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compositionComposition:CINNARIZINE+DIMENHYDRINATE
prescription
Prescription Medicine
info
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DILIGAN CD 20/40MG MD TABLET is used to treat the symptoms of vertigo, such as dizziness, spinning sensation, nausea, and vomiting. It can help you to carry out daily activities that are difficult when you have vertigo. It contains two medicines, namely Cinnarizine and Dimenhydrinate, which improve the blood flow in the ear and prevent problems with loss of balance.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

CINNARIZINE+DIMENHYDRINATE

Manufacturer/Marketer :

Dr Reddy's Laboratories Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About DILIGAN CD 20/40MG MD TABLET

DILIGAN CD 20/40MG MD TABLET is a tablet primarily prescribed to treat vertigo, travel sickness, and inner ear balance disorders. By targeting the sensory organs of the inner ear and the brain's vomiting centre, this medicine helps calm spinning sensations and associated nausea. It provides effective relief from the uncomfortable symptoms of motion sickness and dizziness.

Your doctor will determine how often you need to take this medicine, and it is crucial to use it consistently as directed to maintain symptom control. For the best results, always take this tablet with food or after a meal to protect your stomach from potential irritation. In addition, making simple lifestyle adjustments, such as avoiding sudden head movements, can significantly help improve your recovery.

While this medicine is highly effective, some people may experience mild side effects like drowsiness or a dry mouth. However, if you develop severe issues such as yellowing of your skin, muscle stiffness, or uncontrollable shaking, you must stop taking the medicine and consult your doctor immediately.

Before starting this treatment, talk to your doctor if you have pre-existing medical conditions like glaucoma, asthma, liver damage, or kidney issues. Do not take this if you have a known allergy to any of the ingredients in the tablet, severe breathing difficulties, or if you are under the age of 18.

This medicine can interact with alcohol and certain sleep medications, causing extreme drowsiness, so these should be avoided. Pregnant women, breastfeeding mothers, and elderly individuals should always consult their doctor before using this medicine to ensure it is safe for their specific situation.

Uses of DILIGAN CD 20/40MG MD TABLET

DILIGAN CD 20/40MG MD TABLET is used to manage balance-related disorders and nausea by stabilising inner ear function and reducing abnormal signals to the brain, including:

  • Vertigo: DILIGAN CD 20/40MG MD TABLET helps calm the inner ear sensors to reduce severe dizziness and the false sensation of spinning.
  • Motion sickness: DILIGAN CD 20/40MG MD TABLET prevents and relieves nausea, vomiting, and lightheadedness caused by traveling in cars, planes, or boats.
  • Vestibular disorders: DILIGAN CD 20/40MG MD TABLET assists in managing balance disturbances and coordination issues arising from inner ear conditions.

Key Benefits

DILIGAN CD 20/40MG MD TABLET offers real-world relief by stabilising your balance system and calming your stomach, helping you feel better quickly. The main benefits of this medicine include:

  • Provides rapid relief from intense spinning sensations, allowing you to move around safely and comfortably.
  • Effectively prevents travel-related nausea and vomiting, making long journeys easier to handle.
  • Reduces the anxiety and physical discomfort associated with sudden, unpredictable episodes of dizziness.
  • Supports faster recovery and helps you return to your normal daily activities with confidence.

Directions for Use

  • Taking DILIGAN CD 20/40MG MD TABLET with or after food may help prevent indigestion.
  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Swallow it as a whole with a glass of water.
  • Do not crush, chew, or break it.

How DILIGAN CD 20/40MG MD TABLET Works

DILIGAN CD 20/40MG MD TABLET is a combination medication that works through the dual action of two active components, cinnarizine and dimenhydrinate, to restore balance in your body. Cinnarizine acts as a calcium channel blocker, which helps to calm the blood vessels and reduce the over-excitation of the sensory cells inside your inner ear. This prevents abnormal balance signals from being sent to your brain, lowering the intensity of dizziness and spinning. Dimenhydrinate is an antihistamine that directly targets the vomiting centre in your brain and blocks certain signals in your nervous system. By blocking these signals, it stops the physical urge to vomit and reduces the feeling of nausea. Together, these two ingredients work in harmony to soothe your balance system and calm your stomach, providing comprehensive relief from both vertigo and motion sickness.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking DILIGAN CD 20/40MG MD TABLET as it may cause increased drowsiness.

