Dofitex

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Dofitex

Property Description
Active ingredient Levocetirizine dihydrochloride
Form Oral tablet, Oral solution (syrup)
Pharmacological class Second-generation antihistamine
Common use Mitigating allergy symptoms (general antiallergic)
Origin Synthetic (chemically synthesized)

What Type of Medicine is Dofitex?

Dofitex is an oral medicine whose active ingredient is Levocetirizine dihydrochloride, classified as a highly selective Histamine H1-Receptor Antagonist. This classification identifies it as a synthetic agent designed to selectively block the effects of histamine in the body, a key compound released during allergic responses. Levocetirizine is widely recognized as a second-generation antihistamine, a designation based on pharmacological profiles that characterize it as a potent agent with a prolonged duration of action.


Composition and Available Forms of Levocetirizine

The active component in Dofitex is Levocetirizine dihydrochloride, which is supplied for oral administration as a single active ingredient product in both oral tablets and oral solutions (syrups). Chemically, Levocetirizine is the R-enantiomer of Cetirizine, a development that represents a targeted optimization of the chemical structure. The medicine utilizes the Levocetirizine active agent plus inert pharmaceutical carriers to form the solid oral tablet or an aqueous base for the solution form, facilitating delivery into the system through the oral route.


The General Purpose of Dofitex

The general purpose of Dofitex is to provide targeted antiallergic effects by mitigating the physical symptoms caused by the systemic release of histamine. Levocetirizine is utilized as an effective agent for the general management of allergic conditions. This includes scenarios such as providing general relief from the discomfort associated with seasonal allergy symptoms. The core mechanism principle involves the agent acting as a selective inhibitor at the Histamine H1-receptors, effectively preventing histamine from binding and activating these sites. This action is designed to preemptively interrupt the chain reaction of the immune system, thereby dampening the physiological actions and manifestations associated with an allergic episode.

Regulatory References

  1. NIH/PubMed Central review on Levocetirizine
  2. Levocetirizine Review (NIH/PMC)

What side effects are possible with Dofitex?

Possible Side Effects and Safety Information

Adverse reactions associated with Dofitex (levocetirizine dihydrochloride) are officially classified based on the incidence reported in clinical trials and post-marketing surveillance. The most Common side effects, occurring in 1 in 10 to 1 in 100 individuals, are related to the central nervous system (CNS) and include somnolence (drowsiness), fatigue, and dry mouth. Headache and nasopharyngitis have also been classified as common events. Uncommon effects may include abdominal pain or asthenia (weakness).


Serious Adverse Reactions and Systemic Safety

The regulatory safety profile notes the potential for Rare (1 in 1,000 to 1 in 10,000 individuals) and post-marketing reactions affecting multiple systems. Serious events documented include hypersensitivity reactions, which can manifest as severe swelling (angioneurotic oedema) or anaphylaxis (Frequency Not Known). Psychiatric effects, such as aggression, hallucination, and suicidal ideation, have been reported post-marketing, though their frequency is not known. The official label also documents cases of urinary retention and abnormal hepatic function.


Population-Specific Constraints

A critical safety constraint is the contraindication for individuals with end-stage renal disease and children with impaired kidney function, as the medicine is primarily eliminated through the kidneys. Furthermore, concomitant use with alcohol or other CNS depressants should be avoided due to the potential for additive effects on mental alertness. The label also documents that pruritus (itching) has been reported to occur after the medicine is stopped following long-term use, representing a time-related safety pattern.

Overdose and Emergency Response

Dofitex overdose is primarily characterized by effects on the Central Nervous System (CNS) and signs suggestive of an anticholinergic action, documented following intake of at least five times the recommended daily dose. In adults and adolescents, the main manifestations include somnolence, sedation, dizziness, and severe cases may involve stupor and confusion. Cardiac involvement is documented to present as tachycardia (fast heart rate), and other reported effects include urinary retention and tremor.

Pediatric patients (ages 6 months to 11 years) may exhibit agitation and restlessness prior to the onset of somnolence, as noted in regulatory documents. The risk of higher systemic exposure and potential for adverse effects is greater in patients with impaired renal function.

