Cerebal Tablet (cinnarizine): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden severe headache with confusion or vision changes
- Uncontrolled movements of the face, tongue, or limbs
- Swelling of the face, lips, or throat, or difficulty breathing
- Yellowing of the skin or eyes, or dark urine
- Severe abdominal pain or persistent vomiting
- Fainting or irregular heartbeat
- Unusual bruising or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is cerebal tablet used for?
This medicine contains cinnarizine and is used to treat vertigo, dizziness, and motion sickness. It works by reducing the sensitivity of the inner ear and improving blood flow in the brain. It is taken orally as a tablet, usually up to three times daily, but the exact dose must be prescribed by a doctor.
- Generic Name: Cinnarizine
- Manufacturer: Cell Biotic
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cerebal tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिनारिज़िन नामक सक्रिय तत्व से बनी है और मुख्य रूप से चक्कर आना (वर्टिगो), सिर घूमना और मोशन सिकनेस (यात्रा के दौरान उल्टी और चक्कर) के इलाज के लिए इस्तेमाल की जाती है। यह कान के अंदरूनी हिस्से की संवेदनशीलता को कम करके और दिमाग में रक्त के प्रवाह को बेहतर बनाकर काम करती है। यह दवा मेनियर रोग और अन्य कारणों से होने वाले चक्कर में भी फायदेमंद होती है। इसे मुँह से लिया जाता है और आमतौर पर दिन में दो से तीन बार लेने की सलाह दी जाती है, लेकिन सही खुराक डॉक्टर द्वारा तय की जानी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, मुँह सूखना, और पेट में हल्की तकलीफ शामिल हैं। कुछ लोगों को सिरदर्द, थकान, या कमजोरी महसूस हो सकती है। कभी-कभी यह दवा शरीर में कंपन, अकड़न, या चेहरे की अनैच्छिक हरकतें पैदा कर सकती है, खासकर लंबे समय तक उपयोग करने पर या बुजुर्गों में। दुर्लभ मामलों में एलर्जी, चकत्ते, या सूजन हो सकती है। अगर कोई भी दुष्प्रभाव गंभीर या लगातार बना रहे, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से खुराक न बढ़ाएँ और न घटाएँ। यह दवा नींद ला सकती है, इसलिए जब तक आपको इसका असर समझ न आ जाए, वाहन चलाने या मशीनरी चलाने से बचें। इस दवा के साथ शराब न पिएँ, क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। अगर आपको पार्किंसन रोग, लीवर या किडनी की समस्या, या लो ब्लड प्रेशर है, तो दवा शुरू करने से पहले डॉक्टर को बताएं। लंबे समय तक दवा ले रहे हैं तो अचानक बंद न करें, डॉक्टर से सलाह लें। दवा को बच्चों से दूर, ठंडी और सूखी जगह पर, मूल पैकेजिंग में रखें।
💊 cerebal tablet Uses & Benefits
[{"condition":"Vertigo due to inner ear disorders","description":"This medicine helps reduce the sensation of spinning and imbalance associated with Meniere's disease and other vestibular disorders.","evidence":"Well-established"},{"condition":"Motion sickness","description":"This medicine is used to prevent nausea, vomiting, and dizziness caused by travel in cars, boats, or airplanes.","evidence":"Well-established"},{"condition":"Nausea and vomiting of vestibular origin","description":"This medicine can help control nausea and vomiting that arise from inner ear problems.","evidence":"Moderate"},{"condition":"Cerebrovascular insufficiency","description":"Sometimes used to improve blood flow in the brain, though evidence for this use is limited.","evidence":"Limited"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Occasionally prescribed to prevent migraines, but this is not a standard approved use.","evidence":"Limited"},{"condition":"Peripheral vertigo of unclear cause","description":"May be used when the exact cause of vertigo is not identified, but only under specialist supervision.","evidence":"Limited"}]
Primary treatment for: Vertigo
Also treats: Motion sickness, Meniere's disease, Nausea and vomiting
📋 Drug Information
| Generic Name(s) | Cinnarizine |
| Brand Name | Arazin 75mg Tablet |
| Manufacturer | Cell Biotic |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Calcium channel antagonist/ Antihistamine |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | Not established from the available information. Refer to the packaging for the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works mainly by blocking calcium channels in the cells of the inner ear and blood vessels. By reducing calcium entry, it decreases the sensitivity of the vestibular apparatus, which is responsible for balance. It also relaxes the smooth muscle in the walls of cerebral blood vessels, leading to improved blood flow in the brain. Additionally, it has antihistamine properties that contribute to its effect on nausea and vomiting.
