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Research Article| Volume 19, ISSUE 2, P232-242, March 1997

Loratadine in the treatment of urticaria

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      Abstract

      Urticaria is a common skin disease, which, in its chronic form, is a very disturbing condition. Because histamine is the best-documented chemical mediator of urticaria, histamine1-antagonists are the mainstay of therapy. First-generation anti-histamines are limited by their tendency to produce sedation and anticholinergic side effects. Most of the newer second-generation antihistamines compare well with the earlier agents in efficacy but are not limited by the same adverse side effects. Loratadine may be distinguished from other second-generation antihistamines by its pharmacodynamics profile, as well as its tolerability and safety.

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      References

        • Belaich S
        • Bruttmann G
        • DeGreef H
        • et al.
        Comparative effects of loratadine and terfenadine in the treatment of chronic idiopathic urticaria.
        Ann Allergy. 1990; 64: 191-194
        • Schafer T
        • Ring J
        Epidemiology of urticaria.
        in: Burr ML Epidemiology of Clinical Allergy. Karger, Basel1993: 49-60
        • Greaves MW
        Chronic urticaria.
        NEJM. 1995; 332: 1767-1772
        • Mahmood T
        Urticaria.
        Am Fam Physician. 1995; 51: 811-816
        • Ortolani C
        • Ispano M
        Foods and chronic urticaria.
        Clin Rev Allergy. 1992; 10: 325-347
        • Ormerod AD
        Urticaria: Recognition, causes and treatment.
        Drugs. 1994; 48: 717-730
        • Kaplan AP
        • Gray L
        • Shaff RE
        • et al.
        In vivo studies of mediator release in cold urticaria and cholinergic urticaria.
        J Allergy Clin Immunol. 1975; 55: 394-402
        • Kaplan AP
        • Horokova Z
        • Katz SI
        Assessment of tissue fluid histamine levels in patients with urticaria.
        J Allergy Clin Immunol. 1978; 61: 350-354
        • Phanuphak P
        • Schocket AL
        • Arroyave CM
        • Kohler PF
        Skin histamine in chronic urticaria.
        J Allergy Clin Immunol. 1980; 65: 371-375
        • Simons FER
        • Simons KJ
        The pharmacology and use of H1-receptor-antagonist drugs.
        NEJM. 1994; 330: 1663-1670
        • Natbony SF
        • Phillips ME
        • Elias JM
        • et al.
        Histologic studies of chronic idiopathic urticaria.
        J Allergy Clin Immunol. 1983; 71: 177-183
        • Longley J
        • Duffy TP
        • Kohn S
        The mast cell and mast cell disease.
        J Am Acad Dermatol. 1995; 32: 545-561
        • Kreutner W
        • Chapman RW
        • Gulbenkian A
        • Siegel MI
        Antiallergic activity of loratadine, a non-sedating antihistamine.
        Allergy. 1987; 42: 57-63
        • Naclerio RM
        Effects of antihistamines on inflammatory mediators.
        Ann Allergy. 1993; 71: 292-295
        • Letari O
        • Miozzo A
        • Folco G
        • et al.
        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
        • Barenholtz HA
        • McLeod DC
        Loratadine: A nonsedating antihistamine with once-daily dosing.
        Ann Pharmacother. 1989; 23: 445-450
        • Katchen B
        • Cramer J
        • Chang M
        • et al.
        Disposition of 14C-SCH 29851 in humans.
        Ann Allergy. 1985; 55 (Abstract): 393
        • Hilbert J
        • Radwanski E
        • Weglein R
        • et al.
        Pharmacokinetics and dose proportionality of loratadine.
        J Clin Pharmacol. 1987; 27: 694-698
        • Radwanski E
        • Hilbert J
        • Symchowicz S
        • Zampaglione N
        Loratadine: Multiple dose pharmacokinetics.
        J Clin Pharmacol. 1987; 27: 530-533
        • Batenhorst RL
        • Batenhorst AS
        • Graves R
        • et al.
        Pharmacologic evaluation of loratadine (SCH 29851), chlorpheniramine and placebo.
        Eur J Clin Pharmacol. 1986; 31: 247-250
        • Kassem N
        • Roman J
        • Gural RP
        • et al.
        Effects of loratadine (SCH-29851) in suppression of histamine-induced skin wheals.
        Ann Allergy. 1988; 60: 505-507
        • Roman IJ
        • Kassem N
        • Gural RP
        • Herron J
        Suppression of histamine-induced wheal response by loratadine (SCH 29851) over 28 days in man.
        Ann Allergy. 1986; 57: 253-256
        • Simons FER
        • McMillan JL
        • Simons KJ
        A double-blind, single-dose, crossover comparison of cetirizine, terfenadine, loratadine, astemizole and chlorpheniramine versus placebo: Suppressive effects on histamine-induced wheals and flares during 24 hours in normal subjects.
        J Allergy Clin Immunol. 1990; 86: 540-547
        • Labrecque M
        • Ghezzo H
        • L'Archeveque J
        • et al.
        Duration of effect of loratadine and terfenadine administered once a day for one week on cutaneous and inhaled reactivity to histamine.
