Claritin vs Zyrtec: Which Is Better?

Loratadine and cetirizine are generally shown to be equally effective in the treatment of allergy symptoms. However, there are tradeoffs with each.

Share This Post

If you are one of the 50 million people in the United States who suffers from allergy symptoms, you’ve likely tried all sorts of medications to get your symptoms to go away. 

While medications like diphenhydramine (Benadryl) are effective at reducing acute symptoms quickly, they’re usually not ideal for long-term use because they are associated with considerable drowsiness. 

People who are looking for long-term relief from allergy symptoms may be choosing between loratadine (Claritin) and cetirizine (Zyrtec), two of the most popular allergy medications available over the counter.

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Drug Class

Loratadine is the generic active ingredient in the brand name drug Claritin; the medication is also sold over the counter under its generic name.

Cetirizine is the generic active ingredient most commonly associated with the brand-name drug Zyrtec.

Like loratadine, cetirizine may be purchased over the counter in its generic form. 

Both cetirizine and loratadine belong to a class of drugs known as antihistamines; specifically, the two medications are considered second-generation antihistamines.

There are two generations of antihistamines that are commonly available over the counter

First-generation antihistamines include medications like diphenhydramine, the active ingredient in Benadryl.

They work quickly to treat acute allergy symptoms but are associated with a lengthy list of side effects, including significant drowsiness, due to their ability to cross the blood-brain barrier. 

Second-generation antihistamines were developed in an attempt to develop an allergy medication that had fewer side effects and was safe to take when driving, operating heavy machinery, or performing daily activities. 

Both cetirizine and loratadine are able to treat and prevent allergy symptoms without the high potential for drowsiness associated with first-generation antihistamines.

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Conditions Treated

Both loratadine and cetirizine are commonly used to treat symptoms of allergic rhinitis, a group of symptoms that affects the sinus and the nose when a person is exposed to an environmental allergen. 

Allergens are substances that most people do not experience any type of reaction to, including pollen, dust mites, or pet dander. 

In people with allergies, exposure to the allergen, an otherwise harmless substance, causes a strong defensive reaction from the immune system.

The immune system of a person with allergies sees the allergen as a dangerous foreign invader and starts to attack in the form of an allergic reaction.

During an allergy attack, the immune system releases chemicals called inflammatory mediators. These chemicals include histamines, which are released in response to the allergen.

The histamine then binds to receptors on the surface of the body’s cells.

When histamine attaches to these receptors, it causes allergy symptoms like runny nose, sinus pressure, nasal congestion, sneezing, itchy/watery eyes, and itchy nose or throat.

YouTube player
Allergy Relief – Allegra, Zyrtec, Claritin (2nd Generation Antihistamines)

Loratadine (Claritin) vs. Cetirizine (Zyrtec): How It Works

Second-generation antihistamines like loratadine and cetirizine help to treat allergy symptoms by stopping the action of histamines in the body.

Both drugs stop the effects of histamines by binding to histamine receptors on the body’s cells, which stops the histamine from attaching to the cell and sending chemical messages that direct the body to develop symptoms like itching, sneezing, and increased production of mucus. 

Both cetirizine and loratadine are usually safe for long-term use because they have a low risk of side effects.

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Formulation

Both loratadine and cetirizine are available in similar formulations that are easily accessible. Both medications can be purchased in the form of regular tablets, dissolving tablets, chewable tablets, gel capsules, oral syrups, or oral solutions. 

Both medications are available in both adult formulas and children’s formulas.

Adults and children over the age of six taking loratadine typically take a daily dose of 10 mg per day.

Adults and children over the age of six taking cetirizine typically take 5 mg or 10 mg per day. Children between the ages of 2 and 5 years old typically take 5 mg of loratadine per day, while children between the ages of 2 and 5 years old taking cetirizine typically take 2.5 to 5 mg per day.

Shop Treatments for Your Allergies TODAY with our Top Telehealth Recommendations 🤧🤧

Picnic Allergies: With Picnic, allergy sufferers can, for the first time, achieve meaningful relief from their allergy symptoms and expect a better normal. Picnic provides a personalized treatment plan that ships to you automatically based on the selected cadence.

>>> Shop Picnic Allergy TODAY

Get Cleared: Get personalized treatment from home, with free ongoing care from US-licensed allergists and nurses.

>>> Shop GetCleared TODAY

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Effectiveness

Studies do not consistently show that loratadine or cetirizine is better than the other medication at treating allergy symptoms; however, both medications are significantly more effective at treating allergy symptoms than placebo. Therefore, both loratadine and cetirizine are considered effective at treating symptoms of allergic rhinitis.

