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.
Allergists recommend long-acting, non-sedating antihistamines — ones that won't make you sleepy — for everyday use. Though you may know them by their brand names, the generic versions tackle the same problems: Cetirizine (Zyrtec®, Aller-Tec®, Wall-Zyr®). Fexofenadine (Allegra®, Aller-ease®, Aller-Fex®, Wal-Fex®).
Used For. From the #1 allergist-recommended brand among OTC oral antihistamines, Zyrtec Tablets contain 10 mg of Cetirizine HCI to help relieve indoor and outdoor allergy symptoms caused by dust, pet dander, and pollen.
“Zyrtec is found to be more potent, or stronger, in laboratory studies, compared with Claritin,” says Dr. Kung. “It also reaches a higher concentration in the skin, which can be more helpful for skin-related allergies. However, Zyrtec has a greater chance of making you sleepy while taking it.”
Sandoz issued a voluntary recall of 1,023,430 units of Zyrtec (10 mg) capsules as a result of failed impurities and a specification being reported for impurity at the 21-month stability time point, according to an FDA Enforcement Report.
Since both medications have a common core chemical structure, Zyrtec and Xyzal generally have the same level of effectiveness, onset of action, and range of allergy symptoms treated. Xyzal is slightly less drowsy, so if drowsiness is an issue with your allergy medicine, Xyzal is better than Zyrtec.
First generation antihistamines, while very effective at controlling symptoms, are often associated with symptoms in older adults such as anxiety, confusion, sedation, blurred vision, reduced mental alertness, urinary retention and constipation.
What's the best time of day to take ZYRTEC®? Any time of day works. And ZYRTEC® will continue to work for 24 hours.
Is it safe to take Zyrtec every day? Yep. "When taken in the recommended doses, antihistamines can be taken daily. This is especially true with Zyrtec, since it doesn't show decreasing effectiveness if used daily," says Sima Patel, MD, an allergist at New York Allergy & Sinus Centers.
Do not use with any other antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray) because increased side effects may occur. Cetirizine is very similar to hydroxyzine and levocetirizine. Do not use these medications while using cetirizine.
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.
Newer antihistamines like Allegra and Claritin are generally safe for daily use. But allergy medications with decongestants, such as Claritin-D or Benadryl-D, could make your allergies worse with long-term use.
Both medications are used to treat the same symptoms, including sneezing, runny nose, itchy eyes, itchy throat, and hives. In a clinical trial, both medications appeared to be equally effective in treating allergy symptoms.
Second- and third-generation antihistamines are less likely to cause drowsiness. Of these, cetirizine works the fastest but has a higher chance of making you feel drowsy. Fexofenadine is the least drowsy option.
BENADRYL® Allergy Relief is the fastest-acting allergy relief capsule, it is the only brand to contain acrivastine a unique active ingredient. Acrivastine starts to work in 15 minutes providing fast relief.
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.
Taking more than the usual dose is unlikely to harm you or your child. If you take an extra dose, you might get some of the common side effects. If this happens or you're concerned, contact your doctor.
Do not take 2 antihistamines together unless recommended by your doctor.
Diphenhydramine is an antihistamine medicine that relieves the symptoms of allergies. It's known as a drowsy (sedating) antihistamine and is more likely to make you feel sleepy than other antihistamines.
Antihistamines can stop working because your allergies might be getting worse or you might have immune system changes due to aging. You also might not be taking the medication as directed. If you take an antihistamine after being exposed to an allergy trigger, it won't work as well.
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.
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. Other medical problems common in elderly patients may contribute to sedation.
ZYRTEC-D® Allergy Relief Tablets with Decongestant and Cetirizine HCl. Adults under 65 and children 12 years and older One 10 mg capsule once daily; do not take more than one 10 mg capsule in 24 hours. Adults 65 years and over Ask a doctor. Adults with liver or kidney disease Ask a doctor.