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Zyrtec Syrup and Renal/liver disease

Result of checking the interaction of drug Zyrtec Syrup and disease Renal/liver disease for safety when used together.

Check result:

Zyrtec Syrup <> Renal/liver disease

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Cetirizine is eliminated primarily by the kidney but also undergoes metabolism in the liver to some extent. Patients with renal and/or liver disease may be at greater risk for adverse effects from cetirizine due to decreased drug clearance. The manufacturer recommends an initial dosage of 5 mg once daily in patients 6 years of age and older with decreased renal function (CrCl <= 30 mL/min, including those on hemodialysis) and/or impaired hepatic function. Cetirizine should preferably not be used in children less than 6 years of age with renal and/or hepatic impairment because of the difficulty in reliably administering doses smaller than 2.5 mg (1/2 teaspoonful) and a lack of pharmacokinetic and safety data in this population.

References:

Simons FE, Watson WT, Minuk GY, Simons KJ "Cetirizine pharmacokinetics and pharmacodynamics in primary biliary cirrhosis." J Clin Pharmacol 33 (1993): 949-54
"Product Information. Zyrtec (cetirizine)." Pfizer US Pharmaceuticals, New York, NY.
Horsmans Y, Desager JP, Hulhoven R, Harvengt C "Single-dose pharmacokinetics of cetirizine in patients with chronic liver disease." J Clin Pharmacol 33 (1993): 929-32
Awni WM, Yeh J, Halstenson CE, Opsahl JA, Chung M, Matzke GR "Effect of haemodialysis on the pharmacokinetics of cetirizine." Eur J Clin Pharmacol 38 (1990): 67-9
Rihoux JP, Mariz S "Cetirizine. An updated review of its pharmacological properties and therapeutic efficacy." Clin Rev Allergy 11 (1993): 65-88
Matzke GR, Yeh J, Awni WM, Halstenson CE, Chung M "Pharmacokinetics of cetirizine in the elderly and patients with renal insufficiency." Ann Allergy 59 (1987): 25-30
Barnes CL, McKenzie CA, Webster KD, Poinsett-Holmes K "Cetirizine: a new, nonsedating antihistamine." Ann Pharmacother 27 (1993): 464-70
Campoli-Richards DM, Buckley MM, Fitton A "Cetirizine. A review of its pharmacological properties and clinical potential in allergic rhinitis, pollen-induced asthma, and chronic urticaria." Drugs 40 (1990): 762-81

Zyrtec Syrup

Generic Name: cetirizine

Brand Name: Zyrtec, All Day Allergy, All Day Allergy Children's, Indoor/Outdoor Allergy Relief, Zyrtec, GoodSense All Day Allergy

Synonyms: Cetirizine, Cetirizine (Systemic)

What is Zyrtec Syrup?