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Two medicines, side by side

Prednisolone vs levocetirizine

Prednisolone and levocetirizine are both labeled for allergies. Drugs@FDA records approvals of prednisolone since 1955 and of levocetirizine since 2007. Pharmacies paid $4.72 per mL (Prednisolone ac 1% eye drop) and $0.0511 per levocetirizine 5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Prednisolone's other strengths are brand-only: $30.66 per mL (Pred mild 0.12% eye drops). In FDA's classes, prednisolone is a corticosteroid and levocetirizine a histamine-1 receptor antagonist.

Check it at the source: the prednisolone FDA label on DailyMed (effective June 25, 2026); the levocetirizine FDA label on DailyMed (effective March 11, 2026).

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

Highlights of the levocetirizine record

Levocetirizine (Xyzal) · label of March 11, 2026

Used for

From the label: indications

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

On the market

Earliest approval on file
May 25, 2007
Generic labelers
53 labelers
Pharmacy cost
$0.0511 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Prednisolone label of June 25, 2026, Levocetirizine label of March 11, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do prednisolone and levocetirizine differ on the record?

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

Generics: prednisolone since 1971; levocetirizine since 2010 (Drugs@FDA).

PrednisoloneLevocetirizine
Labeled forAnemia, Leukemia, lymphoma and myeloma, Multiple sclerosis, Osteoarthritis, Asthma, Allergies, Herpes and shingles, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis), Organ transplant rejectionAllergies
Pharmacologic classCorticosteroidHistamine-1 Receptor Antagonist
How it works (label)n/an/a
Half-life (label)Prednisolone is 70-90% protein-bound in the plasma and it is eliminated from the plasma with a half-life of 2 to 4 hours.n/a
Earliest approval on file (Drugs@FDA)May 22, 1955May 25, 2007
First generic approvedNovember 24, 1971November 26, 2010
Generic labelers (NDC)25 labelers53 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$4.72 per mL (Prednisolone ac 1% eye drop)$0.0511 per tablet (Levocetirizine 5 mg tablet)
12-month price change+4%-8%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded91
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)191,40723,887
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 prednisolone
every medicine labeled for the same conditions