Introduction

Cetirizine hydrochloride (HCl) is an antihistamine used to treat seasonal allergy symptoms and other allergic conditions. Cetirizine HCl is available as a tablet, syrup, or an oral suspension. Cetirizine HCl is also used to reduce symptoms of hives and itching caused by certain medical conditions.

Uses for Hi-Trol Syrup 5 mg/5 ml

Cetirizine HCl is used for the relief of seasonal allergy symptoms such as hay fever, runny nose, sneezing, itchy eyes, and itching of the nose or throat. Cetirizine HCl is also used to treat chronic idiopathic urticaria in adults and children six months of age and older.

Brand Name Hi-Trol
Type Syrup
Weight 5 mg/5 ml
Generic Cetirizine Hydrochloride
Manufacturer Hudson Pharmaceuticals Ltd.
Available in English বাংলা

Mechanism of Action

Cetirizine HCl is an H1 receptor antagonist that prevents activation of histamine-1 receptors by blocking the binding of histamine to the receptor. By blocking the action of histamine, Cetirizine HCl reduces the redness, swelling, itching, and runny nose associated with allergy symptoms.

How Long Does it Take to Work?

Cetirizine HCl begins to work within 30 minutes after administration. Usually the maximum benefit seen is within 1-2 hours.

Absorption

Cetirizine HCl is readily and completely absorbed from the gastrointestinal tract after oral administration.

Route of Elimination

Cetirizine HCl is eliminated mainly through the kidneys primarily as unchanged drug and urinary metabolites.

Dosage

Cetirizine oral dosage form:
  • Adults and Children 6 years and older: 1 tablet or 2 teaspoonfuls daily (or 1 teaspoonful twice daily).
  • Children 2-6 years: 1 teaspoonful once daily or 1/2 teaspoonful twice daily.
  • Children 6 months to 2 years : 1/2 teaspoonful once daily. The dose in children 12-23 months of age can be increased to a maximum dose as 1/2 teaspoonful every 12 hours.
Cetirizine injectable dosage form: Cetirizine is a single use injectable product for intravenous administration only. The recommended dosage regimen is once every 24 hours as needed for treatment of acute urticaria. Administer Cetirizine as an intravenous push over a period of 1 to 2 minutes. Cetirizine is not recommended in pediatric patients less than 6 years of age with impaired renal or hepatic function.
  • Adults and adolescents 12 years of age and older: The recommended dosage is 10 mg administered by intravenous injection.
  • Children 6 to 11 years of age: The recommended dosage is 5 mg or 10 mg depending on symptom severity administered by intravenous injection.
  • Children 6 months to 5 years of age: The recommended dosage is 2.5 mg administered by intravenous injection.

The usual dosage of Cetirizine HCl for adults and children 12 years of age or older is 10 mg once daily. For children 6 to 12 years old, the usual recommended dosage is 5 mg once daily. The dose should not exceed 10 mg in a 24-hour period. Cetirizine HCl should be taken with a full glass of water and may be taken with or without food.

Administration

Cetirizine HCl is administered orally as a tablet, syrup, or suspension. For children younger than 6 years of age, it is preferred to give the medication in liquid form.

Side Effect

Possible side effects of Cetirizine HCl include drowsiness, dry mouth, dizziness, headaches, tiredness, nausea, vomiting, and diarrhea.

Toxicity

The toxicity of Cetirizine HCl is low. A single oral dose of up to 500 mg did not result in clinical symptoms or signs of toxicity in healthy subjects.

Precaution

Patients should be advised to avoid driving or operating machinery until they know how this medication affects them.

Interaction

Drug interaction with other medications can increase the risk of side effects. Patients should always tell their healthcare provider about any other medications they are taking.

Disease Interaction

Patients with kidney disease should be monitored closely when taking Cetirizine HCl as it can be eliminated more slowly. Patients with liver diseases may experience more severe side effects.

Drug Interaction

Cetirizine HCl may interact with other medications such as antifungal drugs, antidepressants, diuretics, opioid painkillers, antibiotics, or antihistamines.

Food Interactions

Cetirizine HCl should not be taken with food as it may decrease the effectiveness of this medication.

Pregnancy Use

Cetirizine HCl should be used during pregnancy only if clearly needed.

Lactation Use

Cetirizine HCl is not recommended during breastfeeding since it can be excreted in breast milk.

Acute Overdose

Patients experiencing an overdosage should seek immediate medical attention. Common signs of an overdose include confusion, drowsiness, agitation, slowed heart rate, rapid blood pressure changes, dizziness, flushing, drooling, shortness of breath, and coma.

Contraindication

Cetirizine HCl should not be used in patients with known or suspected hypersensitivity to this medication or other ingredients in the preparation.