        Chest. 1993; 103: 777-781
        • Simons FER
        H1-receptor antagonists: Clinical pharmacology and therapeutics.
        J Allergy Clin Immunol. 1989; 84: 845-861
        • Juhlin L
        • Landor M
        Drug therapy for chronic urticaria.
        Clin Rev Allergy. 1993; 10: 349-369
        • Bernstein IL
        • Bernstein DI
        The efficacy and safety of loratadine in the management of chronic iodiopathic urticaria.
        J Allergy Clin Immunol. 1988; 81 (Abstract): 211
        • Guerra L
        • Vincenzi C
        • Marchesi E
        • et al.
        Loratadine and cetirizine in the treatment of chronic urticaria.
        J Eur Acad Dermatol Venereol. 1994; 3: 148-152
        • Monroe EW
        • Fox RW
        • Green AW
        • et al.
        Efficacy and safety of loratadine (10 mg once daily) in the management of iodiopathic chronic urticaria.
        J Am Acad Dermatol. 1988; 19: 138-139
        • Monroe EW
        Relative efficacy and safety of loratadine, hydroxyzine and placebo in chronic idiopathic urticaria and atopic dermatitis.
        Clin Ther. 1992; 14: 17-21
        • Monroe EW
        • Bernstein DI
        • Fox RW
        • et al.
        Relative efficacy and safety of loratadine, hydroxyzine, and placebo in chronic iodiopathic urticaria.
        Arzneim-Forsch Drug Res. 1992; 42: 1119-1121
        • Shareeah AMA
        Comparative efficacy of loratadine and terfenadine in the treatment of chronic idiopathic urticaria.
        Int J Dermatol. 1992; 31: 355-356
        • Mauracher EH
        • Riches DJ
        Comparative trial of two non-sedating antihistamines loratadine versus astemizole, in Chinese patients with chronic urticaria.
        Immunol Allergy Pract. 1992; 19: 223-229
        • Van Cauwenberge PB
        New data on the safety of loratadine.
        Drug Invest. 1992; 4: 283-291
        • Simons FER
        H1-receptor antagonists.
        Drug Saf. 1994; 10: 350-380
        • Roth T
        • Roehrs T
        • Koshorek G
        • et al.
        Sedative effects of antihistamines.
        J Allergy Clin Immunol. 1987; 80: 94-98
        • Adelsberg BR
        • D'Amico-Beadon A
        The effects of loratadine, diphenhydramine and placebo on worker productivity: Results of a double blind trial.
        J Allergy Clin Immunol. 1990; 85 (Abstract): 296
        • DeRoeck J
        • Cluydts R
        • Herman P
        Effects of antihistamines on daytime alertness.
        J Allergy Clin Immunol. 1990; 85 (Abstract): 179
        • Ramaekers JG
        • Uiterwijk MMC
        • O'Hanlon JF
        Effects of loratadine and cetirizine on actual driving and psychometric test performance, and EEG during driving.
        Eur J Clin Pharmacol. 1992; 42: 363-369
        • Herman D
        • Arnaud A
        • Dry J
        • et al.
        Efficacite clinique et tolerance de la Loratadine versus Cetirizine dans le traitement de la rhinite allergique saisonniere.
        Allerg Immunol. 1992; 24: 270-274
        • Zyrtec
        51st ed. Physicians' Desk Reference®. Medical Economics Data Production Company, Montvale, NJ1997: 2053-2055
        • Neves-Pinto RM
        • Moreira Lima G
        • da Mota Teixeira R
        A double-blind study of the effects of loratadine versus placebo on the performance of pilots.
        Am J Rhinol. 1992; 6: 23-27
        • Oei HD
        Double-blind comparison of loratadine (SCH 29851), astemizole and placebo in hay fever with regard to onset of action.
        Ann Allergy. 1988; 61: 436-439
        • del Carpio J
        • Kabbash L
        • Turenne Y
        • et al.
        Efficacy and safety of loratadine (10 mg once daily), terfenadine (60 mg twice daily), and placebo in the treatment of seasonal allergic rhinitis.
        J Allergy Clin Immunol. 1989; 84: 741-746
        • Paris DG
        • Parente TF
        • Bruschetta HR
        • et al.
        Torsades de pointes induced by erythromycin and terfenadine.
        Am J Emerg Med. 1994; 12: 636-638
        • Smith SJ
        Cardiovascular toxicity of antihistamines.
        Otolaryngol Head Neck Surg. 1994; 111: 348-354
        • Nightingale SL
        Warnings issued on nonsedating antihistamines terfenadine and astemizole.
        JAMA. 1992; 268: 705-706
        • Woosley R
        • Darrow WR
        Analysis of potential adverse drug reactions—A case of mistaken identity.
        Am J Cardiol. 1994; 74: 208-209
        • Affrime MB
        • Lorber R
        • Danzig M
        Three month evaluation of electrocardiographic effects of loratadine in humans.
        J Allergy Clin Immunol. 1993; 91 (Abstract): 259
        • Hey JA
        • Del Prado M
        • Chapman RW
        • et al.
        Loratadine produces antihistamine activity without adverse CNS or cardiovascular effects in guinea pigs: Comparative studies with sedating and nonsedating H1 antihistamines.
        J Allergy Clin Immunol. 1994; 93 (Abstract): 163
      1. Data on file, Schering-Plough Research Institute, Kenilworth, New Jersey.

