Generic Xyzal (Levocetirizine)

Xyzal (Levocetirizine) is used for:


Treating allergy symptoms and chronic hives. It may also be used for other conditions as determined by your doctor.

Xyzal is an antihistamine. It works by blocking a substance in the body called histamine. This helps to decrease allergy symptoms and hives.


Do NOT use Xyzal if:

•You are allergic to any ingredient in Xyzal or to cetirizine

•You have severe kidney problems or you are receiving dialysis

•The patient is a child 6 months to 11 years old who has kidney problems

Contact your doctor right away if any of these apply to you.


Before using Xyzal:

Some medical conditions may interact with Xyzal. 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 kidney or liver problems

Some MEDICINES MAY INTERACT with Xyzal. Tell your doctor if you are taking any other medicines, especially any of the following:

•Ritonavir or theophylline because they may increase the risk of Xyzal's side effects

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

How to use Xyzal:

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

•Take Xyzal by mouth with or without food. Take it in the evening unless your doctor tells you otherwise.

•If you miss a dose of Xyzal, 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 doctor any questions you may have about how to use Xyzal.

Important safety information:

•Xyzal may cause drowsiness. This effect may be worse if you take it with alcohol or certain medicines. Use Xyzal 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 Xyzal; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

•The risk of drowsiness may be greater if you take Xyzal in high doses. Do NOT take more than the recommended dose without checking with your doctor.

•Use Xyzal with caution in the ELDERLY; they may be more sensitive to its effects.

•Xyzal should be used with extreme caution in CHILDREN younger than 6 years; safety and effectiveness in these children have not been confirmed.

•PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Xyzal while you are pregnant. Xyzal is found in breast milk. Do not breast-feed while taking Xyzal.

Possible side effects of Xyzal:

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; sore throat; tiredness; weakness.

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; unusual hoarseness); burning, numbness, or tingling; dark urine; difficult or painful urination; dizziness; fainting; fast or irregular heartbeat; fever; hallucinations; mental or mood changes (eg, aggression, agitation); nosebleeds; seizure; shortness of breath; vision problems (eg, blurred vision); vomiting; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your doctor for medical advice about side effects.

If OVERDOSE is suspected:

Symptoms may include agitation; irritability; restlessness; severe drowsiness.

Proper storage of Xyzal:

Store Xyzal between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Xyzal out of the reach of children and away from pets.

General information:

•If you have any questions about Xyzal, please talk with your doctor or pharmacist.

•Xyzal is to be used only by the patient for whom it is prescribed. Do not share it with other people.

•If your symptoms do not improve or if they become worse, check with your doctor.

•Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Xyzal. If you have questions about the medicine you are taking or would like more information, check with your doctor or pharmacist.

Zyrtec (Generic name: Cetirizine)

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

• 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 taking Zyrtec.
• While you are taking Zyrtec, do not take other prescription or over-the-counter cough, cold, or allergy medications without first talking to your doctor or pharmacist.

What is Zyrtec?

• Zyrtec is an antihistamine. Zyrtec blocks the actions of the naturally occurring chemical histamine in the body. Zyrtec is less likely than some other antihistamines to cause side effects such as drowsiness and dizziness.
• Zyrtec is used to treat the symptoms of allergies such as sneezing; runny nose; itching, tearing, and redness of the eyes; and hives.
• Zyrtec may also be used for purposes other than those listed in this medication guide.

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

• Do not take Zyrtec without first talking to your doctor if you have had an allergic reaction to it or to the medication hydroxyzine (Atarax, Vistaril).
• Before taking Zyrtec, tell your doctor if you have kidney or liver disease. You may need a dosage adjustment or special monitoring during treatment.
• Zyrtec is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Zyrtec without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• 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 65 years of age, you may be more likely to experience side effects from Zyrtec. Your doctor may prescribe a lower dose of this medication.

How should I take Zyrtec?

• Take Zyrtec 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 the tablets with a full glass of water.
• Chew the chewable tablets thoroughly before swallowing.
• To ensure you get the correct dose, measure the liquid form of Zyrtec with a dose-measuring spoon, cup, or dropper, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Zyrtec can be taken with or without food.
• Store Zyrtec at room temperature away from moisture and heat.

