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Cetirizine Hydrochloride vs. Levocetirizine Dihydrochloride — What's the Difference?

By Tayyaba Rehman — Published on November 1, 2023
Cetirizine Hydrochloride and Levocetirizine Dihydrochloride are antihistamines, with the latter being the active enantiomer of the former, often requiring a lower dose for efficacy.
Cetirizine Hydrochloride vs. Levocetirizine Dihydrochloride — What's the Difference?

Difference Between Cetirizine Hydrochloride and Levocetirizine Dihydrochloride

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Key Differences

Cetirizine Hydrochloride is a well-known antihistamine used to alleviate symptoms such as itching, sneezing, and runny nose caused by seasonal allergies or hives. It operates by hindering the action of histamine, a substance in the body that instigates allergic symptoms. An accessible over-the-counter medication, Cetirizine Hydrochloride, is heralded for its efficacy in mitigating the unpleasant impacts of allergic reactions without inducing substantial sedation.
Levocetirizine Dihydrochloride, on the other hand, is a derivative and enantiomer of Cetirizine, signifying that it is structurally similar but orientationally distinct at the molecular level. A noted quality of Levocetirizine Dihydrochloride is its potential to be effectual at comparatively lower dosages compared to its predecessor, Cetirizine Hydrochloride. It also serves as an antihistamine, providing relief from allergic symptoms by impeding histamine action in the body.
It's pivotal to recognize that while both Cetirizine Hydrochloride and Levocetirizine Dihydrochloride are proficient in combating allergic symptoms, their dosage and specificity can diverge. Levocetirizine Dihydrochloride tends to exhibit a higher affinity for histamine receptors and is often recognized as being more potent on a per milligram basis, compared to Cetirizine Hydrochloride.
The side effect profiles for Cetirizine Hydrochloride and Levocetirizine Dihydrochloride can be somewhat similar, including possibilities of drowsiness, fatigue, and dry mouth. Both antihistamines are generally well-tolerated, with Levocetirizine Dihydrochloride sometimes being chosen for patients who might not find adequate relief with Cetirizine Hydrochloride or who might benefit from a lower dosage of medication due to various reasons such as metabolic considerations or possible interactions.
A clinician's choice between Cetirizine Hydrochloride and Levocetirizine Dihydrochloride may be nuanced by various factors including patient history, potential side effects, and overall effectiveness for the intended purpose. Both remain formidable options in the arsenal against allergies, providing relief to millions and aiding in managing the oftentimes irksome and disruptive symptoms of allergic reactions.
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Comparison Chart

Enantiomer

Racemic mixture
Active (R)-enantiomer

Dosage

Generally higher
Generally lower

Potency

Standard
Often considered more potent

Availability

OTC and prescription
Typically prescription

Histamine Receptor Affinity

Standard affinity
Higher affinity

Compare with Definitions

Cetirizine Hydrochloride

Available OTC.
Cetirizine Hydrochloride can be purchased without a prescription for allergy relief.

Levocetirizine Dihydrochloride

Often requires lower dosages.
A smaller milligram dose of Levocetirizine Dihydrochloride might be prescribed.

Cetirizine Hydrochloride

Used for various allergies.
Cetirizine Hydrochloride can be utilized to alleviate pet allergy symptoms.

Levocetirizine Dihydrochloride

Possesses high histamine receptor affinity.
Levocetirizine Dihydrochloride efficiently blocks histamine action.

Cetirizine Hydrochloride

A commonly used antihistamine.
Cetirizine Hydrochloride can mitigate sneezing during pollen season.

Levocetirizine Dihydrochloride

Often prescribed.
Levocetirizine Dihydrochloride is sometimes chosen for its potent antihistamine effects.

Cetirizine Hydrochloride

Can treat perennial and seasonal allergies.
Cetirizine Hydrochloride provides relief during diverse allergy seasons.

Levocetirizine Dihydrochloride

May be used for idiopathic urticaria.
Levocetirizine Dihydrochloride can manage chronic hives effectively.

Cetirizine Hydrochloride

Known for being non-sedating.
Many prefer Cetirizine Hydrochloride as it usually doesn’t induce drowsiness.

Levocetirizine Dihydrochloride

An active enantiomer of cetirizine.
Levocetirizine Dihydrochloride may offer potent relief from hay fever.

Common Curiosities

Is Cetirizine Hydrochloride non-drowsy?

Generally, but some people may experience drowsiness.

Is Cetirizine Hydrochloride available OTC?

Yes, it’s available without a prescription.

Does Levocetirizine Dihydrochloride contain Cetirizine Hydrochloride?

Yes, it is an enantiomer of cetirizine.

Is Cetirizine Hydrochloride effective for hives?

Yes, it can be used to treat hives.

How often should Levocetirizine Dihydrochloride be taken?

Typically once daily, but always follow medical advice.

Can Levocetirizine Dihydrochloride be used for children?

Yes, but physician guidance and dosing adjustment are vital.

Can Cetirizine Hydrochloride cause dry mouth?

Yes, dry mouth can be a side effect.

Can I use Cetirizine Hydrochloride for pet allergies?

Yes, it can help manage pet allergy symptoms.

Can Levocetirizine Dihydrochloride interact with other medications?

Yes, always disclose all medication usage to healthcare providers.

Is Levocetirizine Dihydrochloride more potent than Cetirizine Hydrochloride?

Often considered to be, especially per unit dose.

What is the general dosage of Levocetirizine Dihydrochloride?

Commonly 5mg daily, but always adhere to professional guidance.

Can Cetirizine Hydrochloride be taken during pregnancy?

Always consult a healthcare provider in such cases.

Does Levocetirizine Dihydrochloride have sedative effects?

It’s less sedating for most, but some individuals might experience drowsiness.

Is Cetirizine Hydrochloride suitable for perennial allergies?

Yes, it can manage symptoms of perennial allergies.

Can I take Cetirizine Hydrochloride and Levocetirizine Dihydrochloride together?

No, consult a healthcare provider regarding suitable dosing and medications.

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Author Spotlight

Written by
Tayyaba Rehman
Tayyaba Rehman is a distinguished writer, currently serving as a primary contributor to askdifference.com. As a researcher in semantics and etymology, Tayyaba's passion for the complexity of languages and their distinctions has found a perfect home on the platform. Tayyaba delves into the intricacies of language, distinguishing between commonly confused words and phrases, thereby providing clarity for readers worldwide.

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