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In view of the prominent role of histamine in the pathophysiology of AR (), several national and international treatment guidelines have recommended that oral H 1-antihistamines should be regarded as the mainstay of pharmacotherapy and employed as first-line treatment for the symptoms of AR ().

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Desloratadine tablets are indicated for the symptomatic relief of pruritus, reduction in the number of hives, and size of hives, in patients with chronic idiopathic urticaria 12 years of age and older.

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H2 antagonists are not effective when used as single agents for urticaria; however, the combination of an H1 antagonist with an H2 antagonist has been shown to be more effective than an H1 antagonist alone.

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Many of the are nearly as good as the prescription versions (especially ketotifen), although prolonged use of use of antihistamine-decongestant eye drops (such as Opcon-A, Naphcon-A and many Visine products) should be avoided, given the concern for with long term use.

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Central depression is not significant with cetirizine (low doses), desloratadine, or loratadine because they do not readily cross the blood-brain barrier.

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Desloratadine is an antihistamine used for the relief of nasal and non-nasal symptoms of seasonal allergic rhinitis and perennial allergic rhinitis; treatment of chronic idiopathic urticaria (itching).

First generation antihistamines such as (Benadryl) or (Atarax) block both central and peripheral H1 receptors and can be very sedating.

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They are available in generics, combo products with pseudophedrine (decongestants) and come in formulations for kids 2 years old to adult.

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Studies show that montelukast was more beneficial than placebo and equally as effective as loratadine (Claritin) for the treatment of seasonal allergic rhinitis.

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The high prevalence of nasal congestion, together with its adverse effect on quality of life, place desloratadine's consistent, sustained decongestant effects in appropriate clinical perspective.

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Desloratadine significantly reduced the severity of nasal obstruction and accompanying complaints of nasal congestion and other seasonal allergic rhinitis symptoms compared with the effects of placebo (24).

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In some instances of acute or chronic urticaria, antihistamines may fail, even at high doses, or adverse effects may be problematic.

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The non-autoimmune remaining 55%-60% of patients might still be considered to be idiopathic in that we have very little insight as to the cause or the pathogenesis.

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