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Two medicines, side by side

Cetirizine vs prednisolone

Cetirizine and prednisolone are both labeled for allergies. Drugs@FDA records approvals of cetirizine since 1995 and of prednisolone since 1955. Pharmacies paid $0.0613 per cetirizine HCl 10 mg tablet and $4.72 per mL (Prednisolone ac 1% eye drop) (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). Prednisolone's other strengths are brand-only: $30.66 per mL (Pred mild 0.12% eye drops). In FDA's classes, cetirizine is a histamine-1 receptor antagonist and prednisolone a corticosteroid.

Check it at the source: the cetirizine FDA label on DailyMed (effective August 7, 2026); the prednisolone FDA label on DailyMed (effective June 25, 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 prednisolone record

Prednisolone (Pred) · label of June 25, 2026

Used for

From the label: indications

Prednisolone Sodium Phosphate Oral Solution is indicated in the following conditions: 1. Allergic States Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in adult and pediatric populations with: seasonal or perennial allergic rhinitis; asthma; contact dermatitis; atopic dermatitis; serum sickness; drug hypersensitivity reactions. 2. […]

On the market

Earliest approval on file
May 22, 1955
Generic labelers
25 labelers
Pharmacy cost
$4.72 per mL

Supply and safety

Shortage
No current entry
Recalls
9

Source: FDA drug labels via openFDA (Cetirizine label of August 7, 2026, Prednisolone label of June 25, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cetirizine and prednisolone differ on the record?

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

Generics: cetirizine since 2007; prednisolone since 1971 (Drugs@FDA).

CetirizinePrednisolone
Labeled forAllergiesAnemia, Leukemia, lymphoma and myeloma, Multiple sclerosis, Osteoarthritis, Asthma, Allergies, Herpes and shingles, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis), Organ transplant rejection
Pharmacologic classHistamine-1 Receptor AntagonistCorticosteroid
How it works (label)n/an/a
Half-life (label)n/aPrednisolone is 70-90% protein-bound in the plasma and it is eliminated from the plasma with a half-life of 2 to 4 hours.
Earliest approval on file (Drugs@FDA)December 8, 1995May 22, 1955
First generic approvedDecember 27, 2007November 24, 1971
Generic labelers (NDC)149 labelers25 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0613 per tablet (Cetirizine HCl 10 mg tablet)$4.72 per mL (Prednisolone ac 1% eye drop)
12-month price change-11%+4%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded199
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)171,713191,407
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