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Amertil

Amertil

Ask a doctor about a prescription for Amertil

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Amertil

Package Leaflet: Information for the User

Amertil

10 mg, coated tablets

Cetirizine dihydrochloride

Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Amertil and what is it used for
  • 2. Important information before taking Amertil
  • 3. How to take Amertil
  • 4. Possible side effects
  • 5. How to store Amertil
  • 6. Contents of the pack and other information

1. What is Amertil and what is it used for

The active substance of Amertil is cetirizine dihydrochloride.
Amertil is an antiallergic medicine.
Amertil is indicated for adults and children aged 6 years and above:

  • for relief of symptoms of the nose and eyes, associated with seasonal and perennial allergic rhinitis;
  • for relief of symptoms of urticaria.

2. Important information before taking Amertil

When not to take Amertil

  • if you have severe kidney disease (severe renal impairment with creatinine clearance less than 10 ml/min);
  • if you are allergic to cetirizine dihydrochloride or any of the other ingredients of this medicine (listed in section 6), to hydroxyzine or to piperazine derivatives (active substances with a similar structure, contained in other medicines).

Warnings and precautions

Before taking Amertil, discuss with your doctor:

  • if you have kidney disease. A lower dose may be necessary. The dose will be determined by your doctor;
  • if you have problems with urination (e.g., spinal cord problems or prostate problems, or bladder problems);
  • if you have epilepsy or are at risk of seizures.

No significant clinically relevant interactions (mutual effects) have been observed between alcohol
(at a concentration of 0.5 per mille (g/l) in the blood, corresponding to a concentration after drinking one glass of wine)
and cetirizine administered at the recommended doses. However, there are no data on the safety
of concomitant use of higher doses of cetirizine and alcohol. Therefore, as with other antihistamine medicines, it is recommended to avoid taking Amertil with alcohol.
If you are scheduled to undergo skin allergy tests, you should ask your doctor whether you should stop taking Amertil a few days before the test. Amertil may affect the results of skin allergy tests.

Children

Amertil coated tablets are not recommended for children under 6 years of age, as this pharmaceutical form does not allow for appropriate dose adjustment. It is recommended to use a pharmaceutical form intended for children (e.g., oral drops or oral solution).

Amertil and other medicines

Tell your doctor or pharmacist about all medicines you are taking now or have recently taken, as well as any medicines you plan to take.
Studies with cetirizine indicate that interactions with other medicines are not expected.

Amertil with food and drink

Food does not affect the absorption of Amertil.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Amertil should be avoided in pregnant women. Accidental intake of the medicine by a pregnant woman should not have a harmful effect on the fetus. However, the medicine should only be used if necessary and in agreement with your doctor.
Cetirizine passes into breast milk. Therefore, you should not take Amertil during breastfeeding.

Driving and using machines

Clinical studies have not shown any impairment of reaction time, and ability to drive or operate machinery after administration of cetirizine at the recommended dose.
If you plan to drive a vehicle, perform potentially hazardous activities, or operate machinery after taking Amertil, you should carefully observe your body's reaction to the medicine. Do not take a higher dose than recommended.

Amertil contains lactose.

If you have been told that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take Amertil

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.
Swallow the tablets with a glass of liquid.
The tablet can be divided into two equal doses.

Adults and adolescents over 12 years

10 mg (1 tablet) once daily

Children from 6 to 12 years

5 mg twice daily (half a tablet twice daily)

Patients with renal impairment

In patients with moderate renal impairment, a dose of 5 mg once daily is recommended.
If you have severe kidney disease, consult your doctor, who will adjust the dose accordingly.
If your child has severe kidney disease, consult your doctor, who will adjust the dose according to your child's needs.
If you feel that the effect of Amertil is too strong or too weak, consult your doctor.

Duration of treatment

The duration of treatment depends on the type, duration, and course of the disease, and is determined by your doctor.

