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Two medicines, side by side

Chlorpheniramine vs cetirizine

Chlorpheniramine and cetirizine are both labeled for allergies. Drugs@FDA records approvals of chlorpheniramine since 1949 and of cetirizine since 1995. Pharmacies paid $0.0177 per allergy 4 mg tablet and $0.0613 per cetirizine HCl 10 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).

Check it at the source: the chlorpheniramine FDA label on DailyMed (effective December 19, 2018); the cetirizine FDA label on DailyMed (effective August 7, 2026).

Highlights of the chlorpheniramine record

Chlorpheniramine (Chlor-Trimeton) · label of December 19, 2018

Used for

From the label: indications

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

On the market

Earliest approval on file
July 13, 1949
Generic labelers
2 labelers
Pharmacy cost
$0.0177 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

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

Source: FDA drug labels via openFDA (Chlorpheniramine label of December 19, 2018, Cetirizine label of August 7, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do chlorpheniramine and cetirizine differ on the record?

Both are in FDA's class histamine-1 receptor antagonists.

Generics: chlorpheniramine since 1972; cetirizine since 2007 (Drugs@FDA).

ChlorpheniramineCetirizine
Labeled forAllergiesAllergies
Pharmacologic classHistamine-1 Receptor AntagonistHistamine-1 Receptor Antagonist
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)July 13, 1949December 8, 1995
First generic approvedMay 9, 1972December 27, 2007
Generic labelers (NDC)2 labelers149 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0177 per tablet (Allergy 4 mg tablet)$0.0613 per tablet (Cetirizine HCl 10 mg tablet)
12-month price change+8%-11%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded019
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)6,553171,713
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 chlorpheniramine
every medicine labeled for the same conditions