→Appendix 1: antihistamines, non-
sedating
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▶Common or very common Drowsiness. nervousness (in
children)
▶Uncommon Appetite increased. headache (very common
in children). insomnia
▶Rare or very rare Alopecia. angioedema. dizziness. dry
mouth. fatigue (very common in children). gastritis.
hepatic function abnormal. nausea. palpitations. rash.
seizure. tachycardia
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.
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Most manufacturers of antihistamines advise
avoiding their use during pregnancy; however, there is no
evidence of teratogenicity.
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Most antihistamines are present in
breast milk in varying amounts; although not known to be
harmful, most manufacturers advise avoiding their use in
mothers who are breast-feeding.
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Manufacturer advises caution in
severe impairment (risk of increased exposure).
Dose adjustments Manufacturer advises initial dose
reduction to alternate days in severe impairment.
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