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Medically Verified MonographOTC / PrescriptionClass: Second-Generation Histamine H1 Receptor Antagonist

Zyrtec

Generic Name: Cetirizine Hydrochloride

Common Brand Names: Zyrtec, Alleroff
Dosage Form:Oral Tablets, Chewable Tablets, Liquid Gels, Oral Syrup
Route:Oral
Pregnancy Category:Category B
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Relief of symptoms associated with seasonal and perennial allergic rhinitis; treatment of uncomplicated skin manifestations of chronic idiopathic urticaria.

Medical Conditions Treated:

Allergic Rhinitis, Chronic Urticaria (Hives), Allergic Conjunctivitis

Dosage & Administration Guidelines

Adult Dosage

5 mg to 10 mg orally once daily depending on symptom severity.

Pediatric Dosage

2.5 mg once daily for 6 months to 2 years; 2.5 mg to 5 mg for 2 to 5 years; 5 mg to 10 mg for >=6 years.

Elderly / Geriatric Considerations

5 mg orally once daily initially due to potential renal decline.

Maximum Dose Limit

10 mg in 24 hours.

Renal Impairment:

Moderate to severe renal impairment (CrCl <=31 mL/min): 5 mg once daily.

Hepatic Impairment:

5 mg once daily in hepatic impairment.

Side Effects & Safety Warnings

Common Side Effects

Mild somnolence, dry mouth, fatigue, pharyngitis, dizziness.

Serious Adverse Reactions

Severe hypersensitivity reactions, urinary retention.

Contraindications:

Known hypersensitivity to cetirizine, levocetirizine, or hydroxyzine.

Important Warnings & Precautions:

Caution when performing tasks requiring complete mental alertness.

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

CNS depressants, sedatives, alcohol.

Food & Dietary Interactions:

Food does not alter overall bioavailability but may slightly delay peak absorption.

Alcohol Interaction Warning:

Avoid alcohol; may compound drowsiness.

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Extensive safety record; considered one of the preferred antihistamines during pregnancy.

Breastfeeding / Lactation

Excreted in breast milk; lower doses preferred to prevent infant lethargy.

Patient Counseling & Practical Advice

How to Take:

Although less sedating than first-generation antihistamines, it may still cause drowsiness.

What to Do if You Miss a Dose:

Take when remembered. Do not take more than one dose in 24 hours.

Recommended Monitoring & Lab Tests:

Relief of allergy symptoms.

Trustworthy Sources & Medical Review

Content for Zyrtec was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.