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Antihistamines for Skin Conditions

- Summary
- About antihistamines
- Types and differences
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Symptoms of overdose
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Kimberly Bazar, M.D., AAD
Mary Ellen Luchetti, M.D., AAD

Types and differences of antihistamines

Some common antihistamine medications include:

Generic Name

Brand Name(s)

azatadine

Optimine

azelastine

Astelin

brompheniramine

Bromphen, Cophene-B, Dimetapp, Dimetane, Nasahist B

cetirizine

Zyrtec

chlorpheniramine

Chlo-Amine, Chlorate, Chlor-Trimeton, Deconamine, Gen-Allerate, PediaCare Allergy Formula, Phenetron, Telachlor, Teldrin

clemastine

Aller-Chlor, Contac, Tavist

cyproheptadine

Periactin

desloratadine

Clarinex

dexchlorpheniramine

Dexchlor, Polaramine

dimenhydrinate

Calm X, Dramamine, Dramanate, Dinate, Hydrate, Triptone

diphenhydramine

Banophen, Benadryl, Compoz, Diphen Cough, Diphenhist, Dormarex 2, Genahist, Hyrexin, Nervine Nighttime, Nytol, Siladryl, Sleep-Eze D, Sominex, Twilite, Unisom

doxepin Adapin, Sinequan

fexofenadine

Allegra

hydroxyzine

Atarax, Hyzine-50, Vistaril

loratadine

Alavert, Claritin

phenindamine

Nolahist

triprolidine

Actidil

Antihistamines are administered though several types of methods, including:

  • Topical cream. Medications in lotion or ointment form that can be spread directly onto the skin where they are absorbed into the body.

  • Tablet. Solid form of medication that is swallowed. The medication dissolves and is absorbed into the bloodstream through the lining of the stomach and intestines.

  • Liquid. Liquid form of medication that is swallowed. The medication is already dissolved and therefore is absorbed more quickly into the bloodstream through the lining of the stomach and intestines.

  • Nasal spray. Sprays that distribute medicine – through the nose – directly to the nasal passages in the form of a fine mist.

  • Eye drop. A sterile solution or medicine that is applied directly to the surface of the eye in the form of liquid drops.

Some medications combine antihistamines with other drugs (e.g., decongestants) to provide relief for a wider range of symptoms.

There are two types of antihistamine receptors and medications may be targeted toward blocking either type. Histamine 1 (H1) receptors are located in many body tissues, including the capillaries (small blood vessels). They are involved with most allergic rhinitis (hay fever) reactions. Medications designed to block these receptors are called H1 blockers and are the most commonly used type of antihistamines.

Histamine 2 (H2) receptors are located in the lining of the stomach. Medications designed to block these receptors are called H2 blockers. H2 blockers were originally developed to treat stomach ulcers, though they have recently been used in combination treatments with H1 blockers to treat hives.

Hives

In addition, antihistamines are divided into either nonsedating or sedating medications. Nonsedating antihistamines offer the benefits of antihistamines without making patients drowsy. Although early forms of nonsedating antihistamines were found to be unsafe, newer types (e.g., loratadine and fexofenadine) are considered both safe and effective at providing relief without sedation. The early, unsafe types of antihistamines have all been removed from the market in the United States.

Sedating antihistamines make some people drowsy. Early forms of antihistamine produced sleepiness in almost half of the people taking them. However, some forms of newer antihistamines are found to cause sedation in only about 10 percent of the individuals who use the drug. For this reason, the U.S. Food and Drug Administration (FDA) has decided that these forms of antihistamines – such as cetirizine – should by called “lightly sedating” instead of “nonsedating.”

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Review Date: 02-22-2007
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