Cinarizin Sandoz forte

Cinarizin Sandoz forte Uses, Dosage, Side Effects, Food Interaction and all others data.

Cinarizin Sandoz forte provides quick relief of various symptoms of cerebral and peripheral circulation disorders. Cinarizin Sandoz forte protects attacks of vascular headache such as migraine. Cinarizin Sandoz forte normalizes cerebral circulation time and improves cerebral irrigation in patients suffering from the disorders of cerebral circulation. Cinarizin Sandoz forte normalizes arterial pulsations in patients suffering from vasospastic disorders. Cinarizin Sandoz forte significantly increases the rate of inflow or pulsation and the blood flow in the most affected limb as well as the walking distance of patients suffering from intermittent claudication.

Cinarizin Sandoz forte acts as an antihistamine, labyrinthine sedative and a peripheral antivasoconstrictor. Inarzin is a selective calcium antagonist, inhibiting the influx of Ca2+ intracellularly. It prevents the Ca2+ dependent contraction of arterial smooth muscle by inhibiting Ca2+ influx through smooth muscle calcium channels and thereby, improves vestibular symptoms and prevents peripheral arterial disease.

Cinarizin Sandoz forte is an antihistamine and a calcium channel blocker. Histamines mediate a number of activities such as contraction of smooth muscle of the airways and gastrointestinal tract, vasodilatation, cardiac stimulation, secretion of gastric acid, promotion of interleukin release and chemotaxis of eosinophils and mast cells. Competitive antagonists at histamine H1 receptors may be divided into first (sedating) and second (non-sedating) generation agents. Some, such as Cinarizin Sandoz forte also block muscarinic acetylcholine receptors and are used as anti-emetic agents. Cinarizin Sandoz forte through its calcium channel blocking ability also inhibits stimulation of the vestibular system.

Trade Name Cinarizin Sandoz forte
Generic Cinnarizine
Cinnarizine Other Names Cinarizina, Cinnarizine, Cinnarizinum
Type
Formula C26H28N2
Weight Average: 368.524
Monoisotopic: 368.22524891
Groups Approved, Investigational
Therapeutic Class Anti vertigo drugs
Manufacturer
Available Country Slovakia
Last Updated: September 19, 2023 at 7:00 am
Cinarizin Sandoz forte
Cinarizin Sandoz forte

Uses

It is mainly used for the symptomatic treatment of nausea and vertigo due to Meniere's disease and other labyrinthine disturbances and for the prevention and treatment of motion sickness. It is also used in the management of various vascular disorders.

Cerebral circulatory disorders:

  • Prophylaxis and maintenance therapy for symptoms of cerebral vascular spasms and arteriosclerosis such as dizziness, ear buzzing (tinnitus), vascular headache, unsociability and irritability, fatigue, sleep rhythm disorders such as premature awakening, involutional depressions, loss of memory and lack of concentration, incontinence and other disorders due to aging.
  • Sequel of cerebral and cranial trauma.
  • Post-apoplectic disorders.
  • Migraine.

Peripheral circulatory disorders: Prophylaxis and maintenance therapy for symptoms of vascular spasms and arteriosclerosis (obliterating arteritis, thromboangitis obliterans, Raynaud's disease, diabetes, acrocyanosis, perrio, etc.) such as: intermittent claudication, trophic disturbances, pregangrene, trophic and varicose ulcers, paraesthesia, nocturnal cramps, cold extremities.

Disorders of balance:

  • Prophylaxis and maintenance therapy for symptoms of labyrinthine arteriosclerosis, vestibular irritability, Meniere's syndrome, such as vertigo, dizziness, giddiness, syncopal attacks, tinnitus, nystagmus, nausea and vomiting.
  • Prophylaxis of motion sickness.

Cinarizin Sandoz forte is also used to associated treatment for these conditions: Balance Disorders, Dizziness, Motion Sickness, Nausea, Peripheral Artery Disease (PAD), Raynaud's Phenomenon, Inadequate cerebral circulation, Peripheral vasculopathy

How Cinarizin Sandoz forte works

Cinarizin Sandoz forte inhibits contractions of vascular smooth muscle cells by blocking L-type and T-type voltage gated calcium channels. Cinarizin Sandoz forte has also been implicated in binding to dopamine D2 receptors, histamine H1 receptors, and muscarinic acetylcholine receptors.

Dosage

Cinarizin Sandoz forte dosage

Peripheral vascular disease:

  • Adult: 75 mg bid or tid.

Cerebrovascular disorders:

  • Adult: 75 mg once daily.

Motion sickness:

  • Adult: 30 mg 2 hr before travel then 15 mg 8 hrly during the journey if necessary.
  • Child: 5-12 yr 15 mg 2 hr before travel then 7.5 mg 8 hrly during the journey as necessary.

Vertigo and vestibular disorders:

  • Adult: 30 mg tid or 75 mg 1-2 times daily.
  • Child: 5-12 yr 15 mg tid.

Side Effects

Side effects such as somnolence and gastrointestinal disturbances are extremely rare. They are transient and may be readily prevented by achieving the optimal dosage gradually. Combination therapy with other drugs is possible. Whenever indicated, caution should be taken in hypotension (high doses). Rarely, extrapyramidal symptoms in elderly on prolonged therapy.

Precaution

Patient with hypotension (high dose), Parkinson's disease, porphyria. Renal and hepatic impairment. Childn. Pregnancy and lactation.

