Can You Take Zyrtec And Pepcid Together?

In our latest question and answer, the pharmacist discusses whether or not Zyrtec can be safely taken with Pepcid.

Question

Is it safe to take Zyrtec and famotidine together? I understand they help reduce allergic reactions. I have been having allergic reactions that I'm told are not actual allergies.

Asked by LIZ On Nov 01, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Nov 02, 2022
Last updated Apr 18, 2024

Key points

  • There is no known drug interaction between Zyrtec (cetirizine) and Pepcid (famotidine).
  • Some studies suggest that combining an H1 and H2 blocker (like Zyrtec and Pepcid) can be more effective for certain conditions than either alone.

Answer

There is no known drug interaction between Zyrtec (cetirizine) and Pepcid (famotidine). They are considered safe to take together.

Even though both of these drugs work by blocking histamine, they affect different histamine receptors, and can have a synergistic effect when used together.

How Does Zyrtec Work?

Zyrtec is a second-generation antihistamine, also known as an H1-blocker.

It works by binding to histamine H1-receptors. This prevents histamine from binding to these receptors, which would cause the release of a number of natural substances in the body that cause well known allergy symptoms (e.g., itching, running nose, sneezing, redness, hives etc...).

Second-generation antihistamines are, in general, longer lasting, and cause less sedation, than first-generation antihistamines (like Benadryl).

How Does Pepcid Work?

Pepcid (famotidine) is an H2-blocker. So, like Zyrtec, it blocks histamine receptors, just a different type. 

Pepcid binding to H2 receptors blocks histamine from binding, which reduces stomach acid secretion.

Combined Use Of H1 & H2-Receptor Blockers

As mentioned above, it is safe to combine Zyrtec and Pepcid.

In fact, several studies have shown that combining drugs that work on these different receptors can be very effective for certain conditions.

For example, one study concluded the following:

This study indicates that combined H1 and H2 antihistamine therapy is statistically more effective than H1 antihistamines alone in controlling the symptoms of chronic urticaria [itching].
Arch Dermatol . 1981 Jul;117(7):404-7.

Several other studies have found similar results.

It sounds like, in your situation, taking Zyrtec and Pepcid may work better than either drug alone to help drug the symptoms you are experiencing from your allergic reaction.

Final Words

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References

  • Dual-histamine receptor blockade with cetirizine - famotidine reduces pulmonary symptoms in COVID-19 patients, PubMed
  • Combined H1 and H2 antihistamine therapy in chronic urticaria, PubMed
  • Evaluation of combined H1- and H2-receptor blocking agents in the treatment of seasonal allergic rhinitis, PubMed
  • Treatment of chronic idiopathic urticaria with combined H1 and H2 blockers, PubMed

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Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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