Sinzine Sr

Sinzine Sr Uses, Dosage, Side Effects, Food Interaction and all others data.

Sinzine Sr provides quick relief of various symptoms of cerebral and peripheral circulation disorders. Sinzine Sr protects attacks of vascular headache such as migraine. Sinzine Sr normalizes cerebral circulation time and improves cerebral irrigation in patients suffering from the disorders of cerebral circulation. Sinzine Sr normalizes arterial pulsations in patients suffering from vasospastic disorders. Sinzine Sr significantly increases the rate of inflow or pulsation and the blood flow in the most affected limb as well as the walking distance of patients suffering from intermittent claudication.

Sinzine Sr acts as an antihistamine, labyrinthine sedative and a peripheral antivasoconstrictor. Inarzin is a selective calcium antagonist, inhibiting the influx of Ca2+ intracellularly. It prevents the Ca2+ dependent contraction of arterial smooth muscle by inhibiting Ca2+ influx through smooth muscle calcium channels and thereby, improves vestibular symptoms and prevents peripheral arterial disease.

Sinzine Sr is an antihistamine and a calcium channel blocker. Histamines mediate a number of activities such as contraction of smooth muscle of the airways and gastrointestinal tract, vasodilatation, cardiac stimulation, secretion of gastric acid, promotion of interleukin release and chemotaxis of eosinophils and mast cells. Competitive antagonists at histamine H1 receptors may be divided into first (sedating) and second (non-sedating) generation agents. Some, such as Sinzine Sr also block muscarinic acetylcholine receptors and are used as anti-emetic agents. Sinzine Sr through its calcium channel blocking ability also inhibits stimulation of the vestibular system.

Trade Name Sinzine Sr
Generic Cinnarizine
Cinnarizine Other Names Cinarizina, Cinnarizine, Cinnarizinum
Type Tablet
Formula C26H28N2
Weight Average: 368.524
Monoisotopic: 368.22524891
Groups Approved, Investigational
Therapeutic Class Anti vertigo drugs
Manufacturer Sidhbali Formulations
Available Country India
Last Updated: September 19, 2023 at 7:00 am
Sinzine Sr
Sinzine Sr

Uses

It is mainly used for the symptomatic treatment of nausea and vertigo due to Meniere's disease and other labyrinthine disturbances and for the prevention and treatment of motion sickness. It is also used in the management of various vascular disorders.

Cerebral circulatory disorders:

  • Prophylaxis and maintenance therapy for symptoms of cerebral vascular spasms and arteriosclerosis such as dizziness, ear buzzing (tinnitus), vascular headache, unsociability and irritability, fatigue, sleep rhythm disorders such as premature awakening, involutional depressions, loss of memory and lack of concentration, incontinence and other disorders due to aging.
  • Sequel of cerebral and cranial trauma.
  • Post-apoplectic disorders.
  • Migraine.

Peripheral circulatory disorders: Prophylaxis and maintenance therapy for symptoms of vascular spasms and arteriosclerosis (obliterating arteritis, thromboangitis obliterans, Raynaud's disease, diabetes, acrocyanosis, perrio, etc.) such as: intermittent claudication, trophic disturbances, pregangrene, trophic and varicose ulcers, paraesthesia, nocturnal cramps, cold extremities.

Disorders of balance:

  • Prophylaxis and maintenance therapy for symptoms of labyrinthine arteriosclerosis, vestibular irritability, Meniere's syndrome, such as vertigo, dizziness, giddiness, syncopal attacks, tinnitus, nystagmus, nausea and vomiting.
  • Prophylaxis of motion sickness.

Sinzine Sr is also used to associated treatment for these conditions: Balance Disorders, Dizziness, Motion Sickness, Nausea, Peripheral Artery Disease (PAD), Raynaud's Phenomenon, Inadequate cerebral circulation, Peripheral vasculopathy

How Sinzine Sr works

Sinzine Sr inhibits contractions of vascular smooth muscle cells by blocking L-type and T-type voltage gated calcium channels. Sinzine Sr has also been implicated in binding to dopamine D2 receptors, histamine H1 receptors, and muscarinic acetylcholine receptors.

Dosage

Sinzine Sr dosage

Peripheral vascular disease:

  • Adult: 75 mg bid or tid.

Cerebrovascular disorders:

  • Adult: 75 mg once daily.

Motion sickness:

  • Adult: 30 mg 2 hr before travel then 15 mg 8 hrly during the journey if necessary.
  • Child: 5-12 yr 15 mg 2 hr before travel then 7.5 mg 8 hrly during the journey as necessary.

Vertigo and vestibular disorders:

  • Adult: 30 mg tid or 75 mg 1-2 times daily.
  • Child: 5-12 yr 15 mg tid.

Side Effects

Side effects such as somnolence and gastrointestinal disturbances are extremely rare. They are transient and may be readily prevented by achieving the optimal dosage gradually. Combination therapy with other drugs is possible. Whenever indicated, caution should be taken in hypotension (high doses). Rarely, extrapyramidal symptoms in elderly on prolonged therapy.

