Reported Reactions

Drug classes

Pharmacologic class (EPC) · 34 drug pages

Histamine-1 receptor antagonist: adverse event reports filed with FDA

135,666 reports list a drug in this class as a suspect or interacting product, 2004–2026.

135,666
reports across the class
0.7% of all reports
10,050
reports, 12 months to June 2026
12,083 in the 12 months before
57.7%
marked serious by the reporter
57.4% across all reports
34
drugs with a page
brand and generic names counted separately

Histamine-1 receptor antagonist is a pharmacologic class (an FDA Established Pharmacologic Class) with 34 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 135,666 adverse event reports received by FDA, 0.7% of the database, from January 2004 to June 2026.

10,050 reports arrived in the 12 months to June 2026, down 17% from 12,083 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 57.7% of the class's reports are marked serious, 19% record death among the outcomes and 20.3% record hospitalisation, as reported.

Across the class the reactions recorded most often are drug ineffective (23%), fatigue (13.8%) and off label use (12.4%). The class median share shown beside each term is the middle value across the member drugs; it is the comparison used on every drug page in this class.

The members table is ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Drugs in the class

DrugName typeReportsLatest 12 monthsMarked seriousTop term recorded
ZyrtecCetirizine hydrochloridebrand20,34292916.7%Drug ineffective
Cetirizine hydrochloridegeneric19,0922,04377.5%Drug ineffective
Diphenhydraminegeneric15,3391,15796%Toxicity to various agents
Cetirizinegeneric12,5221,54891.7%Drug ineffective
BenadrylDiphenhydramine hydrochloridebrand9,61243266.6%Somnolence
Allegra AllergyFexofenadine hydrochloridebrand7,8683043.6%Drug ineffective
Diphenhydramine hydrochloridegeneric5,55653894.6%Toxicity to various agents
Xyzal Allergy 24HRLevocetirizine dihydrochloridebrand5,3021473.3%Drug ineffective
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%Systemic lupus erythematosus
XyzalLevocetirizine dihydrochloridebrand3,82418144.6%Drug ineffective
Fexofenadinegeneric3,14233562.5%Drug ineffective
Diphenhydramine hclgeneric2,741091%Completed suicide
Desloratadinegeneric2,69919093.6%Intentional overdose
Azelastine hydrochloridegeneric2,5021515.7%Treatment failure
Aleve PMDiphenhydramine hydrochloride and naproxen sodiumbrand1,877136.4%Product use issue
Azelastinegeneric1,5484011.6%Treatment failure
Fexofenadine hydrochloridegeneric1,49920849.4%Drug ineffective
Allegra-DFexofenadine hydrochloride and pseudoephedrine hydrochloridebrand1,4142111.7%Drug ineffective
Fexofenadine hclgeneric1,119017.5%Drug ineffective
Zyrtec-DCetirizine hydrochloride and pseudoephedrine hydrochloridebrand1,109347.5%Drug ineffective
Dimenhydrinategeneric1,08712198.4%Drug ineffective
Pataday Once Daily ReliefOlopatadine hydrochloridebrand1,0082052.1%Drug ineffective
Olopatadinegeneric1,0041016.9%Treatment failure
GravolDimenhydrinatebrand96812799.1%Fatigue
Hydrocodone polistirex and chlorpheniramine polistirexgeneric950895.7%Dependence
Chlorpheniramine maleategeneric9428196.6%Off label use
Cetirizine hclgeneric865982%Urticaria
Childrens ZyrtecCetirizine hydrochloridebrand816703.4%Product use in unapproved indication
LastacaftAlcaftadinebrand737145.8%Ocular hyperaemia
Levocetirizine dihydrochloridegeneric7289263.6%Fatigue
Coricidin HBP Cough and ColdChlorpheniramine maleate, dextromethorphan hydrochloridebrand717123.3%Drug ineffective
Cetirizine hydrochloride and pseudoephedrine hydrochloridegeneric6858299.9%Drug ineffective
Tylenol PMAcetaminophen and diphenhydramine hydrochloridebrand6244077.1%Intentional overdose
Childrens Zyrtec AllergyCetirizine hydrochloridebrand514101.8%Product use in unapproved indication

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Reports by month, five years

