Does Zyrtec (cetirizine) cause side effects?
Zyrtec (cetirizine) is a non-sedating second-generation antihistamine used to relieve symptoms such as sneezing, runny nose, itchy nose and eyes, postnasal discharge, tearing, eye redness, and hives associated with seasonal allergic rhinitis, perennial allergic rhinitis, and hives and itching.
It works by blocking histamine (H-1) receptors on cells. Histamine is a chemical that is responsible for many of the signs and symptoms of allergic reactions, for example, swelling of the lining of the nose, sneezing, and itchy eyes. Histamine is released from histamine-storing cells (mast cells) and then attaches to other cells that have receptors for histamine.
The attachment of the histamine to the receptors causes the cells to be "activated," releasing other chemicals that produce the effects that we associate with allergy, for example, sneezing. Zyrtec blocks one type of receptor for histamine (the H1 receptor) and thus prevents activation of H1 receptor-containing cells by histamine.
Unlike the first-generation antihistamines, Zyrtec and other second-generation antihistamines do not readily enter the brain from the blood, and, therefore, they cause less drowsiness. Zyrtec may cause more drowsiness than other second-generation antihistamines.
Common side effects of Zyrtec include
- sleepiness,
- dry mouth,
- nausea,
- headache,
- fatigue,
- jitteriness, and
- sore throat.
Serious but rare side effects of Zyrtec include
- allergic reactions,
- seizures,
- fainting, and
- low blood pressure.
Drug interactions of Zyrtec include theophylline, which reduces the breakdown of Zyrtec by 16% and can increase blood levels of Zyrtec. Drugs that cause drowsiness may add to drowsiness resulting from Zyrtec.
Zyrtec has not been adequately evaluated in pregnant women. Available evidence suggests that risk to the developing fetus is low.
Zyrtec is excreted in breast milk. Consult your doctor before breastfeeding.
Zyrtec (cetirizine) side effects list for healthcare professionals
When Using This Product
- drowsiness may occur
- avoid alcoholic drinks
- alcohol, sedatives, and tranquilizers may increase drowsiness
- be careful when driving a motor vehicle or operating machinery
Stop use and ask a doctor if an allergic reaction to this product occurs. Seek medical help right away.
If Pregnant or Breastfeeding
If breastfeeding: not recommended
If pregnant: ask a health professional before use.
Summary
Zyrtec (cetirizine) is a non-sedating second-generation antihistamine used to relieve symptoms such as sneezing, runny nose, itchy nose and eyes, postnasal discharge, tearing, eye redness, and hives associated with seasonal allergic rhinitis, perennial allergic rhinitis, and hives and itching. Common side effects of Zyrtec include sleepiness, dry mouth, nausea, headache, fatigue, jitteriness, and sore throat. Zyrtec has not been adequately evaluated in pregnant women. Zyrtec is excreted in breast milk.
Multimedia: Slideshows, Images & Quizzes
-
Allergies Quiz: Symptoms & Home RemediesWhat are the causes of allergies? This online quiz challenges your knowledge of common food and household allergens,...
-
Picture of Eye AllergiesSevere allergic eye symptoms can be very distressing and are a common reason for visits to the allergist or ophthalmologist. See...
-
Allergies: 10 Ways to Reduce Mold AllergiesWebMD shows you 10 ways to fight the fungus and reduce mold allergy symptoms from dust masks to bottles of bleach.
-
10 Signs Your Allergies Are Out of ControlLearn 10 signs your allergies are out of control. See these surprising allergy symptoms and find out how to get relief for...
-
Allergies: Myths and Facts About Seasonal AllergiesSeasonal allergy symptoms are hard. Do deserts prevent allergies? What can allergies do to your body? What is an allergen? Adult...
-
Nasal Irrigation: Natural Relief for Cold & Allergy SymptomsClogged sinuses and congestion bothering you? Nasal irrigation can relieve sinus symptoms associated with colds and allergies....
-
Nasal Allergy Attack: Causes, Triggers, TreatmentsNasal allergies are a common problem that affects millions of people. An allergist can recommend the best allergy nasal sprays...
-
Allergies: Common Plants and Trees That Trigger AllergiesFind out more about which plants and trees might be producing pollen that is causing your itchy eyes and a runny nose.