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Pregnancy

Caution

Please consult your doctor before taking DILIGAN CD 20/40MG MD TABLET if you are pregnant; your doctor will prescribe DILIGAN CD 20/40MG MD TABLET if the benefits outweigh the risks.

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Breast Feeding

Caution

DILIGAN CD 20/40MG MD TABLET may pass into breastmilk. Please consult your doctor before taking DILIGAN CD 20/40MG MD TABLET ; your doctor will decide whether DILIGAN CD 20/40MG MD TABLET can be taken by breastfeeding mothers or not.

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Driving

Caution

DILIGAN CD 20/40MG MD TABLET may cause drowsiness and sleepiness. Do not drive or operate machinery unless you are alert.

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Liver

Unsafe

DILIGAN CD 20/40MG MD TABLET should not be taken by patients suffering from liver failure. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

DILIGAN CD 20/40MG MD TABLET should not be taken by patients suffering from kidney failure. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

DILIGAN CD 20/40MG MD TABLET is not recommended for children below 18 years as the safety and effectiveness were not established.

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Heart

Unsafe

DILIGAN CD 20/40MG MD TABLET is not recommended for use in heart patients. This medicine has a block box warning- risk of blood clots.

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Geriatrics

Caution

DILIGAN CD 20/40MG MD TABLET should be administered with caution in geriatric patients due to the risk of age-related side effcets.

What if I have taken an overdose of DILIGAN CD 20/40MG MD TABLET

If you suspect an overdose, seek immediate emergency medical attention. Symptoms of an overdose may include severe drowsiness, extreme dry mouth, dilated pupils, a rapid heartbeat, confusion, or coordination problems.

Diet & Lifestyle Advise

  • Hydration Support: Drink small, frequent sips of water throughout the day to keep hydrated and ease dry mouth symptoms.
  • Movement Control: Avoid making sudden movements, sitting up too quickly, or tilting your head rapidly to minimise sudden episodes of vertigo.
  • Dietary Triggers: Limit your consumption of caffeine, sodium, and alcohol, as these substances can alter the fluid balance in your inner ear and trigger dizziness.
  • Travel Positioning: When traveling, sit in areas with minimal motion, such as the front seat of a car or over the wing of an airplane, and keep your eyes focused on a stable point on the horizon.
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How Soon It Starts Working

The time required for DILIGAN CD 20/40MG MD TABLET to start to work: DILIGAN CD 20/40MG MD TABLET ideally shows its action within 30 to 60 minutes after administration.

The time for which the effects of DILIGAN CD 20/40MG MD TABLET last: The effect of DILIGAN CD 20/40MG MD TABLET lasts for 4 to 6 hours.

What if you forget to take DILIGAN CD 20/40MG MD TABLET

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular timing. Do not take a double dose to make up for a missed one.

Storage

•Store the tablets at room temperature, ideally between 15°C and 30°C (59°F to 86°F), in a dry place. Do not store this medicine in the bathroom or damp areas.

Drug Warnings

  • Safety and Alertness: Do not drive, ride a bicycle, or operate heavy machinery after taking this medicine, as it can make you extremely drowsy and slow your reaction times.
  • Alcohol Use: Avoid drinking alcohol while taking this medicine, as it will intensify sleepiness and dizziness, making you more prone to falls or accidents.
  • Medical Tests: Inform your doctor if you have an upcoming allergy skin test, as this medication can interfere with the results. You may need to stop taking it a few days beforehand.
  • Medication Inspection: Always inspect the tablet packaging before use. If the blister pack is broken, punctured, or damaged, do not take the medication and consult your pharmacist.

Drug-Drug Interactions

verifiedApollotooltip

Let’s look at the medicines that may interact with DILIGAN CD 20/40MG MD TABLET and increase side effects or change how it works:

  • Sedatives and sleeping pills: Combining these with DILIGAN CD 20/40MG MD TABLET can cause severe drowsiness, dizziness, and respiratory slowing.
  • Antidepressants (tricyclic and MAO inhibitors): May increase the risk of dry mouth, blurred vision, and difficulty urinating.
  • Blood pressure medicines: Combining these may cause a sudden drop in blood pressure, leading to lightheadedness when standing up.
Dimenhydrinate + CinnarizinePotassium citrate
Critical
Dimenhydrinate + CinnarizinePotassium chloride
Critical

Drug-Drug Interactions

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Dimenhydrinate + CinnarizinePotassium citrate
Critical
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Co-administration of Diligan Cd 20/40mg Md Tablet with Potassium citrate can make potassium more irritating to your upper intestine and stomach.

