INTRODUCTION OF XYZAL M
XYZAL M SYRUP is a combination of Levocetirizine and Montelukast which belongs to the group of medicines called H1 receptor antagonists and Leukotriene receptor antagonists respectively. XYZAL M SYRUP is indicated for the treatment and prevention of allergic rhinitis, chronic idiopathic urticaria (allergic skin reaction with red raised itchy bumps on skin) and bronchial asthma in children aged between 2-5 years.
Allergic rhinitis (also known as hay fever) is a heterogeneous disorder characterized by inflammation of the inner lining of nose accompanied by nasal decongestion, repeated sneezing, wheezing or red, watery and itchy eyes.
It is usually caused by allergens such as pollens, dust, mould or flakes of skin from certain animals and can occur seasonally or year-round. Bronchial asthma is a long-term medical condition in which the path of the airways becomes inflamed, narrow and swollen. Symptoms include coughing, wheezing and chest tightness.
XYZAL M SYRUP is contraindicated for use in children with severe kidney impairment. Consult your pediatrician before using XYZAL M SYRUP.
XYZAL M SYRUP may cause certain unpleasant neuropsychiatric events (such as behaviour and mood-related changes: agitation including aggressive behaviour or hostility, depression) in some children and so parents or caregivers should immediately consult your child’s doctor if you notice any unusual behaviour in your child.
The most common side effects of taking XYZAL M SYRUP are upper respiratory tract infection, fever, cough, inflammation of the pharynx, dryness of mouth, headache and sleepiness. Consult your child’s doctor if any of the side effects worsen.
USES OF XYZAL M
- Treats and prevents allergic rhinitis, chronic idiopathic urticaria and bronchial asthma in children aged between 2-5 years
HOW XYZAL M WORKS?
XYZAL M SYRUP provides relief from the symptoms of allergic rhinitis, asthma and urticaria where levocetirizine acts by blocking the actions of histamines (a substance that causes an allergic reaction), at the H1 receptors present on the surface of cells and montelukast acts by blocking the action of leukotrienes D4 (an inflammatory molecule causing narrowing and swelling of the airways) in the lungs, thus causing relaxation of smooth muscle, reduction in swelling and/or inflammation of the airways and a marked decrease in the onset of allergic reactions.
DIRECTIONS FOR USE
Give XYZAL M SYRUP to your child as advised by the physician. Shake well before use. Use a measuring cup to properly measure the dose. Your child’s doctor will decide the correct dose and duration of XYZAL M SYRUP for your child depending upon the child’s age, body weight and disease condition.
SIDE EFFECTS OF XYZAL M
COMMON EFFECTS OF XYZAL M
- Sinusitis (inflammation of the nasal passage)
- Rhinorrhea (thin mucus discharge from nose)
- Upper respiratory infection
- Cough, cold, fever or flu-like symptoms
- Pharyngitis (inflammation of the pharynx)
- Headache and tiredness
- Dizziness, sleepiness
- Nausea, vomiting, dry mouth, thirst, stomach pain, diarrhoea, indigestion
- Otitis media (inflammation or infection of the ears)
- Skin rash, eczema, urticaria (itching)
- Myopia or conjunctivitis (eye problems)
- Varicella infection
- Bleeding from the nose
- Muscle pain, joint pain
UNCOMMON EFFECTS OF XYZAL M
- Behaviour and mood related changes: dream abnormalities, including nightmares, trouble sleeping, sleepwalking, irritability, feeling anxious, restlessness
- Drowsiness, tingling, prickling and numbness sensation usually in hands or legs
- Bruising, itching, hives
- Muscle cramps
- Bedwetting in children
- Weakness, feeling unwell, swelling
RARE EFFECTS OF XYZAL M
- Behaviour and mood-related changes: disturbance in attention, memory impairment
- Uncontrolled muscle movements
Stop giving XYZAL M SYRUP to your child and contact the doctor immediately if your child experiences any of the following side effects:
- Allergic reactions including swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing
- Behaviour and mood-related changes: agitation including aggressive behaviour or hostility, depression
- Seizure
- Increased bleeding tendency
- Tremor
- Palpitations
HOW TO MANAGE SIDE EFFECTS
Nausea and vomiting:
Follow a simple meal plan for your child while administering XYZAL M SYRUP. Avoid giving foods that are oily, fried or spicy foods. Do not let your child to lie down or sleep immediately after eating. Consult the child’s doctor if the symptom does not improve.
