levocetirizine 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 levocetirizine 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
levocetirizine Second-Generation Antihistamine
loratadine Second-Generation Antihistamine
Type
levocetirizine Over-the-Counter
loratadine Over-the-Counter
Summary
levocetirizine

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

loratadine

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

What It Treats
levocetirizine

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

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
levocetirizine

Levocetirizine blocks histamine, a natural substance your body makes during an allergic reaction. By blocking histamine, it reduces allergy 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
levocetirizine

No common side effects listed.

loratadine
  • Headache
  • Fatigue
  • Drowsiness
FAERS Reports
levocetirizine

No adverse event reports.

loratadine
  • Fatigue 6,414
  • Nausea 5,699
  • Headache 5,201
  • Dyspnoea 4,664
  • Diarrhoea 4,663
Serious Warnings
levocetirizine

If you have kidney disease, do not use this medicine. Children under 6 years of age should not use this medicine.

loratadine

No specific warnings noted.

Pregnancy
levocetirizine

There is not enough information available about the safety of levocetirizine during pregnancy or breastfeeding. Talk to your doctor before taking this medicine if you are pregnant or breastfeeding.

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 levocetirizine vs loratadine Comparison

levocetirizine 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 available over the counter.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, levocetirizine has 0 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 levocetirizine or loratadine.

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