What happens if I miss a dose?

• If you are taking Zyrtec on a regular schedule, 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.
• If you are taking Zyrtec as needed, take the missed dose if it is needed, then wait the recommended or prescribed amount of time before taking another dose.

What happens if I overdose?

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

What should I avoid while taking Zyrtec?

• 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 taking Zyrtec.
• Zyrtec may increase the effects of other drugs that cause drowsiness or dizziness, including antidepressants, alcohol, sedatives (used to treat insomnia), pain relievers, anxiety medicines, muscle relaxants, and other antihistamines. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• While you are taking Zyrtec, do not take other prescription or over-the-counter cough, cold, or allergy medications without first talking to your doctor or pharmacist.

What are the possible side effects of Zyrtec?

• Stop taking Zyrtec and seek emergency medical attention if you experience a rare but serious allergic reaction (difficulty breathing; closing of the throat; swelling of the 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
  • drowsiness;
  • 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.

What other drugs will affect Zyrtec?

• Zyrtec may increase the effects of other drugs that cause drowsiness or dizziness, including antidepressants, alcohol, sedatives (used to treat insomnia), pain relievers, anxiety medicines, muscle relaxants, and other antihistamines. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• While you are taking Zyrtec, do not take other prescription or over-the-counter cough, cold, or allergy medications without first talking to your doctor or pharmacist.
• Drugs other than those listed here may also interact with Zyrtec. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Spiriva (Generic name: Tiotropium)

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

Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks, it should not be used as a rescue medication.

It is very important that you use the tiotropium inhaler properly, so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use.

In rare cases, Spiriva has been associated with the development of narrow-angle glaucoma, an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort, blurred vision, visual halos around objects, color distortion, or redness of the eyes. Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs, flush with water and seek medical attention if side effects occur.

What is Spiriva?

Spiriva is an anticholinergic medication. Tiotropium prevents narrowing of the airways.

Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema.

Spiriva may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before using Spiriva?

Do not use Spiriva without first talking to your doctor if you have:

• an allergy to ipratropium (Atrovent, Combivent) or atropine;
• narrow-angle glaucoma;
• kidney disease;
• enlargement of the prostate; or
• difficulty urinating.

You may not be able to use Spiriva, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Spiriva is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not use Spiriva without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether tiotropium passes into breast milk. Do not use Spiriva without first talking to your doctor if you are breast-feeding a baby.

How should I use Spiriva?

Use Spiriva exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Tiotropium capsules are intended for use in the inhaler provided. Do not swallow the capsules. Do not use the inhaler device to administer any medications other than tiotropium.

The tiotropium capsules should be stored in the sealed blisters and only removed immediately before use. The drug should be used immediately after the packaging over an individual capsule is opened, or else its effectiveness may be reduced. If additional capsules are accidentally exposed to air, they should be thrown away and not used.

Separate a blister card along the perforated line. Carefully peel back the aluminum foil using the tab until one capsule is fully visible. Peel back the foil only as far as the "STOP" line printed on the foil to prevent exposure of more than one capsule. After using the first capsule, the 2 remaining capsules in the blister strip should be used over the next 2 consecutive days.

To use the inhaler:

• Open the dust cap on the inhaler device by pulling it upwards. Then, open the mouthpiece. Insert the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber. Close the mouthpiece firmly until you hear a click, leaving the dust cap open.
• Hold the inhaler device with the mouthpiece upwards and press the piercing button completely in one time and release. This makes holes in the capsule and allows the medication to be released when you breathe in through the mouthpiece.
• Breathe out fully, away from the mouthpiece. Never breathe into the mouthpiece.
• Raise the inhaler to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient to hear the capsule vibrate. Breathe in until your lungs are full. Hold your breath as long as is comfortable and at the same time take the inhaler out of your mouth. Resume normal breathing.
• To ensure you get the full dose, breathe out once again, place the inhaler back in your mouth, and breathe in deeply again.
• After completing a dose, open the mouthpiece and tip out the used capsule and dispose. Close the mouthpiece and dust cap for storage of the inhaler.

Spiriva is usually used once a day. Follow your doctor's instructions. Do not use more of the medication or use it more often than is directed.

