Apr 29, 2000 · Introduction. Antihistamines are often used to treat the symptoms of allergies such as seasonal and perennial allergic rhinitis and urticaria. The first generation antihistamines have been associated with side effects, particularly sedation.1 Second generation antihistamines are therefore favoured over the first generation drugs, not because of greatly improved efficacy but because they have ... Background: Antihistamines are commonly used as premedication against anaphylactic events associated with paclitaxel and rituximab. Commonly, intravenous (IV) H 1 receptor antihistamines are used. Objective: To report our experience with the use of loratadine, an oral, non-sedating H 1-receptor antihistamine, in ambulatory care patients receiving …Olopatadine, a non-sedating H1 antihistamine, decreases the nocturnal scratching without affecting sleep quality in atopic dermatitis Exp Dermatol. 2015 Mar;24(3):227-9. doi: 10.1111/exd.12630. Authors Keiichi ... Histamine H1 Antagonists, Non-Sedating / therapeutic use*Feb 13, 2023 · On top of not being as sedating, newer antihistamines have major advantages over their first-generation cousins. Importantly, they don’t cause dry mouth, constipation, or urinary retention. They also tend to last longer so they only need to be used once or twice a day. Nov 1, 2017 · All second-generation antihistamines have been shown to be non-sedative; however, of these, bilastine, the newest-marketed non-sedating antihistamine, has been shown to have one of the lowest cerebral histamine H1 receptor occupancies compared with other modern second-generation antihistamines [24, 25]. How They Work: Antihistamines used to treat allergy symptoms fall into two broad categories: sedating and non-sedating. The first category includes the older antihistamines.These allergy drugs relieve allergy symptoms but cause drowsiness and other side effects, including dry mouth.Newer antihistamines are said to be non …Non-sedating antihistamines are available OTC and by prescription. Nasal corticosteroids are typically sprayed into the nose once or twice a day to treat inflammation and reduce allergy symptoms. The newer second and third-generation or non-sedating antihistamines are used much more frequently. Usually, they don't cause drowsiness. Antihistamines in ...Antihistamines bind to histamine H1 receptors and block the effects of histamine. Typically, they are used for the following indications:.Acute urticaria can be effectively treated with a non-sedating antihistamine; Background. Urticaria is a common skin condition characterised by recurrent, transient, raised pruritic lesions (wheals), more commonly known as “hives”Antihistamines.These reduce or stop sneezing, runny noses, and itching. Examples of non-sedating over-the-counter antihistamines include fexofenadine (such as Allegra) and loratadine (such as Claritin). Older antihistamines like chlorpheniramine (such as Chlor-Tripolon) and diphenhydramine (such as Benadryl) are less expensive but can make you ...First-generation OTC oral antihistamines, including diphenhydramine and chlorpheniramine, are the oldest group. They are sedating, which means they're ...Loratadine is a new non-sedating antihistamine. The present studies compared loratadine and terfenadine, another non-sedating antihistamine, for their ability to inhibit the bronchial response to histamine and other autacoids which have been implicated as contributing to the symptoms of an allergic reaction.non-drowsy antihistamines (also known as non-sedating antihistamines) – these are less likely to enter your brain and tend to cause less sleepiness as a result. Some people do sometimes feel drowsy even with these antihistamines, particularly at higher doses; You can get both types of antihistamine from pharmacies. Oct 12, 2022 ... These medicines may be used for their sedative effects should your sleep be disturbed by itching. Non-sedating or second-generation ...Sep 18, 2018 ... Although both are considered nonsedating antihistamines, both Xyzal and Zyrtec have drowsiness as a potential side effect. Zyrtec is considered ...First Generation Antihistamine have more potent Anticholinergic activity (sedation, Dry Mouth) Second Generation Antihistamines (e.g. Fexofenadine) are labeled as Non-Sedating Antihistamines; H2 Blockers (e.g. Cimetidine) are also Antihistamines. Although primarily active in suppressing acid secretion from the Stomach, H2 Blockers …Second generation non-sedating antihistamines are recommended as first line therapy in the management of chronic spontaneous urticaria. If standard dose of second generation antihistamine is not found to be effective, higher dose (up to four fold) of non-sedating antihistamines is recommended.Side-effects, further information. Non-sedating antihistamines such as cetirizine