Loratadine

DEA Class; OTC

Common Brand Names; Claritin, Alavert, Claritin RediTabs, QlearQuil All Day & All Night 24 Hour Allergy Relief

  • Antihistamines, 2nd Generation

Oral non-sedating antihistamine
CNS effects are less with loratadine compared to the traditional sedating antihistamines; not associated with QT prolongation
Used in adult and pediatric populations for allergic rhinitis and chronic idiopathic urticaria or other allergic symptoms

Indicated for the management of symptoms of seasonal allergies or perennial allergies, including allergic rhinitis.

For the management of symptoms of chronic idiopathic urticaria (e.g., relief of pruritus, reduction in the size and number of hives).

Hypersensitivity

  • Headache (12%)
  • Somnolence (8%)
  • Drowsiness (8%)
  • Nervousness (4%)
  • Fatigue (3-4%)
  • Dry mouth (3%)
  • Hyperkinesia (3%)
  • Conjunctivitis (2%)
  • Dysphonia (2%)
  • Malaise (2%)
  • URTI (2%)
  • Abdominal pain (2%)

Caution in hepatic and renal impairment

Elderly patients are at increased risk for comorbidities related to anticholinergic effects; may be potentially inappropriate in this population (Beers criteria)

Effects of ethanol and other sedative drugs may be potentiated when used concurrently

Benzyl alcohol, which is associated with the fatal toxicity, gasping syndrome in neonates; use caution

Some products may contain phenylalanine

Pregnancy category: B

Lactation: Excreted in breast milk; avoid (AAP Committee states compatible with nursing)

NOTE: Do not exceed recommended dosage limits for the specific product prescribed; the following are general guidelines:

Adults

10 mg/day PO.

Geriatric

10 mg/day PO.

Adolescents

10 mg/day PO.

Children

6 to 12 years: 10 mg/day PO.
2 to 5 years: 5 mg/day PO.
1 year: Safety and efficacy have not been established.

Loratadine

syrup

  • 5mg/5mL

tablet

  • 10mg

tablet, chewable

  • 5mg

tablet, disintegrating

  • 5mg
  • 10mg

capsule

  • 10mg

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