How to manage the interaction:
Co-administration of Diligan Cd 20/40mg Md Tablet with Potassium citrate is not recommended, as it can lead to an interaction, it can be taken when a doctor has prescribed it. However, if you experience severe stomach pain, bloating, sudden dizziness, loss of appetite vomiting (especially with blood), or dark tarry stools, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
Dimenhydrinate + CinnarizinePotassium chloride
Critical
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Co-administration of Diligan Cd 20/40mg Md Tablet with Potassium chloride can make potassium more irritating to your upper intestine and stomach.

How to manage the interaction:
Co-administration of Diligan Cd 20/40mg Md Tablet with Potassium chloride is not recommended, as it can lead to an interaction, it can be taken when a doctor has prescribed it. However, if you experience severe stomach pain, bloating, sudden dizziness, loss of appetite vomiting (especially with blood), or dark tarry stools, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
Dimenhydrinate + CinnarizineZonisamide
Severe
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Coadministration of Diligan Cd 20/40mg Md Tablet with Zonisamide can increase the risk or severity of side effects like increased body temperature and decreased sweating especially in warm weather.

How to manage the interaction:
Taking Diligan Cd 20/40mg Md Tablet together with Zonisamide can result in an interaction, it can be taken if your doctor has advised it. However, if you experience drowsiness, dizziness, or lightheadedness fever, or excessive sweating, contact a doctor immediately. Make sure to hydrate yourself during warm weather or after exercise. Stay away from mentally demanding activities like operating machinery or driving. Do not discontinue any medications without consulting a doctor.
Dimenhydrinate + CinnarizineEsketamine
Severe
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Co-administration of Diligan Cd 20/40mg Md Tablet with Esketamine can increase the risk of side effects such as drowsiness, confusion, difficulty concentrating, and impairment in thinking, judgment, reaction speed, and motor coordination.

How to manage the interaction:
Co-administration of Diligan Cd 20/40mg Md Tablet with esketamine can lead to an interaction, it can be taken if advised by a doctor. Do not stop using any medications without a doctor's advice.
Dimenhydrinate + CinnarizineTopiramate
Severe
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Coadministration of Diligan Cd 20/40mg Md Tablet with topiramate can increase the risk of topiramate side effects like increased body temperature and decreased sweating especially in warm weather.

How to manage the interaction:
Taking Diligan Cd 20/40mg Md Tablet together with topiramate can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience decreased sweating or a fever, drowsiness, dizziness, or lightheadedness, contact a doctor immediately. Avoid driving and operating hazardous machinery and Make sure to hydrate yourself during warm weather or after exercise. Do not discontinue any medications without consulting a doctor.
Dimenhydrinate + CinnarizineSodium oxybate
Severe
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
Using Diligan Cd 20/40mg Md Tablet together with sodium oxybate can increase the risk of side effects.

How to manage the interaction:
Co-administration of Diligan Cd 20/40mg Md Tablet with sodium oxybate can lead to an interaction, but it can be taken if a doctor advises it. However contact a doctor if you experience any side effects such as dizziness, drowsiness, confusion, difficulty concentrating, excessive sedation, and respiratory depression, impairment in thinking, judgment, and motor skills. Avoid driving, operating hazardous machinery, or engaging in potentially hazardous activities requiring mental alertness and motor coordination for at least six hours after taking sodium oxybate.Use caution when getting up from a sitting or lying position. Do not stop using any medications without a doctor's advice.
Dimenhydrinate + CinnarizineKetamine
Severe
How does the drug interact with Diligan Cd 20/40mg Md Tablet:
The combined use of Diligan Cd 20/40mg Md Tablet with ketamine can increase the risk of side effects such as dizziness, drowsiness, confusion, difficulty concentrating, excessive sedation, and respiratory depression, impairment in thinking, judgment, and motor coordination.

