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At a glance

Cetirizine Hydrochloride is a potent antihistamine used for the relief of symptoms associated with seasonal and perennial allergic rhinitis and chronic idiopathic urticaria.

Indications

Allergic rhinitis (seasonal and perennial) symptoms (sneezing, rhinorrhea, itchy/red eyes), uncomplicated skin manifestations of chronic idiopathic urticaria, allergen-induced asthma.

Pharmacology

Cetirizine Hydrochloride is a potent H1 receptor antagonist that inhibits the histamine-mediated early phase of allergic reactions and reduces the migration of inflammatory cells and the release of mediators associated with the late phase of allergic reactions. At pharmacologically active doses, it causes almost no drowsiness and does not cause behavioral changes. Food does not affect the extent of absorption but may slightly reduce the rate. Plasma half-life is approximately 11 hours.

Dosage

Oral Dosage:

  • Adults and children ≥6 years: 1 tablet or 2 teaspoonfuls daily (or 1 teaspoonful twice daily)
  • Children 2-6 years: 1 teaspoonful once daily or 1/2 teaspoonful twice daily
  • Children 6 months-2 years: 1/2 teaspoonful once daily (12-23 months: up to 1/2 teaspoonful every 12 hours)

IV Injection (acute urticaria):

  • Adults and adolescents ≥12 years: 10 mg IV push (over 1-2 minutes)
  • Children 6-11 years: 5-10 mg IV push
  • Children 6 months-5 years: 2.5 mg IV push
Side effects

Most common side effect: Somnolence (drowsiness)

Other side effects: Headache, dry mouth, dizziness, fatigue.

Use in pregnancy

Pregnancy Category: B. No adequate and well-controlled studies in pregnant women. Use only if clearly needed.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Precautions & warnings

Caution should be exercised when driving or operating heavy machinery due to potential drowsiness. Alcohol or other CNS depressants may increase drowsiness.

Overdose effects

Overdose may result in significant somnolence. Manage with standard supportive measures and gastric decontamination if necessary.

Storage conditions

Store in a dry place away from light and heat. Keep out of reach of children.

Cetirizine Hydrochloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.