A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine [Zyrtec] syrup once daily. The parents tell the nurse that the child does not like the syrup, and they do not think that the drug is effective
The nurse will suggest they discuss which drug with their child's healthcare provider? a. Cetirizine [Zyrtec] 5-mg chewable tablet once daily
b. Loratadine [Claritin] 10-mg chewable tablet once daily
c. Fexofenadine [Allegra] syrup 5 mL twice daily
d. Desloratadine [Clarinex] 5-mg rap-id-disintegrating tablet once daily
A
The child is receiving a low dose of cetirizine and can receive up to 5 mg per day in either a sin-gle dose or two divided doses. Cetirizine is available in a chewable tablet, which this child may tolerate better, so the parents should be encouraged to explore this option with their provider. The loratadine 10-mg chewable tablet is approved for children 6 years and older. Fexofenadine would be safe for this child, but it is unlikely that the syrup would be any better than the cetiri-zine syrup. Desloratadine is not approved for children under the age of 12 years.
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