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Zyrtec (cetirizine) is a second-generation antihistamine that crosses the blood-brain barrier minimally, thereby reducing its sedating effects. Unlike other antihistamines, Zyrtec is only taken once a day, preferably at the same time.

USES IN ME/CFS: Paradoxically, Zyrtec D's (decongestant) stimulating effect may help insomnia. One patient reported that after suffering from frequent panic micro-arousals on a nightly basis, taking Zyrtec D actually helped her stay asleep. The Zyrtec elevated her metabolic rate, preventing the sudden release of adrenaline that was preventing her from getting into a deep sleep.


Treatment rating for Zyrtec (cetirizine)

Rating keys:

1=LOW (I would not recommend this treatment)

5=HIGH (This treatment helped me a great deal)

Rating Side Effects Reason for Treatment Dosage / Duration Age Sex M/F # of years Ill Additional Comments Illness Severity Date Added
3 None Mast Cell Activation Syndrome was diagnosed by an ME/CFS expert. He put me on a H1 and H2 blocker protocol which included Zantac twice daily, Claritin in the morning and Zyrtec at night. 3 year 10mg 1X day 53 Male 4 I didn’t benefit from the MCAS protocol after six months so stopped it. I stayed on Zyrtec to help with environmental allergens. Moderate/Severe 06/20/18