Claritin and Zyrtec are effective and safe for most people with minor allergies.
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®).
Most patients avoid first-generation oral antihistamines (eg, diphenhydramine [Benadryl], chlorpheniramine [Chlor-Trimeton]) because of their propensity to cause drowsiness.
So what can older adults safely take for allergy relief? Wozniak: Newer antihistamines such as Claritin® (loratadine) and Allegra® (fexofenadine) tend to be safer and better tolerated.
First generation antihistamines, while very effective at controlling symptoms, are often associated with symptoms in older adults such as anxiety, confusion, sedation, blurred vision, reduced mental alertness, urinary retention and constipation.
Second-generation antihistamines were first developed in the 1980s. They cause less sleepiness than first-generation antihistamines and also interact with fewer medications. Some examples of second-generation antihistamines include: Cetirizine (Zyrtec)
Side effects of antihistamines
sleepiness (drowsiness) and reduced co-ordination, reaction speed and judgement – do not drive or use machinery after taking these antihistamines. dry mouth. blurred vision. difficulty peeing.
Sedating antihistamines can cause many short-term effects such as urinary retention, constipation, dry mouth, increased appetite, and worsen narrow-angle glaucoma via their action on cholinergic receptors. However, most side effects are mild and stop when the drug is no longer used, or the dose is reduced.
Official answer. Yes, most people can take antihistamines every day, if they have daily symptoms of their allergies.
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.
Common ones are stinging nettle, vitamin C, quercetin, butterbur, bromelain, and probiotics. Some alternative practices—such as acupuncture, nasal irrigation, and exercise—may also help you manage symptoms.
Is it safe to take Zyrtec every day? Yep. "When taken in the recommended doses, antihistamines can be taken daily. This is especially true with Zyrtec, since it doesn't show decreasing effectiveness if used daily," says Sima Patel, MD, an allergist at New York Allergy & Sinus Centers.
“Zyrtec is found to be more potent, or stronger, in laboratory studies, compared with Claritin,” says Dr. Kung. “It also reaches a higher concentration in the skin, which can be more helpful for skin-related allergies. However, Zyrtec has a greater chance of making you sleepy while taking it.”
Feeling drowsy or sleepy is one of the most common antihistamine side effects, especially in regard to first-generation antihistamines.
To sum it up, all first-generation H1 antihistamines should be taken close to bedtime or when you're able to sleep. Second-generation H1 antihistamines and H2 blockers can typically be taken at any time of the day. One exception to this is cetirizine, which can cause drowsiness for up to 14% of those who take it.
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.
The drowsiness and fatigue which may occur in a small percentage of patients may be more of a problem for the elderly because of the increased risk of bone fracture if they fall. Other medical problems common in elderly patients may contribute to sedation.
Avoid first-generation antihistamines.
The side effects—possible anxiety, confusion, drowsiness, urine retention, dry mouth and eyes, and dizziness—make these drugs inappropriate for seniors.
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.
ZYRTEC® Allergy Relief Tablets
Adults under 65 and children 6 years and older One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms. Adults 65 years and over Ask a doctor. Consumers with liver or kidney disease Ask a doctor.
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.