The tiotropium capsules contain only a small amount of powder and as a result the capsule is only partially filled. After using a dose, you may notice that a tiny amount of the powder is left in the capsule. This is normal.

It is very important that you use the tiotropium inhaler properly, so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use.

It is important to use Spiriva regularly to get the most benefit.

Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks, it should not be used as a rescue medication.

Your doctor may want you to have lung function tests or other medical evaluations during treatment with Spiriva to monitor progress and side effects.

Normally, during a one-month period of use, the inhaler device does not need to be cleaned. However, if cleaning is necessary, open the dust cap and mouth piece. Open the base by lifting the piercing button. Rinse the entire inhaler with warm water to remove any powder. Do not use cleaning agents or detergents. Tip out any water and air-dry, leaving the dust cap, mouthpiece and base open. It takes about 24 hours to air dry, so if cleaning is needed, do it immediately following a dose so it will be ready for the next dose. Do not use the inhaler if it is wet. The outside of the inhaler can be cleaned with a damp, not wet, tissue.

Store Spiriva at room temperature away from moisture and heat. Store the capsules, unopened, in the blister packaging. Do not store the capsules in the inhaler.

What happens if I miss a dose?

Use the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and use the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of a tiotropium overdose may include altered mental status, shaking, abdominal pain, and constipation.

What should I avoid while using Spiriva?

Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs, flush with water and seek medical attention if side effects occur.

What are the possible side effects of Spiriva?

In rare cases, Spiriva has been associated with the development of narrow-angle glaucoma, an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort, blurred vision, visual halos around objects, color distortion, or redness of the eyes. If you experience either of the following serious side effects, stop using Spiriva and seek emergency medical attention or contact your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
• increased difficulty breathing.

Other, less serious side effects may be more likely to occur. Continue to use Spiriva and talk to your doctor if you experience

• dry mouth;
• constipation;
• difficult or painful urination; or
• increased heart rate.

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 Spiriva?

Before using Spiriva, talk to your doctor if you are taking any of the following medicines:

• ipratropium (Atrovent);
• albuterol and ipratropium (Combivent, DuoNeb);
• dicyclomine (Bentyl),
• propantheline (Pro-Banthine),
• mepenzolate (Cantil),
• methscopolamine (Pamine), and
• scopolamine (Transderm-Scop).

You may not be able to use Spiriva, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with Spiriva or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Periactin (Generic name: Cyproheptadine)

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

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

What is Periactin?

• Periactin is an antihistamine. Periactin blocks the effects of the naturally occurring chemical histamine in your body.
• Periactin is used to treat sneezing; runny nose; itching, watery eyes; hives; rashes; itching; and other symptoms of allergies and the common cold.
• Although not approved by the FDA for this purpose, Periactin has been used to stimulate appetite in underweight patients.
• Periactin may also be used for purposes other than those listed in this medication guide.

Who should not take Periactin?

• Do not take Periactin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A very dangerous drug interaction could occur, leading to serious side effects.
• Before taking this medication, tell your doctor if you have
  • glaucoma or increased pressure in the eye;
  • a stomach ulcer;
  • an enlarged prostate, bladder problems, or difficulty urinating;
  • an overactive thyroid (hyperthyroidism);
  • hypertension or any type of heart problems; or
  • asthma.
• You may not be able to take Periactin, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
• Periactin is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take Periactin without first talking to your doctor if you are pregnant.
• Periactin passes into breast milk. Infants are especially sensitive to the effects of antihistamines, and serious side effects could occur in a nursing baby. Periactin is not recommended if you are breast-feeding a baby. Do not take Periactin without first talking to your doctor if you are nursing a baby.
• If you are over 60 years of age, you may be more likely to experience side effects from Periactin. You may require a lower dose of this medication.

How should I take Periactin?

• Take Periactin 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.
• Periactin can be taken with or without food.
• To ensure that you get a correct dose, measure the syrup form of Periactin 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.
• Never take more of this medication than is prescribed for you. The maximum amount of Periactin that you should take in 1 day is 32 mg.
• Store Periactin 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 Periactin overdose include extreme sleepiness, confusion, weakness, ringing in the ears, blurred vision, large pupils, dry mouth, flushing, fever, shaking, insomnia, hallucinations, and possibly seizures.