Use Direction

Cetirizine HCl should be taken as directed by a healthcare provider, usually once daily. The medication must be taken regularly to achieve the maximum benefit. Patients should not stop taking Cetirizine HCl without first consulting their healthcare provider.

Storage Condition

Cetirizine HCl should be stored at room temperature, out of direct light, and in a tightly closed container.

Volume of Distribution

Cetirizine HCl has a large volume of distribution with an average of 2.1 L/kg.

Half Life

The elimination half-life of Cetirizine HCl is 10-11 hours.

Clearance

Cetirizine HCl is mainly excreted by the kidneys and has an average clearance of 10 L/hr/1.73m2.

See in details version Hi-Trol Syrup 5 mg/5 ml also Hi-Trol Syrup 5 mg/5 ml in bangla

Some Frequently Asked Questions About Hi-Trol Syrup 5 mg/5 ml

1. What is Hi-Trol Syrup 5 mg/5 ml?

Hi-Trol Syrup 5 mg/5 ml is a second-generation antihistamine used to relieve allergy symptoms such as runny nose, sneezing, itchy eyes, and hives. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.

2. How does Hi-Trol Syrup 5 mg/5 ml work?

Hi-Trol Syrup 5 mg/5 ml works by blocking histamine receptors in the body, which reduces symptoms like sneezing, itching, and swelling that occur due to allergic reactions.

3. What conditions is Hi-Trol Syrup 5 mg/5 ml used to treat?

Hi-Trol Syrup 5 mg/5 ml is used to treat symptoms of seasonal allergies (hay fever), perennial allergies, allergic rhinitis, and chronic urticaria (hives). It can also be used for itching and swelling caused by allergic reactions.

4. How should I take Hi-Trol Syrup 5 mg/5 ml?

Hi-Trol Syrup 5 mg/5 ml is typically taken orally once daily, with or without food. The tablet should be swallowed whole, and the liquid form should be measured carefully using a dose-measuring device.

5. What is the recommended dosage for Hi-Trol Syrup 5 mg/5 ml?

The usual adult dose is 10 mg once a day. For children aged 6 to 12 years, the typical dose is 5-10 mg per day. The dosage may vary based on the individual and their response to the medication.

6. Can I take Hi-Trol Syrup 5 mg/5 ml with food?

Yes, Hi-Trol Syrup 5 mg/5 ml can be taken with or without food. Food does not significantly affect its effectiveness.

7. What should I do if I miss a dose of Hi-Trol Syrup 5 mg/5 ml?

If you miss a dose, take it as soon as you remember unless it's almost time for your next dose. In that case, skip the missed dose and resume your regular schedule. Do not take two doses at the same time.

8. How long does it take for Hi-Trol Syrup 5 mg/5 ml to start working?

Hi-Trol Syrup 5 mg/5 ml typically starts working within 1 hour of taking the medication, with peak effects occurring in about 3 to 4 hours.

9. What are the common side effects of Hi-Trol Syrup 5 mg/5 ml?

Common side effects may include:

  • Dry mouth
  • Drowsiness or fatigue
  • Headache
  • Stomach pain or discomfort
  • Dizziness

10. What are the serious side effects of Hi-Trol Syrup 5 mg/5 ml?

Serious side effects include:

  • Severe allergic reactions (rash, itching, difficulty breathing)
  • Fast or irregular heartbeat
  • Severe dizziness or fainting

11. Can Hi-Trol Syrup 5 mg/5 ml cause drowsiness?

Although Cetirizine is a second-generation antihistamine, it can cause drowsiness in some individuals. This effect is less common than with first-generation antihistamines.

12. Can Hi-Trol Syrup 5 mg/5 ml be taken with alcohol?

It is advised to avoid alcohol while taking Hi-Trol Syrup 5 mg/5 ml, as alcohol can increase drowsiness and impair your ability to concentrate and perform tasks.

13. Can Hi-Trol Syrup 5 mg/5 ml be used in children?

Hi-Trol Syrup 5 mg/5 ml is commonly used for children aged 2 years and older, depending on the specific product. The dosage will be lower for younger children, and you should consult a doctor for the proper dosage.

14. Can Hi-Trol Syrup 5 mg/5 ml be used during pregnancy?

Hi-Trol Syrup 5 mg/5 ml should be used during pregnancy only if clearly needed. Always consult with your healthcare provider before using this medication if you are pregnant.

15. Can I take Hi-Trol Syrup 5 mg/5 ml while breastfeeding?

Hi-Trol Syrup 5 mg/5 ml is excreted in breast milk, but it is generally considered safe to use while breastfeeding. However, consult your doctor for personalized advice.

