Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zyrtec-D (cetirizine/pseudoephedrine) and Advil Allergy and Congestion Relief (ibuprofen/phenylephrine/chlorpheniramine) are both over-the-counter medications used to treat allergy symptoms and congestion, but they have some key differences. Zyrtec-D combines an antihistamine (cetirizine) and a decongestant (pseudoephedrine) to relieve allergies and clear sinuses, while Advil Allergy and Congestion Relief includes an antihistamine (chlorpheniramine), a decongestant (phenylephrine), and an NSAID (ibuprofen) to also address pain and inflammation. Zyrtec-D is typically taken every 12 hours, whereas Advil Allergy and Congestion Relief needs to be taken every 4 hours. Zyrtec-D can cause trouble sleeping if taken too close to bedtime, while Advil Allergy and Congestion Relief can cause stomach bleeding and should be taken with food or milk. Additionally, Zyrtec-D is controlled in some states due to its pseudoephedrine content, requiring a photo ID for purchase, whereas Advil Allergy and Congestion Relief is not a controlled medication. Both medications should be used with caution if you have certain health conditions. Advil Allergy and Congestion Relief may need to be avoided in people with heart or stomach issues.
Zyrtec-d (cetirizine / pseudoephedrine)
Advil allergy and congestion relief
Zyrtec-d (cetirizine / pseudoephedrine)
Advil allergy and congestion relief
Summary of Zyrtec-D vs. Advil Allergy and Congestion
Advil Allergy and Congestion Relief is a combination of three medications, chlorpheniramine (antihistamine), ibuprofen (non-steroidal anti-inflammatory drug (NSAID)), and phenylephrine (decongestant). It's available over the counter (OTC) and used to treat symptoms from allergies and the common cold.
Indications of Zyrtec-D vs. Advil Allergy and Congestion
Indications for
Short-term relief of allergy symptoms in adults and children ages 12 years and older:
•Itchy nose or throat
•Sneezing
•Itchy or watery eyes
•Runny or stuffy nose
•Sinus congestion or pressure
Indications for
•Short-term relief of symptoms from allergies and the common cold: runny nose, itchy or watery eyes, itchy nose or throat, sneezing, nasal congestion, sinus pressure, headache, minor aches and pains, fever
•Lowers swelling in the sinuses around the nose
•Restores breathing through the nose
Pros and Cons of Zyrtec-D vs. Advil Allergy and Congestion
•Easier to take a combination pill instead of two separate pills to treat congestion and other allergy symptoms
•Available over the counter (behind the counter)
Cons
•Might need to take twice daily
•Tablets can't be crushed or chewed and there isn't a liquid version available
•Not the safest choice if you have certain conditions, like heart problems and trouble urinating
Pros and Const for Antihistamine / NSAID / Decongestant
Pros
•Can treat a wide variety of allergy and common cold symptoms
•More convenient to take three medications in one pill
•Available over the counter
Cons
•Needs to be taken every 4 hours
•More difficult to customize the dose since Advil Allergy and Congestion Relief is a combination of three medications
•Can cause stomach bleeding or stomach ulcers
•Can't be used in children younger than 12 years old, right before or after heart surgery, or with current or recent (within the last 14 days) use of monoamine oxidase inhibitors (MAOIs)
Common Side Effects of Zyrtec-D vs. Advil Allergy and Congestion