Should an overdose occur, official regulatory documents strictly mandate that individuals seek medical help or contact a Poison Control Center right away. Management for Dofitex overdose consists exclusively of symptomatic and supportive treatment. Regulatory information confirms there is no known specific antidote to levocetirizine. Furthermore, the official prescribing information states that levocetirizine is not effectively removed by dialysis.

Therapeutic Uses of Dofitex

Quick Facts

  • Relieves Symptoms Associated with: Seasonal Allergic Rhinitis
  • Relieves Symptoms Associated with: Perennial Allergic Rhinitis
  • Manages Manifestations of: Chronic Idiopathic Urticaria (Hives)

Dofitex is approved for managing certain symptoms in adults and children. Its primary therapeutic domains involve addressing manifestations associated with allergic conditions. It provides relief from symptoms of Seasonal Allergic Rhinitis (SAR), which may include sneezing, runny nose, and itching of the nose, throat, or eyes.

Additionally, Dofitex is utilized to help manage symptoms related to Perennial Allergic Rhinitis (PAR), a condition that occurs throughout the year. The medication is also indicated for the treatment of uncomplicated skin manifestations of Chronic Idiopathic Urticaria (CIU), commonly known as chronic hives, assisting with related itching and skin reactions. The decision to use this treatment should always be made in consultation with a qualified healthcare provider.

Eligibility and Restrictions for Use

Who can and cannot use Dofitex?

Dofitex (Levocetirizine) eligibility is strictly defined by government regulatory documents based on the patient's age, organ function, and history of hypersensitivity.

Contraindicated Populations (Must Not Use)

  • Patients with known hypersensitivity to levocetirizine, cetirizine, hydroxyzine, or any related piperazine derivatives.
  • Patients with end-stage renal disease (Creatinine Clearance <10 mL/min) or those undergoing hemodialysis.
  • Children aged 6 months to 11 years with impaired renal function.
Age-Related Eligibility Age Group Eligibility Status
Infants (Under 6 months) Use not established; safety and efficacy data are insufficient.
Children (6 months to 11 years) Eligible for use (oral solution/pediatric formulations); the tablet formulation is not recommended for children under 6 years.
Adults (12 years and older) Eligible for use under standard conditions.

Conditions Requiring Restricted Use

  • Mild to Severe Renal Impairment: Adult and adolescent patients are eligible, but the dose must be adjusted according to the degree of renal function impairment.
  • Hepatic Impairment: Patients with solely hepatic impairment require no dose adjustment.
  • Urinary Retention Risk: Use requires caution in patients with predisposing factors for urinary retention (e.g., prostatic hyperplasia, spinal cord lesions).

Pregnancy and Lactation Eligibility

  • Pregnancy: Use should be considered only if clearly needed due to limited controlled data.
  • Lactation: Use is not recommended as levocetirizine is expected to be excreted in human milk.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section outlines the officially documented interaction patterns for Dofitex (Levocetirizine) as classified by regulatory authorities.

Interaction Scope Specific Interacting Substance/Condition
Pharmacodynamic Interaction Alcohol (Ethanol), CNS Depressants (e.g., tranquilizers)
Pharmacokinetic Effect Ritonavir, Theophylline
Absorption Rate Modification Food (General)

Co-administration with alcohol or other Central Nervous System (CNS) depressants may result in a pharmacodynamic interaction that causes additive impairment of CNS performance, including reductions in alertness and motor coordination. No medicinal products are formally listed as contraindicated for co-administration based on drug-drug interactions.

In terms of pharmacokinetic effects, co-administration with Ritonavir is associated with increased systemic exposure of the racemate compound, Cetirizine, and a decrease in its clearance. Co-administration with Theophylline has also been noted to cause a minor reduction in racemate clearance. General food intake does not alter the total extent of drug absorption ( AUC), but regulatory documents note that it does decrease the rate of absorption ( Cmax is lowered and Tmax is delayed).

Because the drug is predominantly excreted unchanged by the kidneys, patients with reduced renal function may have a greater risk of adverse reactions due to increased systemic exposure. The overall interaction profile is defined by additive CNS effects and altered exposure with specific medications, all as described in official prescribing information.

