Cinzan 25 DT Tablet (Cinnarizine 25 mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden severe headache with confusion or vision changes
- Fainting or loss of consciousness
- Swelling of the face, lips, or throat, or difficulty breathing
- Uncontrolled movements of the face, tongue, or limbs
- Chest pain or irregular heartbeat
- Severe dizziness that does not improve with rest
- Signs of an allergic reaction such as a widespread rash or itching
If experiencing severe symptoms, call emergency services immediately.
What is cinarzee tablet used for?
This medicine contains cinnarizine 25 mg, an antihistamine and calcium channel blocker used to treat vertigo, dizziness, tinnitus, and motion sickness. It works by improving blood flow to the brain and reducing activity in the balance centres of the inner ear. It is taken orally, usually two to three times daily, and may cause drowsiness.
- Generic Name: Cinnarizine
- Manufacturer: Zeelab Pharmacy Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cinarzee tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिनारिज़िन 25 मिलीग्राम से बनी है और मुँह से ली जाती है। इसका इस्तेमाल मुख्य रूप से चक्कर आना (वर्टिगो), सिर घूमना, कान में सीटी बजना (टिनिटस), और यात्रा के दौरान उल्टी व जी मिचलाना (मोशन सिकनेस) के इलाज के लिए किया जाता है। यह दवा खून की नलियों को फैलाकर दिमाग और कान के अंदरूनी हिस्से में खून का बहाव बढ़ाती है और संतुलन बनाने वाले तंत्र को शांत करती है। इससे चक्कर और उल्टी में राहत मिलती है। यह दवा नींद ला सकती है, इसलिए गाड़ी चलाते समय या मशीन चलाते समय सावधानी बरतें। शराब के साथ इसका सेवन न करें। इस दवा को डॉक्टर की सलाह के बिना न लें और न ही बंद करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, मुँह सूखना, सिरदर्द और पेट में हल्की तकलीफ शामिल हैं। कुछ लोगों में भूख बढ़ना और वजन बढ़ना भी देखा गया है। कभी-कभी चक्कर आना या हाथ-पैर में कंपन जैसी समस्या हो सकती है, खासकर लंबे समय तक इस्तेमाल करने पर या बुजुर्गों में। बहुत कम मामलों में एलर्जी, धड़कन बढ़ना या ब्लड प्रेशर कम हो सकता है। अगर कोई भी दुष्प्रभाव परेशान करे या ठीक न हो, तो डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से दवा की मात्रा न बढ़ाएँ और न घटाएँ। यह दवा नींद ला सकती है, इसलिए जब तक आपको इसका असर समझ न आ जाए, गाड़ी चलाने या मशीन चलाने से बचें। शराब का सेवन न करें, क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। अगर आपको पार्किंसन रोग, कम ब्लड प्रेशर, लीवर या किडनी की बीमारी है, तो डॉक्टर को पहले बताएँ। गर्भवती महिलाएँ, स्तनपान कराने वाली महिलाएँ और गर्भधारण की योजना बनाने वाली महिलाएँ डॉक्टर से सलाह लें। दवा को ठंडी और सूखी जगह पर, धूप से दूर, बच्चों की पहुँच से बाहर रखें।
💊 cinarzee tablet Uses & Benefits
[{"condition":"Vertigo and dizziness","description":"This medicine helps reduce the spinning sensation and unsteadiness caused by inner-ear problems such as Meniere's disease and vestibular neuronitis.","evidence":"Well-established"},{"condition":"Motion sickness","description":"It prevents and treats nausea, vomiting, and dizziness associated with travel by car, boat, or plane when taken before the journey.","evidence":"Well-established"},{"condition":"Tinnitus","description":"Some patients with ringing in the ears due to inner-ear disorders may get partial relief, although results vary.","evidence":"Limited"},{"condition":"Peripheral vascular disease","description":"It may improve blood flow and reduce symptoms such as cold extremities in some circulatory disorders, but this use is less common today.","evidence":"Limited"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to reduce the frequency of migraine attacks, especially in patients who cannot take standard preventives.","evidence":"Limited"},{"condition":"Generalised anxiety with dizziness","description":"Occasionally used when dizziness and anxiety occur together, but it is not a standard treatment for anxiety.","evidence":"Limited"}]
Primary treatment for: Vertigo and motion sickness
Also treats: Meniere's disease, Vestibular neuronitis, Tinnitus, Peripheral vascular disease
📋 Drug Information
| Generic Name(s) | Cinnarizine |
| Brand Name | Arazin 75mg Tablet |
| Manufacturer | Zeelab Pharmacy Pvt Ltd |
| 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 | 24 months from the date of manufacture, or as printed on the pack. |
| 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 smooth muscle of blood vessels and in the cells of the inner ear and brain. By blocking these channels, it reduces the entry of calcium into cells, which causes blood vessels to relax and widen. This improves blood flow to the brain and inner ear. At the same time, it dampens the activity of the vestibular system, the part of the inner ear and brain that controls balance. It also has antihistamine-like effects that help reduce nausea and vomiting. Together, these actions relieve vertigo, dizziness, and motion sickness.
