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Alvin (Cetirizine)

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Alvin is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction.

Other names for this medication:
Airtis, Alcoryl, Ambrolite, Analar, Ancet, Anncold, Arizine, Avizin, Cepar, Cetanj, Cetikin, Cetmac, Cetracare, Cetrizine, Ceture, Cetzy, Cistin, Citrizine, Coldace, Elgnil, Encet, Etric, Glycold, Hisnofil, Histazin, Hydrozet, Incold, Kecet, Lexicet, Moredrill, Noalzy, Odiday, Raicen, Relent, Simozine, Sizon, Suhit, Tecol, Trilert, Ventirex, Zinten, Zucet

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Also known as: Cetirizine


Cough/cold combinations are used mainly to relieve the cough due to colds, influenza, or hay fever. They are not to be used for the chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm (pronounced flem) with the cough.

Cough/cold combination products contain more than one ingredient. For example, some products may contain an antihistamine, a decongestant, and an analgesic, in addition to a medicine for coughing. If you are treating yourself, it is important to select a product that is best for your symptoms. Also, in general, it is best to buy a product that includes only those medicines you really need. If you have questions about which product to buy, check with your pharmacist.

Since different products contain ingredients that will have different precautions and side effects, it is important that you know the ingredients of the medicine you are taking. The different kinds of ingredients that may be found in cough/cold combinations include:

Antihistamines—Antihistamines are used to relieve or prevent the symptoms of hay fever and other types of allergy. They also help relieve some symptoms of the common cold, such as sneezing and runny nose. They work by preventing the effects of a substance called histamine, which is produced by the body. Some examples of antihistamines contained in these combinations are:

Bromodiphenhydramine Brompheniramine Carbinoxamine Chlorpheniramine Dexchlorpheniramine Diphenhydramine Doxylamine Phenindamine Pheniramine Phenyltoloxamine Pyrilamine Promethazine Triprolidine

Decongestants—Decongestants produce a narrowing of blood vessels. This leads to clearing of nasal congestion. However, this effect may also increase blood pressure in patients who have high blood pressure. These include:

Ephedrine Phenylephrine Pseudoephedrine

Antitussives—Antitussives help relieve coughing and are some contain a narcotic. These antitussives act directly on the cough center in the brain. Narcotics may become habit-forming, causing mental or physical dependence, if used for a long time. Physical dependence may lead to withdrawal side effects when you stop taking the medicine.

Narcotic antitussives Codeine Dihydrocodeine Hydrocodone Hydromorphone

Non-narcotic antitussives Carbetapentane Caramiphen Dextromethorphan

Expectorants—Expectorants work by loosening the mucus or phlegm in the lungs. The main expectorant used in cough and cold medicines is guaifenesin. Other ingredients added as expectorants (for example, ammonium chloride, calcium iodide, iodinated glycerol, ipecac, potassium guaiacolsulfonate, potassium iodide, and sodium citrate) have not been proven to be effective. In general, the best thing you can do to loosen mucus or phlegm is to drink plenty of water.

Analgesics—Analgesics are used in these combination medicines to help relieve the aches and pain that may occur with the common cold. These include:

Acetaminophen Aspirin Other salicylates such as salicylamide and sodium salicylate

The use of too much acetaminophen and salicylates at the same time may cause kidney damage or cancer of the kidney or urinary bladder. This may occur if large amounts of both medicines are taken together for a long time. However, taking the recommended amounts of combination medicines that contain both acetaminophen and a salicylate for short periods of time has not been shown to cause these unwanted effects.

Anticholinergics—Anticholinergics, such as homatropine may help produce a drying effect in the nose and chest.

These cough and cold combinations are available both over-the-counter (OTC) and with your doctor's prescription.

Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects .


Usual Adult Dose for Allergic Rhinitis:

5 to 10 mg orally once a day -Maximum dose: 10 mg/day -Some experts recommend: Patients over 65 years of age should start with 5 mg orally once a day.

