Dr. John Norvell answered 23 years experience No: There are people that are prescribed zyrtec (cetirizine) up to four times a day for various conditions. Just take normal dose tomorrow. February 24, 2012 in General Education Discussion Board. Cetirizine is generally very safe. Try searching for what you seek or ask your own question. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Piggybacking on this. Antihistamines are found in many different forms for children and adults: liquids, tablets, creams, nasal sprays, and eye drops. What Happens If I Accidentally Took 2 Thyroid Pills. A fast heartbeat is a sign of an overdose. Zyrtec is a second-generation antihistamine that is available over the counter (it was, at one time, prescription only). Reddit and its partners use cookies and similar technologies to provide you with a better experience. I certainly understand your worry regarding accidentally taking an extra dose of Zyrtec! 11/02/2022 . I can't walk without severe pain without antihistamines. I got sent home from school for it because I was acting a little like I was on speed but the school nurse told me it would wear off and was normal. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Having a medical issue? It is therefore important to consider all of the side effects that Zyrtec can cause, such as: In anycase involving an overdose, it would be prudent to contact the poison control center at 1-800-222-1222 or go to the emergency room. Select one or more newsletters to continue. I accidentally took 2 zyrtec in 24 hours.. For instance F flat and E are enharmonic equivalents. Taking two 10mg tablets should not cause you to have any serious problems What are the side effects of taking 2 Zyrtec? I accidentally took an expired (18 months ago!) I have it on my medical HelloPharmacist Is anything bad going to happen to me and what should I do from here on out? I'm at up to 6 zyrtec a day and 1 omeprazole under doctor's supervision - at this point I feel like I pop zyrtec like tic tacs. For these, please consult a doctor (virtually or in person). Im a male, 20, years old currently having runny nose, with a slight sore throat and took Zyrtec 10ml around 12 hours ago. 5 mL or 10 mL once daily depending upon severity of symptoms; do not take more than 10 mL in 24 hours. But when i had terfenadine prescribed even one would make me feel like having a heart attack. Press J to jump to the feed. I don't think one will hurt. You'll get health news, advice, and inspiration delivered right to your inbox. the internationale spanish lyrics. How long does the drug Zyrtec (Cetirizine) last? Zyrtec - How long after I take my first pill should I get some relief from allergies? Superoxide Dismutase (sod) - Esterified Estrogens, Cannabidiol (cbd) - Doxylamine Succinate, Pyridoxine Hydrochloride, Pulsatilla - Respiratory Syncytial Virus Immune Globulin, Fermented Wheat Germ Extract - Tubocurarine, Ephedra - Ethinyl Estradiol, Ethynodiol Diacetate, Shea Butter - Sodium Aminobenzoate, Sodium Salicylate, Taurine - Cannabidiol (prescription Drug). Do you have the information or know where to get it? Extreme drowsiness is the most common sign of cetirizine overdose in adults. She'll be fine. You can go to their website, Poison.org, or call them at 1-800-222-1222. ", Copyright 2023 Leaf Group Ltd., all rights reserved. 2023 Remedy Health Media, LLC ALL RIGHTS RESERVED. Can it hurt to take two doses of zyrtec (cetirizine)? Rx doses are higher than the OTC dose. How long does it take for Zyrtec to kick in? i have allergies and took 3 10ml of zyrtec, in error. Hikayemiz; Misyon & Vizyon; Kalite Politikamz; Sertifikalarmz; ISPM-15 aretleme zin Duyuru; Sosyal Sorumluluk; Hizmetlerimiz It takes three days for the skin to get back to normal. accidentally took 2 zyrtec in 24 hoursmanticore greek mythology. You can also connect with Dr. Brian Staiger on LinkedIn. Is it safe to take two zyrtec (cetirizine) a day, one in the morning and one at night? Fortunately, Zyrtec, also known as cetirizine, belongs to a newer class of antihistamines that produce far less dramatic signs of overdose. Copyright 2010-2021 Other second-generation antihistamines include Claritin (loratadine) and Allegra (fexofenadine). What happens if I take two Zyrtec in 24 hours? She'll tell you whether she wants you to . It provides great direction on when you should seek emergency care and what symptoms to look out for. Fortunately, Zyrtec, also known as cetirizine, belongs to a newer class of antihistamines that produce far less dramatic signs of overdose. it immensely improves my breathing, but i don't want any bad side effects. if you accidentally take an extra dose or two, the side effects are relatively mild and are generally not serious. