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What is this medicine
Although this use is not included in product labeling, cetirizine and loratadine are used in certain patients with asthma together with asthma medicines. The antihistamine is used before and during ex posure to substances that cause reactions, to prevent or reduce bronchospasm (wheezing or difficulty in breathing).

Cyproheptadine is used as an appetite stimulant, in adults and children

Cyproheptadine is used for treatment of vascular headaches.

Before Using This Medicine
It is especially important that your health care professional knows if you are taking any of the following:

- Anticholinergics (medicine for abdominal or stomach spasms or cramps)¡XSide effe ts, such as dryness of mouth, of Claritin or anticholinergics may be more likely to occur
- Central nervous system (CNS) depressants (medicines that cause drowsiness)¡XEffects, such as drowsiness of CNS depressants or Claritin may be worsened; also, taking maprotiline or tricyclic antidepressants may cause some side effects of either of these medicines, such as dryness of mouth, to become mor e severe
- Ketoconazole (e.g., Nizoral)¡XUse of these medicines with fexofenadine may cause an increased amount of fexofenadine in the blood.

Special warnings about this medication
Claritin may cause some people to become drowsy or less alert than they are normally. Even if taken at bedtime, it may cause some people to feel drowsy or less alert on arising. Some Claritin are more likely to cause drowsiness than others. Drowsiness is less likely with cetirizine, and rare with desloratadine and loratadine. Make sure you know how you react to the antihistamine you are taking bef ore you drive, use machines, or do anything else that could be dangerous if you are not alert.

How should this medicine be used?
Claritin comes as a syrup, a tablet, and a rapidly disintegrating tablet to take by mouth. It usually is taken once a day with or without food. Follow the directions on your prescription label careful ly, and ask your doctor or pharmacist to explain any part you do not understand. Take Claritin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

To take the rapidly disintegrating tablet, place the tablet on your tongue. It will quickly dissolve and can be swallowed with saliva.

Overdose
Clumsiness or unsteadiness; convulsions (seizures); drowsiness (severe); dryness of mouth, nose, or throat (severe); feeling faint; flushing or redness of face; hallucinations (seeing, hearing, or feeling things that are not there); shortness of breath or troubled breathing ; trouble in sleeping

Side Effects of This Medicine
Children¡XSerious side effects, such as convulsions (seizures), are more likely to occur in younger patients and would be of greater risk to infants than to older children or adults. In general, child en are more sensitive to the effects of antihistamines. Also, nightmares or unusual excitement, nervousness, restlessness, or irritability may be more likely to occur in children.



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