Reported Reactions

Drugs › Histamine-1 receptor antagonist

Generic name

Cetirizine hcl: adverse event reports filed with FDA

865 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist.

865
reports as suspect product
0% of all reports · about 38 a year
9
reports, 12 months to June 2026
17 in the 12 months before
82%
marked serious by the reporter
57.7% across the class
6.2%
record death among outcomes, as reported
54 reports · not verified by FDA

Between January 2004 and January 2026, 865 adverse event reports received by FDA list cetirizine hcl, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (7,597) are left out of every figure here.

In the 12 months to June 2026, 9 reports listed it, down 47% from 17 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 38 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the histamine-1 receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded urticaria (6.5%), drug exposure during pregnancy (6.1%) and pruritus (6.1%). A report can list several reactions, so shares add to more than 100%; 391 different terms appear across these reports. Urticaria is recorded in 6.5% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (1.5%).

82% of the reports are marked serious by the reporter (57.7% across the class); 6.2% record death among the outcomes and 19.1% record hospitalisation, as reported. 33.5% of the reports came from consumers, and the largest patient age group is 18 to 44 (25.7%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0510Jul 2021: 10Aug 2021: 0Sep 2021: 2Oct 2021: 2Nov 2021: 2Dec 2021: 12022Jan 2022: 1Feb 2022: 0Mar 2022: 1Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 2Aug 2022: 0Sep 2022: 2Oct 2022: 2Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 1Mar 2023: 0Apr 2023: 0May 2023: 2Jun 2023: 1Jul 2023: 0Aug 2023: 2Sep 2023: 0Oct 2023: 0Nov 2023: 1Dec 2023: 12024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 1May 2024: 2Jun 2024: 0Jul 2024: 1Aug 2024: 2Sep 2024: 0Oct 2024: 2Nov 2024: 0Dec 2024: 12025Jan 2025: 0Feb 2025: 1Mar 2025: 1Apr 2025: 1May 2025: 6Jun 2025: 2Jul 2025: 2Aug 2025: 3Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 1Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0761522004: 2220042005: 332006: 362007: 5420072008: 1412009: 332010: 9420102011: 1522012: 712013: 1020132014: 82015: 352016: 4520162017: 182018: 212019: 1520192020: 112021: 202022: 920222023: 82024: 92025: 1920252026: 1

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cetirizine hcl reports recording the termmedian drug in histamine-1 receptor antagonist

  1. Urticariahives6.5%56
  2. Drug exposure during pregnancythe medicine was taken during pregnancy6.1%53
  3. Pruritusitching6.1%53
  4. Somnolencedrowsiness5.4%47
  5. Drug ineffectivethe medicine did not work as expected5%43
  6. Accidental overdosean accidental overdose4%35
  7. Dyspnoeashortness of breath3.9%34
  8. Dizzinesslight-headedness or unsteadiness3.6%31
  9. Condition aggravatedthe condition being treated got worse3.4%29
  10. Off label useused for a purpose or in a way not on the label3.2%28
  11. Abortion spontaneousmiscarriage3.1%27
  12. Malaisegeneral feeling of being unwell3.1%27
  13. Rashskin rash3.1%27
  14. Headachehead pain2.9%25
  15. Nauseafeeling sick2.4%21
  16. Diarrhoealoose or frequent stools2.2%19
  17. Hypersensitivityan allergic-type reaction2.2%19
  18. Fatiguetiredness2.1%18
  19. Vomitingbeing sick2.1%18
  20. Aspartate aminotransferase increasedraised liver enzyme (AST)1.8%16
  21. Drug hypersensitivityan allergic-type reaction to a medicine1.8%16
  22. Hepatitis1.8%16
  23. Insomniadifficulty sleeping1.8%16
  24. Pyrexiafever1.8%16
  25. Alanine aminotransferase increasedraised liver enzyme (ALT)1.7%15
  26. Falla fall1.7%15
  27. Drug interactionan interaction between medicines1.6%14

Top 30 of 391 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 34 drugs in the histamine-1 receptor antagonist class; it describes the reports, not the patients. 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."

Outcomes recorded

Death6.2%54
Life-threatening5.9%51
Hospitalisation (initial or prolonged)19.1%165
Disability5.1%44
Congenital anomaly2.7%23
Other serious57.9%501
Not serious18%156

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 135,666 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 22.8%24
2 to 1113.8%119
12 to 174.3%37
18 to 4425.7%222
45 to 6416.5%143
65 to 747.2%62
75 and over3.7%32
Age not given26.1%226

Patient sex

Female55.6%481
Male34.1%295
Not given10.3%89

Who reported

Physician18.4%159
Pharmacist4.4%38
Other health professional29.9%259
Lawyer0%0
Consumer or non-health professional33.5%290
Not given13.8%119

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 41.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypersensitivity809.2%
Seasonal allergy647.4%
Multiple allergies435%
Pruritus333.8%
Rhinitis allergic333.8%
Ill-defined disorder192.2%

The indication field is filled in by the reporter and is often blank; shares are of all 865 reports.

In context

MeasureCetirizine hclHistamine-1 receptor antagonistAll reports
Reports as suspect product865135,66620,646,523
Share of that pool—0.6%0%
Reports, latest 12 months9—1,332,454
Marked serious82%57.7%57.4%
Death recorded among outcomes, per 1,000 reports6219091
Hospitalisation recorded, per 1,000 reports191203213
Consumer-filed share33.5%50.8%45.8%
Top term, share of reportsUrticaria 6.5%median 1.5%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. 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."

Other drugs in the histamine-1 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Zyrtecbrand20,34292916.7%
Cetirizine hydrochloridegeneric19,0922,04377.5%
Diphenhydraminegeneric15,3391,15796%
Cetirizinegeneric12,5221,54891.7%
Benadrylbrand9,61243266.6%
Allegra Allergybrand7,8683043.6%
Diphenhydramine hydrochloridegeneric5,55653894.6%
Xyzal Allergy 24HRbrand5,3021473.3%
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%
Xyzalbrand3,82418144.6%
Fexofenadinegeneric3,14233562.5%
Diphenhydramine hclgeneric2,741091%
Desloratadinegeneric2,69919093.6%
Azelastine hydrochloridegeneric2,5021515.7%
Aleve PMbrand1,877136.4%

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." A brand and its generic are separate rows because reporters name them separately.

Questions about Cetirizine hcl reports

How many adverse event reports has FDA received for Cetirizine hcl?

865 reports list Cetirizine hcl as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 9 of them arrived in the latest 12 months. Another 7,597 list it only as a concomitant medication.

What reactions are recorded in Cetirizine hcl reports?

urticaria (6.5%), drug exposure during pregnancy (6.1%), pruritus (6.1%), somnolence (5.4%) and drug ineffective (5%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Cetirizine hcl was responsible.

How serious are the reports?

82% are marked serious by the reporter. Among the outcomes recorded, 6.2% of reports include death and 19.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (33.5%), other health professional (29.9%) and physician (18.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cetirizine hcl rising?

9 reports in the 12 months to June 2026, down 47% from 17 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Cetirizine hcl was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Cetirizine hcl?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. 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 report counts here when it lists Cetirizine hcl as a suspect or interacting product; reports listing it only as a concomitant medication (7,597) are excluded. 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.