Zirtek Tablets

When a pharmaceutical company changes any document, a new version is published on medicines.ie. For each version, we show the dates it was published on medicines.ie and the reasons for change.

Updated on 3 July 2019 PIL

Reasons for updating

  • Change to section 2 - pregnancy, breast feeding and fertility

Updated on 23 April 2019 SmPC

Reasons for updating

  • Change to section 4.6 - Pregnancy and lactation

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

minor updates to section 4.6 upon clarification with RMS, "Cetirizine is excreted in human milk at concentrations representing 25% to 90% of those measured in plasma depending on sampling time after administration” should remain in section 4.6.

Updated on 18 April 2019 PIL

Reasons for updating

  • Change to section 2 - pregnancy, breast feeding and fertility
  • Change to section 6 - date of revision

Updated on 18 April 2019 SmPC

Reasons for updating

  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 10 - Date of revision of the text

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

4.6     Fertility, pregnancy and lactation

[...]

Breast-feeding

Cetirizine passes into breast milk. A risk of side effects in breastfed infants cannot be excluded.  Cetirizine is excreted in human milk at concentrations representing 25% to 90% of those measured in plasma, depending on sampling time after administration. Therefore, caution should be exercised when prescribing cetirizine to lactating women.

Updated on 27 June 2018 SmPC

Reasons for updating

  • Change to section 4.8 - Undesirable effects
  • Change to section 10 - Date of revision of the text

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

Change to section 4.8- Undesirable effects: Addition of hepatitis
Change to section 10- Date of revision of the text: it has been updated to May 2018

Updated on 27 June 2018 PIL

Reasons for updating

  • Change to section 4 - possible side effects
  • Change to section 6 - date of revision

Updated on 12 May 2018 SmPC

Reasons for updating

  • New SmPC for new product

Legal category: Supply through pharmacy only

Updated on 11 July 2017 SmPC

Reasons for updating

  • New SmPC for new product

Legal category: Supply through pharmacy only

Updated on 11 July 2017 SmPC

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.8 - Undesirable effects
  • Change to section 5.2 - Pharmacokinetic properties

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

  • Updates to section 4.8 “Undesirable effects” as follows:

- Addition of ADRs “nightmare” and “arthralgia”

- Addition of ADR “acute generalized exanthematous pustulosis”

  • Updates to sections 4.2 and 5.2, to align some wording with QRD.

Updated on 3 July 2017 PIL

Reasons for updating

  • New PIL for new product

Updated on 3 July 2017 PIL

Reasons for updating

  • Change to section 2 - what you need to know - warnings and precautions
  • Change to section 4 - possible side effects

Updated on 20 June 2016 SmPC

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.8 - Undesirable effects
  • Change to section 10 - Date of revision of the text
  • Heading “Special population” added.
  • Some text added and deleted.

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company



4.2.        Posology and Method of Administration

  • Heading “Special population” added.

4.4         Special warnings and precautions for use

  • Some text added and deleted.

4.8.        Undesirable Effects

·       Some text added and deleted.

10          DATE OF REVISION OF THE TEXT

·       Date of revision updated.

 

 

Updated on 17 June 2016 PIL

Reasons for updating

  • Change to how the medicine works

Updated on 15 November 2012 PIL

Reasons for updating

  • Change of inactive ingredient
  • Change to, or new use for medicine
  • Change to warnings or special precautions for use
  • Change to side-effects

Updated on 15 October 2012 SmPC

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.8 - Undesirable effects

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

4.4     Special warnings and precautions for use

 

Caution should be taken in patients with predisposition factors of urinary retention (e.g. spinal cord lesion, prostatic hyperplasia) as cetirizine may increase the risk of urinary retention.

 

 

4.8         Undesirable effects

 

Metabolism and nutrition disorders:

Not known: increased appetite

 

Psychiatric disorders:

Not known: suicidal ideation

 

Ear and labyrinth disorders:

Not known: vertigo

 

Renal and urinary disorders:

Not known: urinary retention

 

 

Updated on 13 June 2012 PIL

Reasons for updating

  • Change to improve clarity and readability

Updated on 2 April 2012 SmPC

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.4 - Special warnings and precautions for use

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

2.       QUALITATIVE AND QUANTITATIVE COMPOSITION

 

One film-coated tablet contains 10 mg cetirizine dihydrochloride

 

Excipients with known effect: one film-coated tablet contains 66.40 mg lactose-monohydrate

 

For the full list of excipients, see section 6.1.