-
10 Worst Cities for Spring AllergiesSee pictures of the top 10 "spring allergy capitals", according to the Asthma and Allergy Foundation of America (AAFA). From...
-
Pictures of Allergy Relief Tips at Home: AC Filters, Electronic Air Cleaners, and MoreLearn how a combination of medication, preventing allergens, and allergy relief products can reduce allergy symptoms and help you...
-
Home Allergy Quiz: Is Your Home Allergy-Proof?Take this home allergy quiz and test your knowledge on allergens, dust mites, pollens and more to see how allergy-proof your home...
-
Preparing for Severe Allergies at SchoolHelp your child manage and prepare for severe allergies at school. Protect your child from food allergies, insect stings, and...
Related Disease Conditions
-
How Long Does an Allergic Reaction Last?Allergic reactions may last for varying lengths of time. They may take a few hours to a few days to disappear. If the exposure to the allergen continues, such as during a spring pollen season, allergic reactions may last for longer periods such as a few weeks to months.
-
What Are the 4 Types of Allergic Reactions?Allergists recognize four types of allergic reactions: Type I or anaphylactic reactions, type II or cytotoxic reactions, type III or immunocomplex reactions and type IV or cell-mediated reactions.
-
AllergyAn allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. When these allergens come in contact with the body, it causes the immune system to develop an allergic reaction in people who are allergic to it. It is estimated that 50 million North Americans are affected by allergic conditions. The parts of the body that are prone to react to allergies include the eyes, nose, lungs, skin, and stomach. Common allergic disorders include hay fever, asthma, allergic eyes, allergic eczema, hives, and allergic shock.
-
Cold, Flu, Allergy TreatmentsBefore treating a cold, the flu, or allergies with over-the-counter (OTC) medications, it's important to know what's causing the symptoms, which symptoms one wishes to relieve, and the active ingredients in the OTC product. Taking products that only contain the medications needed for relieving your symptoms prevents ingestion of unnecessary medications and reduces the chances of side effects.
-
Hay FeverHay fever (allergic rhinitis) is an irritation of the nose caused by pollen and is associated with the following allergic symptoms: nasal congestion, runny nose, sneezing, eye and nose itching, and tearing eyes. Avoidance of known allergens is the recommended treatment, but if this is not possible, antihistamines, decongestants, and nasal sprays may help alleviate symptoms.
-
Allergic CascadeThe allergic cascade refers to allergic reactions that happen in the body in response to allergens. A variety of immune cells and chemical messengers participate in the allergic cascade. Symptoms of the allergic cascade range from mild swelling and itching to full-blown anaphylactic shock. Allergen avoidance and medications are used to prevent or treat allergies.
-
Indoor AllergensIndoor allergens are substances that can cause an allergic reaction in some people. Common sources of indoor allergens include dust mites, cockroaches, molds, pets, and plants. Avoiding indoor allergens is one way to reduce allergy and asthma symptoms.
-
Allergy Treatment Begins at HomeAvoiding allergy triggers at home is one of the best ways to prevent allergy symptoms. Controlling temperature, humidity, and ventilation are a few ways to allergy-proof the home. Cleaning, vacuuming, and using HEPA air filters also helps control allergies.
-
Sinus Infection vs. AllergiesBoth sinus infections and allergies (allergic rhinitis) cause symptoms such as runny or stuffy nose and fatigue. Sinus infection (known as sinusitis) is inflammation of the sinuses, caused by infection from bacteria, viruses, and/or fungi (molds). Allergic rhinitis occurs when certain allergies cause nasal symptoms. When a person with allergies breathes in an allergen, such as pollen, dust, or animal dander, symptoms such as runny or stuffy nose, itching, sneezing, and fatigue occur.
-
What Are the Best Treatments for Allergic Conjunctivitis?Learn what medical treatments can ease allergic conjunctivitis symptoms and help speed up your eye allergy recovery.
-
COVID-19 vs. AllergiesThough there is some overlap in allergy and COVID-19 signs and symptoms there are also significant differences. Symptoms that they have in common include headache, fatigue, tiredness, shortness of breath, wheezing, and sore throat. Fever does not occur with allergies but is one of the defining symptoms of COVID-19 infections.
Treatment & Diagnosis
Medications & Supplements
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Professional side effects and drug interactions sections courtesy of the U.S. Food and Drug Administration.