Zyrtec (cetirizine) is the strongest of the second-generation antihistamines, says Dr. Garcia-Ibáñez. And because there is less chance of toxicity with this medication, the dosage can be increased substantially, at the discretion of your doctor, he says. Zyrtec is an effective treatment for allergy symptoms and hives.
“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.”
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.
Oral antihistamines, such as Zyrtec and Benadryl, shouldn't be taken together without a healthcare provider's OK. Taking oral antihistamines together can lead to additional side effects and potentially an antihistamine overdose. Signs of an overdose may include the following: Fast or racing heartbeat.
Taking too much antihistamine can lead to adverse side effects and a potential antihistamine overdose. Antihistamines are a class of medication that treat allergy symptoms, such as sneezing, runny nose, and itching. As with any medication, taking too much can be harmful.
“Claritin is a 24-hour antihistamine that works in the same way as Zyrtec, however, research has found that Claritin may be less potent than Zyrtec and therefore less effective,” explains Dr. Parikh. Although potential side effects may also be minimized as a result, she adds.
As well as taking a non-drowsy antihistamine during the day (such as cetirizine or loratadine), your doctor may advise that you take a drowsy antihistamine at night time if the itching is making it difficult to sleep. Do not take 2 antihistamines together unless recommended by your doctor.
Cetirizine is the one most likely to cause sedation,20 particularly in higher doses. Although very rare, idiosyncratic hypersensitivity reactions have been described for each of the antihistamines.
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.
The maximum recommended daily dose is 20 mg, do not exceed this dose, unless told to do so by your doctor. The usual dose of ZYRTEC oral solution is 10 mL, once a day. In children over 6 years of age, the daily dose of 10 mg is given as a single or divided dose.
Studies have shown equal effectiveness for Zyrtec and Claritin for allergic rhinitis and urticaria. Studies have not compared the effects of Zyrtec and Claritin for conditions such as postnasal drip, but research suggests intranasal antihistamines such as azelastine are more effective.
Doctors and nurse practitioners may prescribe hydroxyzine for the treatment of insomnia. It can help improve sleep as well as reduce anxiety. Before taking hydroxyzine for anxiety as a sleep medication, you should get answers to common questions you might have about using it.
However, antihistamines are only meant to be taken for a few days, and not taken on a regular basis. While antihistamines will give you a couple great nights of deep sleep, you'll soon build up a tolerance to the antihistamines, and they won't have an effect on your insomnia.
Diphenhydramine is known as a drowsy, or sedating, antihistamine as it makes you sleepy. Non-drowsy antihistamines are less likely to have this effect.
For many people with allergies, symptoms are the worst around 4 a.m. to 6 a.m. Taking an antihistamine at bedtime may help you or your child feel better in the morning during allergy season.
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. Cetirizine can be taken with or without food.
It is not recommended to combine steroid nasal sprays with each other and it is not safe to mix different types of antihistamine allergy pills.
Why do antihistamines stop working? 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.
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.
Telfast is a non-sedating antihistamine which means it has been shown not to cause drowsiness. Telfast 60 mg tablets are used to relieve the symptoms of seasonal and perennial allergic rhinitis (including hayfever) in adults and children aged 12 years or older.
Don't take more than 1 tablet in 24 hours. Children's Zyrtec (ages 2+) chewable tablets contain 2.5 mg of cetirizine per tablet.
The evidence presented does suggest, however, that patients on prolonged antihistamine therapy may develop clinical tolerance. When this is suspected the dose should be increased or the drug discontinued for a short perior (3 to 14 days) before resuming therapy.