Peringatan Keamanan

Oral LD50 (rat): 365 mg/kg; Intraperitoneal LDLO (mouse): 138 mg/kg; Oral TDLO (rat): 50 mg/kg; Oral TDLO (mouse): 0.1 mg/kg MSDS.

Carcinogenesis and mutagenesis: In a 2-year carcinogenicity study in rats, cetirizine was not shown to be carcinogenic at dietary doses up to 20 mg/kg (approximately 15 times the maximum recommended daily oral dose in adults). In a 2-year carcinogenicity study in mice, cetirizine administration lead to an incidence of benign liver tumors in males at a dietary dose of 16 mg/kg (approximately 6 times the maximum recommended daily oral dose in adults). The clinical significance of these findings during long-term use of cetirizine is unknown at this time FDA label.

Cetirizine was not mutagenic in the Ames test, and not clastogenic in the human lymphocyte assay, the mouse lymphoma assay, and in vivo micronucleus test in rats FDA label.

Impairment of fertility

In a fertility and reproduction study in mice, cetirizine did not negatively impact fertility at an oral dose of 64 mg/kg (approximately 25 times the maximum recommended daily oral dose in adults) FDA label.

Pregnancy Category B:

In mice, rats, and rabbits, cetirizine was not teratogenic at oral doses up to 96, 225, and 135 mg/kg, respectively (approximately 40, 180 and 220 times the maximum recommended daily oral dose in adults). There are no adequate and well-controlled studies in pregnant women. Because animal studies are not always predictive of human response, cetirizine should be used in pregnancy only if clearly needed FDA label.

Use in breastfeeding/nursing

Cetirizine has been reported to be excreted in human breast milk. The use of cetirizine in nursing mothers is not recommended FDA label.

Cetirizine

DB00341

small molecule approved

Deskripsi

Cetirizine, also commonly known as Zyrtec, is an orally active second-generation histamine H1 antagonist proven effective in the treatment of various allergic symptoms, such as sneezing, coughing, nasal congestion, hives, and other symptoms A175051, A175054.

One of the most common uses for this drug is for a condition called allergic rhinitis. The prevalence of allergic rhinitis in the United States is about 15% according to physician diagnoses, and up to 30%, according to self-reported nasal symptoms. Allergic rhinitis is associated with multiple missed or unproductive days at work and school, problems with sleep, and other difficulties with day to day activities for many individuals A175057. Furthermore, some antihistamine agents that are used to treat this condition cause undesirable, sedating effects A175060.

Cetirizine is one of the first second-generation H1 antihistamines (SGAHs) formulated to selectively inhibit the H1 receptor without sedating effects A175054.

Struktur Molekul 2D

Berat 388.888
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Plasma elimination half-life is 8.3 hours [FDA label].
Volume Distribusi Apparent volume of distribution: 0.44 +/- 0.19 L/kg [A175063].
Klirens (Clearance) Apparent total body clearance: approximately 53 mL/min [FDA label]. Cetirizine is mainly eliminated by the kidneys [A175051], [FDA label]. Dose adjustment is required for patients with moderate to severe renal impairment and in patients on hemodialysis [FDA label].

Absorpsi

Cetirizine was rapidly absorbed with a time to maximum concentration (Tmax) of about 1 hour after oral administration of tablets or syrup formulation in adult volunteers FDA label. Bioavailability was found to be similar between the tablet and syrup dosage forms. When healthy study volunteers were given several doses of cetirizine (10 mg tablets once daily for 10 days), a mean peak plasma concentration (Cmax) of 311 ng/mL was measured FDA label. Effect of food on absorption Food had no effect on cetirizine exposure (AUC), however, Tmax was delayed by 1.7 hours and Cmax was decreased by 23% in the fed state FDA label.

Metabolisme

A mass balance clinical trial comprised of 6 healthy male study volunteers showed that 70% of the administered radioactivity was measured in the urine and 10% in the feces after cetirizine administration. About 50% of the radioactivity was measured in the urine as unchanged cetirizine. Most of the rapid increase in peak plasma radioactivity was related to the parent drug, implying a low level of first pass metabolism. This prevents potential interactions of cetirizine with drugs interacting with hepatic cytochrome enzymes A175051. Cetirizine is metabolized partially by oxidative O-dealkylation to a metabolite with insignificant antihistaminic activity. The enzyme or enzymes responsible for this step in cetirizine metabolism have not yet been identified FDA label.

Rute Eliminasi

Mainly eliminated in the urine FDA label, A175051. Between 70 – 85% of an orally administered dose can be found in the urine and 10 – 13% in the feces A175051.

