CETIRIZINE

82/100 · Critical

Manufactured by Major Pharmaceuticals

Cetirizine Adverse Events: High Seriousness and Diverse Reactions

493,372 FDA adverse event reports analyzed

Last updated: 2026-05-12

About CETIRIZINE

CETIRIZINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Major Pharmaceuticals. Based on analysis of 493,372 FDA adverse event reports, CETIRIZINE has a safety score of 82 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for CETIRIZINE include DRUG INEFFECTIVE, FATIGUE, PAIN, RASH, OFF LABEL USE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for CETIRIZINE.

AI Safety Analysis

Cetirizine has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 493,372 adverse event reports for this medication, which is primarily manufactured by Major Pharmaceuticals.

The most commonly reported adverse events include Drug Ineffective, Fatigue, Pain. Of classified reports, 76.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High percentage of serious adverse events (76.2%) indicates significant safety concerns.

A wide range of reactions reported, including systemic lupus erythematosus and pericarditis, suggesting potential severe side effects. Report volume is substantial, with over 493,000 reports, providing a comprehensive dataset for analysis.

Patients taking Cetirizine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Cetirizine is contraindicated in patients with known hypersensitivity to the drug. It should be used with caution in patients with pre-existing liver or kidney conditions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Cetirizine received a safety concern score of 82/100 (high concern). This is based on a 76.2% serious event ratio across 72,697 classified reports. The score accounts for 493,372 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG INEFFECTIVE12,975 reports
FATIGUE12,861 reports
PAIN12,124 reports
RASH9,771 reports
OFF LABEL USE9,340 reports
ABDOMINAL DISCOMFORT9,317 reports
ALOPECIA9,237 reports
RHEUMATOID ARTHRITIS8,675 reports
SYSTEMIC LUPUS ERYTHEMATOSUS8,466 reports
PEMPHIGUS8,274 reports
SWELLING7,934 reports
HYPERSENSITIVITY7,746 reports
GLOSSODYNIA7,743 reports
PRURITUS7,514 reports
ARTHRALGIA7,475 reports
HEADACHE7,470 reports
DYSPNOEA7,157 reports
JOINT SWELLING6,995 reports
INFUSION RELATED REACTION6,954 reports
HAND DEFORMITY6,762 reports
ARTHROPATHY6,724 reports
NAUSEA6,710 reports
WOUND6,487 reports
CONTRAINDICATED PRODUCT ADMINISTERED6,397 reports
PERICARDITIS6,129 reports
DRUG INTOLERANCE6,106 reports
HEPATIC ENZYME INCREASED6,101 reports
PYREXIA6,090 reports
DIARRHOEA5,936 reports
SYNOVITIS5,897 reports
MATERNAL EXPOSURE DURING PREGNANCY5,759 reports
URTICARIA5,699 reports
DISCOMFORT5,641 reports
CONDITION AGGRAVATED5,558 reports
VOMITING5,351 reports
PRODUCT USE ISSUE5,289 reports
ANTI CYCLIC CITRULLINATED PEPTIDE ANTIBODY POSITIVE5,227 reports
MALAISE5,113 reports
PERIPHERAL SWELLING4,998 reports
DIZZINESS4,920 reports
NASOPHARYNGITIS4,869 reports
WEIGHT INCREASED4,855 reports
BLISTER4,685 reports
DUODENAL ULCER PERFORATION4,681 reports
HELICOBACTER INFECTION4,634 reports
HYPERTENSION4,563 reports
INFECTION4,528 reports
CONFUSIONAL STATE4,509 reports
SINUSITIS4,341 reports
LOWER RESPIRATORY TRACT INFECTION4,311 reports
GENERAL PHYSICAL HEALTH DETERIORATION4,291 reports
THERAPEUTIC PRODUCT EFFECT DECREASED4,165 reports
STOMATITIS4,119 reports
FOLLICULITIS4,088 reports
IMPAIRED HEALING4,063 reports
IRRITABLE BOWEL SYNDROME4,024 reports
TREATMENT FAILURE3,979 reports
ABDOMINAL PAIN UPPER3,794 reports
DRUG HYPERSENSITIVITY3,786 reports
INSOMNIA3,781 reports
ASTHENIA3,618 reports
MUSCLE INJURY3,608 reports
GASTROINTESTINAL DISORDER3,607 reports
PNEUMONIA3,582 reports
TYPE 2 DIABETES MELLITUS3,488 reports
PSORIATIC ARTHROPATHY3,439 reports
MUSCULOSKELETAL STIFFNESS3,419 reports
HYPOAESTHESIA3,394 reports
INTENTIONAL PRODUCT USE ISSUE3,379 reports
ILL DEFINED DISORDER3,314 reports
ASTHMA3,303 reports
RHEUMATOID FACTOR POSITIVE3,283 reports
CONTUSION3,262 reports
MOBILITY DECREASED3,155 reports
BLOOD CHOLESTEROL INCREASED3,126 reports
PRODUCT USE IN UNAPPROVED INDICATION3,122 reports
WHEEZING3,121 reports
ANXIETY3,083 reports
FIBROMYALGIA2,973 reports
PAIN IN EXTREMITY2,936 reports
RHEUMATIC FEVER2,910 reports
INJURY2,900 reports
LIVER INJURY2,840 reports
DECREASED APPETITE2,790 reports
SLEEP DISORDER2,785 reports
DEPRESSION2,732 reports
SLEEP DISORDER DUE TO GENERAL MEDICAL CONDITION, INSOMNIA TYPE2,649 reports
CHEST PAIN2,606 reports
WEIGHT DECREASED2,577 reports
ABDOMINAL PAIN2,519 reports
EXPOSURE DURING PREGNANCY2,503 reports
DRY MOUTH2,455 reports
MIGRAINE2,418 reports
COUGH2,347 reports
MEMORY IMPAIRMENT2,305 reports
PARAESTHESIA2,203 reports
DYSPEPSIA2,186 reports
MUSCLE SPASMS2,158 reports
SWOLLEN JOINT COUNT INCREASED2,147 reports
BACK PAIN2,142 reports

