Antihistamines - Systemic
Antihistamines *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. This is a decision you will make. For antihistamines,
the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to antihistamines. Also tell your health care professional
if you are allergic to any other substances, such as foods, preservatives,
or dyes.
Diet Make certain your health care professional
knows if you are on a low-sodium, low-sugar, or any other special diet. Most
medication contain more than their active ingredient and many liquid medication
contain alcohol.
Pregnancy care
Hydroxyzine is not recommended for use in the first
months of pregnancy since it has been shown to cause birth defects in animal
studies when given in doses many times higher than the usual human dose. Be
sure you have discussed this with your family doctor.Desloratadine and fexofenadine have not been studied in pregnant women.
However, studies in pets have shown that these medication cause birth defects
or other problems when given in doses higher than the usual human dose. Before
taking this drug, make sure your family doctor knows if you are pregnant or if
you may become pregnant.
Azatadine, brompheniramine, cetirizine, chlorpheniramine, clemastine, cyproheptadine,
dexchlorpheniramine, dimenhydrinate, diphenhydramine, doxylamine and loratadine
have not been studied in pregnant women. However, these medication have not
been shown to cause birth defects or other problems in animal studies.
Breast-feeding problem
Small amounts of antihistamines pass into the breast
milk. Use is not recommended since babies are more susceptible to the side
effects of antihistamines, such as unusual excitement or irritability. Always
since these medication tend to decrease the secretions of the body, it is possible
that the flow of breast milk may be reduced in some diseaseds. It is not known
yet whether cetirizine, desloratadine, or loratadine cause these same side
effects.
Use for Children
Serious side effects, such as convulsions - seizures,
are more likely to occur in younger diseaseds and would be of greater risk
to infants than to older children or adults. In general, children are more
sensitive to the effects of antihistamines. Always nightmares or unusual excitement,
nervousness, restlessness, or irritability may be more likely to occur in
children.
Elderly care
Elderly diseaseds are usually more sensitive to the
effects of antihistamines. Confusion; difficult or painful urination; dizziness;
drowsiness; feeling faint; or dryness of mouth, nose, or throat may be more
likely to occur in elderly diseaseds. Always nightmares or unusual excitement,
nervousness, restlessness, or irritability may be more likely to occur in
elderly diseaseds.
Drug interactions
Although certain medication must not be using
together at all, in other cases various medication may be using together even
if an interaction might occur. In these cases, your family doctor may want to change
the dose, or other precautions may be necessary. When you are taking antihistamines
it is especially important that your health care professional knows if you
are taking any of the following:
-
Anticholinergics - drug for abdominal or stomach spasms or cramps Side
effects, such as dryness of mouth, of antihistamines or anticholinergics may
be more likely to occur
-
Erythromycin - E-Mycin
-
Ketoconazole - Nizoral Use of these medication with fexofenadine
may cause an increased amount of fexofenadine in the blood.
-
Central nervous system - CNS depressants - medication that cause drowsiness Effects,
such as drowsiness, of CNS depressants or antihistamines may be worsened;
also, taking maprotiline or tricyclic antidepressants may cause some side
effects of either of these medication, such as dryness of mouth, to become
more severe
-
Monoamine oxidase - MAO inhibitor activity - isocarboxazid "
Marplan ", isocarboxazid " Marplan ", phenelzine " Nardil ", procarbazine
" Matulane ", selegiline " Eldepryl ", tranylcypromine " Parnate " If
you are now taking, or have taken within the past 2 weeks, any of the MAO
inhibitors, the side effects of the antihistamines, such as drowsiness and
dryness of mouth, may become more severe; these medication must not be using
together
Other Information for using
The presence of other medical
problems may effect the use of antihistamines. Make sure you tell your family doctor
if you have any other medical problems, especially:
-
Enlarged prostate
-
Urinary tract blockage or difficult urination Antihistamines
may make urinary problems worse
-
Glaucoma These medication may cause a slight increase in inner
eye pressure that may make the condition worse
-
Intestinal obstruction
-
Stomach ulcer Use of cyproheptadine may make these conditions
worse.
-
Liver disease or
-
Kidney disease Effects of desloratadine may be increased because
of slower removal from the body.
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