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Xyzal Side Effects Center
Medical Editor: Melissa Conrad Stöppler, MD
Xyzal (levocetirizine dihydrochloride) is an antihistamine indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 2 years of age and older. Side effects reported with the administration of Xyzal are usuallyinclude somnolencedrowsiness, fatigue, and astheniaweakness, tired feeling, stuffy nose, sinus pain, sore throat, cough, vomiting, diarrhea, constipation, dry mouth, or weight gain.
Xyzal is administered orally in the form of tablets or oral solution. Concurrent use of Xyzal with alcohol or other central nervous system depressants should be avoided because additional reductions in alertness and additional impairment of central nervous system performance may occur. Xyzal should be used during pregnancy only if clearly needed.
Our Xzyal Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What is Patient Information in Detail?
Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum.
Xyzal in Detail - Patient Information: Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using levocetirizine and call your doctor at once if you have a serious side effect such as:
- feeling like you might pass out;
- nosebleed (especially in a child);
- pain or fullness in your ear, hearing problems;
- depression, agitation, aggression, hallucinations;
- numbness or tingling around your lips or mouth;
- jaundice (yellowing of your skin or eyes);
- painful or difficult urination;
- dark-colored urine, foul-smelling stools; or
- fever, stomach pain, loss of appetite.
Other common side effects may include:
- drowsiness, weakness;
- tired feeling;
- stuffy nose, sinus pain, sore throat, cough;
- vomiting, diarrhea, constipation;
- dry mouth; or
- weight gain.
Read the entire detailed patient monograph for Xyzal (Levocetirizine Dihydrochloride)
What is Patient Information Overview?
A concise overview of the drug for the patient or caregiver from First DataBank.
Xyzal Overview - Patient Information: Side Effects
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: difficulty urinating, weakness.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Read the entire patient information overview for Xyzal (Levocetirizine Dihydrochloride)
What is Prescribing information?
The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.
Xyzal FDA Prescribing Information: Side Effects
Clinical Trials Experience
The safety data described below reflect exposure to XYZAL in 2708 patients with seasonal or perennial allergic rhinitis or chronic idiopathic urticaria in 14 controlled clinical trials of 1 week to 6 months duration.
The short-term (exposure up to 6 weeks) safety data for adults and adolescents are based upon eight clinical trials in which 1896 patients (825 males and 1071 females aged 12 years and older) were treated with XYZAL 2.5, 5, or 10 mg once daily in the evening.
The short-term safety data from pediatric patients are based upon two clinical trials in which 243 children with seasonal or perennial allergic rhinitis (162 males and 81 females 6 to 12 years of age) were treated with XYZAL 5 mg once daily for 4 to 6 weeks, one clinical trial in which 114 children (65 males and 49 females 1 to 5 years of age) with allergic rhinitis or chronic idiopathic urticaria were treated with XYZAL 1.25 mg twice daily for 2 weeks, and one clinical trial in which 45 children (28 males and 17 females 6 to 11 months of age) with symptoms of allergic rhinitis or chronic urticaria were treated with XYZAL 1.25 mg once daily for 2 weeks.
The long-term (exposure of 4 or 6 months) safety data in adults and adolescents are based upon two clinical trials in which 428 patients (190 males and 238 females) with allergic rhinitis were exposed to treatment with XYZAL 5 mg once daily. Long term safety data are also available from an 18-month trial in 255 XYZAL-treated subjects 12-24 months of age.
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trial of another drug and may not reflect the rates observed in practice.
Adults and Adolescents 12 years of Age and Older
In studies up to 6 weeks in duration, the mean age of the adult and adolescent patients was 32 years, 44% of the patients were men and 56% were women, and the large majority (more than 90%) was Caucasian.
In these trials 43% and 42% of the subjects in the XYZAL 2.5 mg and 5 mg groups, respectively, had at least one adverse event compared to 43% in the placebo group.
In placebo-controlled trials of 1-6 weeks in duration, the most common adverse reactions were somnolence, nasopharyngitis, fatigue, dry mouth, and pharyngitis, and most were mild to moderate in intensity. Somnolence with XYZAL showed dose ordering between tested doses of 2.5, 5 and 10 mg and was the most common adverse reaction leading to discontinuation (0.5%).
Table 1 lists adverse reactions that were reported in greater than or equal to 2% of subjects aged 12 years and older exposed to XYZAL 2.5 mg or 5 mg in eight placebo-controlled clinical trials and that were more common with XYZAL than placebo.
Table 1 : Adverse Reactions Reported in ≥ 2%* of
Subjects Aged 12 Years and Older Exposed to XYZAL 2.5 mg or 5 mg Once Daily in
Placebo-Controlled Clinical Trials 1-6 Weeks in Duration
|Adverse Reactions||XYZAL 2.5 mg
(n = 421)
|XYZAL 5 mg
(n = 1070)
(n = 912)
|Somnolence||22 (5%)||61 (6%)||16 (2%)|
|Nasopharyngitis||25 (6%)||40 (4%)||28 (3%)|
|Fatigue||5 (1%)||46 (4%)||20 (2%)|
|Dry Mouth||12 (3%)||26 (2%)||11 (1%)|
|Pharyngitis||10 (2%)||12 (1%)||9 (1%)|
|*Rounded to the closest unit percentage|
Additional adverse reactions of medical significance observed at a higher incidence than in placebo in adults and adolescents aged 12 years and older exposed to XYZAL are syncope (0.2%) and weight increased (0.5%).
