Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cetirizine (Zyrtec) and Advil Allergy and Congestion Relief (ibuprofen/phenylephrine/chlorpheniramine) are both used to treat allergy symptoms, but they have some key differences. Cetirizine is a second-generation antihistamine that primarily helps with symptoms like runny nose, itchy eyes, and sneezing. It is available in various forms, including tablets and liquids, and is typically taken once a day. On the other hand, Advil Allergy and Congestion Relief is a combination of three medications: an antihistamine (chlorpheniramine), a nonsteroidal anti-inflammatory drug (NSAID) ibuprofen, and a decongestant (phenylephrine). This combination addresses allergy symptoms, relieves pain, and reduces inflammation. But it's not the best choice for congestion because studies show oral phenylephrine doesn't work. Advil Allergy and Congestion Relief is taken every 4 hours and is not suitable for children under 12 years old. Additionally, it carries more risks, such as stomach bleeding and heart issues, especially if you have certain medical conditions or are pregnant. In contrast, cetirizine is considered safer for pregnant individuals and has fewer severe side effects.
Cetirizine (Zyrtec)
Advil allergy and congestion relief
Cetirizine (Zyrtec)
Advil allergy and congestion relief
Summary of Zyrtec vs. Advil Allergy and Congestion
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).
Summary for Antihistamine / NSAID / Decongestant
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 vs. Advil Allergy and Congestion
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
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 vs. Advil Allergy and Congestion
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)
•Pills can't be used in children younger than 6 years.
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 vs. Advil Allergy and Congestion