Reported Reactions

Drugs › Histamine-1 receptor antagonist

Generic name

Levocetirizine dihydrochloride: adverse event reports filed with FDA

728 reports list it as a suspect or interacting product, 2005–2026. Class: Histamine-1 receptor antagonist. Also reported as Levocetirizine Dihydrochloride Tablets, Levocetirizine Dihydrochloride Tablets 5mg, Levocetirizine Dihydrochloride 5mg Tablet.

728
reports as suspect product
0% of all reports · about 34 a year
92
reports, 12 months to June 2026
116 in the 12 months before
63.6%
marked serious by the reporter
57.7% across the class
19.8%
record death among outcomes, as reported
144 reports · not verified by FDA

Between April 2005 and June 2026, 728 adverse event reports received by FDA list levocetirizine dihydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,978) are left out of every figure here.

In the 12 months to June 2026, 92 reports listed it, down 21% from 116 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 34 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% 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 reactions recorded most often are fatigue (15.4%), nausea (15.1%) and dyspnoea (15%). A report can list several reactions, so shares add to more than 100%; 368 different terms appear across these reports. Fatigue is recorded in 15.4% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (3.5%).

63.6% of the reports are marked serious by the reporter (57.7% across the class); 19.8% record death among the outcomes and 17.6% record hospitalisation, as reported. 46.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (15.8%). 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

01427Jul 2021: 5Aug 2021: 3Sep 2021: 5Oct 2021: 16Nov 2021: 4Dec 2021: 12022Jan 2022: 14Feb 2022: 5Mar 2022: 8Apr 2022: 7May 2022: 4Jun 2022: 7Jul 2022: 3Aug 2022: 1Sep 2022: 4Oct 2022: 3Nov 2022: 5Dec 2022: 32023Jan 2023: 5Feb 2023: 3Mar 2023: 1Apr 2023: 20May 2023: 5Jun 2023: 1Jul 2023: 3Aug 2023: 7Sep 2023: 6Oct 2023: 9Nov 2023: 16Dec 2023: 62024Jan 2024: 5Feb 2024: 11Mar 2024: 7Apr 2024: 15May 2024: 11Jun 2024: 16Jul 2024: 11Aug 2024: 12Sep 2024: 13Oct 2024: 10Nov 2024: 8Dec 2024: 92025Jan 2025: 11Feb 2025: 7Mar 2025: 4Apr 2025: 2May 2025: 27Jun 2025: 2Jul 2025: 7Aug 2025: 10Sep 2025: 6Oct 2025: 11Nov 2025: 3Dec 2025: 22026Jan 2026: 5Feb 2026: 3Mar 2026: 6Apr 2026: 20May 2026: 11Jun 2026: 8

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

0641282005: 220052006: 32009: 420092010: 12011: 4820112012: 152013: 1120132014: 42015: 720152016: 102017: 3220172018: 432019: 2720192020: 422021: 6020212022: 642023: 8220232024: 1282025: 9220252026: 53

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Fatiguetiredness15.4%112
  2. Nauseafeeling sick15.1%110
  3. Dyspnoeashortness of breath15%109
  4. Dizzinesslight-headedness or unsteadiness14.8%108
  5. Drug ineffectivethe medicine did not work as expected14.6%106
  6. Pruritusitching14%102
  7. Arthralgiajoint pain13.7%100
  8. Diarrhoealoose or frequent stools13.7%100
  9. Falla fall13.6%99
  10. Abdominal painstomach or belly pain13%95
  11. Chillschills or shivering12.9%94
  12. Amaurosis fugax12.5%91
  13. Coma12.5%91
  14. Blindnessloss of sight12.4%90
  15. Insomniadifficulty sleeping12.2%89
  16. Somnolencedrowsiness12.2%89
  17. Eye paineye pain12.1%88
  18. Cardio-respiratory arrestthe heart and breathing stopped12%87
  19. Head discomfortdiscomfort in the head12%87
  20. Tachycardiafast heart rate11.8%86
  21. Headachehead pain11.7%85
  22. Sepsisa severe body-wide response to infection11.5%84
  23. Ascitesfluid in the abdomen11.3%82
  24. Abdominal pain upperupper stomach pain9.8%71
  25. Malaisegeneral feeling of being unwell9.8%71
  26. Vomitingbeing sick9.6%70

Top 30 of 368 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

Death19.8%144
Life-threatening7%51
Hospitalisation (initial or prolonged)17.6%128
Disability5.2%38
Congenital anomaly2.5%18
Other serious51.5%375
Not serious36.4%265

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 21.5%11
2 to 112.3%17
12 to 173.3%24
18 to 4415.8%115
45 to 6414.6%106
65 to 743.6%26
75 and over6.3%46
Age not given52.6%383

Patient sex

Female46.6%339
Male19.8%144
Not given33.7%245

Who reported

Physician25.7%187
Pharmacist2.5%18
Other health professional23.1%168
Lawyer0.1%1
Consumer or non-health professional46.4%338
Not given2.2%16

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 43.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypersensitivity8111.1%
Seasonal allergy172.3%
Urticaria121.6%
Mastocytosis91.2%
Urticaria chronic81.1%
Multiple allergies60.8%

The indication field is filled in by the reporter and is often blank; shares are of all 728 reports.

In context

MeasureLevocetirizine dihydrochlorideHistamine-1 receptor antagonistAll reports
Reports as suspect product728135,66620,646,523
Share of that pool—0.5%0%
Reports, latest 12 months92—1,332,454
Marked serious63.6%57.7%57.4%
Death recorded among outcomes, per 1,000 reports19819091
Hospitalisation recorded, per 1,000 reports176203213
Consumer-filed share46.4%50.8%45.8%
Top term, share of reportsFatigue 15.4%median 3.5%3.7%

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 Levocetirizine dihydrochloride reports

How many adverse event reports has FDA received for Levocetirizine dihydrochloride?

728 reports list Levocetirizine dihydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 92 of them arrived in the latest 12 months. Another 2,978 list it only as a concomitant medication.

What reactions are recorded in Levocetirizine dihydrochloride reports?

fatigue (15.4%), nausea (15.1%), dyspnoea (15%), dizziness (14.8%) and drug ineffective (14.6%). 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 Levocetirizine dihydrochloride was responsible.

How serious are the reports?

63.6% are marked serious by the reporter. Among the outcomes recorded, 19.8% of reports include death and 17.6% 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 (46.4%), physician (25.7%) and other health professional (23.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Levocetirizine dihydrochloride rising?

92 reports in the 12 months to June 2026, down 21% from 116 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 Levocetirizine dihydrochloride 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 Levocetirizine dihydrochloride?

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 Levocetirizine dihydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (2,978) 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.