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Cetiirizine side effects: what 42,091 FDA adverse event reports show

Cetiirizine · Cetirizine · 1,206 reaction terms · 404,291 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Brand names

Cetirizine

openFDA label

Who reports

42,091 reports · 80% serious · 4,934 with death outcome · 68% female

openFDA FAERS counts, all years, deduplication not applied

Used for

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

FDA label, Indications and Usage

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Lab value / disease marker 7No label text to screen 33
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 1,166 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Amyloid arthropathy563,433.2
1,636.8–7,201.1ROR 3,437.8 · χ² 23,590 / p <1e-300
374.8 EB05 299.4 · IC025 +6.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=56 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Radiation inflammation36401.3
258.3–623.3ROR 401.6 · χ² 7,687 / p <1e-300
198.0 EB05 149.5 · IC025 +5.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=36 · ♀ 0% (drug 68%)no trial arm names this drug
Grip strength98366.9
282.5–476.6ROR 367.8 · χ² 20,248 / p <1e-300
202.1 EB05 170.7 · IC025 +6.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=98 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
C-reactive protein358326.4
285.6–372.9ROR 329.2 · χ² 69,533 / p <1e-300
194.3 EB05 178.0 · IC025 +7.1
3/3 methods agree
Lab value / disease markerserious n=358 · ♀ 100% (drug 68%) · 96% clinicianno trial arm names this drug
Vaginal flatulence118314.5
249.7–396.2ROR 315.4 · χ² 22,279 / p <1e-300
186.3 EB05 159.7 · IC025 +6.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=118 · ♀ 100% (drug 68%)no trial arm names this drug
Swollen joint count89283.4
218.4–367.9ROR 284.0 · χ² 15,696 / p <1e-300
173.4 EB05 145.2 · IC025 +6.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=89 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Duodenal ulcer perforation2,619277.6
264.9–291.0ROR 296.0 · χ² 460,916 / p <1e-300
177.4 EB05 171.8 · IC025 +7.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 128.2 · ♀ 100% (drug 68%) · 93% clinicianno trial arm names this drug
Facet joint syndrome1,090264.4
245.8–284.4ROR 271.4 · χ² 185,689 / p <1e-300
171.6 EB05 163.2 · IC025 +7.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,090 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Deep vein thrombosis postoperative675262.5
239.2–288.1ROR 266.8 · χ² 114,388 / p <1e-300
170.5 EB05 160.0 · IC025 +7.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=675 · ♀ 100% (drug 68%) · 92% clinicianno trial arm names this drug
Anti-cyclic citrullinated peptide antibody positive2,391253.6
241.6–266.2ROR 268.8 · χ² 396,518 / p <1e-300
167.3 EB05 161.7 · IC025 +7.3
3/3 methods agree
Lab value / disease markerserious PRR 121.5 · ♀ 100% (drug 68%) · 93% clinicianno trial arm names this drug
Swollen joint count increased1,043251.2
233.3–270.6ROR 257.6 · χ² 171,767 / p <1e-300
166.0 EB05 157.7 · IC025 +7.2
3/3 methods agree
Lab value / disease markerserious n=1,043 · ♀ 100% (drug 68%) · 96% clinicianno trial arm names this drug
Rheumatic fever1,422241.3
226.6–257.0ROR 249.7 · χ² 227,979 / p <1e-300
161.7 EB05 154.8 · IC025 +7.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,422 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Lupus vulgaris373228.1
201.8–257.8ROR 230.1 · χ² 57,414 / p <1e-300
154.8 EB05 142.0 · IC025 +6.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=373 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Muscle injury2,468214.9
205.2–225.1ROR 228.2 · χ² 365,335 / p <1e-300
149.6 EB05 144.7 · IC025 +7.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 117.2 · ♀ 100% (drug 68%) · 94% clinicianno trial arm names this drug
Sleep disorder due to general medical condition, insomnia type1,834199.0
188.6–209.9ROR 208.0 · χ² 256,921 / p <1e-300
141.6 EB05 136.3 · IC025 +7.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,830 · ♀ 100% (drug 68%) · 94% clinicianno trial arm names this drug
Anti-cyclic citrullinated peptide antibody187194.3
164.1–230.1ROR 195.2 · χ² 25,620 / p <1e-300
137.5 EB05 121.8 · IC025 +6.4
3/3 methods agree
Lab value / disease markerserious n=187 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Subcutaneous drug absorption impaired150189.6
157.1–228.9ROR 190.3 · χ² 20,160 / p <1e-300
134.7 EB05 117.6 · IC025 +6.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=150 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Cardiospasm152186.8
155.0–225.2ROR 187.5 · χ² 20,212 / p <1e-300
133.3 EB05 116.5 · IC025 +6.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=151no trial arm names this drug