16. How should Hi-Trol Syrup 5 mg/5 ml be stored?

Store Hi-Trol Syrup 5 mg/5 ml at room temperature, away from moisture and heat. Keep it in a tightly sealed container and out of reach of children.

17. What happens if I overdose on Hi-Trol Syrup 5 mg/5 ml?

Overdose symptoms may include drowsiness, dry mouth, and an increased heart rate. Seek immediate medical attention if an overdose is suspected.

18. Can Hi-Trol Syrup 5 mg/5 ml cause weight gain?

Weight gain is not a common side effect of Hi-Trol Syrup 5 mg/5 ml. However, if you experience unusual weight changes, consult your doctor.

19. Can I take Hi-Trol Syrup 5 mg/5 ml if I have liver or kidney problems?

If you have liver or kidney problems, your doctor may adjust your dosage or monitor you more closely while using Hi-Trol Syrup 5 mg/5 ml. Inform your healthcare provider about any pre-existing conditions.

20. Can Hi-Trol Syrup 5 mg/5 ml be used for a stuffy nose?

Hi-Trol Syrup 5 mg/5 ml can help with symptoms of nasal congestion associated with allergies but is not specifically designed to treat a stuffy nose. A nasal decongestant may be more effective for this purpose.

21. Can Hi-Trol Syrup 5 mg/5 ml be taken long-term?

Yes, Hi-Trol Syrup 5 mg/5 ml can be taken long-term for chronic conditions like allergic rhinitis or chronic urticaria, but it’s important to regularly consult your doctor to monitor its effectiveness and side effects.

22. Can Hi-Trol Syrup 5 mg/5 ml cause dry mouth?

Yes, dry mouth is a common side effect of Hi-Trol Syrup 5 mg/5 ml. Drinking water or using sugar-free gum may help alleviate this symptom.

23. Does Hi-Trol Syrup 5 mg/5 ml cause dizziness?

Some individuals may experience dizziness or lightheadedness, especially when standing up quickly. If this occurs, rise slowly to avoid feeling faint.

24. Can Hi-Trol Syrup 5 mg/5 ml cause a rash?

Although rare, Hi-Trol Syrup 5 mg/5 ml can cause a rash or other signs of an allergic reaction. If you experience a rash, swelling, or difficulty breathing, seek immediate medical attention.

25. Can Hi-Trol Syrup 5 mg/5 ml interact with other medications?

Yes, Hi-Trol Syrup 5 mg/5 ml may interact with certain medications, especially other sedatives, alcohol, or other antihistamines. Always inform your doctor about any medications you are taking.

26. Is Hi-Trol Syrup 5 mg/5 ml safe for elderly patients?

Hi-Trol Syrup 5 mg/5 ml is generally safe for elderly patients, but they may be more sensitive to its side effects, such as drowsiness. Dosage adjustments may be necessary.

27. Can Hi-Trol Syrup 5 mg/5 ml be taken with a decongestant?

Yes, Hi-Trol Syrup 5 mg/5 ml can often be safely combined with a decongestant, but it’s important to follow your doctor’s instructions to avoid possible interactions.

28. Can Hi-Trol Syrup 5 mg/5 ml cause headaches?

Headaches can occur as a side effect of Hi-Trol Syrup 5 mg/5 ml. If they become frequent or severe, inform your healthcare provider.

29. Is Hi-Trol Syrup 5 mg/5 ml addictive?

Hi-Trol Syrup 5 mg/5 ml is not addictive and is generally safe when taken as directed. There is no risk of dependence with this medication.

30. Can Hi-Trol Syrup 5 mg/5 ml cause nausea?

While nausea is not a common side effect, some people may experience mild stomach discomfort. Taking the medication with food may help alleviate this symptom.

31. Can Hi-Trol Syrup 5 mg/5 ml cause trouble sleeping?

Hi-Trol Syrup 5 mg/5 ml is less likely to cause sleep disturbances compared to first-generation antihistamines, but in some individuals, it may cause drowsiness that could affect their sleep cycle.

32. How quickly does Hi-Trol Syrup 5 mg/5 ml relieve allergy symptoms?

Hi-Trol Syrup 5 mg/5 ml starts working within an hour and reaches its peak effect in about 3 to 4 hours. It helps relieve symptoms like sneezing, itchy eyes, and runny nose.

33. Does Hi-Trol Syrup 5 mg/5 ml affect driving ability?

Hi-Trol Syrup 5 mg/5 ml may cause drowsiness in some individuals, which could impair driving or operating machinery. If you feel drowsy, avoid driving until you know how the medication affects you.

34. Can Hi-Trol Syrup 5 mg/5 ml cause blurred vision?

Although blurred vision is rare, some people may experience it as a side effect. If this happens, consult your doctor.

