Clinical pearls help families leverage levocetirizine’s once-daily dosing while monitoring for rare sedation.
Administer with the evening toothbrush routine to reduce missed doses and limit daytime drowsiness.
Reduce dosing frequency to every other day when eGFR is 30–49 mL/min/1.73 m² and avoid use if eGFR is <10.
Ask about other nightly sleep aids or antihistamines—stacking medications increases drowsiness and falls risk in teens.
Trial dose reductions during low-pollen months and resume daily therapy when symptoms return.