Folliculitis2,726179.0
171.5–186.8ROR 191.3 · χ² 353,550 / p <1e-300
131.3 EB05 127.2 · IC025 +6.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 111.6 · ♀ 99% (drug 68%) · 94% clinicianno trial arm names this drug
Adjustment disorder with depressed mood523174.9
158.3–193.1ROR 177.0 · χ² 66,523 / p <1e-300
128.6 EB05 119.6 · IC025 +6.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=522 · ♀ 100% (drug 68%) · 96% clinicianno trial arm names this drug
Helicobacter infection2,537165.4
158.2–172.8ROR 175.9 · χ² 309,974 / p <1e-300
123.8 EB05 119.8 · IC025 +6.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 94.6 · ♀ 100% (drug 68%) · 93% clinicianno trial arm names this drug
Pemphigus2,938154.4
148.3–160.8ROR 165.9 · χ² 340,661 / p <1e-300
117.6 EB05 114.1 · IC025 +6.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 85.3 · ♀ 100% (drug 68%) · 90% clinicianno trial arm names this drug
Dislocation of vertebra509148.0
134.1–163.3ROR 149.8 · χ² 56,977 / p <1e-300
113.4 EB05 105.4 · IC025 +6.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=509 · ♀ 100% (drug 68%) · 94% clinicianno trial arm names this drug
Immunisation96141.8
113.0–177.9ROR 142.1 · χ² 10,303 / p <1e-300
107.9 EB05 91.0 · IC025 +5.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=96no trial arm names this drug
Rheumatoid factor positive1,277141.8
133.3–150.8ROR 146.2 · χ² 138,393 / p <1e-300
110.0 EB05 105.0 · IC025 +6.6
3/3 methods agree
Lab value / disease markerserious n=1,277 · ♀ 100% (drug 68%) · 96% clinicianno trial arm names this drug
Hepatic enzyme30136.2
90.9–204.1ROR 136.3 · χ² 3,047 / p <1e-300
100.2 EB05 73.6 · IC025 +4.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=30 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
X-ray abnormal377133.5
119.2–149.5ROR 134.7 · χ² 38,870 / p <1e-300
104.6 EB05 96.0 · IC025 +6.4
3/3 methods agree
Lab value / disease markerserious n=377 · ♀ 100% (drug 68%) · 96% clinicianno trial arm names this drug
Hand deformity2,710130.3
125.0–135.8ROR 139.2 · χ² 274,743 / p <1e-300
103.1 EB05 99.9 · IC025 +6.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 81.1 · ♀ 100% (drug 68%) · 92% clinicianno trial arm names this drug
Palmoplantar keratoderma146126.7
105.7–152.0ROR 127.2 · χ² 14,373 / p <1e-300
99.6 EB05 86.8 · IC025 +6.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=146no trial arm names this drug
Peripheral venous disease793123.5
114.3–133.4ROR 125.9 · χ² 76,895 / p <1e-300
98.6 EB05 93.0 · IC025 +6.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=793 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Hypocholesterolaemia61123.1
93.0–163.0ROR 123.3 · χ² 5,809 / p <1e-300
95.7 EB05 77.2 · IC025 +5.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=61 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Retinitis322119.1
105.5–134.5ROR 120.0 · χ² 30,248 / p <1e-300
95.5 EB05 87.1 · IC025 +6.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=322 · ♀ 100% (drug 68%) · 95% clinicianno trial arm names this drug
Pericarditis2,823101.6
97.7–105.7ROR 108.9 · χ² 233,096 / p <1e-300
84.3 EB05 81.7 · IC025 +6.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 61.5 · ♀ 98% (drug 68%) · 92% clinicianno trial arm names this drug
C-reactive protein abnormal1,00792.9
86.9–99.3ROR 95.1 · χ² 76,906 / p <1e-300
78.1 EB05 74.2 · IC025 +6.1
3/3 methods agree
Lab value / disease markerserious n=1,007 · ♀ 100% (drug 68%) · 94% clinicianno trial arm names this drug
Synovitis2,73488.9
85.5–92.5ROR 95.0 · χ² 201,314 / p <1e-300
75.4 EB05 73.1 · IC025 +6.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 57.1 · ♀ 100% (drug 68%) · 93% clinicianno trial arm names this drug
Breast cancer stage iii85075.8
70.5–81.4ROR 77.3 · χ² 54,284 / p <1e-300
65.7 EB05 62.1 · IC025 +5.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=850 · ♀ 100% (drug 68%) · 92% clinicianno trial arm names this drug
Porphyria acute18175.1
64.2–87.8ROR 75.4 · χ² 11,413 / p <1e-300
64.8 EB05 57.3 · IC025 +5.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=181 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Glossodynia (burning tongue/mouth pain)2,87273.4
70.7–76.2ROR 78.7 · χ² 178,516 / p <1e-300
63.9 EB05 62.0 · IC025 +5.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 66.6 · ♀ 100% (drug 68%) · 90% clinicianno trial arm names this drug
Irritable bowel syndrome2,69271.8
69.0–74.7ROR 76.6 · χ² 163,993 / p <1e-300
62.7 EB05 60.7 · IC025 +5.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 57.4 · ♀ 99% (drug 68%) · 93% clinicianno trial arm names this drug
Overlap syndrome8368.1
54.1–85.6ROR 68.2 · χ² 4,758 / p <1e-300
59.1 EB05 49.2 · IC025 +5.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=83 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug

Trial evidence (ClinicalTrials.gov)

No completed trial with posted adverse-event results was found on ClinicalTrials.gov for Cetiirizine (searched CETIIRIZINE).

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)5,7343.7
3.6–3.8ROR 4.1 · χ² 11,621 / p <1e-300
3.7 EB05 3.6 · IC025 +1.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.5no trial arm names this drug
Drug ineffective (drug did not work)5,1982.0
1.9–2.0ROR 2.1 · χ² 2,637 / p <1e-300
2.0 EB05 1.9 · IC025 +0.9Reporting / coding artifactserious PRR 3.4no trial arm names this drug
Pain5,0624.1
4.0–4.2ROR 4.6 · χ² 12,232 / p <1e-300
4.1 EB05 4.0 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.4 · ♀ 91% (drug 68%)no trial arm names this drug
Rash5,0055.8
5.7–6.0ROR 6.5 · χ² 20,083 / p <1e-300
5.7 EB05 5.6 · IC025 +2.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.4 · ♀ 89% (drug 68%)no trial arm names this drug
Dyspnoea (shortness of breath)4,5344.0
3.9–4.1ROR 4.4 · χ² 10,469 / p <1e-300
4.0 EB05 3.9 · IC025 +1.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 3.8no trial arm names this drug
Off label use (used outside approved label)4,4902.6
2.5–2.7ROR 2.8 · χ² 4,526 / p <1e-300
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
Reporting / coding artifactserious PRR 3.1no trial arm names this drug
Pruritus (itching)4,4225.9
5.7–6.1ROR 6.5 · χ² 18,039 / p <1e-300
5.8 EB05 5.7 · IC025 +2.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 9.2no trial arm names this drug
Arthralgia (joint pain)3,9894.8
4.7–5.0ROR 5.2 · χ² 12,242 / p <1e-300
4.8 EB05 4.7 · IC025 +2.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.9 · ♀ 91% (drug 68%)no trial arm names this drug
Pyrexia (fever)3,8655.6
5.4–5.8ROR 6.1 · χ² 14,721 / p <1e-300
5.6 EB05 5.4 · IC025 +2.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.9no trial arm names this drug
Hypersensitivity (allergic reaction)3,71510.2
9.9–10.5ROR 11.1 · χ² 30,344 / p <1e-300
10.0 EB05 9.7 · IC025 +3.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 13.1 · ♀ 95% (drug 68%)no trial arm names this drug
Headache3,6152.9
2.8–3.0ROR 3.1 · χ² 4,565 / p <1e-300
2.9 EB05 2.8 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 3.8no trial arm names this drug
Nausea3,6032.3
2.2–2.4ROR 2.4 · χ² 2,678 / p <1e-300
2.3 EB05 2.2 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 2.7no trial arm names this drug
Joint swelling3,54515.1
14.6–15.6ROR 16.4 · χ² 45,442 / p <1e-300
14.7 EB05 14.3 · IC025 +3.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 18.0 · ♀ 98% (drug 68%)no trial arm names this drug
Swelling3,53819.6
19.0–20.2ROR 21.3 · χ² 60,238 / p <1e-300
18.9 EB05 18.3 · IC025 +4.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 21.8 · ♀ 97% (drug 68%)no trial arm names this drug
Abdominal discomfort3,47310.5
10.2–10.9ROR 11.4 · χ² 29,613 / p <1e-300
10.3 EB05 10.1 · IC025 +3.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 16.2 · ♀ 94% (drug 68%)no trial arm names this drug

Unlabeled candidate signals

Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Cetiirizine?

In FDA FAERS, the most frequently co-reported reaction terms for Cetiirizine are fatigue, pain, rash, dyspnoea, pruritus, arthralgia. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Cetiirizine have an FDA boxed warning?

No. The FDA label retrieved for Cetiirizine has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Cetiirizine causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.