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. I can't believe I accidentally took two antihistamines. Even though taking an extra dose of Zyrtec won't cause too many issues for mostpeople, some may be more at risk than others. Just for some extra peace of mind the safe dose of antihistamines is usually much higher than the recommended starting dose. Well ISNT it handy that if you cant be bothered to go to the doctor you can take 4x200 mg tablets and still get 800 mg eh? Your previous content has been restored. Medication can lose it's effectiveness past expiration date, but I would not expect it to not be effective at all; especially if only 18 months expire sudafed,but not zyrtec and allegra (fexofenadine) together-only 1 or the other. Talk to your doctor about dosage for people who: are 2 to 6 years old. Drowsiness may be even more extreme in young children; parents should contact their local poison control center immediately if their child becomes unresponsive or if they suspect the child ingested Zyrtec-D, an adult formulation that contains pseudoephedrine. I had to call poison control and luckily it isn't a dose that will do anything to me, but the person on the phone said I may get dehydrated, flushed, and tired. There is no tolerance for the antihistaminic effect of Zyrtec. Does Wild Lettuce Interact With Losartan? Available for Android and iOS devices. Do not give more than 5 mL in 24 hours. Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. What Happens If I Accidentally Took 2 Thyroid Pills? By using our website, you consent to our use of cookies. . Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. Menu oak lawn restaurant closing. The effects last at least 24 hours after a single dose of the drug. The recommended dosage of Zyrtec is 10mg . No dec Zyrtec (cetirizine) is a new generation with a good safety profile. Sorry about her allergies.my oldest is like that too.:confused::grouphug: Thank you! You can also connect with Dr. Brian Staiger on LinkedIn. Happened to me too! Are there side effects from long-term use of loratadine? The mod team does their best to remove bad information, but we do not catch all of it. Is it dangerous to take two zyrtec (cetirizine) in one day? I would call the local Poison Control Center. petite androgynous clothing; nepean sportsplex vaccine schedule; romantic restaurants northwest suburbs chicago :glare: One a little bit ago and another just now. Well, I usually take my antihistamines with the first set of pills. Also do you take it all/bunch at once or multiple times in the day? Zyrtec information for Healthcare Professionals. zyrtec pill. zyrtec pill. Two tablets of Zyrtec probably won't put you much more at risk of an adverse effect happening, but is still something to keep in mind. Display as a link instead, Is it OK to take 2 Claritin in 24 hours? Are there any side effects I should be aware of? Can The Effects Of Benadryl Last Into The Next Day? i am 17 and weigh around 110. The FDA-approved maximum daily dose of Zyrtec (cetirizine) is 10mg, However, many clinical studies have concluded that higher doses of Zyrtec (up to 20mg, or two tablets) are associated with only mild side effects and can provide better symptom relief than 10mg, Experiencing major side effects from taking two tablets of Zyrtec (20mg total) would be very uncommon. The ENT told me that most OTC antihistamines could be taken in much larger doses, but cause sleepiness. is it ok to take benadryl as well? I can take two separate pills for it but not one that contains both. I usually take my Zyrtec dose at night, after dinner. adidas uniforia soccer ball. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Medication can lose it's effectiveness past expiration date, but I would not expect it to not be effective at all; especially if only 18 months expire it may cause drowsiness, so don't drive or operate machinery if this happens. I'm a 32 year old healthy male read more DOKZOK Family Practice MD You can call a pharmacist if you are really worried. I was diagnosed with a sinus infectiona couple weeks ago and prescribed doxycyline and a z pack. but these symptoms are most likely due to excessive intake of pseudoephedrine, Drug Safety;" Safety of Antihistamines in Children; Ten Eick; February 2001. Within three days, the skin will recover from its normal reactivity . This is the FDA-approved maximum daily dose. Doing