desloratadine vs loratadine

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of desloratadine and loratadine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
desloratadine Second-Generation Antihistamine
loratadine Second-Generation Antihistamine
Type
desloratadine Prescription
loratadine Over-the-Counter
Summary
desloratadine

Desloratadine is an antihistamine medicine. It helps relieve allergy symptoms.

loratadine

Loratadine is an antihistamine medicine. It helps relieve allergy symptoms.

What It Treats
desloratadine

This medicine treats allergy symptoms. It can help with seasonal allergies like hay fever. It also treats year-round allergies and chronic hives by reducing itching and the number and size of hives.

loratadine

This medicine treats allergy symptoms. It can help with a runny nose, itchy and watery eyes, and sneezing. It also helps with itching of the nose or throat caused by hay fever or other upper respiratory allergies.

How It Works
desloratadine

Desloratadine blocks histamine in your body. Histamine is a substance that causes allergy symptoms. By blocking histamine, this medicine reduces those symptoms.

loratadine

Loratadine blocks histamine in your body. Histamine is a natural substance that causes allergy symptoms. By blocking it, loratadine reduces these symptoms.

Common Side Effects
desloratadine
  • Sore throat
  • Dry mouth
  • Muscle pain
  • Tiredness
  • Sleepiness
loratadine
  • Headache
  • Fatigue
  • Drowsiness
FAERS Reports
desloratadine
  • Fatigue 601
  • Nausea 582
  • Dyspnoea 532
  • Headache 465
  • Diarrhoea 448
loratadine
  • Fatigue 6,414
  • Nausea 5,699
  • Headache 5,201
  • Dyspnoea 4,664
  • Diarrhoea 4,663
Serious Warnings
desloratadine

Stop taking this medicine and get medical help right away if you have an allergic reaction. Signs of a reaction include rash, itching, hives, swelling, trouble breathing, or anaphylaxis.

loratadine

No specific warnings noted.

Pregnancy
desloratadine

Not enough studies have been done to know if desloratadine is safe during pregnancy. Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if desloratadine passes into breast milk.

loratadine

If you are pregnant or breastfeeding, talk to your doctor before taking loratadine. They can help you weigh the risks and benefits.

Also Compare, Nearby Drugs

How to Read This desloratadine vs loratadine Comparison

desloratadine is classified in the Second-Generation Antihistamine drug class, while loratadine sits within the Second-Generation Antihistamine class. Because both drugs share the same classification, they are often considered interchangeable in theory, but clinical outcomes rarely track that cleanly. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, desloratadine has 2,628 submissions while loratadine has 26,641. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for desloratadine or loratadine.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.