepiness; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); sensitivity to light; uncontrolled muscle movements; yellowing of skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Promethazine is used for:

Relieving allergy symptoms, including hives and nasal congestion. It is used to prevent and control pain and nausea during and after surgery. It is also used to help produce light sleep, and for the prevention of motion sickness. Promethazine is not to be used to treat asthma. It may also be used for other conditions as determined by your doctor.

Promethazine is a phenothiazine antihistamine. It works by blocking the sights where histamine acts.

Do NOT use Promethazine if:

• you are allergic to any ingredient in Promethazine
• you have a severe central nervous system depression or are in a coma
• you are also taking astemizole, cisapride, terfenadine, or tramadol

Contact your doctor or health care provider right away if any of these apply to you.

Before using Promethazine:

Some medical conditions may interact with Promethazine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, plan to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or other substances
• if you have nervous system problems, bone marrow depression, heart problems, a blood disease, glaucoma, increased eye pressure, low blood pressure, liver problems, prostate problems, Parkinson disease, seizures, or Reye syndrome
• if you regularly consume large amounts of alcohol

Some MEDICINES MAY INTERACT with Promethazine. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Charcoal or lithium because the effectiveness of Promethazine may be decreased
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), astemizole, cisapride, general anesthetics (eg, thiopental), methyldopa, terfenadine, or tramadol because side effects such as low blood pressure and seizures may occur
• ACE inhibitors (eg, enalapril), haloperidol, lithium, meperidine, metrizamide, monoamine oxidase (MAO) inhibitors (eg, phenelzine), naltrexone, polypeptide antibiotics (eg, actinomycin), or trazodone because the actions and side effects of these medicines may be increased
• Bromocriptine, epinephrine, levodopa, or pergolide because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Promethazine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Promethazine:

Use Promethazine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Promethazine may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you are using Promethazine for motion sickness, take a dose at least 30 to 60 minutes before you begin traveling.
• If you miss a dose of Promethazine and you are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to you regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Promethazine.

Important safety information:

• Promethazine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Promethazine. Using Promethazine alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
• Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Promethazine. Promethazine will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
• Neuroleptic malignant syndrome (NMS) is a potentially deadly syndrome associated with Promethazine. Symptoms include increased body heat; muscle rigidness; altered mental abilities, including lack of response to your surroundings; irregular pulse and blood pressure; increased heart rate; sweating; irregular heart rhythm. Contact your doctor at once if any of these symptoms occur.
• Promethazine may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Promethazine. Use a sunscreen or protective clothing if you must be outside for a prolonged period.
• Use extreme caution when using Promethazine in the ELDERLY as they may be more sensitive to the effects of this medicine.
• Promethazine should not be used in CHILDREN under 2 years of age. Serious, and sometimes fatal, side effects (difficult or slowed breathing, drowsiness leading to coma) have occurred when Promethazine has been used in children in this age group. Promethazine should also be used with extreme caution in children 2 years of age and older. The lowest effective dose should be used in children 2 years of age and older.
• If you are pregnant or plan on becoming pregnant, discuss with your doctor the benefits and risks of using Promethazine during pregnancy. Promethazine is excreted in breast milk. If you are or will be breast-feeding while you are using Promethazine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Promethazine:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; dry mouth; increased or decreased blood pressure; nausea; occasional blurred vision; rash; sleepiness; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); sensitivity to light; uncontrolled muscle movements; yellowing of skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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