hydrochloride cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent.Xanax and Zoloft can be taken together, states BJC HealthCare. The combination can cause sedation and psychomotor impairment, so caution must be used when taking both medications. ...First-generation antihistamines block both histaminic and muscarinic receptors as well as passing the blood-brain barrier. Second-generation antihistamines mainly block histaminic receptors but do not or only minimally cross the blood-brain barrier. The older first-generation antihistamines cause sedation, drowsiness, fatigue and impaired ...Best Allergy Medicine: Antihistamines. We surveyed hundreds of pharmacists to collect their expert recommendations of the best allergy medicines. Zyrtec is the No. 1 allergy medicine followed by ...Antihistamines are classified into two groups – the first-generation (“sedating”) and ... Allegra (fexofenadine), Claritin (loratadine), and Zyrtec (cetirizine) are over-the-counter (OTC) antihistamines used to treat allergies. All of them are considered non-drowsy medications and one is …Conclusions These findings suggest that the mechanism of action of the rare proarrhythmic effects of the nonsedating antihistamines appears to be secondary to ...The main adverse effects seen with non-sedating antihistamine tablets include: Dry mouth. Blurred vision. These side effects should be mild but if you have any concerns about these or any other side effects please contact your doctor or specialist nurse for advice. If you are affected with drowsiness when taking these tablets you should avoid ...Oct 12, 2022 · Non-sedating or second-generation antihistamines. These are newer medicines which generally cause less drowsiness. However, anyone taking these medicines while performing skilled tasks - for example, driving - should be aware that a sedative effect may still occur and, in particular, in combination with alcohol. non-drowsy antihistamines (also known as non-sedating antihistamines) – these are less likely to enter your brain and tend to cause less sleepiness as a result. Some people do sometimes feel drowsy even with these …Desloratadine is a relatively new, second-generation, tricyclic antihistamine which came into medical use in 2001. This study aimed to review the available evidence in the literature around the clinical efficacy of desloratadine on a range of allergic conditions.The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are ...H. 1. antagonist. H1 antagonists, also called H1 blockers, are a class of medications that block the action of histamine at the H 1 receptor, helping to relieve allergic reactions. Agents where the main therapeutic effect is mediated by negative modulation of histamine receptors are termed antihistamines; other agents may have antihistaminergic ...Best Allergy Medicine: Antihistamines. We surveyed hundreds of pharmacists to collect their expert recommendations of the best allergy medicines. Zyrtec is the No. 1 allergy medicine followed by ...Bilastine is a new, well-tolerated, nonsedating H1 receptor antihistamine. In the fasting state bilastine is quickly absorbed, but the absorption is slowed when it is taken with food or fruit juice. Therefore, it is recommended that bilastine is taken at least one hour before and no sooner than two hours after a meal. Clinical studies sponsored by the …Antihistamines refer to a type of medication that treats allergy symptoms, motion sickness, and some cold and flu symptoms. Antihistamines block H1 histamine receptors. What symptoms do they...Jan 31, 2020 · Severe side effects can include: hives. a skin rash. difficulty breathing or swallowing. swelling in the face, mouth, or throat. delirium. Although rare, long-term use of non-sedating ... Non-Sedating Antihistamines If you are one of the 20-45 million people in the United Stated who suffer from seasonal allergy symptoms, treating your runny nose, nasal congestion, sneezing, itchy eyes, ears, nose, and/or throat has just become more convenient. Though traditional antihistamine products that have been ...Non-sedating antihistamines should be preferentially used whenever possible as most antihistamines are equally efficacious, while adverse effects of sedating antihistamines can be serious. This ...Side effects of antihistamines that make you drowsy can include: sleepiness (drowsiness) and reduced co-ordination, reaction speed and judgement – do not drive or use machinery after taking these antihistamines. dry mouth. blurred vision. difficulty peeing. Side effects of non-drowsy antihistamines can include: headache. Antihistamines are currently one of the most commonly administered drugs in children. They are used to treat symptoms that depend on histamine release, namely allergic diseases, such as rhinitis, asthma, urticaria, and anaphylaxis. It is