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ZYRTEC® Dosage Guide

For Adult and Children's Cetirizine HCl Products and Adult Hydroxypropyl Methylcellulose Products

Whether you need to know ZYRTEC® dosages for adults or children, check out our dosing charts and FAQs for the ZYRTEC® family of products, to find all the information you need.

When taking any medication, it’s important to take the recommended dosage. If you’re in doubt, follow the instructions on the product packaging or our dosage chart below.

12 Items

Tablet

Product Form

Directions

Age

Dosage

Children under 6 years of age

Ask a doctor.

Adults under 65 and children 6 years and older

One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Consumers with liver or kidney disease

Ask a doctor.

Liquid Gels

Product Form

Directions

Avoid high humidity and excessive heat above 40°C (104°F).

Protect from light.

Age

Dosage

Children under 6 years of age

Ask a doctor.

Adults under 65 and children 6 years and older

One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Consumers with liver or kidney disease

Ask a doctor.

ZYRTEC 24-Hour Allergy Relief Dissolve Tablet with Cetirizine HCl

Product Form

Directions

Age

Dosage

Children under 6 years of age

Ask a doctor.

Adults under 65 and children 6 years and older

One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Consumers with liver or kidney disease

Ask a doctor.

Cetirizine

Product Form

Directions

May be taken with or without water

Chew or crush tablets completely before swallowing

Age

Dosage

Adults under 65 and children 6 years and older

Chew and swallow 1 tablet (10 mg) once daily; do not take more than 1 tablet (10 mg) in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Adults with liver or kidney disease

Ask a doctor.

Children under 6 years of age

Ask a doctor.

Tablet

Product Form

Directions

Do not break or chew tablet; swallow tablet whole.

Age

Dosage

Adults under 65 and children 12 years and older

One 10 mg capsule once daily; do not take more than one 10 mg capsule in 24 hours.

Adults 65 years and over

Ask a doctor.

Adults with liver or kidney disease

Ask a doctor.

Children under 12 years of age

Ask a doctor.

Liquid

Product Form

Directions

Use only with enclosed dosing cup

mL = milliliter

Age

Dosage

Under 2

Ask a doctor.

2 to under 6 years

2.5 mL once daily. If needed, dose can be increased to a maximum of 5mL once daily or 2.5 mL every 12 hours

Do not give more than 5 mL in 24 hours

6+ years

5 mL or 10 mL once daily depending on severity of symptoms.

Do not give more than 10 mL in 24 hours

Adults 65 years and over

5 mL once daily; do not take more than 5 mL in 24 hours.

Consumers with liver or kidney disease

Ask a doctor.

ZYRTEC 24-Hour Allergy Relief Dissolve Tablet with Cetirizine HCl

Product Form

Directions

Tablet melts in mouth. Can be taken with or without water.

Age

Dosage

Under 2

Ask a doctor.

6+ years

One 10 mg tablet once daily; do not give more than 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Consumers with liver or kidney disease

Ask a doctor.

Cetirizine

Product Form

Directions

May be taken with or without water.

Chew or crush tablets completely before swallowing.

Age

Dosage

Under 6 years

Ask a doctor.

6+ years

Chew and swallow 1 tablet (10 mg) once daily; do not give more than 1 tablet (10 mg) in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over

Ask a doctor.

Consumers with liver or kidney disease

Ask a doctor.

Cetirizine

Product Form

Directions

May be taken with or without water.

Chew or crush tablets completely before swallowing.

Age

Dosage

Under 2

Ask a doctor.

2 to under 6 years

Chew and swallow 1 tablet (2.5 mg) once daily; If needed, dose can be increased to a maximum of 2 tablets (5 mg) once daily or 1 tablet (2.5 mg) every 12 hours. Do not give more than 2 tablets (5 mg) in 24 hours.

Adults and children 6 years and over

Chew and swallow 2 tablets (5 mg) or 4 tablets (10 mg) once daily depending upon severity of symptoms; do not take more than 4 tablets (10 mg) in 24 hours.

