For allergy sufferers with heart disease, medicines such as Allegra, Zyrtec or Claritin should be safe. However, medicines containing decongestants — including Allegra-D, Zyrtec-D and Claritin-D — could increase your blood pressure and heart rate or interfere with your heart medication.
Drowsiness, tiredness, and dry mouth may occur. Stomach pain may also occur, especially in children. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
You should not use Zyrtec-D if you have narrow-angle glaucoma, severe high blood pressure (hypertension), severe coronary artery disease, if you are unable to urinate, or if you are allergic to hydroxyzine (Atarax, Vistaril). Do not use this medicine if you have taken an MAO inhibitor in the past 14 days.
Tolerance is not a problem. Rarely, they can cause acute self-limited liver injury. One study has reported a more serious long-term effect, a 3.5-fold increase in the risk of gliomas, a common type of brain tumor in patients with long-term antihistamine use for allergic conditions.
In 95% of patients after oral administration of 10 mg cetirizine, it has been showed that the highest blood levels achieved 60 min later. Our patient was admitted to the emergency department with complaints of palpitations exactly 1 h after taking the drug, and AF was documented on emergency ECG.
"They can raise the blood pressure and increase the pulse, neither of which is ideal in either problem," he says. "They can also increase the risk for heart rhythm disturbances such as atrial fibrillation."
For allergy sufferers with heart disease, medicines such as Allegra, Zyrtec or Claritin should be safe. However, medicines containing decongestants — including Allegra-D, Zyrtec-D and Claritin-D — could increase your blood pressure and heart rate or interfere with your heart medication.
Claritin and Zyrtec are popular over-the-counter antihistamines. Doctors consider them safe and effective treatments for minor allergies. Both are second-generation antihistamines. These cause less drowsiness than first-generation antihistamines.
Greg Panico, a spokesman for Janssen Pharmaceutica, which is owned by Johnson and Johnson, said that the withdrawal was a voluntary business decision. “The decision to voluntarily discontinue it recognises that the allergy marketplace is crowded with a number of other drugs,” Mr Panico said.
In the drug realm, antihistamines such as diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), cetirizine (Zyrtec), and loratadine (Claritin) can help with a stuffy nose are safe for the heart.
Yes, you can take cetirizine (Zyrtec) only when you need it if you have allergy symptoms once in a while. But if you have allergy symptoms on a daily basis, taking it regularly according to the manufacturer's directions might give you the most relief from your allergies.
Because antihistamines like Claritin and Zyrtec are now available over the counter, we can trust that they're generally safe for longterm use, says Shih.
Cetirizine is unlikely to do you any harm if you take it for a long time. However it's best to take cetirizine only for as long as you need to. If you take it regularly over a long period there's a very small chance of severe itching if you stop treatment suddenly.
When a person stops taking their medication, their body will produce more histamine to make up for the lack of antihistamine. This results in extreme itching. It's common for someone who's addicted to an antihistamine to scratch until they're raw and bleeding.
Some elderly people may have higher risk of side effects because of poor kidney function. The drowsiness and fatigue which may occur in a small percentage of patients may be more of a problem for the elderly because of the increased risk of bone fracture if they fall.
Which allergy medications are best for people with high blood pressure? Second-generation antihistamines that are not combined with decongestants are the best choice for people with hypertension. These include oral medications like: Cetirizine (Zyrtec)
One study also suggests cetirizine and hydroxyzine have a greater chance of causing anxiety and mood changes than other antihistamines. Hydroxyzine can also be used to treat anxiety conditions. So if you notice your symptoms worsen after starting this medication, contact your provider to discuss it further.
by Drugs.com
The elimination half-life of Zyrtec is between 8 to 9 hours. It takes approximately 5.5 x elimination half-life for a medicine to be cleared from your system. For Zyrtec this is 5.5 x 9 hours which is about 2 days.
The well-known side effects of the first-generation antihistamines, sedation and decreased reaction time, are more pronounced in the elderly. The anticholinergic effects are drying of the mouth and eyes, blurred vision, urinary retention, and constipation.
Xyzal is one of the newer, third-generation antihistamines used to treat allergies. It is available OTC and by prescription.
Summary. Natural antihistamines may help you control your seasonal allergies. Common ones are stinging nettle, vitamin C, quercetin, butterbur, bromelain, and probiotics. Some alternative practices—such as acupuncture, nasal irrigation, and exercise—may also help you manage symptoms.
So what can older adults safely take for allergy relief? Wozniak: Newer antihistamines such as Claritin® (loratadine) and Allegra® (fexofenadine) tend to be safer and better tolerated.
Official answer. Cetirizine can be taken at any time of the day. In most people it is non-sedating, so they take it in the morning. However, a percentage of people do find it to be sedating so if it does make you drowsy it is best to take it in the evening.