This paper is only available as a PDF. To read, Please Download here.
Abstract
Patients with seasonal or allergic bronchial asthma experience an immediate allergic
response caused by allergen-specific immunoglobulin E—mediated histamine release.
The release of histamine and other chemical mediators may trigger airway hyperresponsiveness
and exaggerated bronchoconstriction, characteristic features of allergic bronchial
asthma. Traditional antihistamines have demonstrated only moderate activity of short
duration against this disease. In contrast, loratadine, a potent, nonsedating, histamine-l—receptor
antagonist with activity in seasonal and perennial allergic rhinitis, has demonstrated
effective control of asthma symptoms, improved pulmonary function, and long duration
of action in patients with allergic bronchial asthma. This review summarizes preclinical
evidence for the antiallergic activity of loratadine and the results of clinical studies
with oral loratadine in patients with allergic bronchial asthma.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical TherapeuticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Allergic bronchial asthma treated with loratadine.Fortschr Med. 1993; 111 (In German): 76-78
- The second-generation antihistamines. What makes them different?.Postgrad Med. 1991; 89: 87-99
- Role of antihistamines in allergic disease.Ann Allergy Asthma Immunol. 1994; 72: 371-375
- Histamine and its antagonists in asthma.J Allergy Clin Immunol. 1989; 84: 141-151
- Antihistamines in asthma.J Allergy Clin Immunol. 1989; 83 (pt 2): 537-547
- Spontaneous histamine release and histamine content in normal subjects and subjects with asthma.J Allergy Clin Immunol. 1989; 83: 742-749
- Mediators, airway responsiveness, and asthma.J Allergy Clin Immunol. 1985; 76 (pt 2): 272-276
- The pathogenesis and significance of bronchial hyper-responsiveness in airways disease.Clin Sci. 1987; 73: 561-572
- Antiallergic properties of loratadine: A review.Adv Ther. 1995; 12: 283-298
- Bronchoalveolar mast cells in extrinsic asthma: A mechanism for the initiation of antigen specific bronchoconstriction.BMJ. 1985; 291: 923-926
- Some properties of mast cells obtained by human bronchoalveolar lavage.Agents Actions. 1986; 18: 110-112
- The relationship of plasma histamine to the activity of bronchial asthma.J Allergy Clin Immunol. 1977; 60: 312-316
- Histamine levels in plasma, blood, and urine in severe asthma, and the effect of corticosteroid treatment.Thorax. 1976; 31: 724-729
- Protection of histamine-induced bronchial obstruction by loratadine.Allergologie. 1994; 17 (In German): 143-147
- Astemizole and other H1-antihistaminic drug treatment of asthma.J Allergy Clin Immunol. 1985; 76 (pt 2): 375-380
- Effect of an oral H1-receptor antagonist, terfenadine, on antigen-induced asthma.Br J Dis Chest. 1986; 80: 375-384
- The contribution of histamine to immediate bronchoconstriction provoked by inhaled allergen and adenosine 5′ monophosphate in atopic asthma.Am Rev Respir Dis. 1987; 136: 369-373
- The value of antihistamines in the treatment of bronchial asthma.Allergologie. 1994; 17 (In German): 148-153
- In vitro inhibition, by loratadine and descarboxyethoxyloratadine, of histamine from human basophils, and of histamine release and intracellular calcium fluxes in rat basophilic leukemia cells (RBL-2H3).Biochem Pharmacol. 1994; 47: 789-794
- The antiallergic effects of antihistamines (H1-receptor antagonists).J Allergy Clin Immunol. 1992; 90 (pt 2): 705-715
- Antiallergic activity of loratadine, a nonsedating antihistamine.Allergy. 1987; 42: 57-63
- New pharmacological profiles of loratadine: Effects on platelet aggregation and histamine release from repository cells.Agents Actions. 1993; 38 (Special issue II): C200-C202
- Effect of loratadine on immediate and delayed type hypersensitivity reactions.Arzneimittelforschung. 1995; 45: 796-804
- Effects of loratadine on cytosolic Ca2+ levels and leukotriene release: Novel mechanisms of action independent of the anti-histamine activity.Eur J Pharmacol. 1994; 266: 219-227