Mechanism Steps
💡 How to Take cinarzee tablet
Strength: Cinnarizine 25 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 25 mg two to three times daily, depending on the condition being treated. For motion sickness, a single 25 mg dose is taken 30 minutes before travel. For vertigo, the dose may be increased gradually under medical supervision. The maximum recommended daily dose is 75 mg to 150 mg, but this must be individualised by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially drowsiness and movement disorders. The dose should be individualised by a qualified clinician, and lower doses may be used. |
| Renal Impairment | Dose adjustment may be needed in patients with severe kidney impairment. Consult your doctor for individualised dosing. |
| Hepatic Impairment | Dose adjustment may be needed in patients with severe liver disease. Consult your doctor for individualised dosing. |
| Maximum Daily Dose | The maximum daily dose is usually 150 mg, but this must be individualised by a qualified clinician based on the condition and patient factors. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cinarzee 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 | |
| Benzodiazepines | Major | |
| Opioid painkillers | Major | |
| Antihypertensives | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Other antihistamines | Minor |
🚨 Major Interactions
- Alcohol
- Other central nervous system depressants (e.g., benzodiazepines, opioids, sleeping pills)
⚡ Moderate Interactions
- Antihypertensive medicines
- Tricyclic antidepressants
🍷 Alcohol Interaction
Alcohol increases the drowsiness and dizziness caused by this medicine. It is best to avoid alcohol completely while taking this medicine, especially if you need 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 other ingredient in this medicine","Parkinson's disease","Low blood pressure (hypotension)","Porphyria","Children under 5 years of age (unless specifically prescribed)"]
⚠️ 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 older adults, who are more prone to movement disorders and drowsiness.","Inform your doctor if you have liver or kidney disease.","Do not stop this medicine suddenly without consulting your doctor.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Breastfeeding is not recommended while taking this medicine unless advised by your doctor.
💊 Overdose Management
Symptoms of overdose may include severe drowsiness, dizziness, low blood pressure, and abnormal heart rhythms. If you suspect an overdose, contact your doctor or go to the nearest emergency department immediately. Do not try to 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 make you sleepy, avoid driving, operating heavy machinery, or doing activities that need 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, low blood pressure, liver or kidney problems, or a history of porphyria, because this medicine may not be suitable for you. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor before taking this medicine. Keep all follow-up appointments so your doctor can check how well the medicine is working and whether the dose needs adjustment. Store this medicine in its original container, away from moisture and direct sunlight, and keep it out of reach of children. Do not share this medicine with anyone else, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more likely to experience drowsiness, confusion, and movement disorders from this medicine. They may also be more sensitive to low blood pressure. The doctor will usually start with a lower dose and monitor closely. Regular review is important to avoid unnecessary long-term use.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your doctor before conception. There is limited information on its safety during pregnancy. Your doctor may recommend stopping or switching to a safer alternative.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you are taking this medicine before any surgery. It may interact with anaesthetic agents and increase sedation. Your doctor may advise you to stop it temporarily before surgery.
🦷 Dental Procedures
Tell your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth, which can affect dental health, and it may interact with sedatives used during dental work. Keep up with regular dental check-ups and good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, which may affect your coordination. Avoid activities that require balance or alertness, such as cycling, swimming alone, or using heavy gym equipment, until you know how the medicine affects you. Gentle walking and balance exercises are usually safe if you feel steady.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive, operate machinery, or perform tasks that require full concentration. If your job involves these activities, discuss with your doctor about timing your dose or adjusting your work schedule until you know how the medicine affects you. Most people can continue their usual activities with caution.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects such as uncontrolled movements, severe drowsiness, or an allergic reaction, stop the medicine and seek medical help immediately. Your doctor will advise you on whether to stop gradually or switch to another treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of movement disorders such as tremors, stiffness, or unusual facial movements, especially in older adults. It may also cause weight gain and increased appetite. Regular follow-up with your doctor is important to monitor for these effects and to assess whether continued treatment is necessary. Do not use this medicine for longer than prescribed without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A specialised form of physical therapy that helps retrain the brain to compensate for inner-ear problems.
Evidence: Well-establishedA series of head movements used to treat benign paroxysmal positional vertigo (BPPV).
Evidence: Well-establishedReducing salt and caffeine intake may help manage Meniere's disease symptoms.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive routine vaccinations while taking this medicine, but inform your healthcare provider about all medicines you are taking.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store it in your hand luggage, away from extreme heat or moisture. If you are crossing time zones, continue taking your doses at the same intervals as prescribed, but consult your doctor if you are unsure. For motion sickness, take the tablet 30 minutes before departure. Check customs regulations for your destination regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: For motion sickness, it starts working within 30 minutes. For vertigo, relief may begin within 1 to 2 hours after a dose.
A: Yes, but only if prescribed by your doctor. Long-term use requires regular monitoring for side effects such as movement disorders.
A: Avoid driving or operating machinery. If drowsiness is severe or persistent, consult your doctor, who may adjust the dose.
A: No, do not stop without consulting your doctor. Stopping suddenly may cause your symptoms to return.
A: Older adults may be more sensitive to side effects like drowsiness and movement disorders. The doctor will prescribe the lowest effective dose.
🤔 Common Patient Concerns
🔄 Substitutes for cinarzee tablet
View AllAlternative brands with exact same active ingredient:
-
cinzy 25mg tabletBondane Pharma ₹7.00 SAME PRICE
-
cini 25mg tabletInd Swift Laboratories Ltd ₹8.62 23.1% COSTLIER
-
cinwox 25mg tabletWockhardt Ltd ₹9.31 33% COSTLIER
-
davaindia cinnarizine 25mg tabletDavaindia Generic Pharmacy ₹10.00 42.9% COSTLIER
-
m ziron 25mg tabletMaitri Healthcare Pvt Ltd ₹12.50 78.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: This medicine is not a sleeping pill. It is used for vertigo and motion sickness. Drowsiness is a side effect, not the main purpose. - Myth: This medicine can be taken for any type of dizziness.
Fact: This medicine is effective for specific types of dizziness related to inner-ear problems. Other causes of dizziness need different treatments. - Myth: You can stop this medicine suddenly once you feel better.
Fact: Stopping suddenly may cause symptoms to return. Always consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Cinnarizine 25 mg tablet
Brand Alternatives
- Cinzan 25 DT Tablet
- Stugeron 25 Tablet
- Vertin 25 Tablet