U.S. doctors online nowAsk doctors free
A 23-year-old male asked:

what's the advantage of levocetirizine over cetirizine for pediatrics with allergic rhinitis?

4 doctor answers12 doctors weighed in
Dr. Alvin Lin
Geriatrics 30 years experience
None: There is no outcome benefit to levocetirizine (xyzal) over Cetirizine (zyrtec). Levocetirizine is just the left mirror image of the chemical while Cetirizine contains both right & left halves. In theory, for this chemical, the left half is supposed to be the active molecule but in real life, it's doubtful anyone can really tell the difference. More likely than not, levocetirizine is more expensive.
Dr. Lee Perry
Allergy and Immunology 17 years experience
None really: Possibly less sedation, otherwise no advantages.
Dr. Yash Khanna
Family Medicine 57 years experience
Both are effective: Levocetrizine is third generation non sedative antihistamine developed from cetirizine which is second generation.It is claimed to be more effective and with fewer side effects than cetirizine.But there are no published studies to support that In my opinion they are both effectice and cetrizine is available over the counter and is cheaper and as effective as levocetrizine There is no advantage
Dr. Katharine Cox
Pediatric Emergency Medicine 45 years experience
None: There are no published articles that show one has an advantage over the other. You might want to do your own trial. All the best.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Talk to a doctor
$30 per visit with

Similar questions

A 38-year-old member asked:

What OTC medications or remedies are safe to use for a runny nose during pregnancy?

2 doctor answers5 doctors weighed in
Dr. Angela Savatiel
Obstetrics and Gynecology 26 years experience
Antihistamines: Otc antihistamines such as Benadryl (diphenhydramine) as well as longer acting nondrowsy formulations such as Claritin have been standard recommendations for years. However if you want to avoid medicines cleaning out the nasal passages with a neti pot or saline spray is also helpful and flushes out allergens such as pollen as well.
Dr. Russell Faust
Dr. Russell Faust commented
ENT and Head and Neck Surgery 29 years experience
Agree with Dr. Savatiel. For saline nasal rinses, easier than a Neti pot is a plastic squeeze bottle. The one that I use personally (yes, this ENT doc has sinusitis) is the one from Nasopure.com (I have no affiliation). Best success.
Dec 15, 2011
A member asked:

How can I help my baby breathe when she has a runny nose?

10 doctor answers15 doctors weighed in
Dr. Laura Webb
Pediatrics 13 years experience
Suction and humidity: Babies cannot blow into kleenex the way we do with a congested nose, so we basically have to perform this for them. I recommend bringing your baby into the bathroom and turning the shower on hot. Hold your baby there while the bathroom gets steamy- this will help soften the mucus. Then using suction (blue bulb or nasal aspirator) suck the mucus from his/her nose.
A member asked:

Should I call the doctor if my baby has a runny nose and is wheezing?

4 doctor answers5 doctors weighed in
Dr. Patricia Vuguin
Pediatrics 33 years experience
Yes: If you see that your baby is having difficulty breathing such as gasping for air wheezing or pulling chest muscles you need to contact your physician for further advice.
A 21-year-old member asked:

My pediatrician says I don't need to worry about my children between the ages of 2 years and 18 years old having iron overload. He says it's an "adult onset" disease; is this true?

2 doctor answers5 doctors weighed in
Dr. Albert Pizzo
Family Medicine 60 years experience
Worry about iron: You must realize that your doctor is talking about safe nutritional doses of iron for the kids. One of the common poisoning that occurs in children is iron, usually in the form of candy like multivitamins which are now phased out. Growing children and menstruating women need adequate iron on a daily basis. Other adults do not usually need much iron unless they are anemic due to iron deficieny.
A 29-year-old member asked:

Does cetirizine (aka zyrtec) allergy medication contain any stimulant components?

1 doctor answer4 doctors weighed in
Dr. Neil Kao
Dr. Neil Kaoanswered
Allergy and Immunology 33 years experience
No: Cetirizine is also marketed with pseudoefedrine, which can be a stimulant in some people. Avoid zyrtec-d.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Talk to a doctor
$30 per visit with
Last updated Apr 26, 2018


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.