06921,383Jul 2021: 874Aug 2021: 799Sep 2021: 1,083Oct 2021: 993Nov 2021: 936Dec 2021: 1,0792022Jan 2022: 926Feb 2022: 1,214Mar 2022: 1,163Apr 2022: 986May 2022: 1,064Jun 2022: 998Jul 2022: 595Aug 2022: 900Sep 2022: 920Oct 2022: 876Nov 2022: 617Dec 2022: 7852023Jan 2023: 773Feb 2023: 1,119Mar 2023: 820Apr 2023: 952May 2023: 1,073Jun 2023: 881Jul 2023: 775Aug 2023: 1,009Sep 2023: 1,029Oct 2023: 1,190Nov 2023: 1,005Dec 2023: 9252024Jan 2024: 978Feb 2024: 1,138Mar 2024: 1,043Apr 2024: 1,238May 2024: 1,383Jun 2024: 1,165Jul 2024: 1,061Aug 2024: 772Sep 2024: 943Oct 2024: 1,161Nov 2024: 867Dec 2024: 9292025Jan 2025: 1,127Feb 2025: 927Mar 2025: 1,236Apr 2025: 805May 2025: 1,006Jun 2025: 1,249Jul 2025: 1,178Aug 2025: 878Sep 2025: 783Oct 2025: 788Nov 2025: 765Dec 2025: 7882026Jan 2026: 752Feb 2026: 844Mar 2026: 907Apr 2026: 726May 2026: 837Jun 2026: 804

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Reactions recorded across the class

share of class reports recording the termmedian drug in the class

  1. Drug ineffectivethe medicine did not work as expected23%31,212
  2. Fatiguetiredness13.8%18,701
  3. Off label useused for a purpose or in a way not on the label12.4%16,869
  4. Painpain, site not specified12.3%16,739
  5. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease10.7%14,488
  6. Rashskin rash10.1%13,733
  7. Abdominal discomfortstomach discomfort9.9%13,368
  8. Alopeciahair loss9.5%12,931
  9. Systemic lupus erythematosuslupus, an autoimmune disease9.5%12,889
  10. Hypersensitivityan allergic-type reaction9.3%12,673
  11. Pemphigus9.3%12,561
  12. Infusion related reactiona reaction during or soon after an infusion9.2%12,497
  13. Glossodynia8.8%11,919
  14. Headachehead pain8.6%11,631
  15. Swellingswelling8.3%11,307
  16. Product use issuea problem in how the product was used8.3%11,222
  17. Joint swellinga swollen joint7.8%10,644
  18. Hepatic enzyme increasedraised liver enzymes7.8%10,566
  19. Pruritusitching7.8%10,557
  20. Wound7.8%10,522
  21. Arthropathy7.6%10,334
  22. Drug intolerancethe medicine was not tolerated7.6%10,285
  23. Maternal exposure during pregnancythe mother took the medicine during pregnancy7.5%10,185

Solid bar: share of all class reports. Hollow bar: the median share across the 34 member drugs, the reference used on each member's page. One report can record several terms.

Outcomes, patients and reporters

Outcomes recorded

Death19%25,775
Life-threatening10.4%14,074
Hospitalisation (initial or prolonged)20.3%27,559
Disability10.5%14,250
Congenital anomaly4%5,431
Other serious43.6%59,095
Not serious42.3%57,328

Patient age

Under 20.7%931
2 to 112.6%3,524
12 to 172.2%2,955
18 to 4420.9%28,331
45 to 6414.7%19,908
65 to 746.3%8,597
75 and over5.5%7,439
Age not given47.2%63,981

Who reported

Physician13.9%18,838
Pharmacist3.9%5,352
Other health professional29.3%39,712
Lawyer0.1%141
Consumer or non-health professional50.8%68,967
Not given2%2,656

Grey bar: all 20,646,523 reports in the database. Outcome flags are as the reporter set them and are not verified by FDA.

Questions about Histamine-1 receptor antagonist reports

Which drugs are in the Histamine-1 receptor antagonist class on this site?

Zyrtec, Cetirizine hydrochloride, Diphenhydramine, Cetirizine, Benadryl and Allegra Allergy and 28 more. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.

How many reports does the class have?

135,666 reports through June 2026, 10,050 of them in the latest 12 months. A report listing two drugs of the class counts once for each.

What reactions are recorded most often?

drug ineffective (23%), fatigue (13.8%), off label use (12.4%), pain (12.3%) and rheumatoid arthritis (10.7%).

Can the members table be used to rank the drugs?

No. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." Drugs differ in how many people take them, in the conditions they treat, in time on the market and in how diligently reports are collected.

How do I report an adverse event?

Through FDA MedWatch (Form FDA 3500, or 1-800-FDA-1088) or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A class is the Established Pharmacologic Class most often attached to a drug's reports by openFDA's label harmonisation, or from the NDC Directory where reports carry none. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.