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Zyrtec vs. Claritin-D

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

Key takeaways

Cetirizine (Zyrtec) and Claritin-D (loratadine/pseudoephedrine) are both used to relieve allergy symptoms, but they have some key differences. Cetirizine is a second-generation antihistamine that helps with symptoms like runny nose and itchy eyes and is available in various forms, including tablets and liquids. It is typically taken once a day and is less likely to cause drowsiness compared to first-generation antihistamines like diphenhydramine (Benadryl). On the other hand, Claritin-D combines an antihistamine (loratadine) with a decongestant (pseudoephedrine) to also address nasal and sinus congestion. Claritin-D comes in 12-hour and 24-hour tablets and is taken either once or twice a day. While both medications are available over-the-counter, Claritin-D is kept behind the pharmacy counter due to the pseudoephedrine component, which can raise blood pressure and has potential for misuse. Additionally, Claritin-D is not recommended for children under 12 years old, whereas cetirizine can be used in younger children with specific dosing. Both medications can cause drowsiness, but Claritin-D may also lead to increased heart rate and blood pressure, making it less suitable for people with certain health conditions.

Cetirizine

(Zyrtec)

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Claritin-D

(loratadine / pseudoephedrine)

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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

Summary for Claritin-D

Over-the-counter

Claritin-D (loratadine / pseudoephedrine) is an over-the-counter medication that's used to relieve allergies and congestion. It's available as a 24-hour tablet that's taken once per day and a 12-hour tablet that's taken twice per day. Possible side effects include headache, dry mouth, drowsiness, and difficulty sleeping. There are lower-cost generic and brand versions of the medication available. You can find Claritin-D (loratadine / pseudoephedrine) at the pharmacy counter (or behind the counter).

Indications for Claritin-D

Short-term relief of allergy symptoms:

  • Runny nose
  • Itchy nose or throat
  • Itchy or watery eyes
  • Stuffy nose
  • Nasal congestion
  • Sinus congestion or pressure

Pros and Cons for Claritin-D

Pros

  • Easier to take a combination pill instead of two separate pills for congestion and other allergy symptoms
  • Available as a once-daily tablet
  • Available over the counter

Cons

  • More difficult to customize the dose since Claritin-D (loratadine / pseudoephedrine) is a combination of two medications
  • Not the best choice for people who have difficulty swallowing tablets (can't crush the tablets and no available liquid form available)
  • Can't be used in children younger than 12 years

Common Side Effects for Claritin-D

  • Headache (25%)

Warnings for Claritin-D

  • Fast heart rate and high blood pressure
  • Possible drowsiness
  • Worsening of medical conditions
  • Accidental overdose

Prices with our coupons for Zyrtec vs. Claritin-D

Price Card Drug Icon
Cetirizine90 tablets / 24 hour of 10mg
$9.11$14.04
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Price Card Drug Icon
Loratadine/Pseudoephedrine30 tablets / 24 hour
$22.38$47.59
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