Precaution

Patient with hypotension (high dose), Parkinson's disease, porphyria. Renal and hepatic impairment. Childn. Pregnancy and lactation.

Interaction

Concurrent use of alcohol, CNS depressants or tricyclic antidepressants may potentiate the sedative effects of either these drugs or of Sinzine Sr. Therefore, it is advisable to avoid these drugs while taking Sinzine Sr.

Pregnancy & Breastfeeding use

Pregnancy Category C. The safety of Sinzine Sr in human pregnancy has not been established. Therefore, it is not advisable to administer Sinzine Sr in pregnancy.

Lactation: It is not known if Sinzine Sr is excreted in human breast milk. Use of Sinzine Sr during breast feeding is not advised.

Contraindication

Contraindicated in Known hypersensitivity to Sinzine Sr, Parkinson’s disease, Hypotension

Special Warning

Neonates: Sinzine Sr is not indicated in neonates.

Acute Overdose

Symptoms: Consciousness alterations ranging from somnolence to stupor and coma, vomiting, extrapyramidal symptoms, hypotonia; seizures may occur in young children.

Management: Symptomatic and supportive treatment. May consider admin of activated charcoal within 1 hr of ingestion.

Innovators Monograph

You find simplified version here Sinzine Sr

Sinzine Sr contains Cinnarizine see full prescribing information from innovator Sinzine Sr Monograph, Sinzine Sr MSDS, Sinzine Sr FDA label

FAQ

What is Sinzine Sr used for?

It's used for  travel sickness (also called motion sickness) dizziness and sickness caused by inner ear problems (such as vertigo, tinnitus and Ménière's disease).

How safe is Sinzine Sr?

Sinzine Sr can safe to be taken by most adults and children aged 5 years and above. Sinzine Sr is not suitable for some people. Tell your doctor or pharmacist if you have: had an allergic reaction to Sinzine Sr or any other medicines in the past.

How does Sinzine Sr work?

Sinzine Sr blocks the receptors in the vomiting centre, preventing it from receiving nerve messages from the vestibular apparatus. This helps to reduce symptoms such as nausea, vomiting dizziness and vertigo.

What are the common side effects of Sinzine Sr?

Common side effects of include are drowsiness, sweating, dry mouth, headache, skin problems, lethargy, gastrointestinal irritation, hypersensitivity reactions, as well as movement problems/muscle rigidity, and tremor.

Is Sinzine Sr safe during pregnancy?

Sinzine Sr is not usually recommended during pregnancy.

Is Sinzine Sr safe during breastfeeding?

Sinzine Sr is not usually recommended during pregnancy or while breastfeeding.

Can I drink alcohol with Sinzine Sr?

Avoid drinking alcohol while taking Sinzine Sr. Alcohol increases the chance of side effects. To prevent travel sickness, take Sinzine Sr 2 hours before your journey. You can take another dose 8 hours later if you need to.

Can I drive after taking Sinzine Sr?

Sinzine Sr can cause drowsiness. If this happens, do not drive and do not use tools or machines. 

When should be taken of Sinzine Sr?

To prevent travel sickness, take Sinzine Sr 2 hours before your journey. You can take another dose 8 hours later if you need to.

Can Sinzine Sr be taken without food?

Sinzine Sr should preferably be taken after meals. The tablets may be sucked, chewed or swallowed whole with water.

How long does Sinzine Sr take to work?

Sinzine Sr can take up to 4 hours for the medicine to reach its full effect.

What is the half-life of Sinzine Sr?

The reported elimination half-life for Sinzine Sr ranges from 4 to 24 hours.

Who should not take Sinzine Sr?

Contraindicated in patients with Parkinson's disease, newborns, and hypersensitivity.

What happen If I stop taking Sinzine Sr?

If you've been prescribed Sinzine Sr to help with inner ear problems, your symptoms may return if you stop taking it.

What happens if I miss a dose?

If you forget to take a dose of Sinzine Sr, take it as soon as you remember. Unless it's nearly time for your next dose. In which case, skip the missed dose and take your next dose at the usual time. It's important to leave at least 8 hours between doses. Do not take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

What happen if I overdose on Sinzine Sr?

Taking too much Sinzine Sr can make you very sleepy or confused, feel sick or be sick, feel weak or shaky, or give you a very fast, uneven or pounding heartbeat (palpitations). Too much Sinzine Sr can give a child a fit or seizure.

Can Sinzine Sr causes my weight gain?

Sinzine Sr may cause weight gain.

Can Sinzine Sr cause heart palpitations?

Taking too much Sinzine Sr can make you very sleepy or confused, feel sick or be sick, feel weak or shaky, or give you a very fast, uneven or pounding heartbeat .

Can Sinzine Sr be taken long term?

Sinzine Sr should not be taken long term due to its potential side effects. Limiting pack size may reduce the likelihood of long term use.

Can I take Sinzine Sr every day?

Adults and children aged 12 years or older – the usual dose is 2 tablets, taken 3 times a day. Children aged 5 to 11 years – the usual dose is 1 tablet, taken 3 times a day.

*** Taking medicines without doctor's advice can cause long-term problems.
Share