However, which medication is right for you will depend on several factors.

If drowsiness or sleepiness as a side effect is a cause for concern, loratadine would be the best choice.

Although both loratadine and cetirizine are significantly less likely to cause drowsiness as a side effect compared to first-generation antihistamines, cetirizine is more likely to cause drowsiness than loratadine.

If you want a medication that will start working quickly to treat allergy symptoms, cetirizine is the better choice.

Cetirizine starts working within about an hour, while loratadine may take up to three hours for maximum relief. Both medications last for up to 24 hours, so each can be taken once per day.

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Risks

Because both loratadine and cetirizine can be taken over the counter, they are generally considered safe for most people to use and are associated with a low level of risk.

Both loratadine and cetirizine are both considered safe for use during pregnancy, which is not the case for other allergy medications.

People with certain medical conditions may not be able to take loratadine or cetirizine safely, so it is critical that you give your doctor a complete medical history before using either medication. 

Individuals considered at risk for increased adverse effects when using loratadine and cetirizine have a medical history that can include:

Loratadine (Claritin) vs. Cetirizine (Zyrtec): Side Effects

Loratadine and cetirizine are both available over the counter, which means they are considered safe for most people and are associated with a relatively low risk of side effects.

However, each medication is associated with some side effects.

Common side effects of loratadine include:

  • Headache
  • Drowsiness
  • Fatigue
  • Sore throat
  • Nervousness
  • Dry mouth
  • Skin rash
  • Hoarseness
  • Eye redness
  • Stomach pain
  • Diarrhea
  • Blurred vision
  • Nosebleed

Common side effects of cetirizine include:

  • Drowsiness
  • Dizziness
  • Sore throat
  • Cough
  • Constipation
  • Tired feeling
  • Dry mouth
  • Headache
  • Fatigue
  • Nausea
  • Stomach pain (in children)
  • Vomiting (in children)

Although rare, it is also possible for both loratadine and cetirizine to cause serious side effects that could require medical attention, including a type of severe allergic reaction called anaphylaxis. 

Signs of an allergic reaction to cetirizine or loratadine include:

  • Itching
  • Difficulty breathing
  • Swelling of the feet, ankles, arms, hands, or lower legs
  • Hives
  • Rash
  • Difficulty swallowing

Drug Interactions

Both loratadine and cetirizine are sold over the counter and are therefore considered to be at low risk of harmful drug interactions. However, there are some medications that are considered incompatible with each drug.

Loratadine is known to interact with both ketoconazole and erythromycin and should not be taken with these medications; however, cetirizine does not interact with either medication.

Both loratadine and cetirizine are considered unsafe for use with a medication called amiodarone.

Before using loratadine or cetirizine, speak to a doctor or pharmacist and give them a complete list of all medications you are currently taking, including prescription drugs, over-the-counter medications, dietary supplements, and herbs. 

The following groups of medications are known to interact with second-generation antihistamines like cetirizine and loratadine and can worsen feelings of sleepiness or drowsiness.

  • Alcohol
  • Sleeping pills
  • Cold or allergy medications
  • Narcotic pain medications
  • Medications for depression
  • Medications for anxiety
  • Muscle relaxers
  • Medications for seizures

Summary

The choice between whether to take loratadine or cetirizine ultimately comes down to your personal preference and individual needs.

Cetirizine may work more quickly than loratadine, taking effect in about one hour while loratadine can take up to three hours to start working

However, cetirizine is more likely to cause drowsiness than loratadine, so it may not be a good choice for individuals taking other medications that cause drowsiness or those that work in fields where safety is a high priority.  

Both medications are effective for the treatment of perennial and seasonal allergic rhinitis, are available over the counter, can be used in children as young as two years old, and will provide relief at an affordable price. 

References, Studies and Sources:

Pregnant with Allergies? 5 Treatments That Are Safe for Baby | Cleveland Clinic 

en.wikipedia.org/wiki/Allergy

en.wikipedia.org/wiki/Loratadine

medically reviewed and fact checked
Sesame Care

Find the best price for great doctors and specialists

  • Thousands of doctors and specialists
  • $13,000,000+ saved by patients
  • 95% patient satisfaction
  • 4.3 on TrustPilot
     

Popular Destinations

Health

Medication

Telehealth Reviews

Shop

Pharmacist Membership

About Us

Pharmacy Near Me

Recent Articles

Lexapro

Lexapro (escitalopram) is an antidepressant from the group of drugs called selective serotonin reuptake inhibitors (SSRIs) and is used to treat certain types of depression and anxiety. Lexapro works by balancing levels of serotonin in the brain and nerves.

