Reported Reactions

Drugs › Histamine-1 receptor antagonist

Generic name

Cetirizine: adverse event reports filed with FDA

12,522 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist. Also reported as Cetirizine /00884302/, Cetirizine Tab 10mg.

12,522
reports as suspect product
0.1% of all reports · about 578 a year
1,548
reports, 12 months to June 2026
2,018 in the 12 months before
91.7%
marked serious by the reporter
57.7% across the class
23.5%
record death among outcomes, as reported
2,944 reports · not verified by FDA

Between November 2004 and June 2026, 12,522 adverse event reports received by FDA list cetirizine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (30,243) are left out of every figure here.

In the 12 months to June 2026, 1,548 reports listed it, down 23% from 2,018 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 578 reports a year and 0.1% of the 20,646,523 reports in the database, and 9.2% 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.

The MedDRA terms listed most often are drug ineffective (25.3%), pain (24.1%) and fatigue (23.6%). A report can list several reactions, so shares add to more than 100%; 1,507 different terms appear across these reports. Drug ineffective is recorded in 25.3% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (15.9%).

91.7% of the reports are marked serious by the reporter (57.7% across the class); 23.5% record death among the outcomes and 39.7% record hospitalisation, as reported. 50.6% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (35.8%). 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

0112224Jul 2021: 115Aug 2021: 142Sep 2021: 142Oct 2021: 78Nov 2021: 113Dec 2021: 2102022Jan 2022: 156Feb 2022: 129Mar 2022: 117Apr 2022: 100May 2022: 114Jun 2022: 94Jul 2022: 72Aug 2022: 102Sep 2022: 82Oct 2022: 45Nov 2022: 49Dec 2022: 612023Jan 2023: 92Feb 2023: 78Mar 2023: 96Apr 2023: 138May 2023: 130Jun 2023: 110Jul 2023: 128Aug 2023: 120Sep 2023: 152Oct 2023: 110Nov 2023: 72Dec 2023: 1122024Jan 2024: 161Feb 2024: 149Mar 2024: 118Apr 2024: 150May 2024: 206Jun 2024: 146Jul 2024: 224Aug 2024: 143Sep 2024: 151Oct 2024: 212Nov 2024: 172Dec 2024: 1742025Jan 2025: 141Feb 2025: 174Mar 2025: 212Apr 2025: 139May 2025: 91Jun 2025: 185Jul 2025: 188Aug 2025: 149Sep 2025: 141Oct 2025: 124Nov 2025: 126Dec 2025: 1862026Jan 2026: 99Feb 2026: 101Mar 2026: 99Apr 2026: 104May 2026: 80Jun 2026: 151

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

01,0032,0062004: 420042005: 32006: 72007: 120072008: 102009: 272010: 1120102011: 702012: 1362013: 13220132014: 2972015: 3632016: 36920162017: 4172018: 6462019: 75620192020: 1,0132021: 1,3052022: 1,12120222023: 1,3382024: 2,0062025: 1,85620252026: 634

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug ineffectivethe medicine did not work as expected25.3%3,167
  2. Painpain, site not specified24.1%3,024
  3. Fatiguetiredness23.6%2,961
  4. Rashskin rash21.2%2,649
  5. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease20.8%2,602
  6. Systemic lupus erythematosuslupus, an autoimmune disease20.7%2,597
  7. Abdominal discomfortstomach discomfort20.6%2,579
  8. Alopeciahair loss20%2,503
  9. Infusion related reactiona reaction during or soon after an infusion19.9%2,497
  10. Pemphigus19.9%2,493
  11. Swellingswelling19.3%2,423
  12. Glossodynia19.2%2,400
  13. Hepatic enzyme increasedraised liver enzymes19%2,374
  14. Pericarditisinflammation of the sac around the heart18.9%2,364
  15. Pruritusitching18.7%2,338
  16. Hypersensitivityan allergic-type reaction18.6%2,334
  17. Joint swellinga swollen joint18.4%2,302
  18. Hand deformity18.3%2,286
  19. Off label useused for a purpose or in a way not on the label18.1%2,271
  20. Synovitis18.1%2,267
  21. Arthralgiajoint pain17.8%2,230
  22. Pyrexiafever17.6%2,207
  23. Wound17.2%2,156
  24. Dyspnoeashortness of breath17%2,131
  25. Drug intolerancethe medicine was not tolerated16.8%2,105
  26. Arthropathy16.8%2,100
  27. Stomatitissore mouth15.7%1,970

Top 30 of 1,507 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

Death23.5%2,944
Life-threatening22%2,751
Hospitalisation (initial or prolonged)39.7%4,969
Disability25.8%3,225
Congenital anomaly10.7%1,341
Other serious74.5%9,327
Not serious8.3%1,037

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 20.7%93
2 to 112.9%361
12 to 173.1%391
18 to 4435.8%4,487
45 to 6414.5%1,814
65 to 746.5%811
75 and over6.2%776
Age not given30.3%3,789

Patient sex

Female65.1%8,150
Male18.8%2,350
Not given16.1%2,022

Who reported

Physician21.6%2,710
Pharmacist5.3%666
Other health professional50.6%6,332
Lawyer0%2
Consumer or non-health professional21.1%2,643
Not given1.3%169

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 17.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis2,54920.4%
Hypersensitivity5234.2%
Seasonal allergy4974%
Pruritus2802.2%
Urticaria1971.6%
Allergy prophylaxis1711.4%

The indication field is filled in by the reporter and is often blank; shares are of all 12,522 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cetirizine reports
Prednisone4,42635.3%
Acetaminophen4,23233.8%
Folic acid3,95731.6%
Orencia3,83730.6%
Methotrexate3,81130.4%
Actemra3,79030.3%
Humira3,74729.9%
Rituximab3,65529.2%
Desoximetasone3,57928.6%
Sulfasalazine3,57228.5%

Other products listed in reports where Cetirizine is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureCetirizineHistamine-1 receptor antagonistAll reports
Reports as suspect product12,522135,66620,646,523
Share of that pool—9.2%0.1%
Reports, latest 12 months1,548—1,332,454
Marked serious91.7%57.7%57.4%
Death recorded among outcomes, per 1,000 reports23519091
Hospitalisation recorded, per 1,000 reports397203213
Consumer-filed share21.1%50.8%45.8%
Top term, share of reportsDrug ineffective 25.3%median 15.9%6.3%

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%
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%
Azelastinegeneric1,5484011.6%

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 reports

How many adverse event reports has FDA received for Cetirizine?

12,522 reports list Cetirizine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,548 of them arrived in the latest 12 months. Another 30,243 list it only as a concomitant medication.

What reactions are recorded in Cetirizine reports?

drug ineffective (25.3%), pain (24.1%), fatigue (23.6%), rash (21.2%) and rheumatoid arthritis (20.8%). 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 was responsible.

How serious are the reports?

91.7% are marked serious by the reporter. Among the outcomes recorded, 23.5% of reports include death and 39.7% 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?

other health professional (50.6%), physician (21.6%) and consumer or non-health professional (21.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cetirizine rising?

1,548 reports in the 12 months to June 2026, down 23% from 2,018 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (30,243) 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.