Adults 65 years and over

Chew and swallow 2 tablets (5 mg) once daily; do not take more than 2 tablets (5 mg) in 24 hours.

Consumers with liver or kidney disease

Ask a doctor.

Age

Dosage

Adults and children 6 years and over: 

One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

 Adults 65 years and over: 

Ask a doctor.

Children under 6 years of age: 

Ask a doctor.

Consumers with liver or kidney disease: 

Ask a doctor.

Age

Dosage

Adults and children 6 years and over: 

1 tablet (5 mg) or 2 tablets (10 mg) once daily depending upon severity of symptoms; do not take more than 2 tablets (10 mg) in 24 hours.

 Adults 65 years and over: 

1 tablet (5 mg) once daily, do not take more than 1 tablet (5 mg) in 24 hours.

Children under 6 years of age: 

Ask a doctor.

Consumers with liver or kidney disease: 

Ask a doctor.

Age/Condition

Directions

Adults and children 12 years and over

May be used as needed up to 3 times per day

Gently blow your nose. Breathe out.

Remove cap and shake the bottle. Do not leave cap unattended around children.

Squeeze the bottle away from yourself to test the pressure needed for an ideal dose. Use both hands if necessary. *a mist of approximately 6 inches for adults and children 12 yrs+

Place nozzle of bottle just inside the nose and quickly squeeze the bottle to deliver 1 or 2 sprays while gently inhaling.

Repeat steps on the other nostril. Repply if you blow your nose.

Consumers with liver or kidney disease

Ask a doctor.

Showing 12 of 12

Additional ZYRTEC® Dosing Information & Warnings

Use this guide to determine the correct ZYRTEC® dosage for children younger than 12 years of age. Children’s ZYRTEC® dosage is based on age not weight. If you have any concerns about how weight may impact the dosage, please speak to your doctor.

Children’s ZYRTEC® products are not indicated for infants (i.e., those under the age of 2). Please speak with a doctor, if your child is under the age of 2, before giving them Children’s ZYRTEC®. Always read the label on the packaging & follow directions for use carefully before you give a dose.

  • Do not give a child more than directed

  • If you are wanting to give these products to a child younger than 2 years old, ask a doctor

  • Do not use if the package unit is opened, or contents are broken or missing

  • Do not use if you have ever had an allergic reaction to this product or any of its ingredients, or to an antihistamine containing hydroxyzine

  • Ask a doctor before use if you have liver or kidney disease. Your doctor should determine if you need a different dose

  • Ask a doctor or pharmacist before use if you are taking tranquilizers or sedatives

  • When using this product:

    • drowsiness may occur

    • avoid alcoholic drinks

    • alcohol, sedatives and tranquilizers may increase drowsiness

    • be careful when driving a motor vehicle or operating machinery

  • Stop use and ask a doctor if an allergic reaction to this product occurs. Seek medical help right away.

  • If pregnant or breast-feeding:

    • if breast-feeding: Not recommended

    • if pregnant: ask a health professional before use

  • Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222)

Use this dosage chart to determine the correct dosage of ZYRTEC® for adults. Remember to always read the label on the packaging & follow directions for use carefully before you take a dose.

  • Ask a doctor or pharmacist before use if you are taking sedatives or tranquilizers

  • Do not use if the package unit is opened, or contents are broken or missing

  • Do not use if you have ever had an allergic reaction to this product or any of its ingredients, or to an antihistamine containing hydroxyzine

  • Ask a doctor before use if you have liver or kidney disease. Your doctor should determine if you need a different dose

  • When using this product:

    • drowsiness may occur

    • avoid alcoholic drinks

    • alcohol, sedatives and tranquilizers may increase drowsiness

    • be careful when driving a motor vehicle or operating machinery

  • Stop use and ask a doctor if an allergic reaction to this product occurs. Seek medical help right away.

  • If pregnant or breast-feeding:

    • if breast-feeding: Not recommended

    • if pregnant: Ask a health professional before use

  • Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222)

ZYRTEC® Dosing FAQs

If you are using ZYRTEC-D® Allergy Relief Tablets with Decongestant and Cetirizine HCl, take 1 tablet every 12 hours. Do not take more than 2 tablets in 24 hours.