possible to distinguish first- and second-generation antihistamines. Pharmacological effects and therapeutic ...H. 1. antagonist. H1 antagonists, also called H1 blockers, are a class of medications that block the action of histamine at the H 1 receptor, helping to relieve allergic reactions. Agents where the main therapeutic effect is mediated by negative modulation of histamine receptors are termed antihistamines; other agents may have antihistaminergic ...Apr 3, 2018 · Avoid sedating antihistamines . The sedating, first generation antihistamines now have little role in therapeutics. Their unfavourable adverse effect profile has prompted the Global Allergy and Asthma European Network to recommend making these antihistamines prescription-only, rather than over-the-counter, drugs.3 The main concerns are their sedative properties and interference with rapid eye ... Antihistamines are classified in two distinct groups: First generation (or sedating antihistamines) Second generation (or non-sedating antihistamines) First generation drugs offer sedative which result in their use for the alleviation of discomfort and disturbed patterns of behaviour, such as being unable to sleep through excessive itching ...The main adverse effects seen with non-sedating antihistamine tablets include: Dry mouth. Blurred vision. These side effects should be mild but if you have any concerns about these or any other side effects please contact your doctor or specialist nurse for advice. If you are affected with drowsiness when taking these tablets you should avoid ...Rupatadine is a second generation non-sedating antihistamine. Indications and dose For rupatadine Symptomatic relief of allergic rhinitis and ... impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent ...Antihistamines are not recommended for routine use in the management of atopic eczema.See the section on Management for more information. However: If there is severe itch or urticaria, consider prescribing a one-month trial of a non-sedating antihistamine, such as cetirizine, loratadine, or fexofenadine (an active metabolite of terfenadine), …Non-sedating antihistamines are associated with a lower incidence of drowsiness and sedation (because they penetrate the blood–brain barrier to a lesser extent than sedating antihistamines) . However, these adverse effects may still occur. Cetirizine is a second generation, non-sedating antihistamine, which selectively antagonises peripheral H 1-receptors and displays anti-allergic properties. It is a human metabolite of the sedating antihistamine, hydroxyzine (see summaries of product characteristics for cetirizine, for example, Zirtek).treatment of CU with increased doses of NSAHs in order According to the International Guidelines for the man- to investigate if there are differences in efficacy between agement of urticaria and angioedema non-sedating, second the various second generation AHs that have been studied generation antihistamines (NSAHs) are recommended in ...Side-effects, further information. Non-sedating antihistamines such as loratadine cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent.Side effects of first-generation antihistamines. Some of the more common side effects of first-generation antihistamines can include: drowsiness. dry mouth, nose, and throat. headache. Some side ...There is now little role for sedating antihistamines in allergic conditions. Less sedating antihistamines are equally efficacious. The less sedating ...Sep 21, 2023 · However, if you are taking an antihistamine to treat motion sickness, relieve anxiety or use as a sleep aid, a first-generation antihistamine may be recommended due to the sedating effects. There are many brands of antihistamines that are available over the counter (OTC), and finding the appropriate one for your needs can be confusing. Side-effects, further information. Non-sedating antihistamines such as cetirizine hydrochloride cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent.Rupatadine is a second generation non-sedating antihistamine. Indications and dose For rupatadine Symptomatic relief of allergic rhinitis and ... impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent ...Non-sedating antihistamines should be preferentially used whenever possible as most antihistamines are equally efficacious, while adverse effects of sedating antihistamines can be serious. This ...Although equally potent at blocking the H 1 receptor, first- and second-generation antihistamines can be distinguished with respect to their different effects on the central nervous system (CNS). First-generation antihistamines readily cross the blood–brain barrier leading to significant drowsiness, altered mood, reduced wakefulness, and …Terfenadine, the first non-sedating antihistamine Arzneimittelforschung. 