Mechanism of Action

Selective Inverse Agonism on Peripheral Histamine Receptors

Dofitex (Levocetirizine) engages the primary biological target, the Histamine mathbfH1-Receptor, as a highly selective inverse agonist. This mechanism actively stabilizes the receptor in an inactive state, preventing the binding of histamine and suppressing its molecular signaling. This early suppression of the H1-receptor cascade contributes to reducing the activity of acute physiological responses driven by this key inflammatory mediator.


Modulation of Vascular Function and Inflammatory Cell Traffic

Beyond direct receptor blockade, the drug's mechanism influences the physical components of inflammation by modulating the vascular endothelium. This action limits the increase in capillary permeability (leakage) and reduces the expression of adhesion molecules necessary for inflammatory cells, such as eosinophils, to migrate into tissues. This physiological adjustment is associated with a reduction in fluid extravasation and modulates the cellular components of the inflammatory response in targeted areas.


Highly Peripheral Mechanistic Profile

The drug exhibits a high degree of peripheral selectivity, meaning its interaction is largely confined to H1-receptors outside of the central nervous system (CNS) due to minimal blood-brain barrier (BBB) penetration. This mechanistic profile means the drug preferentially modulates histamine signaling in tissues and sensory nerves, while minimizing the degree of interaction with central H1 pathways.

Dosage and Administration Information

How to Use Dofitex

Dofitex is approved solely for oral administration and is available as a 5 mg film-coated tablet and a 0.5 mg/mL oral solution. The standard daily regimen defines how the medicine is taken to maintain consistent systemic levels.


Administration Scope and Standard Dosing

Feature Guideline
Route of Administration Oral administration only.
Dosing Schedule (12 years and older) Standard dose is 5 mg once daily.
Timing in relation to meals May be taken with or without food.
Administration Time Often recommended for administration in the evening.

Dosing Across Specific Populations

Administration for different age groups and patient conditions is adjusted as follows:

  • Children (6–11 years): The standard dose is 2.5 mg once daily, which can be administered by halving the scored 5 mg tablet or by using the oral solution.
  • Children (6 months–5 years): The dose is 1.25 mg once daily, which is administered via the oral solution.
  • Renal Impairment: Dose and frequency are adjusted in adult patients according to their creatinine clearance; for example, the dose is reduced to 5 mg once every two days in cases of moderate renal impairment. Use is contraindicated in patients with end-stage renal disease or those undergoing hemodialysis.

Use Duration and Handling

The duration of use is generally guided by the specific allergic condition being managed. For conditions classified as intermittent, the medicine may be stopped when symptoms resolve and restarted when they reappear. For persistent conditions, continuous therapy may be used. If a dose is missed, it should be taken when remembered, but two doses should not be taken close together.

Recent Clinical Evidence

Research evidence / Overview of studies for Dofitex (Levocetirizine)


Evidence for Use in Seasonal Allergic Rhinitis (SAR)

Research exploring Dofitex for conditions characterized by fluctuating or episodic manifestations like Seasonal Allergic Rhinitis has largely centered on short-term randomized controlled trials (RCTs). These studies were used in research exploring how symptoms change over time, typically lasting between two and six weeks. Researchers primarily monitored patient-reported outcomes describing perceived discomfort related to core nasal symptoms like a runny nose and sneezing, along with itchy eyes. These outcomes were relevant in trials assessing short-term or episodic symptom patterns.

Studies monitored the evolution of these symptom scores in the observed populations, and findings describe patterns compared to placebo. Regulatory reviews noted that while most trials described consistent measurements, the findings were mixed in one major RCT that failed to describe clear differences in the primary symptom score compared to placebo, underscoring the variability inherent in clinical trials.

Evidence for Use in Perennial Allergic Rhinitis (PAR)

Clinical evidence for Dofitex in Perennial Allergic Rhinitis, conditions involving periods of fluctuating or persistent symptoms that occur throughout the year, includes short-term RCTs as well as a large, six-month study. This research examined how symptoms change over a longer time, covering outcomes reflecting daily functioning or activity level, such as sleep quality and outcomes related to work-related activities. Data show patterns related to symptom scores and Quality of Life assessments, which were monitored and compared to placebo over this intermediate-term period.

Long-Term Studies and Follow-Up Data

Dofitex research often focused on outcomes related to episodic or acute changes, meaning follow-up durations were limited in many initial studies. Evidence derived from settings with varying symptom burdens provides context but not individual predictions for use over many years. While one major study for Perennial Allergic Rhinitis was observed in patients for six months, the data are still emerging when looking at the need for or availability of evidence in continuous long-term management beyond this intermediate duration. Long-term effects are not fully established, and there is limited information for long-term outcomes extending past six months.

