Compare Zyrtec D vs. Rhinocort Aqua

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Relieves congestion and allergy symptoms.

Zyrtec D (Cetirizine / Pseudoephedrine) relieves allergies and congestion without causing daytime sleepiness. It can keep you up at night if you take it too close to bedtime.

3.7/ 5 average rating with 927 reviewsforZyrtec D
Relieves nasal allergy symptoms.

Rhinocort Aqua (Budesonide) is a steroid nasal spray that works best when used regularly for your nasal allergy symptoms.

Upsides
  • The antihistamine (Cetirizine) in Zyrtec D (Cetirizine / Pseudoephedrine) causes less drowsiness than other medications like Benadryl.
  • The decongestant (Pseudoephedrine) in Zyrtec D (Cetirizine / Pseudoephedrine) is stronger than other decongestants. It can also help relieve congestion-related headaches and ear pressure.
  • The stimulant effects of Pseudoephedrine can give you some extra energy during the day.
  • Doesn't give you rebound congestion (worse congestion symptoms after you stop taking the medicine) like decongestant nose sprays can.
  • It's available without a prescription, unlike other strong allergy medicines.
  • Rhinocort Aqua (Budesonide) lowers the number of nasal symptoms you'll get during allergy season.
  • Most people don't have many side effects since it works in the nose and doesn't affect the rest of your body.
  • Doesn't make you drowsy or dizzy.
Downsides
  • You can have more side effects when using combination pills than when using single-ingredient medications.
  • The antihistamine (Cetirizine) can cause more drowsiness than similar antihistamines, like Allegra D (which contains Fexofenadine) and Claritin D (which contains Loratadine).
  • The decongestant (Pseudoephedrine) can make your heart race or give you anxious or restless feelings.
  • You might not sleep as well due to Pseudoephedrine's effects and you can also have strange dreams while taking it.
  • Pseudoephedrine can raise your blood pressure, so don't take it if you have high blood pressure or other heart conditions.
  • Although you don't need a prescription, you do need to show a photo ID to buy this from behind the pharmacy counter.
  • Needs to be used everyday to work, so it can't be used as needed.
  • Can hace an unpleasant smell or taste.
  • It's good for 120 sprays, but there isn't a counter to help you keep track of sprays.
  • Can't be used in kids younger than age 6 years.
  • Need a prescription to get Rhinocort Aqua (Budesonide).
Used for
Dosage forms
  • Extended release
  • Nasal spray
Price
No pricing information available
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Reviews
927 reviews so far
75%
saidit'sworth it
43%
saiditworked well
9%
saidit'sa big hassle

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Side effects
The Zyrtec D (Cetirizine / Pseudoephedrine) FDA package insert doesn’t have numbers about how common side effects are.
5possible side effects
  • Epistaxis
    8%
  • Pharyngitis
    4%
  • Bronchospasm
    2%
  • Coughing
    2%
  • Nasal Irritation
    2%
See more detailed side effects
Risks and risk factors
  • High blood pressure
    • History of high blood pressure
  • Heart problems
    • History of heart problems
    • Age 65 or older
  • Seizure
    • History of seizure
  • Harm to fetus
    • Women of childbearing age
  • Taking the wrong medication
  • Increased side effects
    • Age 65 years or older
  • Driving impairment
    • Taking with alcohol
    • Taking other medicines that make you less alert
  • Overdosage
    • Current kidney disease
    • Current liver disease
See more detailed risks and warnings
  • Changes to your nose
    • Long-term use
  • Poor wound healing
    • Surgery or trauma to the nose or sinuses
  • Increased risk of infections
    • Long-term use
    • Untreated infections
  • Glaucoma and cataracts
    • Long-term use
  • Withdrawal
    • Long-term use
  • Decrease in growth in children and teenagers
    • Long-term use
    • Taking more than recommended dose
See more detailed risks and warnings
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Disclaimer: We don't provide medical advice. If you think you might have a medical emergency, call your doctor or 911 immediately.