Interaksi Makanan

2 Data
  • 1. Avoid alcohol.
  • 2. Take with or without food. The absorption is unaffected by food.

Interaksi Obat

1601 Data
Buprenorphine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Dronabinol Dronabinol may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Hydrocodone Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Hydrocodone.
Magnesium sulfate The therapeutic efficacy of Cetirizine can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Cetirizine may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Mirtazapine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Mirtazapine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Orphenadrine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Perampanel Perampanel may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Pramipexole Cetirizine may increase the sedative activities of Pramipexole.
Ropinirole Cetirizine may increase the sedative activities of Ropinirole.
Rotigotine Cetirizine may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Cetirizine.
Sodium oxybate Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Sodium oxybate.
Suvorexant Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Tapentadol Tapentadol may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Thalidomide Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Zolpidem Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Benzylpenicilloyl polylysine Cetirizine may decrease effectiveness of Benzylpenicilloyl polylysine as a diagnostic agent.
Betahistine The therapeutic efficacy of Betahistine can be decreased when used in combination with Cetirizine.
Hyaluronidase (ovine) The therapeutic efficacy of Hyaluronidase (ovine) can be decreased when used in combination with Cetirizine.
Hyaluronidase (human recombinant) The therapeutic efficacy of Hyaluronidase (human recombinant) can be decreased when used in combination with Cetirizine.
Hyaluronidase The therapeutic efficacy of Hyaluronidase can be decreased when used in combination with Cetirizine.
Methadone The risk or severity of adverse effects can be increased when Methadone is combined with Cetirizine.
Ethanol Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Ethanol.
Azelastine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Azelastine.
Brimonidine Brimonidine may increase the central nervous system depressant (CNS depressant) activities of Cetirizine.
Fluvoxamine The risk or severity of adverse effects can be increased when Cetirizine is combined with Fluvoxamine.
Duloxetine The risk or severity of adverse effects can be increased when Cetirizine is combined with Duloxetine.
Paroxetine The risk or severity of adverse effects can be increased when Cetirizine is combined with Paroxetine.
Sertraline The risk or severity of adverse effects can be increased when Cetirizine is combined with Sertraline.
Sibutramine The risk or severity of adverse effects can be increased when Cetirizine is combined with Sibutramine.
Nefazodone The risk or severity of adverse effects can be increased when Cetirizine is combined with Nefazodone.
Zimelidine The risk or severity of adverse effects can be increased when Cetirizine is combined with Zimelidine.
Dapoxetine The risk or severity of adverse effects can be increased when Cetirizine is combined with Dapoxetine.
Milnacipran The risk or severity of adverse effects can be increased when Cetirizine is combined with Milnacipran.
Desvenlafaxine The risk or severity of adverse effects can be increased when Cetirizine is combined with Desvenlafaxine.
Seproxetine The risk or severity of adverse effects can be increased when Cetirizine is combined with Seproxetine.
Levomilnacipran Cetirizine may decrease the excretion rate of Levomilnacipran which could result in a higher serum level.
Indalpine The risk or severity of adverse effects can be increased when Cetirizine is combined with Indalpine.
Ritanserin The risk or severity of adverse effects can be increased when Cetirizine is combined with Ritanserin.
Alaproclate The risk or severity of adverse effects can be increased when Cetirizine is combined with Alaproclate.
Citalopram The risk or severity of QTc prolongation can be increased when Cetirizine is combined with Citalopram.
Escitalopram The risk or severity of adverse effects can be increased when Cetirizine is combined with Escitalopram.
Amphetamine Amphetamine may decrease the sedative activities of Cetirizine.
Phentermine Phentermine may decrease the sedative activities of Cetirizine.
Benzphetamine Benzphetamine may decrease the sedative activities of Cetirizine.
Diethylpropion Diethylpropion may decrease the sedative activities of Cetirizine.
Lisdexamfetamine Lisdexamfetamine may decrease the sedative activities of Cetirizine.
Mephentermine Mephentermine may decrease the sedative activities of Cetirizine.
MMDA MMDA may decrease the sedative activities of Cetirizine.
Midomafetamine Midomafetamine may decrease the sedative activities of Cetirizine.
2,5-Dimethoxy-4-ethylamphetamine 2,5-Dimethoxy-4-ethylamphetamine may decrease the sedative activities of Cetirizine.
4-Bromo-2,5-dimethoxyamphetamine 4-Bromo-2,5-dimethoxyamphetamine may decrease the sedative activities of Cetirizine.
Tenamfetamine Tenamfetamine may decrease the sedative activities of Cetirizine.
Chlorphentermine Chlorphentermine may decrease the sedative activities of Cetirizine.
Methylenedioxyethamphetamine Methylenedioxyethamphetamine may decrease the sedative activities of Cetirizine.
Dextroamphetamine Dextroamphetamine may decrease the sedative activities of Cetirizine.
Metamfetamine Metamfetamine may decrease the sedative activities of Cetirizine.
Iofetamine I-123 Iofetamine I-123 may decrease the sedative activities of Cetirizine.
Ritobegron Ritobegron may decrease the sedative activities of Cetirizine.
Mephedrone Mephedrone may decrease the sedative activities of Cetirizine.
Methoxyphenamine Methoxyphenamine may decrease the sedative activities of Cetirizine.
Gepefrine Gepefrine may decrease the sedative activities of Cetirizine.
2,5-Dimethoxy-4-ethylthioamphetamine 2,5-Dimethoxy-4-ethylthioamphetamine may decrease the sedative activities of Cetirizine.
Phendimetrazine Phendimetrazine may decrease the sedative activities of Cetirizine.
Trospium Trospium may increase the anticholinergic activities of Cetirizine.
Oxyphenonium Oxyphenonium may increase the anticholinergic activities of Cetirizine.
Ipratropium Ipratropium may increase the anticholinergic activities of Cetirizine.
Metixene Metixene may increase the anticholinergic activities of Cetirizine.
Buclizine The risk or severity of QTc prolongation can be increased when Cetirizine is combined with Buclizine.
Trihexyphenidyl Trihexyphenidyl may increase the anticholinergic activities of Cetirizine.
Oxyphencyclimine Oxyphencyclimine may increase the anticholinergic activities of Cetirizine.
Procyclidine Procyclidine may increase the anticholinergic activities of Cetirizine.
Profenamine Profenamine may increase the anticholinergic activities of Cetirizine.
Cyproheptadine The risk or severity of CNS depression can be increased when Cetirizine is combined with Cyproheptadine.
Methscopolamine bromide Methscopolamine bromide may increase the anticholinergic activities of Cetirizine.
Chlorpromazine The risk or severity of CNS depression can be increased when Cetirizine is combined with Chlorpromazine.
Gallamine triethiodide The risk or severity of CNS depression can be increased when Cetirizine is combined with Gallamine triethiodide.
Darifenacin Darifenacin may increase the anticholinergic activities of Cetirizine.
Tridihexethyl Tridihexethyl may increase the anticholinergic activities of Cetirizine.
Triflupromazine The risk or severity of CNS depression can be increased when Cetirizine is combined with Triflupromazine.
Anisotropine methylbromide Anisotropine methylbromide may increase the anticholinergic activities of Cetirizine.
Nortriptyline The risk or severity of CNS depression can be increased when Cetirizine is combined with Nortriptyline.
Amoxapine The risk or severity of CNS depression can be increased when Cetirizine is combined with Amoxapine.
Pirenzepine Pirenzepine may increase the anticholinergic activities of Cetirizine.
Homatropine methylbromide Homatropine methylbromide may increase the anticholinergic activities of Cetirizine.
Propiomazine The risk or severity of CNS depression can be increased when Cetirizine is combined with Propiomazine.
Biperiden Biperiden may increase the anticholinergic activities of Cetirizine.
Maprotiline The risk or severity of CNS depression can be increased when Cetirizine is combined with Maprotiline.
Methantheline Methantheline may increase the anticholinergic activities of Cetirizine.
Cycrimine Cycrimine may increase the anticholinergic activities of Cetirizine.
Glycopyrronium Glycopyrronium may increase the anticholinergic activities of Cetirizine.
Oxybutynin Oxybutynin may increase the anticholinergic activities of Cetirizine.
Diphenidol Diphenidol may increase the anticholinergic activities of Cetirizine.

