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New search Medicine profile Cetirizine/menthol

Clinical medicine profile

Cetirizine/menthol

Therapeutic agent (verify pharmacological class)

POM
Evidence state General guidance Reviewed 14 Aug 2026
Route
See product SmPC
Schedule
POM
ATC
Not assigned
PPB status
registered
Patient advice Check interactions
Verification required

This profile needs source confirmation

Some sections contain general class guidance rather than medicine-specific evidence. Confirm prescribing decisions against the current SmPC and Kenya STG/EML.

01 Risk first

Safety essentials

The information most likely to change a prescribing or dispensing decision.

Contraindications

  • [Cetirizine] Allergy to any component of the formulation and any other piperazines, severe arrhythmias, pheochromocytoma, history of stroke, high risk of haemorrhagic stroke, dihydroergotamine, MAOI, elevated intraocular pressure, severe hypertension, severe ischaemic heart disease, severe renal insufficiency, uncontrolled hyperthyroidism, urinary retention, and glaucoma. [menthol] Hypersensitivity to the active substance or excipients.
  • Additional absolute contraindications are indication- and product-specific — consult SmPC.

Precautions

  • Warnings Do not use if you have ever had an allergic reaction to this product or any of its ingredients or to an antihistamine containing hydroxyzine.
  • Ask a doctor before use if you have liver or kidney disease.
  • Your doctor should determine if you need a different dose.
  • Ask a doctor or pharmacist before use if you are taking tranquilizers or sedatives.
  • When using this product drowsiness may occur avoid alcoholic drinks alcohol, sedatives, and tranquilizers may increase drowsiness be careful when driving a motor vehicle or operating machinery Stop use and ask a doctor if an allergic reaction to this product occurs.
  • Seek medical help right away.
  • If pregnant or breast-feeding if breast-feeding: not recommended if pregnant: ask a health professional before use.
  • Keep out of reach of children.
  • In case of overdose, get medical help or contact a Poison Control Center right away.
  • (1-800-222-1222)
02 Point of care

Dosing matrix

Population and organ-function guidance, shown together for faster comparison.

Adult

Directions may be taken with or without water chew or crush tablets completely before swallowing children 2 to under 6 years of age Chew and swallow 1 tablet (2.5 mg) once daily; If needed, dose can be increased to a maximum of 2 tablets (5 mg) once daily or 1 tablet (2.5 mg) every 12 hours. Do not give more than 2 tablets (5 mg) in 24 hours. adults and children 6 years and over Chew and swallow 2 tablets (5 mg) or 4 tablets (10 mg) once daily depending upon severity of symptoms; do not take more than 4 tablets (10 mg) in 24 hours. adults 65 years and over Chew and swallow 2 tablets (5 mg) once daily; do not take more than 2 tablets (5 mg) in 24 hours. children under 2 years of age ask a doctor consumers with liver or kidney disease ask a doctor

Paediatric

See label paediatric section if present; otherwise use paediatric formulary — do not extrapolate adult doses.

Renal

Review renal impairment dosing; many agents need CrCl/eGFR adjustment.

  • CrCl 0–120: Confirm renal dosing in product SmPC / primary label.
Hepatic

Review hepatic impairment dosing; monitor LFTs if agent is hepatically cleared or hepatotoxic.

03 Clinical use

Use, effects & interactions

Indications

  • Uses temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: runny nose sneezing itchy, watery eyes itching of the nose or throat Clinical selection for Cetirizine/menthol should follow culture results where relevant, Kenya STG/EML recommendations, and the current product SmPC.
  • Class context: Therapeutic agent (verify pharmacological class).
  • Confirm site-specific dose, duration and monitoring before prescribing.

Adverse effects

  • [From component Cetirizine] Anorexia
  • increased appetite
  • taste perversion
  • dyspepsia
  • gastritis
  • stomatitis
  • enlarged abdomen
  • eructation
  • flatulence
  • constipa-tion
  • rectal hemorrhage
  • hemorrhoids.
  • Professional use: confirm indication, dose, duration, monitoring and patient counselling points against current Kenya STG / EML and the product SmPC.
  • Document allergy status and key interactions.
04 Pharmacology

Mechanism & disposition

Combination product.

Combination product.Component mechanism (Cetirizine): It acts…Its marked polarity decreases distribution…
Read complete mechanism

Combination product. Component mechanism (Cetirizine): It acts by competing with histamine for H1-receptor sites on effector cells. Its marked polarity decreases distribution of the drug into the CNS, resulting in reduced potential for adverse CNS effects compared with some first generation antihistamines.

Onset

Product-specific

Duration

Product-specific

Route

See product SmPC

Elimination

are product-specific. Consider food effects, protein binding, hepatic CYP/UGT

Half-life

when adjusting for organ impairment, age and drug interactions. Verify parameters in the current SmPC.

05 Special populations

Pregnancy, lactation & diet

Pregnancy

[Cetirizine] [Cetirizine] Use only if potential benefit justifies potential risk; prefer agents with better reproductive data when alternatives exist. [Pseudoephedrine] Use only if potential benefit justifies potential risk; prefer agents with better reproductive data when alternatives exist. [menthol] Use only if potential benefit justifies potential risk; prefer agents with better reproductive data when alternatives exist.

Lactation

[Cetirizine] [Cetirizine] Assess infant risk vs benefit of maternal therapy; prefer agents with lactation data. [Pseudoephedrine] Assess infant risk vs benefit of maternal therapy; prefer agents with lactation data. [menthol] Assess infant risk vs benefit of maternal therapy; prefer agents with lactation data.

06 Kenya market

Brands & loaded prices

FromKES 27
MedianKES 27
Listings1
BrandManufacturerPackObserved price
CETRIPLUS DAIMA BIASHARA / Wholesale Import SYRUP 60ML KES 26.88Daima Chemist price-list reference ↗ Source date not recorded · verify current price
07 Provenance

Sources & review state

Primary sourceFDA drug label via OpenFDA/DailyMed; Component monographs (multi-source pipeline); Local active-ingredient clinical extract; Professional class pharmacology (Therapeutic agent (verify pharmacological class))
Last reviewed14 Aug 2026
EvidenceGeneral guidance
Open source document ↗

Decision support only. Confirm patient-specific decisions against the current product SmPC, Kenya STG/EML, and professional judgement.