Uses / Indications: Before starting Criz-M Tablet, it is important to consult your doctor to ensure it is safe for you and to understand how to use it properly.

Drug Interactions

- Criz-M Tablet may interact with medicines such as alprazolam, carbamazepine, clobazam, fluconazole, phenytoin, codeine, and phenobarbital. These interactions might change how Criz-M or these medicines work, so inform your doctor about all drugs you take.
- Taking Criz-M with other medicines for high blood pressure, heart conditions, cholesterol, diabetes, asthma, blood thinners, or brain disorders may require special attention from your healthcare provider.
- Avoid stopping Criz-M suddenly; follow your doctor’s instructions on how to take or stop the medication.
- Driving or operating machinery should be avoided if you feel sleepy, dizzy, or less alert while on Criz-M.

Food and Lifestyle Interactions

- Alcohol may increase drowsiness and dizziness caused by Criz-M, so it is best to avoid drinking alcohol while taking this medicine.
- There is no clear information on how food affects Criz-M Tablet, so take it as advised by your doctor.
- Maintain good hydration to help reduce side effects like dry mouth; frequent mouth rinses and sugarless candies can also help ease dry mouth.

Medical Conditions and Warnings

- Criz-M should not be used by people who are allergic to levocetirizine or montelukast, the two active ingredients.
- Patients with severe kidney problems (very low kidney function) should avoid Criz-M or take it only under close doctor supervision.
- People with liver disease should take caution and discuss with their doctor before using Criz-M.
- Watch for serious side effects such as anxiety, aggression, mood changes, or suicidal thoughts, and report these immediately to your doctor.
- Do not use Criz-M to treat asthma attacks. Use your prescribed rescue inhalers for sudden asthma symptoms.
- Inform your doctor if you are pregnant or breastfeeding; Criz-M should only be used if prescribed by a healthcare professional.

Following these guidelines will help ensure that Criz-M Tablet is used safely and effectively under medical supervision.

Product composition:
• Levocetirizine(5.0 Mg) Montelukast(10.0 Mg)

Pregnancy interaction:
• Criz-M Tablet, commonly used to treat allergies, asthma, and related respiratory conditions, requires careful consideration during pregnancy due to limited safety data. Its use should always be guided by a healthcare professional to balance benefits for the mother with potential risks to the fetus.
  
  - Safety During Pregnancy:
  Criz-M Tablet is generally not recommended during pregnancy unless explicitly prescribed by a doctor. There is limited information on its safety, so it should be avoided unless the potential benefits outweigh the risks. Some sources state it is generally safe, supported by animal studies showing low adverse effects, but human data are insufficient. Hence, medical supervision is crucial.
  
  - Purpose in Pregnancy:
  If prescribed, Criz-M may be used to manage asthma or allergic symptoms during pregnancy to prevent complications caused by uncontrolled asthma or allergies, which can affect both mother and baby.
  
  - Medical Supervision Importance:
  - Inform your healthcare provider if you are pregnant or planning pregnancy before starting Criz-M.
  - Only take the medication under doctor’s guidance to ensure proper dosage and risk assessment.
  - Doctors will weigh asthma or allergy control benefits against possible risks to pregnancy.
  - Monitoring for side effects or any adverse reactions in mother or fetus is essential.
  
  - Additional Precautions:
  - Avoid alcohol during treatment as it increases drowsiness.
  - Be cautious about side effects like dizziness or drowsiness, which can impair daily activities such as driving.
  - Breastfeeding mothers should also consult a doctor before use because components can pass into breast milk.
  
  Overall, Criz-M Tablet during pregnancy requires a careful, individualized approach under strict medical supervision due to incomplete evidence on safety and potential risks involved.

Expert advice:
• - Take Criz-M Tablet exactly as prescribed by your doctor, usually once daily, with or without food to ensure consistent blood levels for best results.
  
  - Do not stop the medication abruptly without consulting your healthcare provider, as symptoms may worsen.
  
  - Avoid alcohol consumption while taking this medicine, as it can increase drowsiness and impair your alertness.
  
  - Avoid driving or operating heavy machinery until you know how the medicine affects you, especially since Criz-M can cause drowsiness or dizziness initially.
  
  - Maintain good hydration and oral hygiene to counter dry mouth, a possible side effect; sucking on sugar-free candies or frequent mouth rinses can help.
  
  - Inform your doctor if you have kidney problems, as dosage adjustments may be necessary, or if you experience severe side effects like difficulty breathing, swelling, rash, or yellowing of the skin or eyes.
  
  - Take care to disclose all other medications you are using to avoid potential interactions.
  
  - If you miss a dose, take it as soon as you remember unless it is near the time for your next dose; do not double up doses.
  
  - Stop Criz-M at least three days before allergy testing to avoid interference with test results.
  
  - Report any unusual mood changes such as agitation or suicidal thoughts immediately to your healthcare provider.
  
  - Keep follow-up appointments as advised to monitor your response to therapy and any side effects.

Side Effects:
• Criz-M Tablet is a medication used to relieve allergic symptoms such as runny nose, sneezing, itching, and swelling. Like all medicines, it may cause some side effects.
  
  Common Side Effects:
  - Nausea
  - Diarrhea
  - Dryness in mouth
  - Fatigue or tiredness
  - Headache
  - Skin rash
  - Sleepiness or drowsiness
  - Vomiting
  - Upper respiratory tract infection symptoms (like sore throat)
  - Fever
  - Abdominal or stomach pain
  - Increased liver enzymes (may indicate mild liver irritation)
  - Edema (swelling of hands or feet)
  - Constipation
  - Dizziness
  - Blocked nose
  - Cough
  - Vision problems (less common)
  
  Serious Side Effects that require medical attention:
  - Symptoms of liver problems such as yellowing of skin or eyes (jaundice), dark urine, or severe stomach pain
  - Heart problems indicated by dizziness, fainting, or irregular heartbeat
  - Lung problems like shortness of breath, persistent cough, or fever
  - Severe allergic reactions such as swelling of face, lips, tongue, or difficulty breathing (anaphylaxis)
  - Worsening of any pre-existing breathing difficulties
  
  If you experience any serious side effects, seek medical help immediately. Always inform your doctor about any side effects you notice while taking Criz-M Tablet.

