Drug Uses

Zyrtec is an antihistamine. Antihistamines prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms. Zyrtec is used to treat allergies, hives (urticaria), and other allergic inflammatory conditions.

How Taken

Zyrtec comes as a tablet to take it orally. 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 carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Zyrtec exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Warnings/Precautions

Before taking this medication, tell your doctor if you have kidney or liver disease. You may need a lower dose or special monitoring during your therapy with Zyrtec. Zyrtec is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take Zyrtec without first talking to your doctor if you are pregnant. Zyrtec passes into breast milk and may affect a nursing baby. Do not take Zyrtec 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 Zyrtec. You may require a lower dose of this medication.

Missed Dose

If you forget to take a dose, do not take an extra tablet to catch up for the dose you forgot. Wait and take your next tablet at the regular time. Do not take more tablets than your doctor prescribed.

Possible Side Effects

Stop taking Zyrtec 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 Zyrtec and talk to your doctor if you experience sleepiness, fatigue, or dizziness; headache; or dry mouth. 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.

Storage

Store at 20-25°C (68-77°F); excursions permitted to 15-30°C (59-86°F).

Overdose

Seek emergency medical attention. Symptoms of a Zyrtec overdose are not well known, but extreme sleepiness, confusion, and weakness may be expected.

More Information

Use caution when driving, operating machinery, or performing other hazardous activities. Zyrtec 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 Zyrtec.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Sinusitis refers to inflammation of the sinuses. This is generally caused by a viral, bacterial, or fungal infection. The sinuses are air-filled spaces in the skull (behind the forehead, cheeks, and eyes) that are lined with mucous membranes. Healthy sinuses are sterile (meaning that they contain no bacteria or other organisms) and open, allowing mucus to drain and air to circulate. When inflamed, the sinuses become blocked with mucus and can become infected. Each year, over 30 million adults and children get sinusitis. Sinusitis can be acute (lasting anywhere from 2 - 8 weeks) or chronic, with symptoms lingering much longer. See also chronic sinusitis. Alternative Names Acute sinusitis; Sinus infection; Sinusitis - acute Causes, incidence, and risk factors Sinusitis can occur from one of these conditions: * The small openings (ostia) from the sinuses to the nose become blocked * Small hairs (cilia) in the sinuses, which help move mucus out, are not working properly * Too much mucus is produced When the sinus openings become blocked and mucus accumulates, this becomes a great breeding ground for bacteria and other organisms. Sinusitis usually follows respiratory infections, such as colds, or an allergic reaction. Some people never get sinusitis, and others develop sinusitis frequently. People more likely to get frequent sinusitis include those with cystic fibrosis and those with immune systems weakened by HIV or chemotherapy. Other risks for developing sinusitis include: * Having asthma * Overusing nasal decongestants (rather than continuing to relieve congestion, the problem gets worse when these are used too often or for too long) * Having a deviated nasal septum, nasal bone spur, or polyp * Having a foreign body in your nose * Frequent swimming or diving * Dental work * Pregnancy * Changes in altitude (flying or scuba diving) * Air pollution and smoke * Gastroesophageal reflux disease (GERD) * Hospitalization, especially if you are in the hospital because of a head injury or have had a tube placed into your nose (nasogastric tube) Cystic fibrosis is one of a number of diseases that prevent the cilia from working properly. Other such diseases that put you at increased risk for sinusitis include Kartagener's syndrome and immotile cilia syndrome. Symptoms The classic symptoms of acute sinusitis usually follow a cold that does not improve, or one that worsens after 5 - 7 days of symptoms. They include: * Nasal congestion and discharge * Sore throat and postnasal drip (fluid dripping down the back of your throat, especially at night or when you lie down) * Headache -- pressure-like pain, pain behind the eyes, toothache, or facial tenderness * Cough, often worse at night * Fever (may be present) * Bad breath or loss of smell * Fatigue and generally not feeling well Symptoms of chronic sinusitis are the same as acute sinusitis, but tend to be milder and last longer than 8 weeks. Signs and tests Your doctor will test for sinusitis by: * Tapping over a sinus area. Tenderness may indicate infection. * Shining a light against the sinus (called transillumination). If dark, this indicates possible inflammation. Other tests that might be considered include: * Viewing the sinuses through a fiberoptic scope * X-ray of the sinuses * Cultures of the material from the nose However, these tests are relatively insensitive for detecting sinusitis, and are often considered unnecessary. A CT scan of the sinuses is a much better test to help diagnose sinusitis. If sinusitis is thought to involve tumor or fungal infections, an MRI of the sinuses may be necessary. If you have chronic or recurrent sinusitis, further laboratory evaluation may be necessary to look for an underlying disorder. This may involve sweat chloride tests for cystic fibrosis, ciliary function tests, blood tests for HIV or other tests for immunodeficiency, allergy testing, or nasal cytology (checking the cells in the nasal secretions). Treatment Try the following measures to help reduce congestion in your sinuses: * Use a humidifier. * Spray with nasal saline several times per day. * Inhale steam 2 - 4 times per day (for example, sitting in the bathroom with the shower running). * Drink plenty of fluids to thin the mucus. * Apply a warm, moist wash cloth to your face several times a day. Be careful with over-the-counter spray nasal decongestants. They may help initially, but using them beyond 3 - 5 days can actually worsen nasal congestion. Also, for sinus pain or pressure: * Avoid temperature extremes, sudden changes in temperature, and bending forward with your head down. * Try acetaminophen or ibuprofen. * Avoid flying when you are congested. If self-care measures are not working, your doctor will consider prescription medications, antibiotics, further testing, or referral to an ear, nose, and throat (ENT) specialist. Nasal corticosteroid sprays may be used to decrease swelling, especially if you have swollen structures (such as nasal polyps) or allergies. These include fluticasone (Flonase), mometasone (Nasonex), and triamcinolone (Nasacort AQ). Antibiotics are used to cure the particular infection causing sinus inflammation. Common antibiotics include ampicillin, amoxicillin, trimethoprim with sulfamethoxazole (Bactrim), Augmentin, cefuroxime, and cefprozil. Other antibiotics may be used depending on the type of organism present. Acute sinusitis should be treated for 10 - 14 days, while chronic sinusitis should be treated for 3 - 4 weeks. Surgery to clean and drain the sinuses may also be necessary, especially in patients with recurrent episodes of inflammation despite medical treatment. An ENT specialist, also known as an otolaryngologist, can perform this surgery. Most fungal sinus infections require surgery. Finally, surgical repair of a deviated septum or nasal polyps may prevent recurrence.

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