OTC Zyrtec-D Approved

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Fenderplayer108

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Just thought this was interesting, I have had alot of patients ask me in the past about this ever happening.

Nov. 9, 2007 -- The FDA today announced its approval of nonprescription Zyrtec-D, an allergy drug for people aged 12 and older.
Zyrtec-D combines an antihistamine with a nasal decongestant.
Available as a prescription drug since 2001, Zyrtec-D is now approved as an over-the-counter drug for the relief of symptoms due to hay fever or other upper respiratory allergies such as runny nose; sneezing; itchy, watery eyes; itchy nose or throat; and nasal congestion.
Zyrtec-D is also approved to reduce swollen nasal passages, relieve sinus congestion and pressure, and restore freer breathing through the nose.
Hay fever and other allergies are the sixth leading cause of chronic disease, with about 50 million sufferers each year in the U.S., according to the National Institute of Allergy and Infectious Diseases.
"The approval of this widely used drug for nonprescription use will enable many people to have access to another effective treatment for their allergy symptoms," says Andrea Leonard-Segal, MD, in an FDA news release.
Leonard-Segal directs the Division of Nonprescription Clinical Evaluation in the FDA's Center for Drug Evaluation and Research.
Zyrtec-D's common side effects include drowsiness, fatigue, and dry mouth, according to the FDA.
Sales of the drug are subject to restrictions in the Combat Methamphetamine Epidemic Act, which restricts the sale of products containing the decongestant pseudoephedrine.
Those restrictions include limiting the amount of the drug that a person can purchase and imposing record-keeping requirements on retailers selling the product.
Over-the-counter Zyrtec-D is distributed by McNeil Consumer Healthcare.
http://www.webmd.com/allergies/news/20071109/over-the-counter-zyrtec-approved
 
Hmmm... but does this mean that just cetirizine will be OTC now? I would rather be able to buy the antihistamine and PSE separately and use the PSE as needed than have to rely on taking a combo drug.

By the way, cetirizine has been OTC in Canada and the UK for years.
 
Cetirizine was approved to go OTC a while ago, but my interpretation is that they approved Zyrtec-D to be OTC as well. I didn't think they'd be generic for a while, so would only exist on the shelves as Zyrtec/Zyrtec-D. We should be seeing these hit the shleves sometime in December/early 2008.

So, how long do y'all think it will take for patients to say that zyrtec no longer works for them now that it's OTC - even if they've been on it with no problems for months? I remember this happening when Claritin went OTC. IT was a mess!
 
Good, I don't have to make that biannual trip to Toronto anymore in order to smuggle some "Reactine-D" past customs....I'll still make a trip up there every now and then...
 
So, how long do y'all think it will take for patients to say that zyrtec no longer works for them now that it's OTC - even if they've been on it with no problems for months? I remember this happening when Claritin went OTC. IT was a mess!

:laugh: It already stopped working for me!
 
Zyrtec will go OTC on December 26 of all days. Zyrtec OTC was approved in July/August.
 
I am interested in hearing the prices for this once it does go otc..

looking in the WAG system, im showing;

49.99 for #30 cetirizine-d
89.70 for #30 cetirizine 10mg
35.39 for 75mL cetirizine 1mg/mL

interesting.
 
I am interested in hearing the prices for this once it does go otc..

looking in the WAG system, im showing;

49.99 for #30 cetirizine-d
89.70 for #30 cetirizine 10mg
35.39 for 75mL cetirizine 1mg/mL

interesting.
That looks like a prescription price. When Claritin initially went OTC, it was, I believe, $1 per pill or something like that. OTC Zyrtec is going to have to compete with OTC Claritin.
 
Zyrtec will go OTC on December 26 of all days. Zyrtec OTC was approved in July/August.

This seems very similar to Claritin's OTC dates in 2004 (I think it was '04...) I also remember the OTC price being around $1 per pill for the larger package sizes, then slightly higher for the smaller package sizes.
 
We already have shelf tags for it at our store...prices aren't listed yet.
 
thank God we have Xyzol now or we wouldn't be able to keep paying ridiculous copays for allergy relief


I think it is "Xyzal".....

the rep was already in to see me...what a joke

just what I need..more PA and NDC not cov rejections
 
I think it is "Xyzal".....

the rep was already in to see me...what a joke

just what I need..more PA and NDC not cov rejections

I know... levocetirizine. Spare me! 🙄

Speaking of NSA's, I was studying the other day and learned that fexofenadine (Allegra) is a metabolite of terfenadine (Feldene), which was removed from the market due to cardiotoxic effects. I found it interesting. I can't wait to learn more about what makes one component toxic, but the metabolite is tolerable in the body...
 
I know... levocetirizine. Spare me! 🙄

Speaking of NSA's, I was studying the other day and learned that fexofenadine (Allegra) is a metabolite of terfenadine (Feldene), which was removed from the market due to cardiotoxic effects. I found it interesting. I can't wait to learn more about what makes one component toxic, but the metabolite is tolerable in the body...



I think that's how generic allegra got its name, as per my medchem professor. Fexofenadine is a pun. They "fixed" the terfenadine by manufacturing the metabolite which wasn't cardiotoxic.
 
It is not yet approved.

December 26 is the patent expiration date for cetirizine, which is why until that date there will be no OTC launched. Though FDA will probably approve Zyrtec OTC before that time.


Too bad, I wanted to buy some over break when I'm visiting with my mom and her kitty. It always worked best for me around cats. Claritin it is (store brand of course).

On another note, how long does it take before OTC products can get a generic?
 
Too bad, I wanted to buy some over break when I'm visiting with my mom and her kitty. It always worked best for me around cats. Claritin it is (store brand of course).

On another note, how long does it take before OTC products can get a generic?

Depends on what they had to do to get OTC status, who sponsors the OTC NDA, and whether or not the patent on original chemical is still valid. For example, Claritin had generic competition from day 1, while Prilosec OTC - perhaps next year, which would be after several years. Three years is a good ballpark if it's a new formulation and required additional studies (as Prilosec OTC did, being a tablet rather than a capsule, of course, and the patent on omeprazole molecule didn't expire until this October...)

I don't know all the gory detail about Zyrtec, but I think there would be nothing legally baring the entrance of generic OTCs, but I don't think anyone applied yet. 🙂 The verbage of the press release seemed to suggest that, too.
 
There is already a spot on the OTC shelves for Zyrtec at my Walgreens, right above the Claritin, along with a sign that says "Zyrtec Coming Soon."

There are shelf tags for Zyrtec, Zyrtec-D, Zyrtec syrup, and Zyrtec 5 & 10mg chewables. The prices were approximately $1 per tablet and $12.99 for a 120mL bottle of syrup. If it's anything like Claritin and Prilosec, there will be all kinds of coupons and sales lowering the price.

No spots for any sort of generic yet. Seems to me that it took a little while for the generic Loratadine OTC to hit the shelves. Prilosec OTC has some sort of patent protection preventing it from going OTC.

Does anyone know why Allegra hasn't gone OTC yet? There's not an insurance company out there that will cover Allegra with Claritin and Zyrtec being OTC.

Some doctor here actually wrote a RX for Xyzal. I was cleaning the shelves today and the bottle of Xyzal was open. Probably had one of those stupid vouchers.
 
Feldene? Isnt that brand name for piroxicam? I think you mean Seldane.
 
Seldane went off the market ten years ago because of ADRs.
 
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