Medicine

Levocetirizine

What is Levocetirizine used for?

Levocetirizine is an antihistamine for allergy symptoms — sneezing, a running or itchy nose, watery eyes and hives. It is the more active half of cetirizine.

Generic name
Levocetirizine dihydrochloride
Active ingredient
Levocetirizine dihydrochloride
Common brands in India
Levocet, Xyzal, Teczine, 1-Al, Vozet
Available as
Tablet, Syrup, Oral drops
Common strengths
5 mg, 2.5 mg/5 mL syrup
How it is sold
Commonly available without a prescription

No dosage information on this page

The correct dose depends on your age, weight, kidney and liver function, other medicines and medical history. Follow the dose your doctor prescribed, or the instructions on the pack. Never copy a dose from a website or from someone else's prescription.

Educational information only. This information is for educational purposes only and should not replace professional medical advice, diagnosis or treatment. Always speak to a qualified doctor about your own situation.

What Levocetirizine is used for

  • Allergic rhinitis — sneezing, running nose, blocked nose and itching
  • Watery, itchy or red eyes from allergy
  • Hives (urticaria) and allergic skin itching
  • Long-standing itching where a doctor has identified an allergic cause

How it works

Cetirizine is a mixture of two mirror-image forms of the same molecule, and only one of them does the work. Levocetirizine is that active half on its own. It blocks histamine, the chemical behind the sneezing, itching and swelling of an allergic reaction.

How to take Levocetirizine

  • It can be taken with or without food.
  • Many people take it in the evening, since it makes some people drowsy.
  • For children, use the syrup or drops with the measuring device supplied, and follow what your doctor or pharmacist tells you.
  • Do not take it alongside cetirizine or another antihistamine unless a doctor has told you to — they do the same job.

Precautions

  • It can cause drowsiness. Find out how it affects you before driving or operating machinery.
  • Avoid alcohol while taking it, as this increases drowsiness.
  • Tell your doctor if you have kidney problems — a smaller amount is often needed.
  • If you need it every day for weeks, see a doctor to identify the trigger rather than continuing indefinitely.

Common side effects

Not everyone gets side effects. Tell your doctor if any of these are troublesome or do not settle.

  • Sleepiness or feeling tired
  • Dry mouth
  • Headache
  • Occasionally stomach discomfort

Important warnings

  • It is not a treatment for a severe allergic reaction. Anaphylaxis — swelling of the face, lips or throat, difficulty breathing, sudden collapse — needs adrenaline and emergency hospital care. Do not lose time taking an antihistamine.
  • It does not treat an asthma attack. Use your prescribed inhaler and seek medical help.
  • Do not double up with cetirizine. They are the same medicine, and taking both only adds side effects.

Frequently Asked Questions

What is the difference between cetirizine and levocetirizine?

Cetirizine contains two mirror-image forms of the molecule and only one of them is active. Levocetirizine is that active half alone, so a smaller amount does the same job. In practice most people find them similar. Never take both together.

Does levocetirizine cause less drowsiness than cetirizine?

It is often described that way, and some people do find it less sedating, but a meaningful number still feel sleepy on it. Treat it as a medicine that may make you drowsy until you know how it affects you.

Can levocetirizine be taken every day?

Some people with ongoing allergies do, on a doctor's advice. If you find yourself needing it daily for weeks, that is a reason to have the trigger identified rather than to keep taking it on your own.

What are the side effects of levocetirizine?

Sleepiness matters most — check how it affects you before driving. Dry mouth, headache and occasional stomach discomfort also occur, and alcohol makes the drowsiness worse.

What this costs, and what is free

Where it is free

Commonly available free at government hospitals and health and wellness centres when prescribed there.

Jan Aushadhi

Generic versions are sold at Jan Aushadhi Kendras at substantially lower prices than branded packs of the same medicine.

If you go private

The same molecule is sold under many brand names at very different prices. Ask your doctor to write the generic name, and compare at a Jan Aushadhi Kendra — the saving on a medicine taken daily is often substantial over a year. You can look up any medicine's official ceiling price on NPPA's Pharma Sahi Daam app.

What healthcare is free in IndiaScheme details checked 16 August 2026

Source: Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), National Pharmaceutical Pricing Authority (NPPA)

Prices and scheme rules change. Confirm current details with the hospital or Kendra before you rely on them.

Educational information only. This information is for educational purposes only and should not replace professional medical advice, diagnosis or treatment. Always speak to a qualified doctor about your own situation.
Medical reviewer
Awaiting review by a qualified doctor
Last reviewed
Not yet reviewed
Last updated
16 August 2026

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