Evidence in Special Populations

Dofitex was evaluated in studies involving adults, adolescents, and children. Research has specifically examined pediatric populations, with dedicated trials monitoring outcomes for children generally six years and older for the tablet form. However, results apply only to the populations studied. While studies exist that contribute to the broader evidence landscape for children with allergic rhinitis, comprehensive comparative evaluations reported in children are less numerous than those focused on adult populations. Subgroup findings are uncertain when looking at very young children (under six years).

Frequently Asked Questions (FAQ)

Common questions about Dofitex (FAQ)

Q: How quickly does Dofitex generally start to work after I begin taking it?

A: According to official product information, the active ingredient in Dofitex generally reaches its highest concentration in the bloodstream approximately one hour after it is taken by adults. This measurement provides context for how quickly the body begins processing the medicine.


Q: What is the longest period of time someone can take Dofitex, according to studies?

A: Clinical studies have been conducted to observe patterns of continuous use for up to six months in adults being treated for perennial allergic rhinitis (a type of year-round allergy). The duration of use is generally guided by the specific allergic condition being managed, such as whether symptoms are intermittent or persistent.


Q: Can Dofitex be used in patients who are over the age of 65?

A: Adults aged 65 and older are generally eligible to use the medicine under standard adult conditions. However, if a patient has impaired kidney function, the dose may require adjustment, as the medicine is primarily eliminated through the kidneys.


Q: Are there any major foods or drinks that should be avoided while using Dofitex?

A: Regulatory documents recommend avoiding alcohol during use. Regulatory documents also recommend caution with other medicines classified as Central Nervous System (CNS) depressants, such as certain tranquilizers. Co-administration with these substances may result in additive effects that can impact mental alertness.


Q: Is a mild headache considered a normal side effect of Dofitex?

A: Headache is described as a common adverse reaction in the official product information for Dofitex. A common side effect means it has been reported to occur in 1 in 10 to 1 in 100 individuals who participated in clinical trials.


Q: Can taking Dofitex make you feel tired or drowsy?

A: Yes, regulatory documents list somnolence (drowsiness) and fatigue as two of the most common adverse reactions reported during clinical studies. These effects are related to the medicine's activity.


Q: Can Dofitex be used by women who are pregnant?

A: Regulatory documents indicate that the medicine should be considered only if clearly needed during pregnancy. This caution is stated because there are limited controlled data available regarding the medicine's use in pregnant women.


Q: What is the relationship between Dofitex and breastfeeding?

A: Official product information states that Dofitex is expected to be excreted into human milk. Therefore, its use is generally not recommended for women who are breastfeeding.


Q: How is the effectiveness of Dofitex measured in clinical studies?

A: The effectiveness of Dofitex in clinical studies is typically measured by monitoring changes in patient-reported symptom scores. Researchers track how symptoms like sneezing, a runny nose, and itchy eyes change over the course of the study compared to initial levels.


Q: What if a patient is allergic to one of the ingredients in Dofitex?

A: The official label states that Dofitex is contraindicated (must not be used) if a person has a known hypersensitivity to the active ingredient, related chemical compounds, or any other component found in the tablet or solution formulation. Hypersensitivity reactions can be serious.


Q: Can Dofitex be crushed or split?

A: The 5 mg tablet formulation of Dofitex is described in official documents as being scored, which means it has a line intended to help facilitate splitting for dose adjustments (such as for use in children). However, there is no official instruction provided regarding the crushing of the tablet.


Q: Does Dofitex have an age restriction?

A: Yes, regulatory documents indicate that the safety and effectiveness of Dofitex have not been established for infants under 6 months of age. The lack of established safety and effectiveness data constitutes the restriction for this age group.


Q: What does the package insert say about overdose risk?

A: The official prescribing information lists the potential effects of an overdosage. These may include excessive somnolence (drowsiness) in adults. In children, overdosage has been described as a sequence of agitation followed by somnolence.


Q: What happens if I accidentally take two doses of Dofitex close together?

