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Overview
Axcel Cetirizine Syrup is a non-drowsy (or minimally sedating) antihistamine syrup formulation containing cetirizine, a second-generation antihistamine widely used to relieve the symptoms of allergic conditions. The syrup format makes it a practical option for children and adults who may find tablets difficult to swallow, offering a pleasant-tasting, easy-to-dose liquid medicine for everyday allergy relief.
This product is commonly used to relieve symptoms of allergic rhinitis (runny nose, sneezing, itchy or watery eyes) and chronic urticaria (hives), which are triggered by histamine release during allergic reactions. Axcel Cetirizine Syrup is classified as a non-prescription (non-Rx) medicine in Malaysia, and is readily available for self-directed use by patients experiencing common allergy symptoms, though a pharmacist’s advice is recommended for children, the elderly, or those with other medical conditions.
How it Works
Cetirizine is a selective histamine H1-receptor antagonist that blocks the action of histamine, the chemical released by the body during an allergic reaction. By blocking H1 receptors, cetirizine reduces the sneezing, itching, nasal discharge, and skin wheals associated with allergies, while causing less sedation than older, first-generation antihistamines because it crosses into the brain to a lesser extent.
Directions for Use
Shake the bottle well before use. Measure the dose accurately using the measuring cup or oral syringe provided, according to the age and weight guidance on the package or as advised by a pharmacist or doctor. The syrup may be taken with or without food, generally once daily, preferably in the evening if drowsiness is noted, though it can be taken at any consistent time of day.
Dosage
Dosing of Axcel Cetirizine Syrup varies by age: young children typically require a lower dose than older children and adults, and dosing should always follow the age-based chart on the product label or a healthcare professional’s guidance. Do not exceed the recommended daily dose. If symptoms persist beyond a few days of regular use, seek advice from a doctor or pharmacist.
Shelf Life
Axcel Cetirizine Syrup should be used within the shelf-life period indicated on the packaging when stored correctly, and typically has a limited period of use once the bottle is opened — check the label for the in-use expiry after opening. Do not use beyond the expiry date.
Storage Instructions
Store below 30°C in a cool, dry place, away from direct sunlight. Keep tightly closed and out of reach of children. Do not refrigerate or freeze unless stated otherwise on the packaging.
Side Effects
- Drowsiness or sleepiness (less common compared to older antihistamines)
- Dry mouth
- Fatigue
- Headache
- Dizziness
- Sore throat
- Nausea
Contraindications
- Known hypersensitivity to cetirizine, hydroxyzine, or any ingredient in the syrup
- Severe kidney impairment without dose adjustment guided by a doctor
- Not recommended for infants below the age specified on the product label without medical advice
- Caution in patients with a history of seizures
Drug / Food Interactions
- May increase drowsiness when taken with alcohol or other sedating medicines
- Caution when combined with other antihistamines to avoid additive sedative effects
- Inform your pharmacist of all other medicines, including over-the-counter cough and cold products, before use
- No significant food interactions are typically expected, but consistent timing with meals may help with tolerability
Quick Tips
- Shake well before each use
- Use the measuring device provided rather than a household spoon for accurate dosing
- Observe for drowsiness before allowing a child to attend school activities requiring alertness
- Keep a symptom diary if using for chronic hives to track response to treatment
- Consult a doctor if allergy symptoms do not improve after several days of regular use
Frequently Asked Questions
What is Axcel Cetirizine Syrup used for?
It is used to relieve allergy symptoms such as sneezing, runny nose, itchy or watery eyes, and hives caused by conditions like allergic rhinitis and chronic urticaria.
How should I dose Axcel Cetirizine Syrup for a child?
Dosing depends on the child’s age and weight; always follow the age-based dosing chart on the package or a pharmacist’s or doctor’s advice, and use the measuring device provided.
Does Axcel Cetirizine Syrup cause drowsiness?
It may cause mild drowsiness in some individuals, although it is generally less sedating than older, first-generation antihistamines.
Who should not take Axcel Cetirizine Syrup?
Individuals with a known allergy to cetirizine or hydroxyzine, or infants below the age specified on the packaging, should avoid this syrup without medical advice.
How long can Axcel Cetirizine Syrup be used for allergy symptoms?
It is generally used as needed or once daily for allergy relief; if symptoms persist beyond a few days of regular use, consult a doctor or pharmacist.
Can I purchase Axcel Cetirizine Syrup through DoctorOnCall in Malaysia or Singapore?
Yes, Axcel Cetirizine Syrup is available through DoctorOnCall, a licensed online pharmacy serving Malaysia and Singapore.
Is Axcel Cetirizine Syrup supplied by DoctorOnCall genuine and safe to use for customers in Malaysia and Singapore?
Yes, all stock is sourced through licensed pharmacy supply channels and dispensed and checked by a registered pharmacist before it reaches customers in Malaysia and Singapore.
What payment methods can I use to pay for Axcel Cetirizine Syrup in Malaysia and Singapore?
You can pay using Online Banking, Credit Card, and e-Wallets (Boost, GrabPay), among other available options at checkout.
Does DoctorOnCall offer an installment payment plan for Axcel Cetirizine Syrup in Malaysia?
An installment payment plan is available for eligible purchases where applicable; please contact Customer Service for the latest information.
Is delivery free, and how much does it cost for Axcel Cetirizine Syrup orders to Malaysia and Singapore?
Delivery fees depend on the delivery location and order terms; please contact Customer Service for the latest fee information.
How long will it take for my Axcel Cetirizine Syrup order to arrive in Malaysia or Singapore?
Orders typically take 3-5 working days to arrive within Malaysia and 5-9 working days for delivery to Singapore.
What is DoctorOnCall’s shipping, return, or cancellation policy for Axcel Cetirizine Syrup in Malaysia and Singapore?
Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service for detailed guidance.
Ingredients / Active Ingredients
- Cetirizine Hydrochloride (syrup formulation)
Related Health Conditions
Safety Advice
Pregnancy
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Relevant Information
Axcel Cetirizine Syrup is a widely used non-prescription option for managing common allergy symptoms in both children and adults in Malaysia. As with all antihistamines, individual sensitivity to drowsiness varies, so caution is advised when starting the medicine, particularly before activities requiring concentration.
Medical Review
Reviewed by:
Doctor of Medicine (MD), University of Mansoura - Manchester



