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.
Cetirizine (applies to Zyrtec) renal/liver disease
Cetirizine is eliminated primarily by the kidney but also undergoes metabolism in the liver to some extent. Patients with renal and/or liver disease may be at greater risk for adverse effects from cetirizine due to decreased drug clearance.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects.
Non-sedating antihistamines can rarely cause acute liver injury. Although the liver damage is typically mild, if it occurs, antihistamines should be stopped. The liver function is usually only slightly deranged, and returns to normal with substitution of another antihistamine or cessation of the therapy.
For allergy sufferers with heart disease, medicines such as Allegra, Zyrtec or Claritin should be safe. However, medicines containing decongestants — including Allegra-D, Zyrtec-D and Claritin-D — could increase your blood pressure and heart rate or interfere with your heart medication.
Cetirizine and levocetirizine use are not generally associated with liver enzyme elevations, but have been linked to rare instances of clinically apparent liver injury.
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.
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.
Newer antihistamines like Allegra and Claritin are generally safe for daily use. But allergy medications with decongestants, such as Claritin-D or Benadryl-D, could make your allergies worse with long-term use.
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.
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.
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.
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.
Downsides
A headache, sore throat, abdominal pain, fatigue, drowsiness, or coughing. Other side effects are uncommon. Stop using Zyrtec if you develop an allergy to Zyrtec. Generally does not cause drowsiness, although more likely to do so at higher dosages.
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®).
David Shih, executive vice-president of strategy and former chief medical officer at CityMD, explained to The Cut that second-generation antihistamines, like the commonly available over-the-counter drug loratadine, are generally safe for long-term use.
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.
More frequently reported side effects include: abdominal pain, drowsiness, and fatigue. Continue reading for a comprehensive list of adverse effects. Applies to cetirizine: intravenous solution.
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.
People who take antihistamines regularly may build up a tolerance to the drug, which means they need to take higher and higher doses to get the same effect. This can lead to addiction. Antihistamines are often addictive because they work by blocking histamine receptors.
by Drugs.com
The elimination half-life of Zyrtec is between 8 to 9 hours. It takes approximately 5.5 x elimination half-life for a medicine to be cleared from your system. For Zyrtec this is 5.5 x 9 hours which is about 2 days.
Antihistamines can be helpful when it comes to stomach acid problems, but they may also increase your risk for the Clostridium difficile infection.
Antihistamines like diphenhydramine (Benadryl) and cetirizine (Zyrtec) aren't known to raise blood pressure when used alone. Antihistamines are part of many combination over-the-counter (OTC) cough and cold products. They may be combined with a medication that can raise your blood pressure.