Ritez syrup

Dexa Medica

Ingredients in every 5 ml

Cetirizine 5 mg

Each package contains

1 bottle of 60 ml

Other details

Dosage form:Syrup
Flavour: None

W.H.O. classification

ATC Level 1: R - Respiratory system
ATC Level 2: R06 - Antihistamines for Systemic Use
ATC Level 3: R06A - Antihistamines for Systemic Use

Warnings

Pregnancy

CAUTIONThis item may not be safe for use during pregnancy. Use with caution and after consultation with your doctor.

Lactation

NOT SAFEThis item is not safe for use during lactation.

Alcohol

NOT SAFEThis item should not be used with alcohol.

Machinery

CAUTIONThis item may not be safe for use while operating heavy machinery. Use with caution.

Available in

Indonesia

Dosage information

12 YEARS OLD AND ABOVE
10 mg (2 measuring spoons daily).

In patients 12 years of age and older with decreased renal function (creatinine clearance 11-31 ml/minutes), patients on hemodialysis (creatinine clearance less than 7 ml/minutes), and in hepatically impaired patients, a dose of 5 mg once daily is recommended (1 measuring spoon of syrup once daily)

The time of administration may be varied to suit individual patient needs. Usually given as a single daily dose, with or without food.

6 TO 11 YEARS OLD
5-10 mg (1-2 measuring spoons daily).

Pediatric patients aged 6 to 11 years with impaired renal or hepatic function should use the lower recommended dose.

The time of administration may be varied to suit individual patient needs. Usually given as a single daily dose, with or without food.

2 TO 5 YEARS OLD
2.5-5 mg (½-1 measuring spoon daily).

Children below the age of 6 years with impaired renal or hepatic function, its use in this impaired patient population is not recommended

The time of administration may be varied to suit individual patient needs. Usually given as a single daily dose, with or without food.

PATIENTS WITH HEPATIC IMPAIRMENT
The dose should be adjusted according to age group

PATIENTS WITH RENAL IMPAIRMENT
The dose should be adjusted according to age group

Indication

Respitide inhaler is for inhalation only.
Patients should be made aware that Respitide Inhaler must be used regularly for optimum benefit, even when asymptomatic.
Patients should be regularly reassessed by a doctor, so that the strength of Respitide they are receiving remains optimal and is only changed on medical advice.

Reversible obstructive airways disease (ROAD)
The dose should be titrated to the lowest dose at which effective control of symptoms is maintained. Where the control of symptoms is maintained with twice daily Respitide, titration to the lowest effective dose could include Respitide given once daily.
Patients should be given the strength of Respitide containing the appropriate fluticasone propionate dosage for the severity of their disease.
If a patient is inadequately controlled on inhaled corticosteroid therapy alone, substitution with Respitide at a therapeutically equivalent corticosteroid dose may result in an improvement in asthma control. For patients whose asthma control is acceptable on inhaled corticosteroid therapy alone, substitution with Respitide may permit a reduction in corticosteroid dose while maintaining asthma control. For further information, please refer to the “Pharmacology” section.

Recommended doses:
Adults and adolescents 12 years and older:
Two inhalations of 25 µg salmeterol and 50 µg fluticasone propionate twice daily.
Or
Two inhalations of 25 µg salmeterol and 125 µg fluticasone propionate twice daily.
Or
Two inhalations of 25 µg salmeterol and 250 µg fluticasone propionate twice daily.

Adults 18 years and older:
Doubling the dose of all strengths of Respitide in Adults for up to 14 days has comparable safety and tolerability to regular twice daily dosing and may be considered when patients require additional short-term (up to 14 days) inhaled corticosteroid therapy as outlined in asthma treatment guidelines.

Children 4 years and older
Two inhalations of 25 µg salmeterol and 50 µg fluticasone propionate twice daily.
There are no data available for use of salmeterol/fluticasone propionate in children aged under 4 years.

Chronic obstructive pulmonary disease (COPD)
For adults patients the recommended dose is two inhalations 25/125 µg to 25/250 µg salmeterol/fluticasone propionate twice daily.

Special patient group
There is no need to adjust the dose in elderly patients or in those with renal or hepatic impairment.

Instructions for use
Testing your inhaler:
Before using for the first time or if your inhaler has not been used for a week or more, remove the mouthpiece cover by gently squeezing the sides of the cover, shake the inhaler well and release one puff into the air to make sure that it works.

Using your inhaler:
1. Remove the mouthpiece cover by gently squeezing the sides of the cover and check the mouthpiece inside and outside to see that it is clean.
2. Shake the inhaler well.
3. Hold the inhaler upright between fingers and thumb with your thumb on the base, below the mouthpiece.
4. Breathe out as far as is comfortable and then place the mouthpiece in your mouth between your teeth and close your lips around it, but do not bite it.
5. Just after starting to breathe in through your mouth, press down on the top of the inhaler to release salmeterol and fluticasone propionate, while still breathing in steadily and deeply.
6. While holding your breath, take the inhaler from your mouth and take your finger from the top of the inhaler. Continue holding your breath for as long as is comfortable.
7. To take the second puff keep the inhaler upright and wait about half a minute before repeating steps 2 to 6.

The mouthpiece cover is replaced by firmly pushing and snapping the cap into position.
Important:
Do not rush stages 4, 5 and 6. It is important that you start to breathe in as slowly as possible just before operating your inhaler. Practise in front of a mirror for the first few times. If you see “mist” coming from the top your inhaler or the sides of your mouth, you should start again from stage 2.

If your doctor has given you different instructions for using your inhaler, please follow them carefully. Tell your doctor if you have any difficulties.

Children:
Young children may need help and an Adults may need to operate the inhaler for them. Encourage the child to breathe out and operate the inhaler just after the child starts to breathe in. Practise the technique together. Older children or people with weak hands should hold the inhaler with both hands. Put the two forefingers on top of the inhaler and both thumbs on the base below the mouthpiece.

Cleaning:
Your inhaler should be cleaned at least once a week.
1. Remove the mouth piece cover
2. Do not remove the canister from the plastic casing
3. Wipe the inside and outside of the mouthpiece and the plastic casing with a dry cloth, tissue or cottonbud
4. Replace the mouthpiece cover.

DO NOT PUT THE METAL CANISTER INTO WATER.

Disclaimer

The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for informational purposes only. This tool may not cover all possible drug interactions or all warnings or alerts. Please check with a physician if you have health questions or concerns about interactions or go to the appropriate government authority for a comprehensive list of medical warnings. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect.

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