About this medication
- Cetirizine is an antihistamine. It helps relieve allergy symptoms.
- It helps with sneezing, a runny or stuffy nose, and itchy, watery eyes caused by seasonal or year-round allergies.
- It helps relieve itching and hives from allergic skin reactions.
Relieves allergic rhinitis symptoms and hives.
How to use it
- Take this medicine exactly as your healthcare professional tells you. The amount and how often you take it will be on your prescription label or package.
- If you take the regular tablets: swallow whole with a glass of water, with or without food.
- If you take the fast-dissolving tablets: let the tablet dissolve on your tongue, with or without water.
- If you take the liquid gel capsules: swallow whole with water; do not chew or crush them.
- If you or your child take the liquid: use the measuring device that comes with it, not a regular kitchen spoon.
If you miss a dose
- If you take this medicine once a day, take the missed dose as soon as you remember, then go back to your normal schedule.
- Do not take two doses at once to make up for a missed one.
Adults commonly use 5-10 mg once daily. Older adults and people with kidney or liver impairment may need a lower dose.
Pregnancy and breastfeeding
- Cetirizine is not recommended during pregnancy unless your doctor tells you to use it.
- It is not recommended while breastfeeding unless your doctor advises it.
Ask for individual advice during pregnancy or breastfeeding.
Before you use it
- Tell your healthcare professional about any liver or kidney problems, since your dose may need to be lower.
- Tell the Care365 care team if you have ever had an allergic reaction to cetirizine, hydroxyzine, or similar antihistamines.
- Ask the Care365 care team before giving this medicine to a young child.
Important warnings
- Rare but serious allergic reactions, including severe swelling or a serious skin reaction, can occur.
- Rarely, this medicine has been linked to seizures, severe drops in blood pressure, liver problems, blood cell problems, kidney inflammation, difficulty urinating, or unusual movements and hallucinations.
- This medicine can make you drowsy, especially at higher doses. Be careful with driving or operating machinery until you know how it affects you.
Avoid cetirizine, hydroxyzine or piperazine allergy and severe kidney impairment. Child dosing is age/product-specific.
Possible side effects
- Drowsiness or sleepiness.
- Dry mouth.
- Headache.
- Tiredness.
- Nausea.
- Sore throat, more common in children.
- Stomach pain, more common in children.
- Cough, more common in children.
- Nosebleed, more common in children.
Drowsiness, fatigue, headache and dry mouth; assess alertness before driving.
When to get help
When to get emergency help
- Swelling of the face, lips, tongue, or throat, or trouble breathing.
- A widespread rash or severe skin reaction.
- Fainting or a seizure.
- Severe dizziness or feeling like you might pass out, which can signal very low blood pressure.
When to contact a healthcare professional
- If you notice yellowing of the skin or eyes.
- If you have trouble urinating.
- If drowsiness or other side effects do not improve.
- If your symptoms do not get better with regular use.
Get help for severe rash, facial swelling, breathing difficulty or inability to urinate.
Other medicines and products
- Alcohol and other medicines that cause drowsiness, such as sleep aids, anti-anxiety medicines, and some pain relievers, can add to cetirizine's sleepy effect. Avoid combining them.
- Tell the Care365 care team about all other medicines you take so they can check for interactions.
- You can take cetirizine with or without food.
Alcohol and sedating medicines can increase drowsiness.
Missed doses, storage and accidental exposure
- Store tablets, fast-dissolving tablets, and liquid at room temperature.
- Store liquid gel capsules away from high heat and humidity, and protect them from light.
- Keep all forms out of reach of children.
- Return unused or expired medicine to your pharmacy.
Follow your own product’s missed-dose instructions. If you are unsure, ask the Care365 clinical team before taking an extra dose. Contraceptives, injections and modified-release medicines may need a specific plan.
Keep the original packaging and follow its storage, expiry and disposal instructions. Keep medicines away from children and pets. Ask about refrigeration, after-opening limits and safe sharps disposal when relevant.
For suspected overdose or accidental swallowing, contact poison control or urgent medical care promptly. Call emergency services for breathing difficulty, collapse or a seizure.
Key points to remember
- Avoid driving or operating machinery until you know how this medicine affects you.
- Give children only the form and strength meant for their age.
- Ask the Care365 care team before using this medicine for more than two weeks in a child, or in a child under 2 years old.
These practical points come from the Pharmasist patient handout for the same product monograph cited by this guide.