        • Kailasam V
        • Mathews KP
        Controlled clinical assessment of astemizole in the treatment of chronic idiopathic urticaria and angioedema.
        J Am Acad Dermatol. 1987; 16: 797-804
        • Chervinsky P
        • Georgitis J
        • Banov C
        • et al.
        Once daily loratadine versus astemizole once daily.
        Ann Allergy. 1994; 73: 109-113
        • Bateman DN
        • Rawlins MD
        Clinical pharmacology of astemizole.
        in: Astemizole: A New, Non-sedative, Long-Acting H1-Antagonist. Medicine Publishing Foundation, Oxford1984: 43-54
        • Skassa-Brociek W
        • Chanal I
        • Lemonier C
        • et al.
        Lack of subsensitivity to loratadine during a 12 week treatment.
        J Allergy Clin Immunol. 1990; 85 (Abstract): 238
        • Grant JA
        • Bernstein DI
        • Buckley CE
        • et al.
        Double-blind comparison of terfenadine, chlorpheniramine and placebo in the treatment of chronic idiopathic urticaria.
        J Allergy Clin Immunol. 1988; 81: 574-579
        • Kennard CD
        • Ellis CN
        Pharmacologic therapy for urticaria.
        J Am Acad Dermatol. 1991; 25: 176-189
        • Krause HF
        Therapeutic advances in the management of allergic rhinitis and urticaria.
        Otolaryngol Head Neck Surg. 1994; 111: 364-372
        • Goldsmith P
        • Dowd PM
        The new H1 antihistamines.
        Dermatol Ther. 1993; 11: 87-95
        • Monroe EW
        Urticaria and angioedema.
        in: Sams WM Lynch PJ Principles and Practice of Dermatology. Churchill Livingstone, New York1996: 521-534