Decancit SR - 20 F.C. Tablet

Indicated to relieve nasal and non-nasal symptoms associated with seasonal or perennial allergic rhinitis 1 tablet PO q12hr with or without food; not to exceed 2 tabs/day

1 tablet orally every 12 hours (twice daily). Swallow whole (do not crush/chew). Preferably with water. Do not exceed 2 tablets/day

Common: Dry mouth, headache, dizziness Insomnia, nervousness, tremor (pseudoephedrine-related) Fatigue or mild drowsiness (cetirizine-related in some people) Nausea Serious (seek medical help): Palpitations, fast/irregular heartbeat Marked increase in blood pressure Severe anxiety, hallucinations (rare) Severe allergic reaction (rash, swelling, breathing difficulty)

Contraindications Hypersensitivity to cetirizine, pseudoephedrine, or related drugs Severe hypertension or severe coronary artery disease (common clinical contraindication) Precautions Use caution in: Hypertension, arrhythmias, ischemic heart disease Hyperthyroidism, diabetes mellitus Glaucoma (narrow-angle), prostatic hypertrophy/urinary retention Renal impairment (dose adjustment may be needed depending on product) Use with MAO inhibitors or within 14 days of stopping them

Store at room temperature (typically below 25–30°C), in a dry place away from heat/moisture/light. Keep out of reach of children.

Avoid / use caution with: MAO inhibitors (risk of hypertensive crisis) Other sympathomimetics (decongestants, stimulants) → ↑ BP/HR Caffeine → may worsen insomnia/palpitations Other CNS depressants/alcohol (may increase sedation from cetirizine in some) Some antihypertensives may have reduced effect (clinical consideration)

Pregnancy: Prefer non-decongestant options when possible. Pseudoephedrine is generally not preferred, especially in the first trimester; use only if clearly needed and advised by a clinician. Lactation: Pseudoephedrine can reduce milk production and may cause irritability in infants; use caution or avoid if breastfeeding. Cetirizine is generally considered low-risk, but the combo needs extra caution.

MULTI-APEX