Is Cetirizine (Zyrtec) Safe During Pregnancy?

Answer
Cetirizine (Zyrtec) is generally considered safe for use during pregnancy to manage allergy symptoms. As a second-generation antihistamine, it's often preferred over older options due to causing less sedation, making it a suitable choice according to ACOG guidance for allergy relief.
Is Cetirizine (Zyrtec) Safe During Pregnancy?
Cetirizine, commonly known by its brand name Zyrtec, is a second-generation antihistamine. When it comes to managing allergy symptoms during pregnancy, second-generation antihistamines like cetirizine are generally considered acceptable options 1.
Why Second-Generation Antihistamines Are Often Preferred
Compared to first-generation antihistamines (such as diphenhydramine), second-generation options like cetirizine and loratadine are often preferred for routine daytime allergy use because they tend to cause less sedation 1. While both classes can be used during pregnancy when needed, the reduced sedative effect of cetirizine makes it a common recommendation for allergy relief 1.
SafeMom is for informational purposes only and does not provide medical advice. Always consult with your healthcare provider for any health concerns or before making any decisions about your medication or treatment.
Related ingredients
Diphenhydramine
Diphenhydramine (Benadryl) is pregnancy-safe with a long use history across all trimesters. First-generation antihistamine — causes drowsiness, which is useful for sleep…
Loratadine
Loratadine (Claritin) is the preferred non-sedating second-generation antihistamine for pregnancy allergies. Multi-decade safety record with no consistent evidence of teratogenicity. Considered safe…
Related questions
Sources
- What medicine can I take for allergies while I'm pregnant?. ACOG. View source →