Overdose of Amertil

If you have taken more than the recommended dose of Amertil, contact your doctor immediately. Your doctor will decide what measures to take.
After an overdose, the following side effects may occur with increased intensity: disorientation, diarrhea, dizziness, fatigue, headache, malaise, dilated pupils, itching, restlessness, sedation, somnolence, stupor, increased heart rate, tremor, and urinary retention.

Missed dose of Amertil

Do not take a double dose to make up for a forgotten dose.

Stopping Amertil treatment

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Amertil can cause side effects, although not everybody gets them.

The following side effects are rare or very rare, but you should stop taking the medicine and tell your doctor immediately if you experience:

  • allergic reactions, including severe reactions and angioedema (a severe allergic reaction that causes swelling of the face and throat). These reactions may occur immediately after the first administration of the medicine or may occur later. Common side effects(may affect up to 1 in 10 people):
  • drowsiness
  • dizziness, headache
  • pharyngitis, rhinitis (in children)
  • diarrhea, nausea, dry mouth
  • fatigue Uncommon side effects(may affect up to 1 in 100 people):
  • agitation
  • paresthesia (sensory disturbances)
  • abdominal pain
  • pruritus, rash
  • asthenia (extreme fatigue), malaise Rare side effects(may affect up to 1 in 1,000 people):
  • allergic reactions, sometimes severe (very rare)
  • depression, hallucinations, aggressive behavior, disorientation, insomnia
  • seizures
  • tachycardia (rapid heart rate)
  • abnormal liver function
  • urticaria
  • edema
  • weight gain Very rare side effects(may affect up to 1 in 10,000 people):
  • thrombocytopenia (reduced platelet count)
  • tics (involuntary muscle contractions)
  • syncope, dyskinesia (involuntary movements), dystonia (prolonged muscle contractions), tremor, taste disturbances
  • blurred vision, accommodation disorders (vision disorders), eye rotation (uncontrolled, circular eye movements)
  • angioedema (severe allergic reaction causing swelling of the face or throat), drug rash
  • urinary disorders (nocturia, pain and/or difficulty urinating)

Frequency not known(frequency cannot be estimated from the available data):

  • increased appetite
  • suicidal attempts (recurring suicidal thoughts or interest in suicide)
  • memory loss, memory disturbances
  • vertigo (feeling of spinning or loss of balance)
  • urinary retention (inability to completely empty the bladder)

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
e-mail: [email protected]
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Amertil

Keep this medicine out of the sight and reach of children.
Store in a temperature below 25°C.
Store in the original package to protect from light and moisture.
Do not use this medicine after the expiry date stated on the carton after "EXP:" and on the blister after "EXP:".
The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Amertil contains

  • The active substance of Amertil is cetirizine dihydrochloride. One coated tablet contains 10 mg of cetirizine dihydrochloride.
  • The other ingredients are: lactose monohydrate, microcrystalline cellulose, pregelatinized starch, crospovidone (type A), magnesium stearate; coating:hypromellose, titanium dioxide (E 171), and macrogol 400.

What Amertil looks like and contents of the pack

White, round, biconvex coated tablets, with a score line on one side to facilitate breaking.
The pack contains 20, 30, or 60 coated tablets.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Biofarm Sp. z o.o.
ul. Wałbrzyska 13
60-198 Poznań
tel. +48 61 66 51 500
faks: +48 61 66 51 505
[email protected]

Date of last revision of the leaflet:

Alternatives to Amertil in other countries

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Alternative to Amertil in Spain

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Alternative to Amertil in Ukraine

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Active substance: cetirizine
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Dosage form: tablets, 10 mg No. 30
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Manufacturer: TOV "Zentiva
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Online doctors for Amertil

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Amertil – subject to medical assessment and local rules.

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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You can consult Dr. Ben Harbi for:

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  • Cold, cough, flu, respiratory infections, sore throat, fever.
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  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
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  • urticaria (acute and chronic) and angioedema;
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  • atopic dermatitis, allergic rashes, and persistent itching;
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When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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