so can release all of the drug at once, increasing the risk of side effects. A child who ingests excessive quantities of cetirizine may become restless and irritable before extreme drowsiness sets in. Children this age using Zyrtec should be given 2. High doses of antihistamines can cause changes in heart rhythm. In terms of how much Zyrtec would be considered a dangerous overdose, the prescribing information for the drug (which is found on the FDA website) specifically discusses situations where high doses have been consumed. However, a larger overdose, especially in children or older adults, may cause serious symptoms. No serious symptoms were reported aside from restlessness and irritability, followed by drowsiness. Guys in accidentally took 2, 10ml doses of Zyrtec 12 hours apart when it's supposed to be 24 hours. Accidentally taking one extra pill, in most situations, is nothing to be too concerned about. . What Are the Dangers of Mucinex for Children? This subreddit is for informal second opinions and casual information. If you are really worried, call your Dr. It should be no problem to take zyrtec (cetir. Do not take cetirizine capsules if you are allergic to peanuts or soya. DO NOT TAKE more than directed. Diphenhydramine (Benadryl) is a popular first-generation antihistamine and can cause other common side effects, including: Dry mouth Dry eyes Constipation Blurry vision Dizziness The newer, second- or third-generation antihistamines do not cause as much drowsiness as diphenhydramine. Is This Harmful Or Dangerous? Thank you for your submission. This sub is under reconstruction, please be patient as we work to improve it. Never use this subreddit as your first and final source of information regarding your question. The prescribing information for Zyrtec notes two cases studies in which an overdose was observed in an adult and pediatric patient: The package insert for Zyrtec goes on to say the following regarding overdose: Although most case studies report minimal side effects in regard to overdosing with Zyrtec, it is important to note that someindividuals may be more susceptible to side effects than others. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. i accidentally took 2 zyrtec in 24 hours. Yes, it is possible to overdose on Zyrtec (cetirizine), just like any medication. But better overly cautious then being too careless one time. Restlessness, Nervousness and Irritability. In our latest question and answer, the pharmacist discusses whether or not it is possible to overdose on Zyrtec (cetirizine). Took two antihistamines by accident. 2013 Apr;24(2):153-60. Doctors typically provide answers within 24 hours. by . My son, 16, 140 lbs, accidentally just took 2 zyrtec-d tablets within about one hour of each other. It's OTC (and the store-brand generic is half the price), so that's the probable reason the pharmacy refused to fill the "prescription." 2 a day is way too much. If you take an extra dose, you might get some of the common side effects. That being said: yes, you can double your dosage. Other second-generation antihistamines include Claritin (loratadine) and Allegra (fexofenadine). Do NOT take a dose sooner . Answered in 5 minutes by: 1/6/2022. What happens if I take 2 claritin in 24 hours. What happens if you take 2 zyrtec in 24 hours. Medical Content Reviewed By HelloPharmacist Makes feel really dizzy and my heart beats like that too. The prescribing information gives the following data regarding lethal doses in rodents: Based on the available information, and animal studies, it would take doses far exceeding the recommended daily dosage to experience serious side effects. I am not much bigger than her and allergic to my own spit.and one does nothing.I always take 2. That is what you are most at risk for with taking an extra dose, but it should wear off as the dose wears off, within 24 hours. not getting much relief.is it safe to also take zyrtec d or sudafed d? is this bad? Taking Xanax 0.5mg and Zyrtec allergy 10mg together at they same time. Is it possible to overdose on Zyrtec? I want to add the caveat here that everyone's medical situation is different. Zyrtec is a second-generation antihistamine that is available over the counter (it was, at one time, prescription only). If you experience any side effects and you feel concerned, you should speak to . You are watching: Accidentally took 2 zyrtec in 24 hours Cetirizine is classed as a non-drowsy antihistamine, but some people still find it makes them feel quite sleepy. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Share this conversation. