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Two medicines, side by side

Cetirizine vs methylprednisolone

Cetirizine and methylprednisolone are both labeled for allergies. Drugs@FDA records approvals of cetirizine since 1995 and of methylprednisolone since 1957. Pharmacies paid $0.0613 per cetirizine HCl 10 mg tablet and $0.121 per methylprednisolone 4 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Cetirizine's other strengths are brand-only: $7.35 per unit (Zerviate 0.24% eye drop). Methylprednisolone's other strengths are brand-only: $6.28 per Solu-medrol 40 mg vial. In FDA's classes, cetirizine is a histamine-1 receptor antagonist and methylprednisolone a corticosteroid.

Check it at the source: the cetirizine FDA label on DailyMed (effective August 7, 2026); the methylprednisolone FDA label on DailyMed (effective June 22, 2026).

Highlights of the cetirizine record

Cetirizine (All) · label of August 7, 2026

Used for

From the label: indications

temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: • runny nose, • sneezing, • itchy, watery eyes, • itching of the nose or throat

On the market

Earliest approval on file
December 8, 1995
Generic labelers
149 labelers
Pharmacy cost
$0.0613 per tablet

Supply and safety

Shortage
No current entry
Recalls
19

Highlights of the methylprednisolone record

Methylprednisolone (Solu-Medrol) · label of June 22, 2026

Used for

From the label: indications

Methylprednisolone tablets are indicated in the following conditions: 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy, mineralocorticoid supplementation is of particular importance). […]

On the market

Earliest approval on file
October 24, 1957
Generic labelers
35 labelers
Pharmacy cost
$0.121 per tablet

Supply and safety

Shortage
In shortage
Recalls
46

Source: FDA drug labels via openFDA (Cetirizine label of August 7, 2026, Methylprednisolone label of June 22, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cetirizine and methylprednisolone differ on the record?

In FDA's classes, cetirizine is a histamine-1 receptor antagonist and methylprednisolone a corticosteroid.

Generics: cetirizine since 2007; methylprednisolone since 1978 (Drugs@FDA).

CetirizineMethylprednisolone
Labeled forAllergiesOsteoarthritis, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Multiple sclerosis, Asthma, Eczema (atopic dermatitis), Anemia
Pharmacologic classHistamine-1 Receptor AntagonistCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)December 8, 1995October 24, 1957
First generic approvedDecember 27, 2007March 28, 1978
Generic labelers (NDC)149 labelers35 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0613 per tablet (Cetirizine HCl 10 mg tablet)$0.121 per tablet (Methylprednisolone 4 mg tablet)
12-month price change-11%-22%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded1946
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)171,713170,232
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to cetirizine
every medicine labeled for the same conditions