Ztyvert 20mg/40mg Tablet

Ztyvert 20mg/40mg Tablet is used to treat vertigo. It is a combination medicine which acts by relaxing vascular smooth muscles of the blood vessels of the ear and improves the blood circulation. It also blocks the action of a chemical messenger that is responsible for lightheadedness in vertigo.

Ztyvert 20mg/40mg Tablet should be taken with food to avoid stomach upset. Take this medicine as advised by your doctor and preferably at a fixed time each day. Do not skip any doses, but if you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment and never stop this medicine suddenly without talking to your doctor.

Some common side effects of using this medication are dryness of mouth and stomach pain. To overcome dryness, it is advised to drink more water, always carry sugar candy or maintain oral hygiene. It can cause dizziness and sleepiness as well. So, do not drive or do anything that requires mental focus until you know how this medicine affects you. Usually, it is advisable to avoid alcohol while taking the medicine.

Before taking this medicine, it is better to inform your doctor if you are suffering from peptic ulcer, asthma, or low blood pressure. You must inform your doctor if you are taking any other medicines regularly, as it may affect the way this medicine works for you. Pregnant or breastfeeding mothers should consult their doctor before taking this medicine.

Treatment of Vertigo

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Ztyvert 20mg/40mg Tablet is to be taken with food.

Ztyvert 20mg/40mg Tablet is a combination of two medicines: Cinnarizine and Dimenhydrinate. Cinnarizine is a calcium channel antagonist which works by preventing constriction of the blood vessels of the inner ear. This improves the microcirculation of the ear. Dimenhydrinate is an antiallergic. It blocks the action of a chemical messenger (histamine) that is responsible for light-headedness in vertigo.

Q: What if you forget to take Ztyvert Tablet?
A: If you miss a dose of Ztyvert 20mg/40mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Ztyvert 20mg/40mg Tablet helps relieve symptoms of vertigo such as nausea, vomiting, dizziness or spinning sensation.

Take it with food to avoid stomach upset.

It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how this medicine affects you.

Do not drink alcohol while taking this medicine as it may cause increased sleepiness.

Do not take this medicine if you are pregnant or breastfeeding.

Do not stop taking Ztyvert 20mg/40mg Tablet without talking to your doctor first.

Q. Can the use of Ztyvert 20mg/40mg Tablet cause drowsiness?

Yes, Ztyvert 20mg/40mg Tablet can make you feel drowsy. Avoid driving, operating machinery, working at heights or participating in potentially dangerous activities until you know how this medicine affects you.

Q. Can Ztyvert 20mg/40mg Tablet cause indigestion?

Ztyvert 20mg/40mg Tablet may cause indigestion. However, taking it with or after food can prevent indigestion. Talk to your doctor if indigestion persists.

Q. Are there any contraindications associated with the use of Ztyvert 20mg/40mg Tablet?

Ztyvert 20mg/40mg Tablet is considered to be harmful for patients with hypersensitivity to the active substances, diphenhydramine or other antihistamines of similar structure or to any of the excipients. Ztyvert 20mg/40mg Tablet should be avoided in patients with glaucoma, fits, increased intracranial pressure, alcohol abuse, urinating issues, liver or kidney disease. It is also not recommended during pregnancy and breastfeeding.

Q. What if I accidentally take too much of this medicine?

Visit the nearest emergency department if you accidentally take too much of this medicine. Symptoms of an overdose may include tiredness, pupil dilation, unable to urinate, dry mouth, flushing, fast heart rate, sweating, headache, dizziness and shakiness.

Q. What if I miss a dose of Ztyvert 20mg/40mg Tablet?

If you miss a dose of Ztyvert 20mg/40mg Tablet, you should skip the missed dose and take the next dose at its usual time and quantity. You should not take a double dose of Ztyvert 20mg/40mg Tablet to make up for a missed dose.

Q. Can I stop taking Ztyvert 20mg/40mg Tablet if I feel well?

You should not stop taking Ztyvert 20mg/40mg Tablet until your doctor asks you to. If you stop taking Ztyvert 20mg/40mg Tablet earlier than advised, the symptoms of vertigo may reappear (dizziness and spinning).

Q. What are the instructions for storage and disposal of Ztyvert 20mg/40mg Tablet?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

In Treatment of Vertigo

Vertigo means a spinning sensation or dizziness that is triggered due to frequent movement. It can happen due to many reasons but it may also occur without any underlying disease. Ztyvert 20mg/40mg Tablet helps treat this sensation effectively. If you feel dizzy while getting up from the bed, sit for a while and then rise slowly to avoid having an accidental fall. It will be more effective if you take this medicine regularly as prescribed so try not to miss doses. It may take a couple of weeks before you notice any improvements but keep taking it, even if you do feel better, until your doctor advises it is safe to stop.

Drowsiness

Headache

Stomach pain

Dryness in mouth

Alcohol:UNSAFE

Ztyvert 20mg/40mg Tablet may cause excessive drowsiness with alcohol.

Pregnancy:CONSULT YOUR DOCTOR

Ztyvert 20mg/40mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding:CONSULT YOUR DOCTOR

Information regarding the use of Ztyvert 20mg/40mg Tablet during breastfeeding is not available. Please consult your doctor.

Driving:UNSAFE

Ztyvert 20mg/40mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney:CONSULT YOUR DOCTOR

There is limited information available on the use of Ztyvert 20mg/40mg Tablet in patients with kidney disease. Please consult your doctor.

Liver:CONSULT YOUR DOCTOR

There is limited information available on the use of Ztyvert 20mg/40mg Tablet in patients with liver disease. Please consult your doctor.

Scholtz AW, Ilgner J, Loader B, et al. Cinnarizine and dimenhydrinate in the treatment of vertigo in medical practice. Wien Klin Wochenschr. 2016 May;128(9-10):341-7. [Accessed 16 Sep. 2024] (online) Available from: View
MIMS Philippines. Cinnarizine+Dimenhydrinate [Prescribing Information]. [Accessed 16 Sep. 2024] (online) Available from: View