 

 

3.       PHARMACEUTICAL form

 

Film-coated tablets

 

White, oblong, film-coated tablet, with breakline and Y-Y logo

The tablet can be divided into 2 equal doses.

 

 

4.2     Posology and method of administration

 

The tablets need to be swallowed with a glass of liquid.

 

4.4     Special warnings and precautions for use

 

 

Paediatric population

The use of the film-coated tablet formulation is not recommended in children aged less than 6 years since this formulation does not allow for appropriate dose adaptation.

Updated on 18 July 2011 PIL

Reasons for updating

  • Change to warnings or special precautions for use
  • Change to side-effects
  • Change to information about drinking alcohol
  • Change to information about pregnancy or lactation

Updated on 31 May 2011 PIL

Reasons for updating

  • Change to side-effects
  • Change to further information section

Updated on 13 May 2011 SmPC

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.8 - Undesirable effects

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

4.4     Special warnings and precautions for use

 

At therapeutic doses, no clinically significant interactions have been demonstrated with alcohol (for a blood alcohol level of 0.5 g/l).  Nevertheless, precaution is recommended if alcohol is taken concomitantly.

 

Caution in epileptic patients and patients at risk of convulsions is recommended.

 

The use of the film-coated tablet formulation is not recommended in children aged less than 6 years since this formulation does not allow for appropriate dose adaptation.

Allergy skin tests are inhibited by antihistamines and a wash-out period (of 3 days) is required before performing them.

 

 4.6     Fertility, pregnancy and lactation

 

Pregnancy

For cetirizine very rare clinical data on exposed pregnancies are available.  Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonal/fetal development, parturition or postnatal development.  Caution should be exercised when prescribing to pregnant women.

Lactation

Cetirizine is excreted in human milk at concentrations representing 0.25 to 0.90 those measured in plasma, depending on sampling time after administration. Therefore, caution should be exercised when prescribing cetirizine to lactating women.

 

4.8       Undesirable effects

Post-marketing experience

 

In addition to the adverse reactions reported during clinical studies and listed above, the following undesirable effects have been reported in post-marketing experience. 

 

Undesirable effects are described according to MedDRA System Organ Class and by estimated

frequency based on post-marketing experience.

 

Frequencies are defined as follows: Very common (≥1/10); common (≥1/100 to <1/10); uncommon

(≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); very rare (<1/10,000), not known (cannot be

estimated from the available data)

 

  

Psychiatric disorders:

Uncommon: agitation

Rare: aggression, confusion, depression, hallucination, insomnia

Very rare: tics

 

Nervous system disorders:

Uncommon: paraesthesia

Rare: convulsions

Very rare: dysgeusia, syncope, tremor, dystonia, dyskinesia

Not known: amnesia, memory impairment

Updated on 6 May 2009 PIL

Reasons for updating

  • Change due to harmonisation of patient information leaflet

Updated on 30 April 2009 SmPC

Reasons for updating

  • Change to section 4 - Clinical particulars
  • Change to section 5 - Pharmacological properties

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

SPC has been updated in line with referral procedure to harmonise SPC within the EU

Updated on 11 June 2008 PIL

Reasons for updating

  • Change to marketing authorisation holder

Updated on 8 May 2008 SmPC

Reasons for updating

  • Change to section 7 - Marketing authorisation holder
  • Change to section 8 - MA number

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

Change in PA name/address and number.

Updated on 10 August 2007 PIL

Reasons for updating

  • Change to date of revision

Updated on 17 July 2007 SmPC

Reasons for updating

  • Change to section 9 - Date of renewal of authorisation

Legal category: Supply through pharmacy only

Free text change information supplied by the pharmaceutical company

Update SPC following renewal of PA

Updated on 7 February 2006 PIL

Reasons for updating

  • Change of manufacturer

Updated on 6 October 2004 PIL

Reasons for updating

  • Improved electronic presentation

Updated on 24 August 2004 PIL

Reasons for updating

  • New PIL for medicines.ie

Updated on 7 August 2004 SmPC

Reasons for updating

  • Change to section 4.2 - Posology and method of administration

Legal category: Supply through pharmacy only

Updated on 27 May 2004 SmPC

Reasons for updating

  • Change to section 4.3 - Contraindications
  • Change to section 4.8 - Undesirable effects

Legal category: Supply through pharmacy only

Updated on 23 June 2003 SmPC

Reasons for updating

  • New SPC for medicines.ie

Legal category: Supply through pharmacy only