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Is Zoloft Safe To Take With Boswellia And Turmeric? Here you will find practical articles, an online community, courses for you and your children, user-friendly textbooks, and much more. Even Advil. Sometimes you can have residual bronchospasm after an upper respiratory infection for weeks after you feel better. This is exactly the sort of thing they are good at, and they deal with all the time. Packet dosages are different to what a doctor would prescribe. Taking two 10mg tablets should not cause you to have any serious problems, If needed, dose can be increased to a maximum of 5 mL once daily or 2.5 mL every 12 hours. should i take two zyrtec (cetirizine)? Is it OK if I accidentally took 2 Zyrtec? should i take the correct (unexpired) one nowbad well or should i wait 24 hours? Recommended dosing is 10 mg daily, this can be adjusted up with the guidance of al allergist, make sure you discuss this when you make an appointment Just observe she might be drowsy or oversleepy, or the reverse, may become hyperactive, call the poison control center in your area for advice, no mor Dr. Sandra Lora Cremers and 2 doctors agree. Taking more than directed may cause drowsiness. If you notice anything unusual or have a negative side effect, you should contact your doctor or the ER to rule it out. However, it may put you at an increased risk of experiencing side effects, such as nausea, drowsiness, headaches, stomach aches, feeing agitated or nervous. I take like 6 antihistamines a day as prescribed and am fine. I'm a male, 20, years old currently having runny nose, with a slight sore throat and took Zyrtec 10ml around 12 hours ago. I would try zyrtec, it is stronger than allegra (fexofenadine). I am 68 years old, I have been taking Benadryl (diphenhydramine ) as a sleeping aid for several mont Can you take Zoloft with Boswellia serrata and tur Will taking wild lettuce drops cause an interactio My son, who weighs 78 lbs, was diagnosed with strep throat on Tuesday. Common side effects include headaches, dry mouth, feeling sick, dizziness and diarrhoea. Ad Yousician Works with Any Piano and on Any Device. ijebu east local government; california association of realtors forms. There are people that are prescribed zyrtec (cetirizine) up to four times a day for various conditions. Yerba Mansa - Hydrochlorothiazide, Methyldopa, Coral - Atropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl, Eurycoma Longifolia - Glycerin, Phenol (otc Drug), Hyacinth Bean - Formoterol Fumarate, Glycopyrrolate, Spanish Origanum Oil - Gadobenate Dimeglumine. Do NOT take a dose sooner than youre supposed to. Before moving on to the next section, I always like to put in these articles the information for Poison Control. Fexofenadine is generally very safe. Take this medication by mouth as directed by your doctor, usually twice daily (every 12 hours) with a full glass of water. // Leaf Group Lifestyle. Create an account to follow your favorite communities and start taking part in conversations. Can I use flour instead of potato starch? Staff. Can I give her a 10mg children's zyrtec allergy chewable? should i take the correct (unexpired) one nowbad well or should i wait 24 hours? Is it safe to take two zyrtec (cetirizine) a day, one in the morning and one at night? From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Am Ice cream ass brothers Ayy Ayy sheesh Verse Am I keep a rocket in my pocket socket . Doses greater than 20 mg have not been studied. I forgot to go the drug store to take my pills. You can take at most 5 mg in 24 hours, unless a healthcare provider has recommended otherwise. How many hours do you have to wait to take another Zyrtec? Is it safe to double up on Claritin? I accidentally gave my 8 year old a 10mg pill of zyrtec (cetirizine) tonight at bedtime. i accidentally took 2 zyrtec in 24 hours. Paste as plain text instead, Mistakenly took a 24 hour Claritin and Zyrtec at 11am today and felt very drowsy at around 7pm. You can go back to schedule tomorrow at 7 am , or change it to midnight( Zyrtec syrup and Claritin syrup are for children, so 5mL of syrup is 5mg (half the dose of an adult pill). HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Extreme drowsiness is the most common sign of cetirizine overdose in adults. I guess it depends on the antihistamine how hard you react when taking more than one. I've done this. I will say I feel more drowsy and out of it but you probably wont have too many other weird side effects. Upload or insert images from URL. I have a lot of allergy issues. