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Cetirizine: Uses, Dosage, Side Effects, and Precautions

Published: July 22, 2026Updated: July 22, 2026

Cetirizine is an antihistamine that reduces symptoms caused by allergies. It is used for sneezing, runny nose, itchy or watery eyes, itchy skin, and hives.

Quick summary

Cetirizine can relieve common allergy symptoms, but it may make some people sleepy. Follow the package directions and ask a doctor or pharmacist if you have health conditions, take other medicines, or are pregnant or breastfeeding.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
R06AE07
Generic
Cetirizine
Class
antihistamine
Brands
Zyrtec
Availability
behind_counter
Pregnancy
B
Lactation
caution
Half-life (h)
8
Onset (min)
30
Duration (h)
24
Routes
oral
Forms
tablet, syrup
Regions
CN, US, EU, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
5mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity in adults
Chronic overdose: Long-term use exceeding recommended daily doses may lead to cumulative CNS depression and cardiac effects
Immediate actions
Monitor vital signs, provide supportive care, activated charcoal within 1-2 hours of ingestion
Antidote
No specific antidote available(Supportive care is mainstay of treatment; no antidote to reverse cetirizine effects)
Poison Control: 1-800-222-1222

Special Populations

11 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

use lowest effective dose

Key Recommendations

use only if clearly needed and benefits outweigh potential risks

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

✓

pregnancy

second third trimester
safe
FDA Category
B
Dose Adjustment

no adjustment needed

Key Recommendations

generally considered safe for use

Monitor

standard prenatal care

✗

pediatric_age

under 6 months
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for infants under 6 months

Monitor

n/a

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

6 months to 2 years
caution
FDA Category
N
Dose Adjustment

dose reduction required

Key Recommendations

use under physician supervision; 2.5mg once daily for children 12-23 months

Monitor

observe for sedation and respiratory depression

Use with caution and monitor for adverse effects.

⚠

geriatric

over 65 years
caution
FDA Category
N
Dose Adjustment

start with 5mg once daily

Key Recommendations

use with caution due to potential sedation and anticholinergic effects

Monitor

monitor for sedation and cognitive changes

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment needed for CrCl >50 mL/min

Monitor

standard monitoring

Use with caution and monitor for adverse effects.

⚠

renal_impairment

moderate
caution
FDA Category
N
Dose Adjustment

5mg once daily

Key Recommendations

reduce dose to 5mg once daily for CrCl 30-50 mL/min

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

5mg every 48 hours

Key Recommendations

reduce dose to 5mg every 48 hours for CrCl <30 mL/min

Monitor

closely monitor renal function

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment needed

Monitor

standard monitoring

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use lower dose and monitor closely

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

use lowest effective dose

Key Recommendations

small amounts excreted in breast milk; use only if needed

Monitor

monitor infant for excessive sedation

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1995

FDA approval date for cetirizine hydrochloride

drug_classWHO
2023

Drug class

Value:Second-generation H1 antihistamine

Antihistamine drug class information

usageMedical guidelines
2023

Common uses

Value:Allergic rhinitis, chronic urticaria, allergic conjunctivitis

Common therapeutic uses for cetirizine

dosageFDA
2023

Common adult dose

Value:10 mg once daily

Standard dosing for adults and children 6 years and older

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 22, 2026. · Read our editorial policy