35. Can Hi-Trol Syrup 5 mg/5 ml be used for pet allergies?

Hi-Trol Syrup 5 mg/5 ml can be effective for treating allergy symptoms related to pets, such as sneezing, itchy eyes, and a runny nose.

36. Is Hi-Trol Syrup 5 mg/5 ml effective for hay fever?

Yes, Hi-Trol Syrup 5 mg/5 ml is commonly used to relieve symptoms of hay fever, including sneezing, itching, and a runny nose caused by pollen allergies.

37. Can Hi-Trol Syrup 5 mg/5 ml be used for insect stings or bites?

Hi-Trol Syrup 5 mg/5 ml may help reduce the itching and swelling associated with insect stings or bites, though it is not a specific treatment for these conditions.

38. How long can I safely take Hi-Trol Syrup 5 mg/5 ml?

It is generally safe to use Hi-Trol Syrup 5 mg/5 ml long-term for chronic conditions. However, it’s essential to consult with your doctor regularly to ensure the medication remains effective and monitor for potential side effects.

39. Can Hi-Trol Syrup 5 mg/5 ml cause diarrhea?

Diarrhea is a rare side effect of Hi-Trol Syrup 5 mg/5 ml. If you experience persistent or severe diarrhea, consult your doctor.

40. Is Hi-Trol Syrup 5 mg/5 ml safe for people with asthma?

Hi-Trol Syrup 5 mg/5 ml is generally safe for people with asthma. It may help alleviate allergy symptoms that could worsen asthma. However, consult your doctor before use.

41. Can Hi-Trol Syrup 5 mg/5 ml be used to treat eczema?

Hi-Trol Syrup 5 mg/5 ml may help relieve itching and discomfort caused by eczema, though it is not a primary treatment for the condition.

42. Does Hi-Trol Syrup 5 mg/5 ml increase the risk of infection?

There is no significant evidence suggesting that Hi-Trol Syrup 5 mg/5 ml increases the risk of infection. It does not suppress the immune system like some other medications.

43. Can Hi-Trol Syrup 5 mg/5 ml be used for seasonal allergies in children?

Yes, Hi-Trol Syrup 5 mg/5 ml is often prescribed to children aged 2 years and older to treat seasonal allergies. The dosage for children is typically lower than for adults.

44. Can Hi-Trol Syrup 5 mg/5 ml cause an allergic reaction?

Although rare, some individuals may develop an allergic reaction to Hi-Trol Syrup 5 mg/5 ml, with symptoms such as swelling, rash, or difficulty breathing. Seek medical help immediately if this occurs.

45. Can Hi-Trol Syrup 5 mg/5 ml be taken with other allergy medications?

While Hi-Trol Syrup 5 mg/5 ml can be taken with some other allergy medications, such as nasal sprays or decongestants, consult your doctor for specific recommendations to avoid drug interactions.

46. Does Hi-Trol Syrup 5 mg/5 ml cause a feeling of being "foggy" or "out of it"?

In some individuals, Hi-Trol Syrup 5 mg/5 ml may cause mild drowsiness or a "foggy" feeling. If you experience this, avoid activities that require mental alertness.

47. How is Hi-Trol Syrup 5 mg/5 ml different from other antihistamines?

Hi-Trol Syrup 5 mg/5 ml is a second-generation antihistamine, which means it has a lower chance of causing sedation or drowsiness compared to first-generation antihistamines like diphenhydramine.

48. Can Hi-Trol Syrup 5 mg/5 ml be used to treat pet allergies?

Yes, Hi-Trol Syrup 5 mg/5 ml is effective in treating symptoms associated with pet allergies, such as sneezing, itchy eyes, and nasal congestion.

49. Can Hi-Trol Syrup 5 mg/5 ml be used to treat hay fever in the summer?

Hi-Trol Syrup 5 mg/5 ml is commonly used to treat seasonal allergies, including hay fever during pollen seasons such as spring and summer.

50. Can Hi-Trol Syrup 5 mg/5 ml cause palpitations?

Palpitations are a rare side effect of Hi-Trol Syrup 5 mg/5 ml. If you experience an irregular or fast heartbeat, contact your healthcare provider immediately.

*** Taking medicines without doctor's advice can cause long-term problems.
Dr. Masud Anwar

Dr. Masud Anwar

Brain, Headache, Paralysis, Stroke & Neuromedicine Specialist

Neurology Doctor in Dhaka
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Dr. Shiblee Sadeque Shakil

Dr. Shiblee Sadeque Shakil

Cardiology (Heart Diseases), Hypertension & Rheumatic Fever Specialist

Cardiac Surgeon in Mymensingh
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