Cetirizine Hydrochloride

Generic Details

Generic Name

Cetirizine Hydrochloride

Other Names

  • Cetirizine HCl

Drug Class

  • Second-generation antihistamine

Chemical Formula

C21H25ClN2O3

Molecular Weight

388.89 g/mol

Mechanism of Action

  • Selective antagonist of the peripheral H1-receptor

Indications

  • Allergic rhinitis
  • Chronic urticaria
  • Allergic conjunctivitis

Common Dosage Forms

  • Tablet
  • Syrup
  • Chewable tablet

Typical Dosage

  • 5-10 mg once daily

Pediatric Dosage

  • 2.5-5 mg once daily for children aged 6-12 years

Geriatric Dosage

  • 5 mg once daily

Side Effects

  • Drowsiness
  • Dry mouth
  • Fatigue
  • Headache

Contraindications

  • Hypersensitivity to Cetirizine or Hydroxyzine

Pregnancy Category

  • Category B - No evidence of risk in humans

Lactation Safety

  • Considered compatible with breastfeeding

Drug Interactions

  • Avoid concomitant use with CNS depressants

Overdose Symptoms

  • Extreme drowsiness
  • Agitation
  • Confusion

Antidote for Overdose

  • Symptomatic and supportive treatment

Storage Conditions

  • Store at room temperature away from moisture and heat

Pharmacokinetics

  • Absorption: Well absorbed from the gastrointestinal tract
  • Distribution: Protein binding is low (93%)
  • Metabolism: Mainly hepatic metabolism
  • Excretion: Excreted in urine (69%) and feces (10%)

Precautions

  • Caution in patients with renal impairment
  • Use with caution in elderly patients

Warnings

  • May cause drowsiness, avoid driving or operating machinery

Others

  • May be available over-the-counter