1982;32(9a):1154-6. Authors J K Woodward, N L Munro. PMID: 6129860 Abstract ... Antihistamines that make you sleepy can be useful as a sleep aid once in a while. But tolerance to the effects of these antihistamines develops quickly. That means the more often you take them, the less likely they are to make you sleepy. Side effects of taking first-generation antihistamines can include: Daytime drowsiness.Acrivastine is a non-sedating antihistamine, which works by blocking histamine H1 receptors, which cause allergic symptoms. It doesn't prevent the release of ...Abstract. Antihistamine drugs are one of the therapeutic classes most used at world level, at all ages and in multiple situations. Although in general they have a good safety profile, only the more recent drugs (second generation antihistamines) have been studied specifically with regard to the more important safety aspects.Non-sedating antihistamines are available OTC and by prescription. Nasal corticosteroids are typically sprayed into the nose once or twice a day to treat inflammation and reduce allergy symptoms. Drugs with antihistamine action are among the most commonly prescribed medicines in pediatrics. According to the International Medical Statistics (IMS), almost two million antihistamine units (in solution) for pediatric use were sold in Spain during 2006--at a cost of nearly 6 million euros. ... Non-Sedating* / adverse effects Histamine H1 ...Antihistamines are not recommended as part of the initial emergency treatment of anaphylaxis. Following stabilisation of the patient, a non-sedating oral antihistamine such as cetirizine hydrochloride (in preference to chlorphenamine maleate) may be considered, especially in patients with persistent cutaneous symptoms (urticaria and/or angioedema). Different antihistamines are better at treating different symptoms, so ask a member of your healthcare team to advise on which antihistamine is best for your needs. Generally, antihistamine tablets or capsules are classified into 2 main groups – sedating antihistamines and non-sedating antihistamines.Side effects of antihistamines that make you drowsy can include: sleepiness (drowsiness) and reduced co-ordination, reaction speed and judgement – do not drive or use machinery after taking these antihistamines. dry mouth. blurred vision. difficulty peeing. Side effects of non-drowsy antihistamines can include: headache. ฮิสตามีน (histamine) ที่หลั่งจาก mast cell มีบทบาทสำคัญที่ทำให้เกิดการแพ้แบบ type I hypersensitivity ดังนั้นยาต้านฮิสตามีน (antihistamine) จึงเป็นยาตัวเลือกอันดับหนึ่งสำหรับ ...Jun 1, 2000 ... However, risks of sedation may vary. Dose-response was not addressed by these investigators and could be very relevant. Nevertheless, for ...Non-sedating antihistamines · acrivastine (eg Benadryl Allergy Relief) · cetirizine hydrochloride (eg Piriteze Allergy) · loratadine (eg Clarityn Allergy).ฮิสตามีน (histamine) ที่หลั่งจาก mast cell มีบทบาทสำคัญที่ทำให้เกิดการแพ้แบบ type I hypersensitivity ดังนั้นยาต้านฮิสตามีน (antihistamine) จึงเป็นยาตัวเลือกอันดับหนึ่งสำหรับ ...An antihistamine agent used for the symptomatic relief of seasonal allergic rhinitis such as sneezing, rhinorrhea, pruritus, lacrimation, and nasal congestion. Mizolastine: A second-generation non-sedating antihistamine used to treat symptoms of allergic rhinoconjunctivitis and urticaria. Bilastine Antihistamines. When histamine, a chemical created by your immune system, overreacts to an allergen such as pollen and pet dander, it can cause symptoms such as coughing, sneezing and watery eyes. Antihistamines are medications that help with allergies, and also with stomach problems, cold, anxiety and more. Antihistamines are a class of drugs ... Symptomatic measures, such as increasing fluids, making sure children get enough rest and reducing the spread of the virus (including regular hand washing) should be practiced. For children requiring antihistamines for allergies, a non-sedating antihistamine such as loratadine or cetirizine is preferred. References. Medsafe. 2009.On all of these performance measures, loratadine has been shown to have effects comparable to placebo. In contrast, diphenhydramine, a common first-generation antihistamine, usually available without a doctor's prescription, has significant adverse effects on vigilance, divided attention, working memory and psychomotor performance.May 4, 2018 · Second-generation antihistamines include: Claritin/Alavert (loratadine) Allegra (fexofenadine) Zyrtec (cetirizine) Clarinex (desloratadine) Third -generation antihistamines include: Xyzal (levocetirizine) Of the above medications, all are non-drowsy except Zyrtec and Xyzal. However, those two are not nearly as sedating as first-generation ... Oral H1-antihistamines (AHs) are the most commonly used therapy to treat allergic rhinitis and chronic