Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Lastacaft (alcaftadine) and cetirizine (Zyrtec) are both antihistamines, but they are used differently and have distinct forms. Lastacaft is an eye drop used once daily to treat eye itching and redness due to allergies. It’s available over-the-counter and doesn’t have a generic form. On the other hand, cetirizine is taken orally and is used to relieve a variety of allergy symptoms, such as runny nose and watery eyes. Cetirizine is available in multiple formulations, including tablets and liquids, and can be found both as a prescription and over-the-counter medication. While Lastacaft is specifically for eye symptoms, cetirizine can treat a broader range of allergy symptoms and is also safe for use during pregnancy. However, cetirizine can cause drowsiness, which isn’t typically seen with Lastacaft.
Lastacaft (alcaftadine)
Cetirizine (Zyrtec)
Lastacaft (alcaftadine)
Cetirizine (Zyrtec)
Summary of Lastacaft vs. Zyrtec
Summary for Antihistamine
Lastacaft (alcaftadine) is a once-daily anti-allergy eye drop. It was previously available only by prescription, but you can now get it over the counter.
Summary for Antihistamine
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 of Lastacaft vs. Zyrtec
Indications for
•Eye itching or redness due to allergies (allergic conjunctivitis)
Indications for
•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 of Lastacaft vs. Zyrtec
Pros and Const for Antihistamine
Pros
•Used just once daily
•Can be given to children as young as 2 years of age
•Doesn't leave weird aftertaste like the similar medication called Bepreve (bepotastine)
Cons
•Can cause eye pain and irritation
•Not for itching caused by infections or contact lenses
•Can be more expensive than many alternatives
Pros and Const for Antihistamine
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)