Mechanism Steps
💡 How to Take cerebal tablet
Strength: This medicine is available as an immediate-release tablet. The strength is not specified in the provided information.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for vertigo and motion sickness is individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. A common starting dose is one tablet taken up to three times daily, but the exact dose and frequency must be determined by your doctor. Do not self-medicate or change the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and movement disorders. The dose should be individualized by a clinician, and lower doses may be appropriate. |
| Renal Impairment | Dose adjustment may be required in patients with severe kidney impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be required in patients with severe liver impairment. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information. Follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cerebal tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Levodopa | Major | |
| Benzodiazepines | Major | |
| Opioids | Major | |
| Antihypertensives | Moderate | |
| Tricyclic antidepressants | Moderate | |
| MAO inhibitors | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Alcohol
- CNS depressants (e.g., benzodiazepines, opioids)
- Levodopa
⚡ Moderate Interactions
- Antihypertensives
- Tricyclic antidepressants
- MAO inhibitors
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impair your ability to drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Allergy to cinnarizine or any component of the tablet","Parkinson's disease","Severe liver impairment","Severe kidney impairment","Children under 5 years of age (unless prescribed by a pediatrician)"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol while taking this medicine.","Use with caution in elderly patients due to increased risk of movement disorders.","Consult your doctor if you have low blood pressure, liver disease, or kidney disease.","Do not stop taking this medicine abruptly without medical advice.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Breastfeeding mothers should consult their doctor before using this medicine.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include severe drowsiness, confusion, agitation, or seizures. Treatment is supportive and symptomatic. Do not induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
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 and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose on your own. Because this medicine can cause drowsiness, avoid driving, operating heavy machinery, or performing activities that require full alertness until you know how it affects you. Avoid drinking alcohol while taking this medicine, as it can increase drowsiness and dizziness. Tell your doctor if you have Parkinson's disease, liver problems, kidney problems, or low blood pressure before starting this medicine. Do not stop taking this medicine suddenly without consulting your doctor, especially if you have been taking it for a long time. Keep this medicine out of the reach of children and store it in its original packaging at room temperature, away from direct sunlight and moisture.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to side effects such as drowsiness, confusion, and movement disorders. Lower doses may be required, and regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. It should be used during pregnancy only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery, as it may interact with anesthetic agents and cause excessive drowsiness.
🦷 Dental Procedures
Tell your dentist if you are taking this medicine, as it can cause dry mouth and may interact with medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid activities that require quick changes in position or balance until your symptoms are controlled. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause dry mouth, which can be managed by drinking water.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. Your doctor will advise you on whether to stop or adjust the dose.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of movement disorders such as tremors, stiffness, or tardive dyskinesia, especially in elderly patients. Regular monitoring by a doctor is recommended if prolonged therapy is needed. Do not use for longer than prescribed without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A specialized exercise program to improve balance and reduce vertigo.
Evidence: Well-establishedMay help reduce fluid retention in the inner ear for Meniere's disease.
Evidence: ModerateStress can trigger vertigo; relaxation techniques may help.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before any vaccination if you are unwell.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust your dosing schedule gradually as advised by your doctor. Check customs regulations for carrying prescription medicines to your destination.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 1 to 2 hours after taking a dose, but the full effect may take a few days of regular use.
A: You should always inform your doctor about all other medicines you are taking, as this medicine can interact with some drugs, especially those that cause drowsiness or affect blood pressure.
A: Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant. The doctor will weigh the benefits and risks.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure all types of dizziness.
Fact: This medicine is effective for vertigo and motion sickness but not for all causes of dizziness. Proper diagnosis is essential. - Myth: It is safe to take this medicine without a prescription.
Fact: This medicine should only be taken under medical supervision, as it can cause drowsiness and other side effects. - Myth: You can stop this medicine abruptly once you feel better.
Fact: Always consult your doctor before stopping this medicine, especially if you have been taking it for a long time.
🔄 Alternative Options
Generic Alternatives
- Cinnarizine
Brand Alternatives
- Cerebal tablet