urticaria. Older, first-generation AHs (e.g. diphenhydramine, hydroxyzine) have significant and common side effects including sedation, impairment with decreased cognitive function, poor sleep quality, dry mouth, dizziness, and orthostatic …Jun 1, 2000 ... However, risks of sedation may vary. Dose-response was not addressed by these investigators and could be very relevant. Nevertheless, for ...H 1- antihistamines, the mainstay of treatment for urticaria, were developed from anticholinergic drugs more than 70 years ago. They act as inverse agonists rather than antagonists of histamine H 1 -receptors which are members of the G-protein family. The older first generation H 1- antihistamines penetrate readily into the brain to cause ... Jun 1, 2000 ... However, risks of sedation may vary. Dose-response was not addressed by these investigators and could be very relevant. Nevertheless, for ...Bilastine is a new second generation H1-antihistamine recently approved for the symptomatic treatment of allergic rhinitis (AR) and chronic urticaria (CU). Bilastine epitomizes the evolution of research on antihistamines concerning both efficacy and safety. In AR treatment, a number of large controlled clinical trials documented its efficacy ...All second-generation antihistamines have been shown to be non-sedative; however, of these, bilastine, the newest-marketed non-sedating antihistamine, has been shown to have one of the lowest cerebral histamine H1 receptor occupancies compared with other modern second-generation antihistamines [24, 25].Summary Many people use antihistamines to treat allergy symptoms. Zyrtec (cetirizine) and Claritin (loratadine) are two popular brands. They contain different compounds but appear to be equally...Although equally potent at blocking the H 1 receptor, first- and second-generation antihistamines can be distinguished with respect to their different effects on the central nervous system (CNS). First-generation antihistamines readily cross the blood–brain barrier leading to significant drowsiness, altered mood, reduced wakefulness, and …Non-sedating antihistamines should be preferentially used whenever possible as most antihistamines are equally efficacious, while adverse effects of sedating antihistamines can be serious. This review summarizes the pharmacological properties of clinically useful non-sedating antihistamines from the perspective of histamine function in the CNS. Nov 1, 2017 · All second-generation antihistamines have been shown to be non-sedative; however, of these, bilastine, the newest-marketed non-sedating antihistamine, has been shown to have one of the lowest cerebral histamine H1 receptor occupancies compared with other modern second-generation antihistamines [24, 25]. ): a new non-sedating antihistamine in seasonal allergic rhinitis. Ann Allergy. 1987;58(6):407-411. 57. Ucb. A study evaluating the efficacy and safety of 5 ...Oct 1, 2017 · Furthermore, topical administration of sedating antihistamines to the eye or nasal mucosa results in a great number of cerebral H 1 receptors being occupied due to the absence of a first-pass effect. Therefore, non-sedating antihistamine-containing eye or nasal drops should be used as first choice treatments. Rupatadine (Rupafin) is a new non sedating antihistamine. All oral antihistamines except alimemazine (formerly trimep -razine) and hydroxyzine are licensed for the treatment of allergy such as hay fever and, except for ketotifen (Zaditen), for urticaria and/or pruritus. They are also widely used in over-the-counter medicines for symptomatic ...
Non-sedating antihistamines . These are the newer ‘second generation’ antihistamines. They’re less likely to make you feel sleepy. But this varies from person to person, so be aware that you might still be affected by drowsiness. Non-sedating antihistamines that you can buy from a pharmacy include: acrivastine (eg Benadryl Allergy Relief) . Adultbook
Side-effects, further information. Non-sedating antihistamines such as fexofenadine cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent.The H 1 antihistamine drugs therefore act as inverse agonists. 1 . Loratadine is metabolised in the ... compared to children treated with non-sedating antihistamines and healthy children. 5 Sedating antihistamines have been found to be a cause of aviation accidents. 