Usual Adult Dose for Urticaria:

5 to 10 mg orally once a day -Maximum dose: 10 mg/day -Some experts recommend: Patients over 65 years of age should start with 5 mg orally once a day. Uses: -Relief of symptoms associated with perennial allergic rhinitis due to allergens (e.g., sneezing, rhinorrhea, postnasal discharge, nasal pruritus, ocular pruritus, tearing) -Treatment of uncomplicated skin manifestations of chronic idiopathic urticaria

Usual Pediatric Dose for Allergic Rhinitis:

6 months to 2 years: -Initial dose: 2.5 mg orally once a day -Maintenance dose: 2.5 mg orally once to 2 times a day -Maximum dose: 5 mg/day 2 to 5 years: -Initial dose: 2.5 mg orally once a day -Maintenance dose: 2.5 mg orally 2 times a day OR 5 mg orally once a day -Maximum dose: 5 mg/day 6 years and older: 5 to 10 mg orally once a day -Maximum dose: 10 mg/day

Usual Pediatric Dose for Urticaria:

6 months to 2 years: -Initial dose: 2.5 mg orally once a day -Maintenance dose: 2.5 mg orally once to 2 times a day -Maximum dose: 5 mg/day 2 to 5 years: -Initial dose: 2.5 mg orally once a day -Maintenance dose: 2.5 mg orally 2 times a day OR 5 mg orally once a day -Maximum dose: 5 mg/day 6 years and older: 5 to 10 mg orally once a day -Maximum dose: 10 mg/day Uses: -Relief of symptoms associated with perennial allergic rhinitis due to allergens (e.g., sneezing, rhinorrhea, postnasal discharge, nasal pruritus, ocular pruritus, tearing) in patients 2 years and older -Treatment of uncomplicated skin manifestations of chronic idiopathic urticaria in patients 6 months and older

Detailed Alvin dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme drowsiness, vision problems, agitation, feeling restless and then drowsy or tired, fast heartbeats, stomach pain, nausea, vomiting, trouble walking, or trouble swallowing or speaking.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Alvin are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not use this medicine if you are allergic to cetirizine or pseudoephedrine, or if you have:

narrow-angle glaucoma; severe high blood pressure (hypertension); severe coronary artery disease; if you are unable to urinate; or if you are allergic to hydroxyzine (Atarax, Vistaril).

Do not use Alvin-D if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have other medical conditions, especially:

heart disease, coronary artery disease, high blood pressure, or heart rhythm disorder; diabetes; a thyroid disorder; glaucoma; kidney or liver disease; an enlarged prostate; or problems with urination.

FDA pregnancy category C. It is not known whether Alvin-D will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

Cetirizine and pseudoephedrine may pass into breast milk and may harm a nursing baby. Antihistamines and decongestants may also slow breast milk production. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Older adults may be more likely to have side effects from Alvin-D.

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An understanding of the mechanisms driving cell motility requires clarification of the structural organisation of actin filament arrays in the regions of cell protrusion termed lamellipodia. In this work we identify key proteins involved in the cytotoxicity of amine-modified polystyrene nanoparticles. SMNDC remained bound to the protein during SDS-polyacrylamide gel electrophoresis in the absence of reducing agent and the fluorescence pattern observed under U.V. We studied whether this activity was dependent on anti-angiogenic ability of NAMI-A. Probes can be designed for either serine/threonine or tyrosine kinases, and analysis can be performed using standard fluorescence equipment. Cyanate is a uremic toxin responsible for the carbamylation of proteins, which has been implicated as playing a key role in accelerating the progression of atherosclerosis in patients with chronic kidney disease. Relationships between insight and medication adherence in outpatients with schizophrenia and bipolar disorder: prospective study. Use of job-specific functional capacity evaluation to predict the return to work of patients with a distal radius fracture.

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We performed a retrospective extraction study from our melanoma register of all patients with in situ and minimally invasive SUM treated with conservative surgery in the University Hospital Department of Dermatology, Lyon, France from 2004 to 2009. The effects of sevoflurane and hyperventilation on electrocorticogram spike activity in patients with refractory epilepsy. Our model is consistent with the formation of two important secondary structures, namely, an alpha-helix and a beta-ladder. The present experiments demonstrated that high magnesium intake protected the kidney against injury induced by gentamicin. Non-invasive parameters in the measurement of cardiac output, stroke volume acticin , pre-ejection period index (PEPI), PEP/LVET ratio, ejection fraction and mean Vcf were significantly improved, indicating beneficial effects of prenalterol on cardiac contractility. Motor overactivity is associated with increased sympathergic functions.

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Antimycobacterial Efficacy of Andrographis paniculata Leaf Extracts Under Intracellular and Hypoxic Conditions. Interglacial ISM maxima are dominated by an enhanced Indian low associated with global ice volume minima. In 30 hip joints in stage I, 29 showed no radiographic progression and a complete remission of the changes consistent with necrosis on MRI at the last follow-up. Macrobenthos with long-lived and relatively slow-growing invertebrates and structurally complex algal forms were homogeneously distributed in space and went through little fluctuations in time. Acute kidney injury: the beginning of the end of the dark ages.

