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
| Drug | Name type | Reports | Latest 12 months | Marked serious | Top term recorded |
|---|---|---|---|---|---|
| ZyrtecCetirizine hydrochloride | brand | 20,342 | 929 | 16.7% | Drug ineffective |
| Cetirizine hydrochloride | generic | 19,092 | 2,043 | 77.5% | Drug ineffective |
| Diphenhydramine | generic | 15,339 | 1,157 | 96% | Toxicity to various agents |
| Cetirizine | generic | 12,522 | 1,548 | 91.7% | Drug ineffective |
| BenadrylDiphenhydramine hydrochloride | brand | 9,612 | 432 | 66.6% | Somnolence |
| Allegra AllergyFexofenadine hydrochloride | brand | 7,868 | 304 | 3.6% | Drug ineffective |
| Diphenhydramine hydrochloride | generic | 5,556 | 538 | 94.6% | Toxicity to various agents |
| Xyzal Allergy 24HRLevocetirizine dihydrochloride | brand | 5,302 | 147 | 3.3% | Drug ineffective |
| Cetirizine hydrochloride, pseudoephedrine hydrochloride | generic | 4,914 | 909 | 99.3% | Systemic lupus erythematosus |
| XyzalLevocetirizine dihydrochloride | brand | 3,824 | 181 | 44.6% | Drug ineffective |
| Fexofenadine | generic | 3,142 | 335 | 62.5% | Drug ineffective |
| Diphenhydramine hcl | generic | 2,741 | 0 | 91% | Completed suicide |
| Desloratadine | generic | 2,699 | 190 | 93.6% | Intentional overdose |
| Azelastine hydrochloride | generic | 2,502 | 151 | 5.7% | Treatment failure |
| Aleve PMDiphenhydramine hydrochloride and naproxen sodium | brand | 1,877 | 13 | 6.4% | Product use issue |
| Azelastine | generic | 1,548 | 40 | 11.6% | Treatment failure |
| Fexofenadine hydrochloride | generic | 1,499 | 208 | 49.4% | Drug ineffective |
| Allegra-DFexofenadine hydrochloride and pseudoephedrine hydrochloride | brand | 1,414 | 21 | 11.7% | Drug ineffective |
| Fexofenadine hcl | generic | 1,119 | 0 | 17.5% | Drug ineffective |
| Zyrtec-DCetirizine hydrochloride and pseudoephedrine hydrochloride | brand | 1,109 | 34 | 7.5% | Drug ineffective |
| Dimenhydrinate | generic | 1,087 | 121 | 98.4% | Drug ineffective |
| Pataday Once Daily ReliefOlopatadine hydrochloride | brand | 1,008 | 205 | 2.1% | Drug ineffective |
| Olopatadine | generic | 1,004 | 10 | 16.9% | Treatment failure |
| GravolDimenhydrinate | brand | 968 | 127 | 99.1% | Fatigue |
| Hydrocodone polistirex and chlorpheniramine polistirex | generic | 950 | 8 | 95.7% | Dependence |
| Chlorpheniramine maleate | generic | 942 | 81 | 96.6% | Off label use |
| Cetirizine hcl | generic | 865 | 9 | 82% | Urticaria |
| Childrens ZyrtecCetirizine hydrochloride | brand | 816 | 70 | 3.4% | Product use in unapproved indication |
| LastacaftAlcaftadine | brand | 737 | 14 | 5.8% | Ocular hyperaemia |
| Levocetirizine dihydrochloride | generic | 728 | 92 | 63.6% | Fatigue |
| Coricidin HBP Cough and ColdChlorpheniramine maleate, dextromethorphan hydrochloride | brand | 717 | 1 | 23.3% | Drug ineffective |
| Cetirizine hydrochloride and pseudoephedrine hydrochloride | generic | 685 | 82 | 99.9% | Drug ineffective |
| Tylenol PMAcetaminophen and diphenhydramine hydrochloride | brand | 624 | 40 | 77.1% | Intentional overdose |
| Childrens Zyrtec AllergyCetirizine hydrochloride | brand | 514 | 10 | 1.8% | 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
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
- Drug ineffectivethe medicine did not work as expected23%31,212
- Fatiguetiredness13.8%18,701
- Off label useused for a purpose or in a way not on the label12.4%16,869
- Painpain, site not specified12.3%16,739
- Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease10.7%14,488
- Rashskin rash10.1%13,733
- Abdominal discomfortstomach discomfort9.9%13,368
- Alopeciahair loss9.5%12,931
- Systemic lupus erythematosuslupus, an autoimmune disease9.5%12,889
- Hypersensitivityan allergic-type reaction9.3%12,673
- Pemphigus9.3%12,561
- Infusion related reactiona reaction during or soon after an infusion9.2%12,497
- Glossodynia8.8%11,919
- Headachehead pain8.6%11,631
- Swellingswelling8.3%11,307
- Product use issuea problem in how the product was used8.3%11,222
- Hand deformity8%10,858
- Joint swellinga swollen joint7.8%10,644
- Hepatic enzyme increasedraised liver enzymes7.8%10,566
- Pruritusitching7.8%10,557
- Wound7.8%10,522
- Contraindicated product administered7.6%10,360
- Arthropathy7.6%10,334
- Drug intolerancethe medicine was not tolerated7.6%10,285
- 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
Patient age
Who reported
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.