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Allegra vs. Zyrtec

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Fexofenadine (Allegra) and cetirizine (Zyrtec) are both second-generation antihistamines used to relieve allergy symptoms like runny nose, itchy eyes, and hives. But they have several differences between them. Fexofenadine is available over-the-counter (OTC) in various forms, including tablets, orally disintegrating tablets, and liquid, and is typically taken once or twice a day. Cetirizine is also available OTC and comes in a variety of forms such as tablets, chewable tablets, and liquid solutions, and is usually taken once a day. One key difference is that fexofenadine is less likely to cause drowsiness compared to cetirizine. Additionally, cetirizine is considered safe for use during pregnancy, while fexofenadine should be discussed with a healthcare professional if you are pregnant or breastfeeding. Both medications should not be taken with other antihistamines to avoid the risk of overdose and severe side effects.

Fexofenadine

(Allegra)

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Cetirizine

(Zyrtec)

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Summary for Allegra

Over-the-counter

Fexofenadine (Allegra) is an antihistamine. It's used to ease symptoms of allergy and hives in adults and children. Fexofenadine (Allegra) can be found over the counter as a tablet, fast-melting tablet, and liquid. This medication is taken once or twice per day, depending on the formulation. Fexofenadine (Allegra) starts to work in about 2 hours and its effects can last up to 24 hours. Fexofenadine (Allegra) doesn't make you as drowsy compared to some other antihistamines, such as diphenhydramine (Benadryl). Other possible side effects of fexofenadine (Allegra) include headache and dry mouth.

Indications for Allegra

Pros and Cons for Allegra

Pros

  • First-choice option for relieving allergy symptoms
  • Some products can also be used to relieve itchiness from hives.
  • Available as 12-hour and 24-hour tablets, as well as a liquid and quick-dissolving tablets for those who have a hard time swallowing pills
  • All formulations available over the counter

Cons

  • Liquid form might not be the best choice for people on a low-salt diet because it contains sodium
  • Once-daily formulations not recommended for children younger than 12 years old
  • Might have a higher risk of side effects if you have liver or kidney problems
  • Can cause headache

Common Side Effects for Allegra

Warnings for Allegra

  • Accidentally taking too much medication
  • Caution use in people with phenylketonuria (PKU) - orally disintegrating tablet only

Summary for Zyrtec

Prescription or over-the-counter

Cetirizine (Zyrtec) is an antihistamine. It's used for relief of allergy symptoms, such as runny nose or watery eyes, in adults and children. Cetirizine (Zyrtec) is also a safe option for people who are pregnant. This medication is available in different formulations, including tablets and liquid solutions. Typically, cetirizine (Zyrtec) is taken by mouth once per day. The most common side effect of cetirizine (Zyrtec) is sleepiness. But it's less likely to make you drowsy compared to some other antihistamines, such as diphenhydramine (Benadryl).

Indications for Zyrtec

  • Short-term relief of allergy symptoms (sneezing, runny nose, itchy or watery eyes, itching of the nose or throat)
  • Relief of itchiness due to chronic (long-term) hives in children ages 6 months to under 6 years old - certain liquid solutions only

Pros and Cons for Zyrtec

Pros

  • First-choice option for relieving allergy symptoms
  • Taken once per day
  • Available in several formulations (e.g., pills, chewable tablets, orally disintegrating tablets, liquids)
  • Safe to take while pregnant

Cons

  • Can cause you to feel sleepy
  • Higher risk of side effects in people with liver or kidney problems
  • Pills can't be used in children younger than 6 years.

Common Side Effects for Zyrtec

People 12 years of age and older:

  • Sleepiness (14%)
  • Tiredness (6%)
  • Dry mouth (5%)

Children age 6 to under 12 years:

  • Headache (11-14%)
  • Sore throat (3-6%)
  • Stomach pain (4-6%)
  • Cough (3-4%)
  • Sleepiness (2-4%)

Warnings for Zyrtec

  • Sleepiness
  • Accidentally taking too much medication

Prices with our coupons for Allegra vs. Zyrtec

Price Card Drug Icon
Fexofenadine30 tablets / 24 hour
$8.30$8.30
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Price Card Drug Icon
Cetirizine90 tablets / 24 hour of 10mg
$7.90$7.90
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