Read More »

How Often Can I Take Tylenol?

We’ve all suffered from mild to moderate pain or a fever at some point in our lives, and for many of us, we’ve likely experienced pain this week! Pain and occasional fevers are a fact of life for most people, and pain medication and fever reducers can help us to feel better sooner. Tylenol is one of the most popular medications in the United States and has been treating mild to moderate pain and reducing fevers since the 1950s. It is not the same as ibuprofen, aleve, or advil, therefore, this article is only speaking about acetaminophen containing products. Today, approximately 23 percent of American adults take Tylenol or its generic form, acetaminophen, in any given week, and acetaminophen products are the most commonly used medication to relieve pain and reduce fever in children. Tylenol is generally considered safe and effective when taken as directed, but it’s important to know exactly how often you can take Tylenol and how much is safe to take.
 

Read More »

Share On:

Subscribe To Our Newsletter

Get updates and learn from the best

More To Explore

Seasonal Allergies: Causes, Symptoms, and Best Drugs To Use

People experiencing allergic rhinitis as a result of seasonal allergies are likely to have symptoms that include nasal congestion, runny nose, sneezing, itchy or

Fluticasone Nasal Spray: Allergy Drug Information Guide

Fluticasone nasal spray is an effective long-term treatment for allergies that can be purchased over the counter.

Fluticasone Side Effects: Flonase Nasal Spray Warnings

Fluticasone, a generic medication commonly sold under the brand name Flonase, is sold over the counter and is generally considered safe for most people.

Can I Take Benadryl While Drinking?

If you suffer from allergies, you know how miserable they can make you feel with the sneezing, congestion, runny nose, and itchy eyes and

How to Get Rid of Allergies

As allergy season rolls around each year, many of the 50 million peoplebattling allergies find themselves wondering; can allergies be cured for good?

Sinus Infection Symptoms and When to See A Doctor

If you are experiencing sinus infection symptoms, it can be difficult to decide when to see your doctor as the symptoms can sometimes go

Allergy Headache: How Allergies Can Cause Headaches

Allergic rhinitis can cause a variety of symptoms, including itchy, watery eyes, sneezing, runny or stuffy nose, and nasal congestion. Less commonly, allergy symptoms

Why is My Eye Red?

We will also cover when you need to see your doctor about your eyes and how to prevent red eyes from happening in the

Allergy Symptoms: Common Causes and Early Signs to Look For

Common allergy symptoms for seasonal allergies include nasal congestion, itchy or watery eyes, runny nose, and sneezing.

Best Allergy Medicine: The Complete Comparison Guide

If you are one of the 50 million Americans who suffers from allergies, you know how frustrating it can be to try and manage

Can Allergies Cause a Sore Throat?

Allergies can cause a sore throat, as well as other symptoms such as a runny or stuffy nose, sneezing, fatigue, weakness, cough, and headache.

Cold vs. Allergies Guide: Comparison of Symptoms

Both allergies and colds can cause symptoms like nasal congestion, runny nose, and sneezing. However, there are symptoms unique to each, too.

Desloratadine: Uses, Side Effects, Dosages, and Interactions

Desloratadine is a second-generation antihistamine that is commonly used for the treatment of allergic rhinitis and chronic urticaria.

Diphenhydramine: Uses, Side Effects, Dosages, and Interactions

Diphenhydramine is well known for its treatment of allergic rhinitis (hay fever), but the medication can also be used for the treatment of other,

Fall Allergies: Common Causes and What You Can Do

The most common causes of fall allergies are ragweed, mold and mildew, dust mites, and pet dander and fur.

Fexofenadine: Uses, Side Effects, Dosages, and Interactions

Fexofenadine is a second-generation antihistamine that is commonly used to treat symptoms associated with allergic rhinitis and urticaria.

Loratadine: Uses, Side Effects, Dosages, and Interactions

Loratadine is a generic medication that is commonly used to treat symptoms of allergic rhinitis (hay fever) or redness and itching caused by hives.

Winter Allergies: How Indoor Allergens Can Affect Your Health

The most common winter allergens include cockroaches, dust mites, mold and mildew, and pet dander and fur.

Xyzal vs Zyrtec: What’s the Difference?

Antihistamine medications are often the first treatment option for people with allergy symptoms, but there are so many on the market, it can be

Is Flonase an Antihistamine?

Popular decongestant medications like Zyrtec, Xyzal, Loratadine, Nasacort, Afrin, Azelastine, Cetirizine, Fexofenadine, Nasonex, and Flonase all have different pros and cons, but Flonase is