With Children’s ZYRTEC® Allergy Syrup, do not exceed 5 ml in 24 hours for children aged 2 to under 6, or 10 ml in 24 hours for children aged 6 and over.

For all Adult or Children’s ZYRTEC® 10 mg products, do not exceed one dose per 24 hours.

Children’s ZYRTEC® Chewables 2.5 mg

Children 2 to under 6 years of age may chew and swallow 1 tablet (2.5 mg) once daily; If needed, dose can be increased to a maximum of 2 tablets (5 mg) once daily or 1 tablet (2.5 mg) every 12 hours.

Do not give more than 2 tablets (5 mg) in 24 hours.

Adults and children 6 years and over may chew and swallow 2 tablets (5 mg) or 4 tablets (10 mg) once daily depending upon severity of symptoms; do not take more than 4 tablets (10 mg) in 24 hours.

Adults 65 years and over may chew and swallow 2 tablets (5 mg) once daily; do not take more than 2 tablets.

Children’s ZYRTEC® Syrup

Children 2 to under 6 years of age may take 2.5 mL once daily. If needed, dose can be increased to a maximum of 5 mL once daily or 2.5 mL every 12 hours.

Adults and children 6 years and over: 5 mL or 10 mL once daily depending upon severity of symptoms. For adults 65 years and over, 5 mL once daily; do not take more than 5 mL in 24 hours.

The ZYRTEC® (cetirizine) family of products temporarily relieve the following symptoms, caused by hay fever or other upper respiratory allergies:

  • Sneezing

  • Runny nose

  • Itchy nose

  • Itchy throat

  • Itchy eyes

  • Watery eyes

ZYRTEC-D® is a 2-in-1 allergy medicine, combining cetirizine HCl with a nasal decongestant. In addition to the above symptoms, it can also help alleviate:

  • Nasal congestion

  • Sinus congestion

  • Sinus pressure

Find out more on our ZYRTEC® uses page.

It is generally fine to take an oral antihistamine together with a nasal steroid spray, however it is best to ask questions and discuss the medications you are taking with a doctor or pharmacist. 1

You can take most ZYRTEC® products with Mucinex, as they are different medications with different ingredients. However, do not take ZYRTEC-D® together with Mucinex D, as both contain pseudoephedrine. If you are unsure, speak to a doctor or pharmacist.

Per the ZYRTEC® OTC Drug Facts label, only one dose of ZYRTEC® should be taken per day, as it is a 24h medication. You can take two doses of ZYRTEC-D®, but only one dose every 12 hours.

With Children’s ZYRTEC® Syrup, for children 2 to under 6 years of age: 2.5 mL once daily is the recommended dose. If needed, however, dose can be increased to a maximum of 5 mL once daily or 2.5 mL every 12 hours.

Additionally, Children’s ZYRTEC® 2.5 mg Chewable Tablets can be taken 2.5 mg every 12 hours for children 2 to under 6 years of age.

You can take most ZYRTEC® products with SUDAFED, as they are different medications with different ingredients. However, do not take ZYRTEC-D® with SUDAFED, as both contain a nasal decongestant. If you are unsure, speak to a doctor or pharmacist.

Depending on your symptoms and provided the dosage instructions on the product packaging are followed, you can take antihistamines daily1. However, ZYRTEC-D® contains pseudoephedrine, which is only for short-term use. Stop use and ask a doctor if symptoms do not improve within 7 days or are accompanied by fever.

Like with any drug, an overdose can occur if more than the recommended amount is taken. Taking over the recommended amount may increase the risk and severity of side effects.

Warning signs of an overdose may include issues with vision, severe drowsiness, pains in the stomach, a rapid heartbeat – and even trouble walking, speaking or swallowing.

In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

References

  1. https://medlineplus.gov/ency/patientinstructions/000549.html

  2. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/say-goodbye-to-springtime-allergies#:~:text=It%20is%20fine%20to%20combine,production%20when%20it%20works%20well.

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