What should I avoid while taking Periactin?

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

What are the possible side effects of Periactin?

• Stop taking Periactin 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 Periactin and talk to your doctor if you experience
  • sleepiness, fatigue, or dizziness;
  • headache;
  • dry mouth; or
  • difficulty urinating or an enlarged prostate.
• 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 Periactin?

• Do not take Periactin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A very dangerous drug interaction could occur, leading to serious side effects.
• Talk to your pharmacist before taking other over-the-counter cough, cold, allergy, or insomnia medications. These products may contain medicines similar to Periactin, which could lead to an overdose of antihistamine.
• Before taking this medication, tell your doctor if you are taking any of the following medicines:
  • anxiety or sleep medicines such as alprazolam (Xanax), diazepam (Valium), chlordiazepoxide (Librium), temazepam (Restoril), or triazolam (Halcion);
  • medications for depression such as amitriptyline (Elavil), doxepin (Sinequan), nortriptyline (Pamelor), fluoxetine (Prozac), sertraline (Zoloft), or paroxetine (Paxil); or
  • any other medications that make you feel drowsy, sleepy, or relaxed.
• Drugs other than those listed here may also interact with Periactin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Lioresal (Generic name: Baclofen)

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

• Use caution when driving, operating machinery, or performing other hazardous activities. Lioresal 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 Lioresal.
• Do not stop taking Lioresal suddenly. Stopping suddenly may cause seizures or hallucinations. Your doctor will want to gradually reduce you dose.

What is Lioresal?

• Lioresal is a muscle relaxant and an antispastic agent. The exact way that Lioresal works is unknown.
• Lioresal is used to relieve the muscle spasms, pain, and muscular rigidity associated with multiple sclerosis.
• Lioresal may also be used for purposes other than those listed in this medication guide.

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

• Before taking this medication, tell your doctor if you have
  • kidney disease or
  • epilepsy or another seizure disorder.
• You may not be able to take Lioresal, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
• Lioresal is in the FDA pregnancy category C. This means that it is not known whether Lioresal will harm an unborn baby. Do not take Lioresal without first talking to your doctor if you are pregnant.
• It is also not known whether Lioresal passes into breast milk. Do not take Lioresal without first talking to your doctor if you are breast-feeding a baby.

How should I take Lioresal?

• Take Lioresal 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.
• You can take Lioresal with or without food.
• Do not stop taking Lioresal suddenly. Stopping suddenly could cause seizures or hallucinations. Talk to your doctor first if you need to stop taking this medication.
• Store Lioresal 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.

What happens if I overdose?

• Seek emergency medical treatment.
• Symptoms of a Lioresal overdose include vomiting, weakness, drowsiness, slow breathing, seizures, unusual pupil size, and coma.

What should I avoid while taking Lioresal?

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

What are the possible side effects of Lioresal?

• If you experience any of the following serious side effects, stop taking Lioresal and seek emergency medical attention:
  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
  • seizures; or
  • an irregular heartbeat.
• Other, less serious side effects are more likely to occur. Continue to take Lioresal and talk to your doctor if you experience any of the following:
  • drowsiness, dizziness, weakness, or unusual fatigue;
  • a headache;
  • constipation;
  • stuffy nose;
  • blurred vision;
  • a rash; or
  • frequent urination.
• 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 Lioresal?

• Many drugs can increase the effects of Lioresal, which can lead to heavy sedation. Before taking this medication, tell your doctor if you are taking any of the following medicines:
  • antihistamines such as brompheniramine (Dimetane, Bromfed, 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 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 Lioresal. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Claritin (Generic name: Loratadine)

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

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

What is Claritin?

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

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

• Before taking Claritin, 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 Claritin, 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 Claritin orally-disintegrating tablets contain 8.4 mg phenylalanine per tablet. Individuals with phenylketonuria may need to monitor their intake of this additive.
• Claritin is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Claritin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• Claritin passes into breast milk and may affect a nursing infant. Do not take Claritin without first talking to your doctor if you are breast-feeding a baby.

How should I take Claritin?

