May have mild osmotic laxative effect preventing constipation
Combined Synergistic Effect:
The three components work together to stimulate appetite, support liver function, promote healthy weight gain, and improve overall nutritional status while maintaining excellent taste and stability.
🛡️ Storage
Proper Storage:
✓ Store in a cool, dry place away from direct sunlight and moisture
✓ Keep at room temperature (below 25°C/77°F)
✓ Do not refrigerate unless specifically instructed
✓ Keep the bottle tightly closed when not in use
✓ Store out of reach of children and pets
✓ Protect from excessive heat and freezing
Shelf Life & Disposal:
Check the expiry date on the label before use
Do not use after the expiration date
Once opened, use within the timeframe specified on the label (typically 1-3 months)
Dispose of unused or expired medicine responsibly
Do not flush down the toilet or pour into drains
Return to pharmacy or follow local disposal guidelines
⚠️ Side Effects
Most people tolerate Cypriden well, but some may experience side effects. These are generally mild and temporary.
Common Side Effects (May affect 1 in 10 people):
Drowsiness or sleepiness (most common)
Dizziness or lightheadedness
Dry mouth, nose, or throat
Mild nausea or upset stomach
Constipation
Blurred vision
Increased appetite (this is the desired therapeutic effect)
Mild weight gain (therapeutic effect)
Less Common Side Effects:
Headache
Fatigue or tiredness
Excitement or restlessness (especially in children)
Confusion or disorientation
Nervousness or irritability
Difficulty urinating
Thickening of respiratory secretions
Rare but Serious Side Effects (Seek immediate medical attention):
⚠️ Contact your doctor immediately if you experience:
Severe allergic reactions: Rash, itching, swelling (especially of face/tongue/throat), severe dizziness, difficulty breathing
Irregular or rapid heartbeat
Severe dizziness or fainting
Seizures or convulsions
Hallucinations or severe mental changes
Yellowing of skin or eyes (jaundice)
Unusual bruising or bleeding
Severe abdominal pain
Difficulty passing urine
Managing Side Effects:
For drowsiness: Avoid driving or operating machinery; take at bedtime if single daily dose
For dry mouth: Sip water frequently, chew sugar-free gum, practice good oral hygiene
For constipation: Increase fiber intake, drink plenty of water, stay physically active
For dizziness: Rise slowly from sitting/lying position, avoid sudden movements
Note: This is not a complete list of all possible side effects. If you notice any unusual symptoms, consult your healthcare provider.
🔁 Over Doses
Symptoms of Overdose:
Excessive intake of Cypriden may cause:
Severe drowsiness or deep sleep
Extreme confusion or disorientation
Hallucinations
Dilated pupils
Flushing of face
Rapid or irregular heartbeat
Difficulty breathing
Seizures or convulsions
High fever
Loss of consciousness
Low blood pressure
What to Do in Case of Overdose:
🚨 Seek emergency medical help immediately
Call your local emergency number or poison control center
Do not induce vomiting unless instructed by medical professionals
Provide information about:
Amount taken
Time of ingestion
Any symptoms present
Bring the medicine bottle/packaging to the hospital
Stay with the person until medical help arrives
Emergency Contact: Keep emergency numbers readily available
Treatment: Overdose is typically managed with supportive care including gastric lavage, activated charcoal (if recent ingestion), and monitoring of vital signs. There is no specific antidote for cyproheptadine overdose.
💡 Safety Advice
⚠️ Important Precautions:
DO NOT USE if you:
Are allergic to cyproheptadine, tricholine citrate, or any other ingredient
Have severe asthma or chronic obstructive pulmonary disease (COPD)
Have narrow-angle glaucoma
Have urinary retention or prostate enlargement
Have stomach/intestinal ulcers or blockage
Are taking MAO inhibitors or have taken them in the past 14 days
Are in newborns or premature infants
Consult Your Doctor Before Use If You Have:
Liver disease or impairment
Kidney disease
Heart problems or high blood pressure
Diabetes
Thyroid disorders (hyperthyroidism)
Asthma or breathing problems
Difficulty urinating (enlarged prostate in men)
Glaucoma or increased eye pressure
Epilepsy or seizure disorders
Stomach ulcers or digestive problems
Special Populations:
Pregnancy (Category B):
Use only if clearly needed and prescribed by your doctor
Discuss potential risks and benefits with your physician
No well-controlled studies in pregnant women
Breastfeeding:
Cyproheptadine may pass into breast milk
May decrease milk production
Consult your doctor before use while nursing
Children:
Safe for children 2 years and older under medical supervision
Not recommended for children under 2 years
May cause excitement rather than drowsiness in children
Use exact prescribed dose; do not exceed
Elderly:
May be more sensitive to side effects, especially drowsiness and confusion
Increased risk of falls due to dizziness
May require dose adjustment
Close monitoring recommended
Drug Interactions:
Inform your doctor if you are taking:
Central nervous system depressants: Sedatives, sleeping pills, tranquilizers, alcohol
MAO inhibitors: Phenelzine, selegiline, isocarboxazid
Antidepressants: SSRIs, tricyclic antidepressants
Antihistamines: Other allergy medications
Anticholinergic drugs: Atropine, scopolamine
Blood pressure medications
Diabetes medications
Any other medications including herbal supplements
Lifestyle Precautions:
❌ Avoid Alcohol:
Alcohol increases drowsiness and dizziness
May impair judgment and coordination
Can reduce medication effectiveness
⚠️ Driving & Machinery:
May cause drowsiness, dizziness, and blurred vision
Do not drive or operate heavy machinery until you know how this medicine affects you
Avoid activities requiring mental alertness
☀️ Sun Exposure:
May increase sensitivity to sunlight
Use sunscreen and protective clothing
Avoid prolonged sun exposure
🏃 Physical Activity:
May experience decreased alertness
Be cautious during physical activities
Stay well-hydrated
General Safety Tips:
✓ Inform all healthcare providers that you're taking Cypriden before any surgery or dental procedure
✓ Regular monitoring: Your doctor may check liver function, weight, and overall progress
✓ Report all side effects to your healthcare provider, even minor ones
✓ Do not share medication with others, even if they have similar symptoms
✓ Medical ID: Consider wearing medical identification if on long-term therapy
✓ Diet: Maintain a balanced, nutritious diet to support healthy weight gain
✓ Hydration: Drink adequate water daily (6-8 glasses)