Can I Take Xyzal After Finishing Pfizer's COVID Oral Treatment? - Internal Medicine

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Can I take Xyzal after finishing the Pfizer COVID-19 oral medication?


Hello, doctor.
I was diagnosed with COVID-19 a few days ago and, since I meet the criteria, I took the Pfizer oral medication.
I have completed the treatment about a day ago.
Can I continue taking Dexamethasone? (I was already taking it, but I paused because I saw that the Pfizer medication interacts with many drugs.)

Zuo Niao, 20~29 year old female. Ask Date: 2023/08/09

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
Yes, the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.

Reply Date: 2023/08/09

More Info


When it comes to taking Xyzal (levocetirizine) after completing Pfizer's COVID-19 oral treatment, it's essential to consider a few factors regarding drug interactions and your overall health condition. Xyzal is an antihistamine commonly used to relieve allergy symptoms, while Pfizer's oral treatment for COVID-19, such as Paxlovid, contains nirmatrelvir and ritonavir.
First, it’s important to note that while there are no direct contraindications for taking Xyzal after completing the course of Pfizer's COVID-19 treatment, it is always wise to consult with your healthcare provider. They can provide personalized advice based on your medical history and current health status.
The concern about drug interactions primarily arises from the ritonavir component of Paxlovid, which is known to affect the metabolism of various medications through the liver enzyme CYP3A4. However, Xyzal is not significantly metabolized by this enzyme, meaning that it is unlikely to have any adverse interactions with ritonavir. Therefore, once you have completed the COVID-19 treatment and are no longer taking Paxlovid, you should be able to resume taking Xyzal without issues.

That said, if you experienced any side effects from the COVID-19 treatment or if you have any underlying health conditions, it’s crucial to discuss these with your doctor. They may want to monitor your recovery closely, especially if you had a moderate to severe case of COVID-19.

In addition, if you are still experiencing symptoms related to COVID-19, such as cough, congestion, or other respiratory issues, it may be beneficial to discuss these symptoms with your healthcare provider. They can help determine whether continuing with Xyzal or any other medication is appropriate for your situation.

Lastly, always ensure that you are following the recommended dosage for Xyzal and any other medications you may be taking. If you have any concerns about side effects or interactions, do not hesitate to reach out to your healthcare provider for guidance.

In summary, you can likely resume taking Xyzal after finishing Pfizer's COVID oral treatment, but it is always best to consult with your healthcare provider to ensure it is safe and appropriate for your specific health circumstances.

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