Non-sedating antihistamines for premedication in ambulatory oncology patients

Jim Siderov, Nan Wendel, Ian D. Davis

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

Background: Antihistamines are commonly used as premedication against anaphylactic events associated with paclitaxel and rituximab. Commonly, intravenous (IV) H1receptor antihistamines are used. Objective: To report our experience with the use of loratadine, an oral, non-sedating H1-receptor antihistamine, in ambulatory care patients receiving premedication for either paclitaxel or rituximab. Method: Records of all patients who received loratidine in our ambulatory oncology day treatment centre were reviewed retrospectively. Results: Seventy-one cycles (20 paclitaxel, 51 rituximab) of therapy were administered using loratadine as premedication. One patient who commenced loratadine reverted to IV promethazine following a rash reaction to rituximab. All other patients tolerated therapy well. There were no anaphylactic or infusion-related problems. Conclusion: Loratadine 10 mg is well tolerated in ambulatory care patients receiving premedication for either paclitaxel or rituximab and should be considered in all ambulatory patients requiring an H1-receptor antihistamine where sedation is not appropriate.

Original languageEnglish
Pages (from-to)108-109
Number of pages2
JournalJournal of Pharmacy Practice and Research
Volume32
Issue number2
DOIs
Publication statusPublished - 1 Jan 2002

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