How to use:
• - Take Criz-M Tablet exactly as prescribed by your doctor. Do not change the dose or frequency without medical advice.
  - Usually, take one tablet daily, either with or without food, but try to take it at the same time each day to maintain consistent effects.
  - Swallow the tablet whole with a glass of water. Do not chew, crush, or break the tablet.
  - If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not take a double dose to make up for the missed one.
  - Take the tablet preferably at night for better effectiveness, unless your doctor advises otherwise.
  - Store the medicine below 30°C in a dry place, protected from light and moisture. Keep it out of reach of children and pets.
  - Avoid alcohol while taking this medication as it can increase dizziness or drowsiness.
  - Maintain adequate fluid intake during the treatment.
  - If you experience any severe side effects such as difficulty breathing, swelling of the face or throat, or severe rash, seek medical attention immediately.
  - Regularly follow up with your healthcare provider to monitor your response and any side effects.

How it works:
• Criz-M Tablet works by targeting and blocking chemicals in the body that cause allergy symptoms, helping to reduce swelling, itching, and congestion. Its two key active ingredients work together to provide relief from allergic reactions such as runny nose, sneezing, itching, watery eyes, and breathing difficulties.
  
  - Montelukast: This ingredient blocks leukotrienes, which are natural substances that cause swelling, narrowing of airways, and other allergy symptoms. By stopping leukotrienes, montelukast helps relax the airways and reduces swelling, making breathing easier and relieving congestion.
  
  - Levocetirizine: This is an antihistamine that blocks histamine, a chemical responsible for allergy symptoms like itching, redness, sneezing, and runny nose. By preventing histamine from acting, levocetirizine helps bring quick relief from these discomforts.
  
  Together, these medicines reduce the body's allergic response in two different ways—montelukast relaxes and opens the airways while levocetirizine prevents the itching and sneezing caused by histamine. This combination makes Criz-M Tablet effective for treating allergic rhinitis and other allergic conditions affecting the skin and breathing.

Faq for medicine:
• What is Criz-M Tablet used for?
  Criz-M Tablet is used to treat allergic conditions such as allergic rhinitis, hay fever, asthma, and other chronic or seasonal allergies. It helps relieve symptoms like sneezing, runny or stuffy nose, itchy and watery eyes, and breathing difficulties caused by allergies.
  
  How should I take Criz-M Tablet?
  Take Criz-M Tablet exactly as prescribed by your doctor, usually one tablet once daily. You can take it with or without food. Swallow the tablet whole with water; do not crush, chew, or break it. Try to take it at the same time each day for the best results.
  
  What are the common side effects of Criz-M Tablet?
  Common side effects may include headache, drowsiness or tiredness, dry mouth, stomach discomfort, dizziness, and cough. Severe side effects are rare but can include difficulty breathing, severe skin rash, or swelling of the face or throat. Seek medical help immediately if you experience these.
  
  What should I do if I miss a dose of Criz-M Tablet?
  If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed one and resume your regular dosing schedule. Do not take two tablets at once to make up for the missed dose.
  
  Are there any important precautions to take while using Criz-M Tablet?
  Inform your doctor if you have kidney problems or allergies to any ingredients like levocetirizine or montelukast. Avoid alcohol while taking this medication, as it may increase drowsiness and dizziness. Always let your healthcare provider know about other medicines you are taking to prevent interactions.
  
  Can I stop taking Criz-M Tablet once I feel better?
  No, you should continue taking the medicine for the full duration prescribed by your doctor to ensure your symptoms are fully controlled and to prevent worsening or recurrence of allergy symptoms.

Medicine interaction:
• It is very important to inform your doctor about all medications, supplements, and foods you are taking before starting Criz-M Tablet to avoid any harmful interactions and ensure safe and effective treatment.
  
  Here is a list of potential medicine and food interactions with Criz-M Tablet:
  
  - Certain other medicines (e.g., alprazolam, carbamazepine, clobazam, fluconazole, phenytoin, codeine, phenobarbital): These drugs may interact by affecting the metabolism or clearance of Criz-M components, potentially altering its effectiveness or increasing side effects.
  
  - Alcohol: While no clinically significant interaction has been demonstrated at moderate levels, alcohol can increase the likelihood of dizziness or sleepiness caused by Criz-M, so it should be avoided or used cautiously.
  
  - Foods with grapefruit or grapefruit juice: These may increase levels of some medicines in the body with similar names (like crizotinib), but there is no specific data on Criz-M; however, caution is advised as grapefruit can affect drug metabolism in general.
  
  - Combining with other antihistamines or leukotriene receptor antagonists: Since Criz-M contains levocetirizine (an antihistamine) and montelukast (a leukotriene receptor antagonist), taking other drugs in these classes can increase side effects or lead to excessive pharmacological effects.
  
  - Patients with liver or kidney problems: Although not a direct drug interaction, impaired liver or kidney function can affect how Criz-M is processed, so dose adjustments or close monitoring may be necessary.
  
  - Other allergy or asthma medications: Some may potentiate or interfere with Criz-M’s effects, so it’s important to use these only under medical guidance.
  
  Because scientific research on food interactions with Criz-M is limited, it’s advisable to take it consistently with regard to meals as directed by the doctor and always report any unusual symptoms or side effects to your healthcare provider promptly.