Diarrhoea:
Advise your child to drink plenty of water and stay hydrated. Avoid giving your child a high-fat diet or spicy foods. Try to avoid giving any medicine on your own to your child to treat diarrhoea. Consult the child’s doctor if the symptom gets worse.
Stomach pain:
Advise your child to rest and relax. Tell your child to eat and drink slowly or try to have lesser and more frequent meals. Keep a heating pad on the child’s stomach to relieve pain. Consult the child’s doctor if the symptom gets worse.
Headache:
Apply a hot or cold-water bag on your child’s head. Advise your child to take a rest in a quiet room. Massage the child’s scalp or head with mild pressure for relieving effect. Consult the child’s doctor if the symptom does not improve.
Skin rash:
Avoid hot showers because hot water can irritate your child’s skin further. Tell your child not to scratch the affected area. Use protective clothing for your child when going outdoors. Regularly moisturize your child’s skin. Consult your child’s doctor if the symptom did not improve.
WARNING & PRECAUTIONS
PREGNANCY
XYZAL M SYRUP is not recommended for use in pregnant women as it is used only in children. Consult your doctor for advice.
BREAST FEEDING
XYZAL M SYRUP is not recommended for use in breastfeeding women as it is used only in children. Consult your doctor for advice.
DRIVING AND USING MACHINES
Do not let your child drive their play cycle in outdoors or make them travel along with you for long hours, because this medicine may cause somnolence, sleepiness, tiredness or dizziness in them.
KIDNEY
XYZAL M SYRUP is not recommended for use in children with severe impairment of kidney function and should be used with caution in children with impaired kidney function. Consult your child’s doctor for advice before administration of XYZAL M SYRUP to your child.
LIVER
XYZAL M SYRUP should be taken with caution in children with liver disease. Consult your child’s doctor for advice before administration of XYZAL M SYRUP to your child.
ALLERGY
Talk to your child’s doctor if your child is allergic to Montelukast, Levocetirizine or Cetirizine or other ingredients of XYZAL M SYRUP.
LUNGS
XYZAL M SYRUP is not recommended for use in children with acute asthma attacks including status asthmaticus. Consult your child’s doctor for advice before administration of XYZAL M SYRUP to your child.
OTHERS
XYZAL M SYRUP is not recommended for use if your child:
- Has galactose intolerance (an inherited condition in which the body cannot convert galactose to glucose)
- Has Lapp lactase deficiency (deficiency of the enzyme lactase in the body)
- Has glucose-galactose malabsorption
- Has phenylketonuria (release of phenylalanine in urine)
Before giving XYZAL M SYRUP to your child, inform the child’s doctor if your child:
- Has epilepsy
- Has sensitivity to aspirin or other NSAIDs
- Has schedule for allergy skin tests
- Has any predisposing factors of urinary retention (Ex. spinal cord lesion, prostatic hyperplasia)
INTERACTIONS
A. Drug-Drug interactions:
Before giving XYZAL M SYRUP to your child, inform to child’s doctor if your child is taking or receiving any of the following medicines:
- Gemfibrozil (used to control high blood cholesterol levels)
- Phenytoin, phenobarbital (used to treat epilepsy)
- Rifampicin (used to treat tuberculosis)
- Ritonavir (a medicine used to treat viral infections)
- Theophylline (a medicine used to treat asthma)
- Alcohol-containing medicines (Ex. antitussives)
Overdosage:
If your child or anyone else accidentally takes too much of XYZAL M SYRUP, consult your child’s doctor immediately or visit the nearby hospital. Overdosage symptoms of XYZAL M SYRUP might include stomach pain, thirst, sleepiness, headache, vomiting, psychomotor hyperactivity, agitation and restlessness.
MORE INFORMATION
- Keep XYZAL M SYRUP out of reach of children
- Store XYZAL M SYRUP at room temperature
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