Not much: Zyrtec is a mixture of two mirror image drugs, levo and dextrocetirizine. Xyzal is a pure levocetirizine. Only the levo form is an active antihistamine. The dextro form is inactive but has no known side effects. The difference is cost, insurance coverage, and patient prejudice or preference.
Answered 4/26/2017
5.7k views
9 doctors weighed in across 2 answers
A doctor has provided 1 answer
A doctor has provided 1 answer
A doctor has provided 1 answer
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your question