- Effect of loratadine on guinea pig mast cells: A pharmacological and histological study.Med J Cairo Univ. 1990; 62: 519-530
- A magnetic resonance imaging evaluation of histamine-mediated allergic response in the guinea pig nasopharynx.J Allergy Clin Immunol. 1993; 92: 435-441
- Loratadine inhibits mediator release from dispersed human lung mast cells.Clin Exp Allergy. 1990; 20 (Abstract): 40
- Inhibition of IgE- and non-IgE—mediated histamine release from human basophil leukocytes in vitro by a histamine H1-antagonist, desethoxycarbonyl-loratadine.J Allergy Clin Immunol. 1994; 93: 494-500
- Inhibition of mediator release from human mast cells by loratadine.J Allergy Clin Immunol. 1994; 93 (Abstract): 258
- Inhibitory effect of the H1 antagonist loratadine on histamine release from human basophils.Int Arch Allergy Immunol. 1994; 105: 12-17
- Direct effects of second-generation H1-receptor antagonists on the activation of human basophils.Agents Actions. 1994; 41: C45-C46
- Inhibitory activity of loratadine and descarboethoxyloratadine on expression of ICAM-1 and HLA-DR by nasal epithelial cells.Allergy. 1995; 50: 200-203
- Inhibition by loratadine of histamine-induced activation of human endothelial cells.Am J Respir Crit Care Med. 1995; 151 (Abstract): A380
- Evaluation of loratadine on conjunctival provocation test with orchard grass pollen extracts.J Allergy Clin Immunol. 1993; 91 (Abstract): 197
- Loratadine downregulates ICAM-1 induced expression on normal human epidermal cells.J Allergy Clin Immunol. 1995; (Abstract): 299
- Loratadine and dexamethasone potently suppress secretion of IL-6 and IL-8 by human mast cells and basophilic cells.Proc XV Int Congress Allergol Clin Immunol. 1994; (Abstract): 22
- Effect of loratadine on leukotriene B4 level in stimulated blood neutrophils from healthy and allergic subjects.Allergy. 1995; 26 (Abstract): 77
- Loratadine attenuates nitrogen dioxide (NO2)-induced release of inflammatory mediators from cultured human bronchial epithelial cells.J Allergy Clin Immunol. 1997; 99 (Abstract): S166
- Effect of a non-sedative antihistaminic (loratadine) in moderate asthma.Allergy. 1989; 44: 566-571
- Duration of the effect of loratadine and terfenadine administered once a day for one week on cutaneous and inhaled reactivity to histamine.Chest. 1993; 103: 777-781
- The effects of loratadine in patients with allergic bronchial asthma.JAMA Middle East. 1996; 6: 37-42
- The effect of nonsedating antihistamines loratadine and terfenadine on seasonal allergic rhinitis in patients with controlled bronchial asthma.Adv Ther. 1997; 14: 199-209
- A double-blind study of loratadine and ketotifen in the treatment of patients with seasonal asthma.Today's Ther Trends. 1997; 15: 27-40
- Evaluation of prophylactic treatment with loratadine versus sodium cromoglycate in allergic children with mild to moderate bronchial asthma.Allergy. 1993; 48 (Abstract): 31
- A double blind placebo controlled study of Claritin-D in patients with seasonal allergic rhinitis (SAR) and asthma.Ann Allergy Asthma Immunol. 1997; 78 (Abstract): 95
- Loratadine in the treatment of cough associated with allergic rhinoconjunctivitis.Ann Allergy Asthma Immunol. 1995; 75: 115-120
- New antihistamines for bronchial asthma: Results from one pilot study with loratadine.Allergologie. 1991; 14 (In German): 63-87
- The inhibitory effect of azelastine hydrochloride on histamine- and allergen-induced bronchoconstriction in atopic asthma.Clin Exp Allergy. 1989; 19: 315-320
- Effect of cetirizine, a new histamine H1 antagonist, on airway dynamics and responsiveness to inhaled histamine in mild asthma.J Allergy Clin Immunol. 1987; 80: 51-56
- Loratadine: A reappraisal of its pharmacological properties and therapeutic use in allergic disorders.Drugs. 1994; 48: 617-637
- Antihistamines in the treatment of asthma.Eur Respir J. 1992; 5: 1137-1142
Article info
Identification
Copyright
© 1997 Published by Elsevier Inc.