3 An audit of media reports found a number of car accidents attributed to ...On all of these performance measures, loratadine has been shown to have effects comparable to placebo. In contrast, diphenhydramine, a common first-generation antihistamine, usually available without a doctor's prescription, has significant adverse effects on vigilance, divided attention, working memory and psychomotor performance.The affinity of an H 1-antihistamine for H 1-receptors is determined in vitro in preclinical studies. Comparing the three most recently developed drugs, desloratadine is the most potent antihistamine (Ki: 0.4 nM) followed by levocetirizine (Ki: 3 nM) and fexofenadine (Ki: 10 nM) (the lower the concentration, the higher the potency).Of the second-generation antihistamines, Allegra is the only one that is truly considered to be non-sedating. Certain antihistamines may also cause weight gain . According to the American Academy of Asthma, Allergy & Immunology, both older drugs like Periactan and newer ones like Allegra and Zyrtec are linked to an increased risk of obesity .# Sedation with “non-sedating” antihistamines: four prescription-event monitoring studies in general practice {#article-title-2} Objectives: To investigate the frequency with which sedation was reported in post-marketing surveillance studies of four second generation antihistamines: loratadine, cetirizine, fexofenadine, and acrivastine.Objective: Histamine H1 receptor (H1R) antagonists often have sedative side effects, which are caused by the blockade of the neural transmission of the histaminergic neurons. We examined the brain H1R occupancy (H1RO) and the subjective sleepiness of levocetirizine, a new second-generation antihistamine, comparing fexofenadine, another non …# Sedation with “non-sedating” antihistamines: four prescription-event monitoring studies in general practice {#article-title-2} Objectives: To investigate the frequency with which sedation was reported in post-marketing surveillance studies of four second generation antihistamines: loratadine, cetirizine, fexofenadine, and acrivastine.The newer second and third-generation or non-sedating antihistamines are used much more frequently. Usually, they don't cause drowsiness. Antihistamines in ...Nov 26, 2014 · Efficacy of increased doses of non-sedating antihistamines in patients with chronic urticaria. The statistical comparison of the data is shown in Figure 1. There were not significant differences in efficacy between fexofenadine and bilastine, rupatadine and bilastine, and desloratadine and levocetirizine. Cardiac side effects. Side effects with geriatric use. Contraindications to …First-generation antihistamines block both histaminic and muscarinic receptors as well as passing the blood-brain barrier. Second-generation antihistamines mainly block histaminic receptors but do not or only minimally cross the blood-brain barrier. The older first-generation antihistamines cause sedation, drowsiness, fatigue and impaired ...Rupatadine is a modern non-sedating H1-antihistamine that also haswith additional antagonist effects on platelet-activating factor (PAF). Under the tradenames Rupafin® and Urtimed®, Rrupatadine is approvedregistered in Germany for the treatment of allergic rhinitis and urticaria infor adults and children aged over 12 years.There is now little role for sedating antihistamines in allergic conditions. Less sedating antihistamines are equally efficacious. The less sedating ...Oct 28, 2017 · Loratadine (Claritin) - The first of the prescription second generation antihistamines to go over the counter. It is also the least expensive. This is a great choice to try first for your allergy symptoms since it is almost completely non-drowsy and works for 24 hours. Cetirizine (Zyrtec) - Cetirizine was the second of the second generation ... Side-effects, further information. Non-sedating antihistamines such as loratadine cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent. H. 1. antagonist. H1 antagonists, also called H1 blockers, are a class of medications that block the action of histamine at the H 1 receptor, helping to relieve allergic reactions. Agents where the main therapeutic effect is mediated by negative modulation of histamine receptors are termed antihistamines; other agents may have antihistaminergic ...Sep 21, 2023 · However, if you are taking an antihistamine to treat motion sickness, relieve anxiety or use as a sleep aid, a first-generation antihistamine may be recommended due to the sedating effects. There are many brands of antihistamines that are available over the counter (OTC), and finding the appropriate one for your needs can be confusing. Side-effects, further information. Non-sedating antihistamines such as loratadine cause less sedation and psychomotor impairment than the older antihistamines, but can still occur; sedation is generally minimal. This is because non-sedating antihistamines penetrate the blood brain barrier to a much lesser extent.If symptoms persist despite regular emollients and self-care advice, consider a short-term trial of a non-sedating oral antihistamine (off-label indication), such as cetirizine 10 mg, loratadine 10 mg, or fexofenadine 180 mg for 2–3 weeks. See the sections on Cetirizine, Loratadine, and Fexofenadine in Prescribing information for more ....