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Levocetirizine Dihydrochloride

Levocetirizine Dihydrochloride 5MG

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What is Levocetirizine Dihydrochloride?

If you suffer from an itchy/runny nose, itchy eyes, sneezing, or hives due to allergies, your doctor might prescribe levocetirizine dihydrochloride. This drug is less likely to cause drowsiness and sleepiness when compared to some other allergy medications. Levocetirizine dihydrochloride is usually taken once daily at night.

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What is Levocetirizine Dihydrochloride ?

If you suffer from an itchy/runny nose, itchy eyes, sneezing, or hives due to allergies, your doctor might prescribe levocetirizine dihydrochloride. This drug is less likely to cause drowsiness and sleepiness when compared to some other allergy medications. Levocetirizine dihydrochloride is usually taken once daily at night.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Decrease in how much or how often you urinate, painful urination
  • Call your doctor if your symptoms do not improve or if they get worse.
  • This medicine may make you tired or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, spinal cord lesions, an enlarged prostate, or trouble urinating.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is levocetirizine dihydrochloride used for?
It relieves symptoms of seasonal and year-round allergic rhinitis, such as runny nose, sneezing, itchy or watery eyes, and itching of the nose or throat. It is also FDA-approved to treat the uncomplicated skin symptoms of chronic idiopathic urticaria (hives), including itching.
Is levocetirizine the same as Xyzal?
Yes. Xyzal and Xyzal Allergy 24HR are brand names for levocetirizine dihydrochloride. The generic contains the same active ingredient and works the same way, and is usually much less expensive than the brand.
Does levocetirizine make you sleepy?
It can. Although it is in the non-sedating class of antihistamines, drowsiness and fatigue are its most common side effects and it tends to be somewhat more sedating than a few others in this group. Avoid alcohol, and use caution driving or operating machinery until you know how it affects you.
What is the difference between levocetirizine and cetirizine?
Levocetirizine is the active R-enantiomer, essentially the working half, of cetirizine (Zyrtec). The two are closely related and treat the same allergy and hive symptoms. Levocetirizine is typically taken once daily. Your provider or pharmacist can help you decide which fits you best.
Can you take levocetirizine every day long term?
Many people take it daily during allergy season or year-round for ongoing allergies or hives. Whether long-term daily use is right for you depends on your symptoms and kidney function, so follow your provider's guidance and the label directions rather than adjusting on your own.
How much does Levocetirizine Dihydrochloride cost without insurance?
The price of Levocetirizine Dihydrochloride without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Levocetirizine Dihydrochloride?
Common side effects of Levocetirizine Dihydrochloride may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Decrease in how much or how often you urinate, painful urination. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Levocetirizine Dihydrochloride?
Generic versions may be available for Levocetirizine Dihydrochloride. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Levocetirizine Dihydrochloride on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Levocetirizine Dihydrochloride?
The cheapest pharmacy for Levocetirizine Dihydrochloride depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Levocetirizine Dihydrochloride near you.

Levocetirizine Dihydrochloride Coupons & Prices

Levocetirizine Dihydrochloride 5MG

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Looking for a levocetirizine dihydrochloride coupon? Levocetirizine is the affordable generic version of Xyzal, a once-daily, non-drowsy-class antihistamine used for seasonal and year-round allergies and for hives. Because it is a widely stocked generic, the cash price is already low, but what you pay can vary a lot from one pharmacy to the next. Rx.com compares prices across more than 60,000 U.S. pharmacies so you can find the lowest cost near you. Enter your ZIP above to see today's price and print or text yourself a free discount coupon.

What is levocetirizine dihydrochloride and how does it work?

Levocetirizine dihydrochloride is a second-generation (non-sedating class) antihistamine and the active R-enantiomer of cetirizine. It blocks peripheral H1 histamine receptors, which calms the allergic response that causes runny nose, sneezing, itchy or watery eyes, and itching of the nose or throat. It is FDA-approved to relieve symptoms of seasonal and perennial (year-round) allergic rhinitis and to treat the uncomplicated skin symptoms of chronic idiopathic urticaria (hives), including the itching.

It is sold under the brand names Xyzal and Xyzal Allergy 24HR, and is available both by prescription and over the counter. A once-daily dose is typical for adults, and it works whether your allergies are triggered by pollen, pets, dust, or other year-round allergens.

Cost and savings: is the generic cheaper?

Levocetirizine is available as an FDA-approved generic, which is usually far less expensive than the Xyzal brand. Even so, the cash price without insurance is not the same everywhere. Two pharmacies on the same street can list noticeably different prices for the identical tablet, which is exactly why comparing before you fill pays off. Rx.com checks prices across more than 60,000 pharmacies and gives you a free discount coupon you can use with or instead of insurance. Enter your ZIP above to see today's price near you.

If you and your prescriber prefer brand-name Xyzal, the manufacturer offers a savings program on its official site, xyzal.com; eligibility and terms vary and it generally cannot be combined with a discount coupon. For most people the generic is the simplest way to keep costs down. This information is about price only and is not medical advice.

How it compares to other allergy antihistamines

Levocetirizine is one of several second-generation antihistamines that treat the same allergy and hive symptoms. It is closely related to cetirizine (Zyrtec) because it is the purified active half of that molecule. Others in this group differ mainly in how likely they are to cause drowsiness and how they are dosed:

  • Cetirizine (Zyrtec) - very similar; levocetirizine is its active enantiomer.
  • Fexofenadine (Allegra) - typically the least sedating of the group.
  • Loratadine (Claritin) - once-daily, low sedation.
  • Desloratadine (Clarinex) - the active metabolite of loratadine.
  • Montelukast (Singulair) - a leukotriene blocker, not an antihistamine, sometimes used for allergic rhinitis.

All are widely available as low-cost generics. Which one is best depends on your symptoms and how sensitive you are to drowsiness, so talk with your pharmacist or provider.

Safety and side effects

Levocetirizine has no boxed warning. The most common side effect is drowsiness, sleepiness, or fatigue, and it tends to be a bit more sedating than some other second-generation antihistamines; dry mouth is also common. Avoid alcohol and other medicines that slow the nervous system while taking it, and use caution driving or operating machinery until you know how it affects you. Because the kidneys clear the drug, a lower dose is needed if you have reduced kidney function, and it should not be used by people with end-stage kidney disease or those on hemodialysis. It is also not for anyone with a known allergy to levocetirizine or cetirizine.

Rare but serious hypersensitivity reactions, including angioedema, hives, and anaphylaxis, have been reported, and there are rare reports of difficulty urinating, so use caution if you are prone to urinary retention. Different formulations have different minimum age limits for children. This is a brief summary, not medical advice; check the label and talk with your provider or pharmacist about your situation.

Sources & accuracy

This Levocetirizine Dihydrochloride information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Levocetirizine Dihydrochloride on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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