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. 2023 Aug 1;19(8):1545–1552. doi: 10.5664/jcsm.10608

Table 3.

Oral H-1 antihistamines.

Generic Name Common Brand Name Generation
Brompheniramine Dimetapp First
Carbinoxamine Arbinoxa, Karbinal ER, Palgic, Ryvent First
Cetirizine Zyrtec Second*
Chlorpheniramine Allerest, Contac, Triaminic First
Clemastine Tavegyl First
Cyproheptadine Periactin First
Desloratadine Clarinex Second
Dimenhydrinate Dramamine First
Diphenhydramine Benadryl, Simply Sleep, Sominex, Unisom, ZZZQuil First
Doxylamine Unisom First
Fexofenadine Allegra Second
Hydroxyzine Atarax First
Levocetirizine Xyzal Second
Loratadine Alavert, Claritin Second
Meclizine Antivert, Bonine First
Promethazine Phenergan First
Triplodine Histex First

Oral H-1 antihistamines that are available in the United States by classification as first (crosses blood–brain barrier) or second (does not significantly cross blood–brain barrier) generation. *While categorized as a second-generation antihistamine, cetirizine does cross the blood–brain barrier and can cause sedation in some patients, although less than would be expected for a true first-generation antihistamine.70