A: Taking doses in rapid succession may increase the systemic levels of the medicine, which could increase the likelihood of experiencing dose-related adverse effects. Such effects may include increased somnolence (drowsiness) or fatigue.


Q: Is there a generic version of Dofitex available?

A: Yes, the active ingredient in Dofitex, which is Levocetirizine dihydrochloride, is available in generic formulations that have been approved by the FDA. Generic medicines are approved because they are required to meet the same quality and performance standards as the original drug.


Q: Are there any reported long-term effects associated with Dofitex use?

A: The long-term effects of Dofitex are still being observed. One specific pattern noted in post-marketing reports is the occurrence of pruritus (itching) in some patients after stopping the medicine following a period of long-term use.


Q: Can Dofitex cause weight changes?

A: Weight increase is not listed among the common or uncommon side effects reported in the official prescribing information based on clinical trial data. However, post-marketing surveillance continues to monitor for various effects, and the frequency of such reports is currently uncertain.


Q: Do you need to take Dofitex with food or on an empty stomach?

A: According to official regulatory information, Dofitex may be taken with or without food. Food intake may affect the rate at which the medicine is absorbed by the body, but it does not change the total amount of the drug that enters the system.


Q: Is Dofitex prescribed for conditions other than its main approved use?

A: The approved uses for Dofitex are specifically defined in the regulatory documents (such as the FDA label). These approved uses include managing symptoms associated with both Seasonal and Perennial Allergic Rhinitis and Chronic Idiopathic Urticaria (long-lasting hives).


Q: What is the difference between Dofitex and a placebo in studies?

A: In clinical studies, a placebo is an inactive substance used for comparison. The studies that compared Dofitex to a placebo reported patterns of change in patient-reported symptom scores that were generally more pronounced than the minimal changes observed with the inactive placebo.


Q: What are the signs that Dofitex is working for a patient?

A: Dofitex is designed to mitigate the physical effects caused by the release of histamine in the body. Therefore, the signs that it is working are a reduction in the severity of allergic symptoms, such as decreased sneezing, less of a runny nose, and reduced itching.


Q: Can Dofitex be taken with cold or flu medicine?

A: Official documents advise caution regarding co-administration with other medications classified as Central Nervous System (CNS) depressants. Some cold or flu preparations may contain ingredients with CNS depressant properties.


Q: What is the shelf life or expiration for Dofitex?

A: For the oral solution form, official documents specify an in-use stability limit requiring disposal 6 months after the initial opening. For tablets and unopened bottles, the general expiration date is printed on the original packaging and is relevant for stability and potency.


Q: Are migraines a reported adverse effect of Dofitex?

A: Official prescribing information lists headache as a common side effect of Dofitex. However, the specific medical term migraine is not categorized as a common or uncommon adverse reaction in the official clinical trial adverse event tables.


Q: Is Dofitex a controlled substance?

A: Regulatory bodies in the U.S. have not classified the active ingredient in Dofitex, Levocetirizine dihydrochloride, as a controlled substance. This means it is not subject to the federal regulations governing controlled narcotics or other restricted medications.


Q: Is there a certain time of day that Dofitex is usually taken?

A: Official prescribing information describes the medicine as often being recommended for administration in the evening.


Q: Do children or teenagers use Dofitex for their condition?

A: Yes, the medicine is approved for use across multiple age groups. The oral solution formulation is approved for use in children as young as 6 months, while the tablet formulation is approved for adolescents and adults aged 12 years and older.

How should Dofitex be stored and disposed of?

Official Storage and Disposal Instructions

Storage conditions for Dofitex (Levocetirizine dihydrochloride) are defined by regulatory documents to maintain product potency and stability.

Storage Requirement Official Condition
Temperature Store at controlled room temperature (20 C to 25 C).
Protection Must be protected from moisture and kept in a dry place.
Container Keep in the original container and ensure the cap is tightly closed.
Child Safety Must be kept out of the sight and reach of children.

The medication should not be stored in high-humidity areas, such as a bathroom. The oral solution form has an in-use stability limit, requiring disposal 6 months after the initial opening.

For disposal, unused or expired Dofitex must not be thrown into household trash or wastewater (e.g., flushed down the toilet). The product should be discarded through an official pharmaceutical take-back program or specialized collection site, following local regulatory requirements.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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