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Terms Of Use

CINNARIZINE

Brand Name(s) : Stugeron, Arlevert (with dimenhydrinate)
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

CINNARIZINE WARNINGS

Cinnarizine should be used with caution in: the elderly, women who are pregnant or who are breastfeeding, patients with liver or kidney problems, Parkinson's disease, or a blood disorder called acute porphyria.

It should not be used in: people who are allergic to cinnarizine or any other ingredient in the medicine, and in children under 5 years of age.

Also see list of precautions and interactions.

STORAGE

No special storage conditions required.

CINNARIZINE USES

What is it used for?

  • Cinnarizine is used to treat a number of problems.
  • It is a type of antihistamine drug, sometimes known as a travel sickness or balance disorder treatment.
  • It is used to treat vestibular disorders (balance disorders).
  • In general this drug is used to treat balance disorders (such as in Ménières disease), including vertigo (spinning or swaying sensation when standing still), tinnitus (ringing in the ears), feeling sick (nausea) and vomiting, as well as for travel sickness (both during road journeys and sea travel).
  • Benefits of being on this drug can include relief from, or prevention of, the symptoms of travel sickness or balance disorders.

Listed below are the typical uses of cinnarizine.

  • Treating or preventing problems with balance (such as Ménières disease) to treat symptoms of feeling dizzy or light-headed, ringing in the ears (tinnitus), feeling sick (nausea) and being sick (vomiting)
  • To control travel sickness.

On occasion your doctor may prescribe this medicine to treat a condition not on the above list.

HOW TO USE/TAKE

How often do I take it?

  • Take this medication by mouth, usually three-times daily (for balance problems) or several hours before travelling and every 8 hours during travel (for travel sickness). Tablets should be taken after meals, and may be chewed, sucked or swallowed whole.
  • Use this medication regularly in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told not to by your doctor.
  • It may take up to several hours before the full benefit of this drug takes effect.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • This drug may cause drowsiness, especially at the start of treatment. If affected in this way avoid driving or operating machinery. Consult your doctor or pharmacist for more details.

When can I stop?

  • when taken for balance problems, tt is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.

CINNARIZINE SIDE EFFECTS

  • Feeling sleepy
  • Upset stomach or digestion
  • Headache
  • Dry mouth
  • Increased sweating
  • Weight gain
  • Itchy bumps on the skin, sometimes with mouth sores
  • Rashes
  • Yellowing of the skin or eyes (jaundice)
  • Jerky or slow movements, or muscle stiffness or trembling
  • Restlessness
  • More saliva than normal
  • Twitching or unusual movements of the tongue, face, mouth, jaw or throat, or rolling of the eyes
  • Depression.
If any of these persist or you consider them severe then inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms: any extrapyramidal symptoms (jerky or slow movements, or muscle stiffness or trembling, restlessness, more saliva than normal, twitching or unusual movements of the tongue, face, mouth, jaw or throat, or rolling of the eyes), with or without depression; yellowing of the skin or eyes (jaundice).

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

CINNARIZINE PRECAUTIONS

Before taking cinnarizine, tell your doctor or pharmacist if you are allergic to it; or to other antihistamines; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist in case of: none known.

Before using this medication tell your doctor or pharmacist your medical history, especially any of the following: any liver or kidney problems, Parkinson's disease, or a blood disorder called acute porphyria.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Alcohol should be avoided when taking this drug as it may make you very sleepy.

The elderly: cinnarizine should be used with caution in the elderly as it may be associated with an increased likelihood of certain adverse events such as extrapyramidal symptoms (e.g. movement disorders), with or without depression.

Pregnancy and breastfeeding - please ensure you read the detailed information below

PREGNANCY

Cinnarizine is not safe to take if you are, or are planning to become, pregnant.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

Cinnarizine is not safe to take if you are breastfeeding.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

CINNARIZINE INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: none known.

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

  • Antidepressants (e.g. monoamine oxidase inhibitors [MAOIs], including the reversible MAOI, moclobemide, and tricyclic antidepressants such as amitriptyline)
  • Drugs used to treat sleeplessness (insomnia) or anxiety.

This information does not contain all possible interactions. Therefore, before using cinnarizine, tell your doctor or pharmacist of all the products you use.

CINNARIZINE OVERDOSE

Taking too much cinnarizine may cause the following: sleepiness, coma (unable to wake), vomiting, extrapyramidal symptoms (appearance of, or worsening of, jerky movements and problems such as slowness, muscle stiffness, trembling and feeling restless, as well as producing more saliva than normal, twitching or unusual movements of the tongue, face, mouth, jaw or throat, or rolling of the eyes), hypotonia (floppiness of the limbs and muscle weakness), and fits (seizures). Deaths have also been reported.

People who have taken too much cinnarizine should seek emergency treatment immediately.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of cinnarizine or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited or TicTac Communications Ltd. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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