Interaction

Concurrent use of alcohol, CNS depressants or tricyclic antidepressants may potentiate the sedative effects of either these drugs or of Cinarizin Sandoz forte. Therefore, it is advisable to avoid these drugs while taking Cinarizin Sandoz forte.

Pregnancy & Breastfeeding use

Pregnancy Category C. The safety of Cinarizin Sandoz forte in human pregnancy has not been established. Therefore, it is not advisable to administer Cinarizin Sandoz forte in pregnancy.

Lactation: It is not known if Cinarizin Sandoz forte is excreted in human breast milk. Use of Cinarizin Sandoz forte during breast feeding is not advised.

Contraindication

Contraindicated in Known hypersensitivity to Cinarizin Sandoz forte, Parkinson’s disease, Hypotension

Special Warning

Neonates: Cinarizin Sandoz forte is not indicated in neonates.

Acute Overdose

Symptoms: Consciousness alterations ranging from somnolence to stupor and coma, vomiting, extrapyramidal symptoms, hypotonia; seizures may occur in young children.

Management: Symptomatic and supportive treatment. May consider admin of activated charcoal within 1 hr of ingestion.

Innovators Monograph

You find simplified version here Cinarizin Sandoz forte

Cinarizin Sandoz forte contains Cinnarizine see full prescribing information from innovator Cinarizin Sandoz forte Monograph, Cinarizin Sandoz forte MSDS, Cinarizin Sandoz forte FDA label

FAQ

What is Cinarizin Sandoz forte used for?

It's used for  travel sickness (also called motion sickness) dizziness and sickness caused by inner ear problems (such as vertigo, tinnitus and Ménière's disease).

How safe is Cinarizin Sandoz forte?

Cinarizin Sandoz forte can safe to be taken by most adults and children aged 5 years and above. Cinarizin Sandoz forte is not suitable for some people. Tell your doctor or pharmacist if you have: had an allergic reaction to Cinarizin Sandoz forte or any other medicines in the past.

How does Cinarizin Sandoz forte work?

Cinarizin Sandoz forte blocks the receptors in the vomiting centre, preventing it from receiving nerve messages from the vestibular apparatus. This helps to reduce symptoms such as nausea, vomiting dizziness and vertigo.

What are the common side effects of Cinarizin Sandoz forte?

Common side effects of include are drowsiness, sweating, dry mouth, headache, skin problems, lethargy, gastrointestinal irritation, hypersensitivity reactions, as well as movement problems/muscle rigidity, and tremor.

Is Cinarizin Sandoz forte safe during pregnancy?

Cinarizin Sandoz forte is not usually recommended during pregnancy.

Is Cinarizin Sandoz forte safe during breastfeeding?

Cinarizin Sandoz forte is not usually recommended during pregnancy or while breastfeeding.

Can I drink alcohol with Cinarizin Sandoz forte?

Avoid drinking alcohol while taking Cinarizin Sandoz forte. Alcohol increases the chance of side effects. To prevent travel sickness, take Cinarizin Sandoz forte 2 hours before your journey. You can take another dose 8 hours later if you need to.

Can I drive after taking Cinarizin Sandoz forte?

Cinarizin Sandoz forte can cause drowsiness. If this happens, do not drive and do not use tools or machines. 

When should be taken of Cinarizin Sandoz forte?

To prevent travel sickness, take Cinarizin Sandoz forte 2 hours before your journey. You can take another dose 8 hours later if you need to.

Can Cinarizin Sandoz forte be taken without food?

Cinarizin Sandoz forte should preferably be taken after meals. The tablets may be sucked, chewed or swallowed whole with water.

How long does Cinarizin Sandoz forte take to work?

Cinarizin Sandoz forte can take up to 4 hours for the medicine to reach its full effect.

What is the half-life of Cinarizin Sandoz forte?

The reported elimination half-life for Cinarizin Sandoz forte ranges from 4 to 24 hours.

Who should not take Cinarizin Sandoz forte?

Contraindicated in patients with Parkinson's disease, newborns, and hypersensitivity.

What happen If I stop taking Cinarizin Sandoz forte?

If you've been prescribed Cinarizin Sandoz forte to help with inner ear problems, your symptoms may return if you stop taking it.

What happens if I miss a dose?

If you forget to take a dose of Cinarizin Sandoz forte, take it as soon as you remember. Unless it's nearly time for your next dose. In which case, skip the missed dose and take your next dose at the usual time. It's important to leave at least 8 hours between doses. Do not take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

What happen if I overdose on Cinarizin Sandoz forte?

Taking too much Cinarizin Sandoz forte can make you very sleepy or confused, feel sick or be sick, feel weak or shaky, or give you a very fast, uneven or pounding heartbeat (palpitations). Too much Cinarizin Sandoz forte can give a child a fit or seizure.

Can Cinarizin Sandoz forte causes my weight gain?

Cinarizin Sandoz forte may cause weight gain.

Can Cinarizin Sandoz forte cause heart palpitations?

Taking too much Cinarizin Sandoz forte can make you very sleepy or confused, feel sick or be sick, feel weak or shaky, or give you a very fast, uneven or pounding heartbeat .

Can Cinarizin Sandoz forte be taken long term?

Cinarizin Sandoz forte should not be taken long term due to its potential side effects. Limiting pack size may reduce the likelihood of long term use.

Can I take Cinarizin Sandoz forte every day?

Adults and children aged 12 years or older – the usual dose is 2 tablets, taken 3 times a day. Children aged 5 to 11 years – the usual dose is 1 tablet, taken 3 times a day.

*** Taking medicines without doctor's advice can cause long-term problems.
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