Pediatric Patients 6 to 12 Years of Age
A total of 243 pediatric patients 6 to 12 years of age received XYZAL 5 mg once daily in two short-term placebo controlled double-blind trials. The mean age of the patients was 9.8 years, 79 (32%) were 6 to 8 years of age, and 50% were Caucasian. Table 2 lists adverse reactions that were reported in greater than or equal to 2% of subjects aged 6 to 12 years exposed to XYZAL 5 mg in placebo-controlled clinical trials and that were more common with XYZAL than placebo.
Table 2 : Adverse Reactions
Reported in ≥ 2%* of Subjects Aged 6-12 Years Exposed to XYZAL 5 mg Once
Daily in Placebo-Controlled Clinical Trials 4 and 6 Weeks in Duration
|Adverse Reactions||XYZAL 5 mg
(n = 243)
(n = 240)
|Pyrexia||10 (4%)||5 (2%)|
|Cough||8 (3%)||2 ( < 1%)|
|Somnolence||7 (3%)||1 ( < 1%)|
|Epistaxis||6 (2%)||1 ( < 1%)|
|*Rounded to the closest unit percentage|
Pediatric Patients 1 to 5 Years of Age
A total of 114 pediatric patients 1 to 5 years of age received XYZAL 1.25 mg twice daily in a two week placebo-controlled double-blind safety trial. The mean age of the patients was 3.8 years, 32% were 1 to 2 years of age, 71% were Caucasian and 18% were Black. Table 3 lists adverse reactions that were reported in greater than or equal to 2% of subjects aged 1 to 5 years exposed to XYZAL 1.25 mg twice daily in the placebo-controlled safety trial and that were more common with XYZAL than placebo.
Table 3 : Adverse Reactions
Reported in ≥ 2%* of Subjects Aged 1-5 Years Exposed to XYZAL 1.25 mg
Twice Daily in a 2-Week Placebo-Controlled Clinical Trial
|Adverse Reactions||XYZAL 1.25 mg Twice Daily
(n = 114)
(n = 59)
|Pyrexia||5 (4%)||1 (2%)|
|Diarrhea||4 (4%)||2 (3%)|
|Vomiting||4 (4%)||2 (3%)|
|Otitis Media||3 (3%)||0 (0%)|
|*Rounded to the closest unit percentage|
Pediatric Patients 6 to 11 Months of Age
A total of 45 pediatric patients 6 to 11 months of age received XYZAL 1.25 mg once daily in a two week placebo-controlled double-blind safety trial. The mean age of the patients was 9 months, 51% were Caucasian and 31% were Black. Adverse reactions that were reported in more than 1 subject (i.e. greater than or equal to 3% of subjects) aged 6 to 11 months exposed to XYZAL 1.25 mg once daily in the placebo-controlled safety trial and that were more common with XYZAL than placebo included diarrhea and constipation which were reported in 6 (13%) and 1 (4%) and 3 (7%) and 1 (4%) children in the XYZAL and placebo-treated groups, respectively.
Long-Term Clinical Trials Experience
In two controlled clinical trials, 428 patients (190 males and 238 females) aged 12 years and older were treated with XYZAL 5 mg once daily for 4 or 6 months. The patient characteristics and the safety profile were similar to that seen in the short-term studies. Ten (2.3%) patients treated with XYZAL discontinued because of somnolence, fatigue or asthenia compared to 2 ( < 1%) in the placebo group.
There are no long term clinical trials in children below 12 years of age with allergic rhinitis or chronic idiopathic urticaria.
Laboratory Test Abnormalities
Elevations of blood bilirubin and transaminases were reported in < 1% of patients in the clinical trials. The elevations were transient and did not lead to discontinuation in any patient.
In addition to the adverse reactions reported during clinical trials and listed above, adverse events have also been identified during post-approval use of XYZAL. Because these events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Adverse events of hypersensitivity and anaphylaxis, increased appetite, angioedema, fixed drug eruption, pruritus, rash and urticaria, convulsion, paraesthesia, dizziness, tremor, dysgeusia, vertigo, aggression and agitation, hallucinations, depression, insomnia, suicidal ideation, visual disturbances, blurred vision, palpitations, tachycardia, dyspnea, nausea, vomiting, hepatitis, dysuria, urinary retention, myalgia, and edema have been reported.
Besides these events reported under treatment with XYZAL, other potentially severe adverse events have been reported from the post-marketing experience with cetirizine. Since levocetirizine is the principal pharmacologically active component of cetirizine, one should take into account the fact that the following adverse events could also potentially occur under treatment with XYZAL: orofacial dyskinesia, severe hypotension, cholestasis, glomerulonephritis, and still birth.
Read the entire FDA prescribing information for Xyzal (Levocetirizine Dihydrochloride)
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