Zyrtec is inexpensive, safe for IC

DEAR DR. ROACH >>

My urologist prescribed Elmiron for my interstitial cystitis (IC), and it worked well. But the cost became prohibitive, so he suggested Zyrtec at bedtime. While it’s not quite as good as Elmiron, Zyrtec is working for me. My question is, how safe is it to stay on Zyrtec indefinitely?

DEAR READER >> IC is a chronic pain syndrome whose underlying cause is uncertain. Most people feel pain when the bladder is filling, then relief when it empties. Like many pain syndromes, it can sometimes be treated with antidepressant drugs at low doses, which work at the level of the nerve cells that transmit pain signals. Drugs like amitriptyline are worth trying, as they are safe, inexpensive and relatively free of side effects at a low dose.

Elmiron is another commonly used treatment for IC, but it isn’t perfectly effective for most and has the potential for a serious side effect of damage to the retina after longterm use.

Antihistamines like Zyrtec have been used in people with IC, especially those who have other types of allergies or have an allergic response in the bladder that might be partially responsible for IC. My experience with this is limited, but if you are getting the same results you did with Elmiron, that is great news. Zyrtec is very safe; it is an over-thecounter medication, tends to be very inexpensive and has a very low risk of serious side effects.

I’m publishing this letter because I have seen many patients (10 times more women than men are affected by IC) fail to get a diagnosis of this chronic painful condition of the bladder for years, and any chance to bring attention to this condition is important, especially when there are safe and inexpensive medicines that can bring help to many.

Unfortunately, many people with IC require additional treatments to get the disease under control, and some continue to have symptoms despite all the treatments we have.