Key Safety Signals

  • Systemic lupus erythematosus and rheumatoid arthritis are notable as they indicate potential autoimmune reactions.
  • Pericarditis and other cardiovascular issues are significant, given the serious nature of these events.
  • Multiple gastrointestinal issues, including duodenal ulcer perforation and hepatitis, are frequently reported.

Patient Demographics

Adverse event reports by sex: Female: 44,740, Male: 18,378, Unknown: 60. The most frequently reported age groups are age 43 (2,597 reports), age 44 (2,551 reports), age 40 (1,380 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 72,697 classified reports for CETIRIZINE:

  • Serious: 55,406 reports (76.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 17,291 reports (23.8%)
Serious 76.2%Non-Serious 23.8%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female44,740 (70.8%)
Male18,378 (29.1%)
Unknown60 (0.1%)

Reports by Age

Age 432,597 reports
Age 442,551 reports
Age 401,380 reports
Age 591,160 reports
Age 58963 reports
Age 62898 reports
Age 71888 reports
Age 56884 reports
Age 68863 reports
Age 67846 reports
Age 69801 reports
Age 70796 reports
Age 64783 reports
Age 50772 reports
Age 60767 reports
Age 65757 reports
Age 72756 reports
Age 61747 reports
Age 66741 reports
Age 55740 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Cetirizine is contraindicated in patients with known hypersensitivity to the drug. It should be used with caution in patients with pre-existing liver or kidney conditions.

What You Should Know

If you are taking Cetirizine, here are important things to know. The most commonly reported side effects include drug ineffective, fatigue, pain, rash, off label use. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Consumers should report any adverse reactions to the FDA's MedWatch program. Follow prescribed dosages and consult a healthcare provider if any unusual symptoms occur. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor cetirizine for safety, and regulatory actions may be taken based on ongoing data analysis.

Frequently Asked Questions

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

The FDA has received approximately 493,372 adverse event reports associated with Cetirizine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Cetirizine?

The most frequently reported adverse events for Cetirizine include Drug Ineffective, Fatigue, Pain, Rash, Off Label Use. By volume, the top reported reactions are: Drug Ineffective (12,975 reports), Fatigue (12,861 reports), Pain (12,124 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Cetirizine.

What percentage of Cetirizine adverse event reports are serious?

Out of 72,697 classified reports, 55,406 (76.2%) were classified as serious and 17,291 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Cetirizine (by sex)?

Adverse event reports for Cetirizine break down by patient sex as follows: Female: 44,740, Male: 18,378, Unknown: 60. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Cetirizine?

The most frequently reported age groups for Cetirizine adverse events are: age 43: 2,597 reports, age 44: 2,551 reports, age 40: 1,380 reports, age 59: 1,160 reports, age 58: 963 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Cetirizine?

The primary manufacturer associated with Cetirizine adverse event reports is Major Pharmaceuticals. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Cetirizine?

Beyond the most common reactions, other reported adverse events for Cetirizine include: Abdominal Discomfort, Alopecia, Rheumatoid Arthritis, Systemic Lupus Erythematosus, Pemphigus. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Cetirizine?

You can report adverse events from Cetirizine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Cetirizine's safety score and what does it mean?

Cetirizine has a safety concern score of 82 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. High percentage of serious adverse events (76.2%) indicates significant safety concerns.

What are the key safety signals for Cetirizine?

Key safety signals identified in Cetirizine's adverse event data include: Systemic lupus erythematosus and rheumatoid arthritis are notable as they indicate potential autoimmune reactions.. Pericarditis and other cardiovascular issues are significant, given the serious nature of these events.. Multiple gastrointestinal issues, including duodenal ulcer perforation and hepatitis, are frequently reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Cetirizine interact with other drugs?

Cetirizine is contraindicated in patients with known hypersensitivity to the drug. It should be used with caution in patients with pre-existing liver or kidney conditions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Cetirizine.

What should patients know before taking Cetirizine?

Consumers should report any adverse reactions to the FDA's MedWatch program. Follow prescribed dosages and consult a healthcare provider if any unusual symptoms occur.

Are Cetirizine side effects well-documented?

Cetirizine has 493,372 adverse event reports on file with the FDA. A wide range of reactions reported, including systemic lupus erythematosus and pericarditis, suggesting potential severe side effects. The volume of reports for Cetirizine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Cetirizine?

The FDA continues to monitor cetirizine for safety, and regulatory actions may be taken based on ongoing data analysis. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.