• Take Claritin 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 Claritin 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 Claritin 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.
• Claritin 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 Claritin at room temperature away from moisture and heat. Use the Claritin 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 Claritin overdose include headache, drowsiness, irregular heartbeat, nausea, and vomiting.

What should I avoid while taking Claritin?

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

What are the possible side effects of Claritin?

• If you experience any of the following serious side effects, stop taking Claritin 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 Claritin 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 Claritin?

• There are no known interactions between Claritin 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 Claritin.

Clarinex (Generic name: Desloratadine)

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

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

What is Clarinex?

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

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

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

How should I take Clarinex?

• Take Clarinex 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 Clarinex orally-disintegrating-tablets (Clarinex Reditabs) on the tongue and allow it dissolve. The tablet will disintegrate rapidly. Swallow with or without water. Take the Clarinex orally-disintegrating tablets immediately after removal from the blister packaging. Do not store for later use.
• Clarinex can be taken with or without food.
• Clarinex 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 Clarinex 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 Clarinex overdose are not well known but may include drowsiness.

What should I avoid while taking Clarinex?

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

What are the possible side effects of Clarinex?

• If you experience any of the following rare but serious side effects, stop taking Clarinex 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 Clarinex 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 Clarinex?

• There are no known interactions between Clarinex 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 Clarinex.

Atarax (Generic name: Hydroxyzin)

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

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

What is Atarax?

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

Who should not take Atarax?

• Before taking Atarax, 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 Atarax therapy if you have any other medical conditions.
• It is not known whether Atarax will harm an unborn baby. Do not take Atarax without first talking to your doctor if you are pregnant.
• It is also not known whether Atarax passes into breast milk. Do not take Atarax 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 Atarax. You may require a lower dose of this medication.

How should I take Atarax?

• Take Atarax 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 Atarax 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 Atarax 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 Atarax overdose include extreme drowsiness, nausea, vomiting, seizures, hallucinations, and decreased breathing.

What should I avoid while taking Atarax?

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

What are the possible side effects of Atarax?

• Stop taking Atarax 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 Atarax 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 Atarax?

• Many drugs may increase the effects of Atarax 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 Atarax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Allergra (Generic name: Fexofenadine)

What is the most important information I should know about Allegra1?

• Never take more of this medication than is directed by your doctor. If your symptoms are not being adequately treated, talk to your doctor.

What is Allegra?

• Allegra is an antihistamine. Antihistamines work against the naturally occurring chemical histamine in your body.
• Allegra is used to prevent sneezing, runny nose, itching and watering of the eyes, and other allergic symptoms.
• Allegra may also be used for purposes other than those listed in this medication guide.

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

• Do not take Allegra if you have ever had an allergic reaction to it.
• Before taking this medication, tell your doctor if you have any serious illness such as heart, kidney, or liver disease. You may require a dosage adjustment or special monitoring during treatment if you have other illnesses.
• Allegra is in the FDA pregnancy category C. This means that it is not known whether Allegra will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
• It is also not known whether Allegra passes into breast milk. Do not take Allegra without first talking to your doctor if you are breast-feeding a baby.
• Allegra is not approved for use by children younger than 6 years of age.

How should I take Allegra?

• Take Allegra exactly as directed. 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 of water.
• Allegra is usually taken twice a day, in the morning and the evening. Follow your doctor's instructions.
• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.
• Never take more of this medication than is directed by your doctor. If your symptoms are not being adequately treated, talk to your doctor.
• Store Allegra 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 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.
• Symptoms of a Allegra overdose are not well known.

What should I avoid while taking Allegra?

• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.

What are the possible side effects of Allegra?

• Stop taking Allegra and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
• Allergic reactions occur only rarely, and other serious side effects are not likely to occur.
• Some less serious side effects may be more likely to occur. Continue to take Allegra and talk to your doctor if you experience nausea or an upset stomach.
• 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 Allegra?

• Do not take Allegra close to a dose of an antacid that contains aluminum or magnesium such as Rolaids, Maalox, Mylanta, Milk of Magnesia, Pepcid Complete, and others. These antacids may decrease the effects of Allegra.
• Drugs other than those listed here may also interact with Allegra. Talk to your doctor and pharmacist before taking other medications, including herbal products.