Fexofenadine

DEA Class; OTC

Common Brand Names; Allegra, Allegra Allergy 12 Hour, Allegra Allergy 24 Hour, Children’s Allegra Allergy, Mucinex Allergy

  • Antihistamines, 2nd Generation

Non-sedating antihistamine (H1-receptor antagonist)
Used for seasonal allergic rhinitis and chronic idiopathic urticaria
Active metabolite of terfenadine; fexofenadine does not typically prolong the QT interval

Indicated for the management of symptoms of perennial allergies and seasonal allergies, including allergic rhinitis.
For the treatment of chronic idiopathic urticaria.

Hypersensitivity

  • Vomiting (6-12%)
  • Headache (5-10%)
  • Cough (4%)
  • Diarrhea (3-4%)
  • URTI (3%)
  • Back pain (2-3%)
  • Pyrexia (2%)
  • Dysmenorrhea (2%)
  • Dizziness (2%)
  • Stomach discomfort (2%)
  • Pain in extremity (2%)
  • Somnolence (1-3%)
  • Rhinorrhea (1-2%)

Allegra ODT contains phenylalanine

Get emergency help if experiencing hives along with symptoms that include trouble swallowing, dizziness or loss of consciousness, drooling, swelling of tongue, swelling in and around the mouth, trouble speaking, wheezing, or problem breathing

The symptoms may be a sign of anaphylactic shock; this condition can be life-threatening if not treated by a healthcare professional immediately

Symptoms of anaphylactic shock may occur when hives first appear or up to a few hours later

If the doctor prescribes epinephrine injections for anaphylaxis, or severe allergy symptoms that could occur with the hives, never use this product as substitute for the epinephrine injection

If prescribed an epinephrine injector, carry it at all times

Do not use to prevent hives from known causes including foods, insect stings, medicines, latex or rubber gloves, because this product will not stop hives from occurring; avoiding the cause of hives is the best way to prevent them

If you do not know the cause of the hives, see a doctor for a medical exam; the doctor may be able to help find the cause

Patients with kidney disease should ask a doctor; the doctor should determine if dose needs to be adjusted

Do not take more than directed

Do not take at the same time as aluminum or magnesium antacids

Do not take with fruit juices

Pregnancy category: C

Lactation: Excretion in milk unknown; use with caution (AAP states “compatible with nursing”)

Adults

180 mg/day PO if given once daily; 120 mg/day if given in 2 divided doses.

Geriatric

180 mg/day PO if given once daily; 120 mg/day if given in 2 divided doses.

Adolescents

180 mg/day PO if given once daily; 120 mg/day if given in 2 divided doses.

Children

12 years: 180 mg/day PO if given once daily; 120 mg/day if given in 2 divided doses.
2 to 11 years: 60 mg/day PO.
Less than 2 years: 30 mg/day PO.

Infants

6 months and older: 30 mg/day PO.
Less than 6 months: Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Fexofenadine hydrochloride

tablets

  • 30mg
  • 60mg
  • 180mg

oral suspension

  • 30mg/5mL

oral disintegrating tablets

  • 30mg

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