Manufacturer: Zydus Cadila
Salt Composition : Cetirizine(10mg), Ambroxol(60mg)
Citimed AM 10 mg/60 mg Tablet is taken with or without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your doctor know about all other medications you are taking as some may affect, or be affected by this medicine.
Cetirizine is a non-sedating antihistamine that works by blocking histamine (H-1) receptors on cells. It is similar to the other second generation antihistamines loratadine (Claritin), fexofenadine (Allegra) and azelastine (Astelin).
The main mechanism of action for ambroxol involves stimulation of surfactant synthesis, a complex mechanism that is not yet fully understood , but that gives ambroxol effective mucokinetic and secretagogue properties, thus promoting mucous clearance, facilitating expectoration and easing productive cough.
Cetirizine, a metabolite of hydroxyzine, is an antihistamine drug. Its main effects are achieved through selective inhibition of peripheral H1 receptors. The antihistamine activity of cetirizine has been shown in a variety of animal and human models.
The major pharmacodynamic actions of ambroxol are surfactant stimulation, mucokinetic and secretagogue activity. The therapeutic activities of the drug in animal models of the infant and adult respiratory distress syndrome (IRDS and ARDS) are reviewed.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Citimed AM
Upset stomach
Dryness in mouth
Fatigue
Dizziness
Sedation
Allergic reaction
Cetirizine is contraindicated in anyone with a known hypersensitivity to it or any of its ingredients. Cetirizine is also contraindicated in anyone with a known hypersensitivity to hydroxyzine, as cetirizine is a metabolite of hydroxyzine.
Hypersensitivity. There are no other specific contraindications for administration of ambroxol however caution is advised in patients of gastric ulceration.
Citimed AM 10 mg/60 mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Citimed AM 10 mg/60 mg Tablet may cause excessive drowsiness with alcohol.
Citimed AM 10 mg/60 mg Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Cetirizine is indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 months of age and older. It markedly reduces the occurrence, severity, and duration of hives and significantly reduces pruritus
All forms of tracheobronchitis, emphysema with bronchitis pneumoconiosis, chronic inflammatory pulmonary conditions, bronchiectasis, bronchitis with bronchospasm asthma. During acute exacerbations of bronchitis it should be given with the appropriate antibiotic.
bosutinib.
clobazam.
crizotinib.
daclatasvir.
eliglustat.
hyaluronidase.
lomitapide.
lurasidone.
Tablets/Capsules: Take Ambroxol as instructed by your doctor. Do not crush or chew the tablets or capsules.
Syrup/Oral drops: Shake the bottle well before use. Measure the dose appropriately using a measuring device.
Respules: Inhale Ambroxol respules into your lungs as directed by your doctor. Use this medicine with a nebulizer only. Do not swallow or inject the solution.
Avoid taking larger or smaller amounts of Ambroxol than that prescribed by your doctor. Take this medicine for the recommended duration.
Ambroxol is used for short-term treatment. Consult your doctor if your symptoms do not improve after few days.
Consult with your doctor if you experience any undesirable effects.
Make sure you check the expiry date before using the medicine.
Do not chew, crush or break it. Citimed AM 10 mg/60 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Store below 30°C
If you miss a dose of Citimed AM 10 mg/60 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Consult a doctor before taking any medicines
This combination medicine helps relieve runny nose, sneezing and productive cough.
Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication.
Use caution while driving or doing anything that requires concentration as Citimed AM 10 mg/60 mg Tablet can cause dizziness and sleepiness.
Do not drink alcohol while taking this medicine as it may cause increased sleepiness.
Stop taking Citimed AM 10 mg/60 mg Tablet at least three days before taking an allergy test as it can affect the test results.
Inform your doctor if your cough persists for more than 14 days.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Citimed AM 10 mg/60 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Q. Can I drink alcohol while taking Citimed AM 10 mg/60 mg Tablet?
No, avoid drinking alcohol while taking Citimed AM 10 mg/60 mg Tablet. Drinking alcohol will increase the severity of drowsiness/sleepiness caused by Citimed AM 10 mg/60 mg Tablet.
Q. Can I breastfeed while taking Citimed AM 10 mg/60 mg Tablet?
No, it is not advisable to breastfeed while using Citimed AM 10 mg/60 mg Tablet. This medicine contains Cetirizine, an antihistamine, which can pass into the breast milk and may harm the baby. Inform your doctor that you are breastfeeding if you are advised to take this medicine.
Q. Can the use of Citimed AM 10 mg/60 mg Tablet cause sleepiness or drowsiness?
Yes, Citimed AM 10 mg/60 mg Tablet may make you feel drowsy or sleepy. Do not drive car, operate machinery, work at heights or participate in potentially dangerous activities until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.
Q. Will Citimed AM 10 mg/60 mg Tablet be more effective if taken in more than recommended dose?
No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having serious side effects and toxicity. If the recommended dosage does not relieve your symptoms or there is an increased severity of your symptoms, please consult your doctor.
Q. Can the use of Citimed AM 10 mg/60 mg Tablet cause dry mouth?
Yes, the use of Citimed AM 10 mg/60 mg Tablet can cause dry mouth. If you experience dry mouth, drink plenty of water. Take regular sips during the day and keep some water by your bed at night.