MeReC concludes evidence for extra benefits of latest antihistamines is lacking
There is insufficient evidence to support the use of third generation antihistamines, such as desloratadine (Neoclarityn) and levocetirizine (Xyzal) over second generation antihistamines (eg, loratadine and cetirizine), according to the latest issue of the MeReC
Bulletin.
MeReC advises that the third generation drugs should be reserved for
patients who cannot tolerate or who do not respond to other therapies
MeReC also recommends that allergen-specific immunotherapy should be
reserved for patients with severe hay fever and poorly controlled symptoms.
In terms of alternative therapies, MeReC suggests that butterbur or homoeopathy
may provide benefit (2004;14:17).
A copy of this issue of the MeReC Bulletin can be downloaded from the
National Prescribing Centre website or
via the NHSnet (www.npc.nhs.uk). |