Cetirizine is unlikely to do you any harm if you take it for a long time. However it's best to take cetirizine only for as long as you need to. If you take it regularly over a long period there's a very small chance of severe itching if you stop treatment suddenly.
Yes, most people can take antihistamines every day, if they have daily symptoms of their allergies.
“The most common side effects you tend to see are fatigue, headaches, and dry mouth,” says Shih. If you're someone for whom the benefits of regular antihistamine use far outweighs the occasional minor side effect, longterm use is safe for most adults and children, he adds.
These common side effects include sedation, impaired motor function, dizziness, dry mouth and throat, blurred vision, urinary retention and constipation. Antihistamines can worsen urinary retention and narrow angle glaucoma. The antihistamines rarely cause liver injury.
Allergists recommend long-acting, non-sedating antihistamines — ones that won't make you sleepy — for everyday use. Though you may know them by their brand names, the generic versions tackle the same problems: Cetirizine (Zyrtec®, Aller-Tec®, Wall-Zyr®). Fexofenadine (Allegra®, Aller-ease®, Aller-Fex®, Wal-Fex®).
Is it okay to take ZYRTEC® over a long period of time? The ZYRTEC® package label doesn't state a limit on how long you can take ZYRTEC®. Talk to your doctor if you have any questions, especially if you're taking other medicines or being treated for any other conditions.
Long term use of some antihistamines may increase your risk of dementia. Diphenhydramine (Benadryl®) blocks the effects of a neurotransmitter called acetylcholine. This neurotransmitter is vital for memory and learning.
Histamine plays a role in our appetite. When antihistamines block histamine, our appetite can increase. This, plus side effects like drowsiness, could lead to weight gain.
Claritin and Zyrtec are effective and safe for most people with minor allergies.
Rarely, they can cause acute self-limited liver injury. One study has reported a more serious long-term effect, a 3.5-fold increase in the risk of gliomas, a common type of brain tumor in patients with long-term antihistamine use for allergic conditions.
What happens if I overdose on Zyrtec (Cetirizine (Oral/Injection))? Overdose symptoms may include extreme drowsiness, vision problems, agitation, feeling restless and then drowsy or tired, fast heartbeats, stomach pain, nausea, vomiting, trouble walking, or trouble swallowing or speaking.
See your doctor if your mild allergy symptoms have not improved after three days of treatment with Zyrtec, or if your hives persist for more than six weeks despite taking Zyrtec. Discontinue Zyrtec once your allergy symptoms have resolved.
Sandoz issued a voluntary recall of 1,023,430 units of Zyrtec (10 mg) capsules as a result of failed impurities and a specification being reported for impurity at the 21-month stability time point, according to an FDA Enforcement Report.
Answer: Yes, it is ok to take the medication for an extended period of time. However, the "D" formulation has a decongestant (which is what the 'D' represents in the name) and this can raise your blood pressure. I would recommend discussing with your doctor if this will be a possible problem for you.
You should not use Zyrtec-D if you have narrow-angle glaucoma, severe high blood pressure (hypertension), severe coronary artery disease, if you are unable to urinate, or if you are allergic to hydroxyzine (Atarax, Vistaril). Do not use this medicine if you have taken an MAO inhibitor in the past 14 days.
Mechanism of Injury. The cause of acute liver injury from cetirizine is not known. It is metabolized by the liver and a toxic metabolite may account for idiosyncratic injury.
While there's no set timeline for when someone should stop taking an antihistamine, one should speak to a doctor or drug rehabilitation specialist if they feel like they have become addicted to your antihistamine. The severity and length of an antihistamine withdrawal will depend on the specific drug.
Some patients have reported severe itching as a symptom of Zyrtec withdrawal. This itching may begin as soon as 12 hours after the last dose of Zyrtec and can affect every part of the body. Some patients report itching so severe that they cannot control scratching and have caused sores all over their bodies.
"Itching can occur within one-two days of stopping Zyrtec or Xyzal after long term daily use (months to years). It usually lasts a few days and then resolves. The intensity of the itching can be from mild to severe.
Some medications for treating allergies, like Zyrtec (cetirizine) and Allegra (fexofenadine) last 24 hours and don't need to be taken at night. But if you're combating allergy symptoms with a different antihistamine first thing in the morning, keep in mind that its effects will only last six to eight hours.
Depending on your symptoms, you can take antihistamines: Every day, to help keep daily symptoms under control. Only when you have symptoms. Before being exposed to things that often cause your allergy symptoms, such as a pet or certain plants.
Antihistamines
Antihistamines are known to cause extreme drowsiness; however, in certain people, they can cause insomnia, excitability, anxiety, restlessness, and a rapid heart rate.
In general, wean gradually by 25-50% of the daily dose every 1-4 weeks. If reason for deprescribing is serious adverse effects, wean faster or cease immediately. Provide advice to patient/carer on self-monitoring and what to do if symptoms re-occur.