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Should be fine. Per the US FDA package insert for Zyrtec (cetirizine hcl) 10mg tablets: adults and children 12 years and older should not take more than the 24hr recommended maximum dose of 10mg. One such example would be individuals who have heart conditions. I actually take two 10-mg tablets as my regular dose. These may contain soya oil. Taking too much cetirizine (Zyrtec) or using more than one medication containing an antihistamine (including products used on the skin) can lead to an accidental overdose and cause serious side effects, such as seizures, hallucinations, or even death. Children - 14 hours; Adults - 24 . The only side effect that seems to be worse for me than with a single tablet is the dry mouth and mild dehydration. Taking more than the usual dose is unlikely to harm you or your child. Powered by Invision Community, Well-Trained Press Pseudoephedrine is a decongestant additive that may be fatal when taken in large doses by children under the age of 12. Press J to jump to the feed. fun trips to take with friends near me; robert downey jr ferrari; mike krzyzewski house; whole grain mustard vs stone ground; strategic direction synonym; accidentally took 2 zyrtec in 24 hours. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Is it ok to accidentally take 2 zyrtec Zyrtecindex brand cetyl hydroxyzine is used to treat allergic reactions and hives. Taking two 10mg tablets should not cause you to have any serious problems. If needed, you can take at most 5 mg in 24 hours, given as 2.5 mg by mouth every 12 hours. I can't believe I accidentally took two antihistamines. Taking two 10mg tablets should not cause you to have any serious problems. If a person has severe symptoms, such as trouble breathing, fast or slow heart rate, seizures, or loss of consciousness, call 911 or go to. 50% of people have the effect within 20 minutes, and 95 percent have it within one hour. Taking 10mg of Zyrtec is more effective than taking 5mg; taking 20mg appears not to provide any additional effect. A female asked: I accidentally took an expired (18 months ago!) Like all drugs, it is possible to overdose on Zyrtec (cetirizine), Taking over the recommended amount can increase the risk and severity of side effects such as dizziness, drowsiness, blurred vision, and constipation, It would take dosages far exceeding the maximum recommended amount to experience serious side effects, such as cardiovascular complications. Questions About A High Dosage Of Amoxicillin For A Child With Strep Throat. Depending on your reaction, doctors can prescribe up to 4 x 10mg a day. My doctor actually tells me to double up on antihistamines during allergy season. Right now Im taking Allegra, Prilosec, and Zyrtec plus liquid Benadryl on hand for any weird food allergies that might happen. Doctors typically provide answers within 24 hours. Small, accidental overdoses can usually be managed at home, but you should contact your doctor or local poison control center for guidance. Read More Created for people with ongoing healthcare needs but benefits everyone. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. With a master's degree in scientific communication and more than 20 years of professional experience, Altobelli has worked with physicians, lawyers, veterinarians and architects to develop content for professional symposia and such publications as "Annals of Internal Medicine," "Journal of Trauma" and "Clinical Infectious Diseases. Can it hurt to take two doses of zyrtec (cetirizine)? Anubis July 16, 2017, 11:32pm #12. Your link has been automatically embedded. Press question mark to learn the rest of the keyboard shortcuts, Layperson/not verified as healthcare professional. Is it dangerous to take two zyrtec (cetirizine) in one day? Well, I usually take my antihistamines with the first set . If you gave two to three times the recommended dose i wouldn't worry about it. We comply with the HONcode standard for trustworthy health information. Do not give more than 5 mL in 24 hours. Clear editor. Taking 30mg is a bit over the recommended dose but if you didn't experience any side effect you may be fine. What happens if I accidentally take 2 Zyrtec? if you accidentally take an extra dose or two, the side effects are relatively mild and are generally not serious. Feel free to send him an email at Hello@HelloPharmacist.com! is this bad? Cetyl hydroxyzine is available in the form of tablet, syrup, injection and suppository. Does DIM (Diindolylmethane) Interact