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Atarax vs. Zyrtec

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

Key takeaways

Hydroxyzine (Vistaril) and cetirizine (Zyrtec) are both antihistamines that treat allergy-related symptoms. Cetirizine is available over-the-counter and is less likely to cause drowsiness than hydroxyzine. Cetirizine is also considered safe to take during pregnancy, while hydroxyzine isn't recommended. Hydroxyzine is only available by prescription. It's also approved to treat short-term anxiety, while cetirizine isn't approved for this use. But hydroxyzine can cause severe drowsiness and may not be safe for older adults or thse with a heart-related condition.

Hydroxyzine HCl

(Atarax)

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Cetirizine

(Zyrtec)

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Summary for Atarax

Prescription only

Hydroxyzine hydrochloride (Atarax) is a prescription antihistamine for adults and children. It's used to treat anxiety and to ease itching from allergies. It's also used as a sleep aid (sedative) before and after general anesthesia. Hydroxyzine HCl (Atarax) comes as tablet and oral solution that are taken by mouth up to 4 times per day. Common side effects include sleepiness and dry mouth.

Indications for Atarax

Pros and Cons for Atarax

Pros

  • Starts to work within 30 minutes
  • Available as a tablet and a liquid that are taken by mouth
  • Can use in children

Cons

Common Side Effects for Atarax

Warnings for Atarax

  • Sleepiness
  • Heart rhythm problems (QT prolongation)
  • Higher risk of side effects in people over 65
  • Severe allergic and skin reactions

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 Atarax vs. Zyrtec

Price Card Drug Icon
Hydroxyzine Hydrochloride30 tablets / 25mg
$8.34$18.47
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Price Card Drug Icon
Cetirizine90 tablets / 24 hour of 10mg
$9.11$14.04
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