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During metoprolol treatment there was only a slight rise in blood pressure and heart rate rose. Multidisciplinary therapy of stage IIIA non-small-cell lung cancer: long-term outcome of chemoradiation with or without surgery. The strength and dynamics of synaptic transmission are determined, in part, by the presynaptic action potential (AP) waveform at the nerve terminal. Psychosocial characteristics have proven to be important correlates of sexual transmission risk behaviors in high-income countries, but little attention has focused on the influence of psychosocial and psychological factors on sexual transmission risk behaviors in African cohorts. The full-length cDNA (1133 bp) encoding this 300-amino acid protein was cloned from the mantle. Resonant efficiency improvement design of piezoelectric biosensor for bacteria gravimetric sensing. The gene of a putative thermostable sugar-binding protein has been cloned and expressed in E. Some studies have investigated the dysregulation in atherosclerosis at mRNA, miRNA or DNA methylation level, respectively. Eight other rabbits received 5 to 20 mg of HPD intravenously and subsequent intravascular 636-nm laser radiation to either the thoracic aorta or the aortic arch.

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For recording and stimulation, twisted teflon-coated stainless steel wires were implanted into somatosensory cortex or corpus callusom. This strategy optimizes pre-neoadjuvant CTX and post-neoadjuvant CTX staging information by distinguishing the patients who are node negative at presentation from those who have been downstaged to node negativity and offers the potential for avoiding unnecessary ALNDs in both of these patient subsets. RNA silencing can reduce the expression of specific genes through posttranscriptional gene silencing, the microRNA pathway, and also through transcriptional gene silencing. The optimum pH of the enzyme was 5.0 for guaiacol and H2O2, and the Km values for guaiacol and H2O2 were 1.96 and 8.5mM, respectively. The common genetic hypothesis of autoimmune/inflammatory disease. The aim of this study is to investigate the relationship between body composition and the severity of anxiety/depressive symptoms in overweight and obese individuals with Metabolic Syndrome (MS). Therefore, these structures enabled the identification of hot spots for capsid rearrangements, which led to the hypothesis that the protomer interface near the junction and the 2-fold axis permits the opening of large channels for the exit of polypeptides and viral RNA, which is an uncoating mechanism that is likely conserved in enteroviruses. Most cases occur in the major salivary gland, but a few cases affecting the minor salivary gland have also been described. Her sera were positive for two times 4 months apart for B19 IgM and B19 DNA at the initial stage. The combination of H1- and H2-antagonists can be beneficial in certain cases.

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Network-based analysis has been proven useful in biologically-oriented areas, e.g., to explore the dynamics and complexity of biological networks. Our results show that DKC1 encodes a new alternatively spliced mRNA able to direct the synthesis of a variant dyskerin with unexpected cytoplasmic localization. The increase in butyrate seemed to be in exchange for propionate, whilst the total SCFA production remained similar. We therefore believe that this study yielded valuable information for future methods of identifying dyslexia in Dutch as well as in other languages, and that this would be beneficial for comparing studies across countries. The virus-specific DNA-dependent enzyme, which does not require ATP, is a single polypeptide of Mr 50,000 and possesses both endonuclease and ligase activities maxolon dosage .

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HIV-1 protease (PR) and reverse transcriptase (RT) were sequenced at screening. The mean tooth dimensions in the primary dentition were generally smaller in DS individuals except in the mesiodistal tooth dimensions of maxillary central incisors and canines, mandibular canines and the clinical crown heights of the maxillary central incisors and 2nd molars. We compared reflex chronotropic responses to intravenously infused drugs in three groups of age-matched normotensive female rats, namely, Sprague-Dawley, lean can zithromax treat bladder infection Zucker, and obese Zucker. Treatment of these fistulas, especially when they are wide and scarred, is a challenge for both patients and plastic surgeons, with a high rate of recurrence. Eradication of measles through immunization selected endorsements. A perspective on DNA microarray technology in food and nutritional science. Clinically important interactions of nonsteroidal antiinflammatory drugs with other medications. This pilot study supports the notion that the presence of CTX-M-producing bacteria is uncommon in oral plaque of healthy human adult fecal carriers. The enrolled 79 ischemic heart disease patients joined a 24-week cardiac rehabilitation training program.

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