Drugs › Histamine-1 receptor antagonist
Brand name · Cetirizine hydrochloride
Zyrtec: adverse event reports filed with FDA
20,342 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist. Also reported as Zyrtec /00884302/, Zyrtec Tablets 10mg, Zyrtec Unspecified.
- 20,342
- reports as suspect product
- 0.1% of all reports · about 904 a year
- 929
- reports, 12 months to June 2026
- 1,085 in the 12 months before
- 16.7%
- marked serious by the reporter
- 57.7% across the class
- 0.9%
- record death among outcomes, as reported
- 189 reports · not verified by FDA
20,342 adverse event reports received by FDA list the brand name Zyrtec (cetirizine hydrochloride) as a suspect or interacting product, from January 2004 to June 2026. A further 72,445 reports list it only as a concomitant medication, and those are not counted in the figures on this page.
In the 12 months to June 2026, 929 reports listed it, down 14% from 1,085 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 904 reports a year and 0.1% of the 20,646,523 reports in the database, and 15% 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 drug ineffective (20.1%), product use in unapproved indication (11%) and somnolence (10.2%). A report can list several reactions, so shares add to more than 100%; 1,102 different terms appear across these reports. Drug ineffective is recorded in 20.1% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (15.9%).
16.7% of the reports are marked serious by the reporter (57.7% across the class); 0.9% record death among the outcomes and 3.7% record hospitalisation, as reported. 86.5% of the reports came from consumers, and the largest patient age group is 45 to 64 (9.8%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Zyrtec reports recording the termmedian drug in histamine-1 receptor antagonist
- Drug ineffectivethe medicine did not work as expected20.1%4,079
- Product use in unapproved indicationused for a purpose not on the label11%2,238
- Somnolencedrowsiness10.2%2,065
- Off label useused for a purpose or in a way not on the label8.4%1,708
- Pruritusitching7.9%1,597
- Therapeutic response unexpected7.4%1,496
- Product use issuea problem in how the product was used5.5%1,116
- Overdosea dose above the recommended amount4.9%1,005
- Fatiguetiredness4.3%872
- Urticariahives3.4%687
- Withdrawal syndrome3.3%675
- Dizzinesslight-headedness or unsteadiness2.8%564
- Feeling abnormalfeeling odd or not right2.7%543
- Wrong technique in product usage processthe product was used in the wrong way2.2%450
- Headachehead pain2.2%449
- Hypersensitivityan allergic-type reaction2%414
- Incorrect dose administeredthe wrong dose was given2%404
- Drug hypersensitivityan allergic-type reaction to a medicine1.9%391
- Rashskin rash1.9%388
- Insomniadifficulty sleeping1.9%378
- Expired product administeredthe product was used past its expiry date1.8%359
- Nauseafeeling sick1.8%356
- Accidental overdosean accidental overdose1.7%341
- Dyspnoeashortness of breath1.4%289
- Adverse eventan unwanted medical event, type not specified1.4%277
- Painpain, site not specified1.4%275
- Wrong patient received medication1.3%274
- Diarrhoealoose or frequent stools1.3%271
Top 30 of 1,102 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 94.8% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Multiple allergies | 2,218 | 10.9% |
| Hypersensitivity | 1,833 | 9% |
| Seasonal allergy | 902 | 4.4% |
| Urticaria | 526 | 2.6% |
| Pruritus | 347 | 1.7% |
| Rhinorrhoea | 302 | 1.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 20,342 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Zyrtec reports |
|---|---|---|
| Benadryl | 657 | 3.2% |
| Allegra | 398 | 2% |
| Claritin | 382 | 1.9% |
| Flonase | 378 | 1.9% |
| Singulair | 347 | 1.7% |
| Prednisone | 287 | 1.4% |
| Ergocalciferol | 264 | 1.3% |
| Tylenol | 251 | 1.2% |
| Aspirin | 226 | 1.1% |
| Vitamin d | 198 | 1% |
Other products listed in reports where Zyrtec 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
| Measure | Zyrtec | Histamine-1 receptor antagonist | All reports |
|---|---|---|---|
| Reports as suspect product | 20,342 | 135,666 | 20,646,523 |
| Share of that pool | — | 15% | 0.1% |
| Reports, latest 12 months | 929 | — | 1,332,454 |
| Marked serious | 16.7% | 57.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 9 | 190 | 91 |
| Hospitalisation recorded, per 1,000 reports | 37 | 203 | 213 |
| Consumer-filed share | 86.5% | 50.8% | 45.8% |
| Top term, share of reports | Drug ineffective 20.1% | 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Cetirizine hydrochloride | generic | 19,092 | 2,043 | 77.5% |
| Diphenhydramine | generic | 15,339 | 1,157 | 96% |
| Cetirizine | generic | 12,522 | 1,548 | 91.7% |
| Benadryl | brand | 9,612 | 432 | 66.6% |
| Allegra Allergy | brand | 7,868 | 304 | 3.6% |
| Diphenhydramine hydrochloride | generic | 5,556 | 538 | 94.6% |
| Xyzal Allergy 24HR | brand | 5,302 | 147 | 3.3% |
| Cetirizine hydrochloride, pseudoephedrine hydrochloride | generic | 4,914 | 909 | 99.3% |
| Xyzal | brand | 3,824 | 181 | 44.6% |
| Fexofenadine | generic | 3,142 | 335 | 62.5% |
| Diphenhydramine hcl | generic | 2,741 | 0 | 91% |
| Desloratadine | generic | 2,699 | 190 | 93.6% |
| Azelastine hydrochloride | generic | 2,502 | 151 | 5.7% |
| Aleve PM | brand | 1,877 | 13 | 6.4% |
| Azelastine | generic | 1,548 | 40 | 11.6% |
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 Zyrtec reports
How many adverse event reports has FDA received for Zyrtec?
20,342 reports list Zyrtec as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 929 of them arrived in the latest 12 months. Another 72,445 list it only as a concomitant medication.
What reactions are recorded in Zyrtec reports?
drug ineffective (20.1%), product use in unapproved indication (11%), somnolence (10.2%), off label use (8.4%) and pruritus (7.9%). 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 Zyrtec was responsible.
How serious are the reports?
16.7% are marked serious by the reporter. Among the outcomes recorded, 0.9% of reports include death and 3.7% 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?
consumer or non-health professional (86.5%), other health professional (5.3%) and physician (4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Zyrtec rising?
929 reports in the 12 months to June 2026, down 14% from 1,085 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 Zyrtec 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 Zyrtec?
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 Zyrtec as a suspect or interacting product; reports listing it only as a concomitant medication (72,445) 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.