How to manage the interaction:
Co-administration of Diligan Cd 20/40mg Md Tablet with ketamine can lead to an interaction, but it can be taken if advised by your doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip

Here are the main food-related considerations while taking DILIGAN CD 20/40MG MD TABLET :

  • Alcohol: Markedly increases coordination problems, drowsiness, and dizziness. Avoid alcohol completely during treatment.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIVERTIGO DRUGS]

FAQs

DILIGAN CD 20/40MG MD TABLET is used to treat the symptoms of vertigo, such as dizziness, spinning sensation, nausea, and vomiting.
DILIGAN CD 20/40MG MD TABLET contains Cinnarizine and Dimenhydrinate. Cinnarizine prevents the narrowing of the blood vessels in the ear; this improves the blood flow in the ear. Dimenhydrinate works by blocking the action of a chemical messenger known as histamine, thus preventing problems with loss of balance.
Dry mouth could be a side effect of DILIGAN CD 20/40MG MD TABLET . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.
Talk to your doctor before taking DILIGAN CD 20/40MG MD TABLET with anti-hypertensive medicines along with DILIGAN CD 20/40MG MD TABLET as DILIGAN CD 20/40MG MD TABLET might lower their effect. Regular monitoring of blood pressure levels is advised while taking DILIGAN CD 20/40MG MD TABLET .
Please do not stop taking DILIGAN CD 20/40MG MD TABLET on your own, as it might cause recurring symptoms. Continue taking DILIGAN CD 20/40MG MD TABLET for as long as your doctor prescribes it. Do not be reluctant to speak with your doctor if you experience any difficulty while taking DILIGAN CD 20/40MG MD TABLET .
Consult your doctor before taking DILIGAN CD 20/40MG MD TABLET if you have glaucoma (raised pressure in the eye). Do not take DILIGAN CD 20/40MG MD TABLET if you have angle-closure glaucoma (a specific type of eye disease).
Patients should not take DILIGAN CD 20/40MG MD TABLET with pre-existing extrapyramidal movement disorders such as Parkinson's disease.
DILIGAN CD 20/40MG MD TABLET may cause side effects, such as drowsiness, dry mouth, stomach pain, and headache. Most of these side effects do not require medical attention and will resolve gradually. However, you are advised to talk to your doctor if you experience these side effects persistently.
Yes, DILIGAN CD 20/40MG MD TABLET may cause drowsiness. Therefore, avoid driving or operating machinery if you experience drowsiness.
DILIGAN CD 20/40MG MD TABLET may cause indigestion. Taking DILIGAN CD 20/40MG MD TABLET with or after food may help prevent indigestion. Eat smaller meal portions instead of larger meals. Avoid alcohol, caffeine, and foods that may trigger indigestion.
DILIGAN CD 20/40MG MD TABLET is contraindicated in people who are allergic to any of its components, people who have/had angle-closure glaucoma, epilepsy, increased pressure in the brain due to tumour, urination difficulties due to prostate problems, liver or kidney failure, and alcohol abuse.
Taking too much of this medicine may lead to an overdose. The symptoms of overdose include extreme tiredness, dizziness, shakiness, dry mouth, headache, fever, sweat, fast heart rate, dilated pupils or urinary retention. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.
If you miss a dose of DILIGAN CD 20/40MG MD TABLET take it as soon as you remember. However, if it is almost time for the scheduled dose, skip the missed dose and take the next dose at the scheduled time.
Store DILIGAN CD 20/40MG MD TABLET at room temperature, in a dry place. Keep out of sight and reach of children.
No, this medicine can cause severe drowsiness and slow your reflexes. It is not safe to drive, ride a bicycle, or operate heavy machinery after taking it. Talk to your doctor if you need advice on managing this.
To prevent motion sickness, it is best to take the tablet about 30 minutes to one hour before you start your trip. Talk to your doctor or pharmacist to get a personalised recommendation.
You should avoid alcohol entirely while taking this medicine. Alcohol increases the risk of extreme drowsiness and coordination problems, which can lead to falls. Talk to your doctor if you have questions.
This medicine is generally not recommended during pregnancy unless your doctor decides the benefits outweigh the risks. If you are pregnant or planning to become pregnant, talk to your doctor before taking this.
While you can take it on an empty stomach, taking it with or after a meal is highly recommended to prevent stomach irritation or indigestion. Talk to your doctor if you have persistent stomach discomfort.
Yes, but elderly individuals may be more sensitive to side effects like drowsiness, dry mouth, confusion, or muscle stiffness. Your doctor may adjust the dose or monitor you closely. Talk to your doctor before starting.
This medicine is usually prescribed for short-term relief of acute vertigo or motion sickness. Long-term use should only occur under the direct supervision of your healthcare provider. Talk to your doctor about your treatment duration.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Dr. Reddy's Laboratories Ltd., 8-2-337, Road No. 3, Banjara Hills, Hyderabad, Telangana 500034, INDIA
Other Info - DIL0196

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