Loratadine, cetrizine, and fexofenadine all have excellent safety records. Their cardiovascular safety has been demonstrated in drug-interaction studies, elevated-dose studies, and clinical trials. These three antihistamines have also been shown safe in special populations, including pediatric and elderly patients.
What is the best antihistamine for the elderly?
The first-generation or “older” antihistamines (e.g., chlorpheniramine, diphenhydramine) are effective in reducing sneezing, itching, and rhinorrhea. They have untoward side effects, however, that are particularly notable in the elderly patient.
Is Zyrtec or Claritin safer?
Few studies have been performed comparing the efficacy of Zyrtec and Claritin. One clinical trial has shown that Zyrtec may be better for allergic rhinitis although there were no significant differences between the two. Still, Zyrtec produces more drowsiness and somnolence compared to Claritin.
Can you take Zyrtec if you are over 65?
Since Zyrtec is now an over-the-counter antihistamine and can be taken without a doctor’s knowledge, they’re just advising caution in older folks. Based on the manufacturer’s studies of Zyrtec metabolism in people over 65, they recommend that folks who are 77 years and older take only 5 mg per day (vs.
Why is Benadryl not recommended for over 65?
Thus, diphenhydramine should be strongly discouraged for chronic use. Because age-related changes occur in the cholinergic system, there is concern that strong anticholinergic effects may lead to a decline in cognitive function or even precipitate delirium in older adults.
What is the best natural antihistamine?
The 4 Best Natural Antihistamines
- Stinging nettle.
Which is safer Zyrtec or Allegra?
Allegra has the lowest risk of sedation out of all antihistamines so is preferred if an antihistamine is needed for people working in safety-critical jobs. Even though Zyrtec is 3.5 times more likely to cause sedation than Allegra, it is still much less sedating than some older antihistamines such as promethazine.
Is Claritin or Zyrtec better for pet allergies?
Antihistamines for mild pet allergies
For example, a person with mild allergies may do well with Claritin. Another person with more severe allergies may do better with Zyrtec. However, Dr. Qamar says that although Zyrtec may be more effective in some patients, “around 10% of people can become sleepy with it.”
Does Claritin have side effects?
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
What is the strongest over the counter allergy medicine?
- Best Overall: Allegra Adult 24-Hour Allergy Relief. …
- Best Prescription-Strength: Zyrtec Prescription-Strength Allergy Medicine Tablets. …
- Best for Kids: Children’s Zyrtec Allergy Relief Syrup. …
- Best Non-Drowsy: Claritin 24-Hour Allergy Reditabs. …
- Best All-Day Relief: GoodSense All Day Allergy.
Which is better Allegra or Zyrtec or Claritin?
All three medications work equally well for allergy symptoms, but Zyrtec and Allegra kick in a bit faster than Claritin does. It takes less than an hour for Zyrtec and Allegra to start reducing your allergy symptoms. These antihistamines help relieve symptoms like: Sneezing.
Can Zyrtec cause confusion in elderly?
First generation antihistamines, while very effective at controlling symptoms, are often associated with symptoms in older adults such as anxiety, confusion, sedation, blurred vision, reduced mental alertness, urinary retention and constipation.
Is flonase safe for seniors?
However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving fluticasone nasal spray.
Why do seniors have difficulty sleeping?
Common causes of insomnia and sleep problems in older adults. Poor sleep habits and sleep environment. These include irregular sleep hours, consumption of alcohol before bedtime, and falling asleep with the TV on. Make sure your room is comfortable, dark and quiet, and your bedtime rituals conducive to sleep.
Who should not take Benadryl?
Who should not take BENADRYL?
- overactive thyroid gland.
- increased pressure in the eye.
- closed angle glaucoma.
- high blood pressure.
- stenosing peptic ulcer.
- blockage of the urinary bladder.
- enlarged prostate.
- an inability to completely empty the bladder.
What is a good sleep aid for the elderly?
In the elderly, nonbenzodiazepines such as zolpidem, eszopiclone, zaleplon, and ramelteon are safer and better tolerated than tricyclic antidepressants, antihistamines, and benzodiazepines. Pharmacotherapy should be recommended only after sleep hygiene is addressed, however.