Target Protein

Histamine H1 receptor HRH1

Referensi & Sumber

Synthesis reference: Manne Reddy, "Polymorphic forms of dihydrochloride salts of cetirizine and processes for preparation thereof." U.S. Patent US20040186112, issued September 23, 2004.
Artikel (PubMed)
  • PMID: 14680442
    Portnoy JM, Dinakar C: Review of cetirizine hydrochloride for the treatment of allergic disorders. Expert Opin Pharmacother. 2004 Jan;5(1):125-35. doi: 10.1517/14656566.5.1.125 .
  • PMID: 23867423
    Zhang L, Cheng L, Hong J: The clinical use of cetirizine in the treatment of allergic rhinitis. Pharmacology. 2013;92(1-2):14-25. doi: 10.1159/000351843. Epub 2013 Jul 18.
  • PMID: 25629743
    Wheatley LM, Togias A: Clinical practice. Allergic rhinitis. N Engl J Med. 2015 Jan 29;372(5):456-63. doi: 10.1056/NEJMcp1412282.
  • PMID: 23723474
    Church MK, Church DS: Pharmacology of antihistamines. Indian J Dermatol. 2013 May;58(3):219-24. doi: 10.4103/0019-5154.110832.
  • PMID: 9084458
    Spicak V, Dab I, Hulhoven R, Desager JP, Klanova M, de Longueville M, Harvengt C: Pharmacokinetics and pharmacodynamics of cetirizine in infants and toddlers. Clin Pharmacol Ther. 1997 Mar;61(3):325-30. doi: 10.1016/S0009-9236(97)90165-X.

Contoh Produk & Brand

Produk: 957 • International brands: 7
Produk
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  • 24 Hour Allergy
    Liquid • 5 mg/5mL • Oral • US • Generic • OTC • Approved
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  • 24 Hour Allergy
    Capsule • 10 mg/1 • Oral • US • OTC • Approved
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    Capsule, liquid filled • 10 mg/1 • Oral • US • Generic • OTC • Approved
  • 24 Hour Allergy
    Capsule, liquid filled • 10 mg/1 • Oral • US • Generic • OTC • Approved
  • 24 Hour Allergy Lil Drug Store Products
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Menampilkan 8 dari 957 produk.
International Brands
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  • Cetryn
  • Formistin
  • Hitrizin
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  • Zirtek
  • Zyrlex

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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