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Two medicines, side by side

Chlorpheniramine vs desloratadine

Chlorpheniramine and desloratadine are both labeled for allergies. Drugs@FDA records approvals of chlorpheniramine since 1949 and of desloratadine since 2001. Pharmacies paid $0.0177 per allergy 4 mg tablet and $0.258 per desloratadine 5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the chlorpheniramine FDA label on DailyMed (effective December 19, 2018); the desloratadine FDA label on DailyMed (effective May 17, 2025).

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 desloratadine record

Desloratadine (Clarinex) · label of May 17, 2025

Used for

From the label: indications

CLARINEX is a histamine-1 (H1) receptor antagonist indicated for: Seasonal Allergic Rhinitis: relief of nasal and non-nasal symptoms in patients 2 years of age and older. ( 1.1 ) Perennial Allergic Rhinitis: relief of nasal and non-nasal symptoms in patients 6 months of age and older. […]

On the market

Earliest approval on file
December 21, 2001
Generic labelers
9 labelers
Pharmacy cost
$0.258 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Chlorpheniramine label of December 19, 2018, Desloratadine label of May 17, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do chlorpheniramine and desloratadine differ on the record?

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

Generics: chlorpheniramine since 1972; desloratadine since 2010 (Drugs@FDA).

ChlorpheniramineDesloratadine
Labeled forAllergiesAllergies
Pharmacologic classHistamine-1 Receptor AntagonistHistamine-1 Receptor Antagonist
How it works (label)n/aDesloratadine is a long-acting tricyclic histamine antagonist with selective H 1 -receptor histamine antagonist activity.
Half-life (label)n/approximately 6% of subjects were poor metabolizers of desloratadine (defined as a subject with an AUC ratio of 3-hydroxydesloratadine to desloratadine less than 0.1, or a subject with a desloratadine half-life exceeding …
Earliest approval on file (Drugs@FDA)July 13, 1949December 21, 2001
First generic approvedMay 9, 1972February 19, 2010
Generic labelers (NDC)2 labelers9 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0177 per tablet (Allergy 4 mg tablet)$0.258 per tablet (Desloratadine 5 mg tablet)
12-month price change+8%-13%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded01
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)6,55310,661
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