title: Terfenadine. A review of its pharmacodynamic properties and therapeutic efficacy.
abstract: Terfenadine is a selective H1-histamine receptor antagonist. The lack of significant terfenadine penetration into the CNS is probably responsible for its lack of CNS effects. Terfenadine neither impairs psychomotor performance nor adversely affects subjective feelings, nor enhances the depressant effects of concomitantly administered alcohol or benzodiazepines. In controlled studies, the incidence of sedation due to terfenadine was comparable with that of placebo and significantly less than that with conventional antihistamines. Clinical studies have shown terfenadine to be comparable in efficacy with other antihistamines while being superior to placebo in alleviating the symptoms of seasonal allergic rhinitis. Additionally, there is good evidence that it is similarly as effective when used in the treatment of perennial rhinitis and histamine-mediated skin diseases. Thus, terfenadine offers a worthwhile improvement in side effect profile over 'traditional' antihistamines, and could well become an 'agent of choice' (along with other non-sedating antihistamines) in many patients in whom a histamine H1-receptor antagonist is indicated.
authors.forename: E M
authors.initials: EM
authors.lastname: Sorkin
authors.forename: R C
authors.initials: RC
authors.lastname: Heel
mesh_terms: D000818:Animals; D001249:Asthma / Q000188:drug therapy; D001559:Benzhydryl Compounds / Q000008:administration & dosage / Q000009:adverse effects / Q000378:metabolism / Q000494:pharmacology* / Q000627:therapeutic use / Q000633:toxicity; D006634:Histamine H1 Antagonists / Q000008:administration & dosage / Q000009:adverse effects / Q000378:metabolism / Q000494:pharmacology* / Q000627:therapeutic use / Q000633:toxicity; D006801:Humans; D006993:Hypnotics and Sedatives; D007700:Kinetics; D010276:Parasympatholytics; D005082:Physical Exertion; D011597:Psychomotor Performance / Q000187:drug effects; D012221:Rhinitis, Allergic, Perennial / Q000188:drug therapy; D006255:Rhinitis, Allergic, Seasonal / Q000188:drug therapy; D012702:Serotonin Antagonists; D012871:Skin Diseases / Q000188:drug therapy; D013565:Sympatholytics; D016593:Terfenadine; D014018:Tissue Distribution
chemical_list: D001559:Benzhydryl Compounds; D006634:Histamine H1 Antagonists; D006993:Hypnotics and Sedatives; D010276:Parasympatholytics; D012702:Serotonin Antagonists; D013565:Sympatholytics; D016593:Terfenadine