Zelary contains cetirizine dihydrochloride 10 mg, a once-daily non-sedating antihistamine. It treats hay fever, allergic rhinitis, itchy watery eyes, hives and allergic itching. It causes far less drowsiness than older antihistamines, though a minority of people notice it.

What is Zelary?

Zelary contains cetirizine dihydrochloride 10 mg, a second-generation antihistamine.

An allergic reaction begins when the immune system treats something harmless — pollen, dust mite, mould, animal dander — as a threat. Mast cells release histamine, and histamine acting on H1 receptors produces the familiar cluster: sneezing, a runny itchy nose, watery eyes, and in the skin, weals and itching. Cetirizine occupies those receptors so histamine cannot bind.

The generation matters. Older antihistamines such as the chlorphenamine in Rhineton cross readily into the brain, where the same receptors govern wakefulness, and cause pronounced drowsiness. Cetirizine was designed to cross far less — which is what makes a once-daily antihistamine practical for someone who has to drive, work or study.

Cetirizine is among the more effective second-generation antihistamines, particularly for itching and hives, though it sedates slightly more than loratadine. For most people that trade favours cetirizine.

The same ingredient is sold as Austell Cetirizine, Seasoneze, Allecet, Zyrtec and Texa. They are one medicine under many names, and should not be combined.

What is Zelary commonly used for?

Zelary is used for allergic conditions:

For seasonal allergy, timing improves results considerably. An antihistamine blocks histamine from binding but does not reverse a reaction already under way. Starting it a week or two before your usual trigger season, and taking it daily through the season rather than only on bad days, gives noticeably better control.

Two things it does not do:

It does not treat a cold. Cold symptoms are viral, not histamine-driven. It may slightly dry a runny nose but will not shorten the illness or relieve aches and fever.

It does not treat asthma, and is not a substitute for an inhaler.

For blocked nose, antihistamines disappoint. Congestion in allergic rhinitis is driven more by inflammation than by histamine, and a steroid nasal spray used consistently over one to two weeks works considerably better. Many people with persistent hay fever do best with the spray as the foundation and cetirizine on top for sneezing and itching.

How Zelary fits into this medicine category

GroupExamplesNote
Second-generation antihistaminesCetirizine (Zelary, Seasoneze, Allecet), loratadine, fexofenadineOnce daily; little drowsiness
First-generation antihistaminesChlorphenamine (Rhineton), cyproheptadine (Cipla Actin)Effective; markedly sedating
Steroid nasal spraysFluticasone, mometasoneBest for congestion; work over days
DecongestantsPseudoephedrine, oxymetazolineShort-term only; rebound with overuse
Eye dropsSodium cromoglycate, antihistamine dropsTargeted relief for itchy eyes

See the allergy, cold and flu medicines hub.

What to check before using Zelary

Take one tablet once daily, at any time, with or without food.

Do not take it with another antihistamine. This matters more than people expect, because cetirizine is sold under so many names and is also in combination allergy and cold products. Check the active ingredients.

Speak to a pharmacist or doctor if:

Avoid alcohol until you know how it affects you.

Follow the pack instructions. This page does not set doses.

Possible cautions and when to ask a pharmacist or doctor

A minority do feel drowsy. If you are one of them, take it in the evening, or ask a pharmacist about loratadine or fexofenadine, which sedate less. Do not drive until you know how you respond.

Dry mouth, headache and tiredness are the other common effects, usually mild.

Do not stop suddenly after long continuous use. A withdrawal itch — intense generalised itching lasting days to weeks after stopping — is recognised in people who have taken cetirizine daily for months or years. It is uncommon and it resolves, but it catches people out badly because it looks like the allergy returning far worse. If you have been on it a long time and want to stop, taper rather than stopping outright.

If it is not helping, something else is going on. Persistent symptoms despite a daily antihistamine may mean congestion is the dominant problem, that the trigger is not allergic, or that additional treatment is needed. Symptoms beyond a few weeks warrant proper assessment.

Reducing exposure helps and lowers how much medicine you need: dust mite covers on mattress and pillows, windows shut at high pollen times, showering and changing after being outdoors, drying laundry indoors in pollen season, and keeping pets out of bedrooms.

Seek urgent medical attention for swelling of the face, lips, tongue or throat, difficulty breathing or swallowing, wheezing, faintness with a widespread rash, or a rash that blisters or peels. Hives with any swelling of the mouth or throat is an emergency, not an allergy inconvenience.

Related medicine guides

Frequently asked questions

What is Zelary 10 mg used for? Hay fever and allergic rhinitis, itchy watery eyes, hives and allergic itching. It contains cetirizine.

Is it the same as Zyrtec or Seasoneze? The active ingredient is the same — cetirizine 10 mg. Brands and manufacturers differ, and they must not be combined.

Will it make me drowsy? Far less than older antihistamines, though a minority of people notice it. Take it in the evening if so.

Can I take it for a cold? It will not treat a cold, which is viral rather than histamine-driven. It may slightly dry a runny nose.

Will it clear a blocked nose? Only partly. Congestion responds better to a steroid nasal spray used consistently.

Can I just stop after taking it for years? Taper rather than stopping outright. A withdrawal itch is recognised after long continuous use — uncommon and temporary, but easily mistaken for the allergy worsening.