With Any Drugs? Our pharmacist answers our latest question regarding an individual who accidentally took an extra dose of their morning Zyrtec (cetirizine). However, the package insert for Zyrtec written for Australian consumers indicates that the 24hr maximum dose should not exceed 20mg. Ask a doctor or medical professional on Reddit! If you or your loved one has ingested more than three times the normal therapeutic daily dose, dont hesitate to call paramedics. Drowsiness may be even more extreme in young children; parents should contact their local poison control center immediately if their child becomes unresponsive or if they suspect the child ingested Zyrtec-D, an adult formulation that contains pseudoephedrine. My symptoms came back and decided to take another 10ml only to realise it's supposed to be once a day. You'll also want to drink extra fluids, especially water. To learn more, please visit our. Per the prescribing information: So, based on the available information we have regarding Zyrtec, you shouldn't be too worried about that extra dose you took as it is fairly well tolerated, even at higher than recommended doses. by Benny Norton. The AAPCC helpline is open 24 hours and is toll-free. Past that, again, you shouldn't have too much trouble. Antihistamines are medicines to treat allergic reactions to pollen, dust, pet dander, foods, and medications. . You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional. A commonplace for discussion, news, advice and questions with fellow sufferers. HOwever, if you notice anything unusual or have any negative side effects, you should contact your doctor or visit an ER to rule out any possible complications. Can You Take A Z-Pak If You Have A Penicillin Allergy? Is Chinese Chicken chop suey Keto friendly? Small, accidental overdoses can usually be managed at home, but you should contact your doctor or local poison control center for guidance. Am I going to be okay? If you do experience any troubling symptoms, I highly recommend contacting Poison Control (information at the top of this answer) or going to your nearest emergency room. Question posted by nana143 on 26 Dec 2010, Last updated on 29 December 2010 by saw2112. The effects last for at least 24 hours after a single dose of the drug. Pasted as rich text. In a 1997 case study that appeared in the Journal of Allergy and Clinical Immunology, an 18-month-old boy who accidentally ingested more than 50 times the prescribed dose was given ipecac syrup and admitted to the hospital for observation. What if you accidentally give a child too much zyrtec (cetirizine)? thank you. Do NOT double-up on a dose. Accidentally took 2 zyrtec in 24 hours Antihistamines space a course of medication the treat allergy symptoms, such as sneezing, runny nose, and itching. If you accidentally take more Cetirizine than you should, it is unlikely to cause any serious harm to you. are there any side effectd? Staff. More likely, you will only experience mild side effects, such as sleepiness and dry mouth. What you really should do: Call your allergist and tell her that you're getting your hives back. Even though this is higherthan the daily recommended dose, it wouldn't be considered toxic in the vast majority of situations. I never thought I'd have to call poison control on myself. This defeats the purpose of taking zyrtec instead of benadryl (diphenhydramine). How Many Doses of Benadryl Can a Child Have if Having an Allergic Reaction to Something? : r/Allergies. Accidently Took Two Allegra Pills. The National Suicide Prevention Lifeline hotline is 1-800-273-8255. Ask Your Own Medical Question. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Top level comments by laypeople are automatically removed. We would like to report the result of a 12 fold overdose of cetirizine in a four-year-old-boy (weight 20 kg) who accidentally ingested 60 mg. Vomiting was induced 1 1/2 hour after ingestion in the out-patient clinic at the local hospital because of severe drowsiness. > Accidently Took Two Allegra Pills. Staff. Drug News. Always visit a doctor in real life if you have any concerns about your health. There have been no deaths reported from Zyrtec overdose in humans and such studies have only been completed in mice and rats. The usual dosage for adults younger than 65 years and children who are 6 years and older is one 10-milligram (mg) dose per day. Took two antihistamines by accident. Cardiac arrhythmias, such as: Laura Altobelli is a full-time senior editor for GSW Worldwide, an advertising agency serving the pharmaceutical industry.