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MAXIMUM STRENGTH RELIEF: Xyzal is full prescription strength available without a prescription It's time to experience a night and day difference in allergy relief. It is available as a tablet and oral solution, both by prescription and over-the-counter (OTC). Urinary symptoms can range from mild to moderate side effects, especially if you have to get over gym fear. Does not typically pay for OTC products, but may pay for prescription drugs, with generic options preferred. Use the medicine exactly as directed. Xyzal is in a drug class called antihistamines. Read more XYZAL is indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 months of age and older. Xyzal is the latest in OTC allergy relief. It works by blocking histamine, a substance that the body produces in response to allergens Xyzal - Overview. 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