Oral Antihistamines E G Cetirizine Fexofenadine

Drug Overview

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drug details
1
nameCetirizine
ClassificationFirst-generation H1-receptor antagonist (antihistamine)
PharmacokineticsCetirizine is rapidly absorbed after oral administration. Peak plasma concentrations are achieved within 1-2 hours. It is highly bound to plasma proteins. Metabolism is primarily hepatic, with a relatively long half-life (8-10 hours) allowing for once-daily dosing. Excretion is primarily through the kidneys.
suggested dosage
adult5-10 mg once daily
noteIndividual dosages may vary depending on the specific product and severity of symptoms. Consult with a physician for appropriate dosage.
indicationsTreatment of allergic rhinitis, urticaria, and other allergic conditions. Also used for the prevention of motion sickness and insomnia.
Safety in pregnancyLimited data available. Although generally considered safe for use in pregnancy, it's best to discuss the potential risks and benefits with a physician.
Safety in breastfeedingLow levels of cetirizine have been detected in breast milk, but it is generally considered safe.
side effects
1Drowsiness, dizziness, fatigue, headache
2Dry mouth, constipation, nausea, vomiting
3Rarely: rash, itching, hives
4Very rarely: severe allergic reactions
alternatives
1Fexofenadine
2Loratadine
3Levocetirizine
contraindicationsHypersensitivity to cetirizine or other similar drugs. Use with caution in patients with severe liver or kidney disease.
interactionsConcurrent use of certain medications (e.g., MAO inhibitors, some antidepressants) may potentiate or alter the effects of cetirizine. Consult with a physician before combining with other medications.
warnings and precautionsPatients with pre-existing conditions (e.g., sleep apnea, cardiovascular disease, or other medical conditions) should consult with a physician before taking cetirizine. Monitor for drowsiness, especially in those operating vehicles or machinery. Avoid alcohol consumption as it may intensify sedative effects.
additional informationsAvailable as both brand name (e.g., Zyrtec) and generic medication. Cetirizine is available in various dosage forms, including oral tablets, chewable tablets, and liquid suspensions.
2
nameFexofenadine
ClassificationSecond-generation H1-receptor antagonist (antihistamine)
PharmacokineticsRapidly absorbed after oral administration. Peak plasma concentrations are achieved within 1-2 hours. It is less sedating than first-generation antihistamines. Primarily metabolized by the liver, with a short half-life (approximately 12 hours) allowing for once-daily dosing.
suggested dosage
adult180 mg once daily
noteIndividual dosages may vary depending on the specific product and severity of symptoms. Consult with a physician for appropriate dosage and duration of treatment.
indicationsSimilar to Cetirizine. Treatment of seasonal allergic rhinitis, urticaria and other allergic conditions. Also for relief of symptoms of chronic idiopathic urticaria.
Safety in pregnancyLimited data available; use only if the potential benefits outweigh the potential risks. Consult with a physician.
Safety in breastfeedingExcreted in breast milk but is generally considered to pose little risk.
side effects
1Headache
2Drowsiness
3Fatigue
4Nausea
5Vomiting
6Diarrhea
7Rarely: Skin rash
8Very rarely: severe allergic reactions
alternatives
1Cetirizine
2Loratadine
3Levocetirizine
contraindicationsHypersensitivity to fexofenadine or other similar drugs, and specific concomitant medications. Consult with a physician.
interactionsSimilar to cetirizine, can have interactions with certain medications. Do not take fexofenadine with grapefruit juice as it can interfere with its metabolism.
warnings and precautionsPatients with pre-existing conditions (e.g., hepatic or renal impairment) should consult with a physician. Avoid alcohol consumption.
additional informationsAvailable as both brand name (e.g., Allegra) and generic medication. Dosage forms include tablets and oral suspensions. Note that different formulations may have slight variations in dosage instructions.

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