title: Efficacy of once-daily desloratadine/pseudoephedrine for relief of nasal congestion.
abstract: The majority of patients with seasonal allergic rhinitis (SAR) suffer from nasal congestion. Desloratadine, a nonsedating H1-receptor antagonist, has given decongestant relief to patients with mild-to-moderate nasal congestion associated with SAR. The following study was undertaken to show that a once-daily formulation of desloratadine/pseudoephedrine would provide greater decongestant relief to patients experiencing moderate-to-severe nasal congestion compared with component monotherapy. A total of 1018 patients were assigned randomly to receive desloratadine/pseudoephedrine (5 mg/240 mg), desloratdine (5 mg), or pseudoephedrine (240 mg) daily for 15 days. Over the 15-day study period, patients receiving desloratadine/pseudoephedrine combination tablets had a significant reduction in mean A.M./P.M. reflective nasal congestion scores compared with patients receiving desloratadine or pseudoephedrine (p < 0.01); this reduction reached significance by day 2. Desloratadine/pseudoephedrine combination tablets also produced a greater reduction in A.M. instantaneous nasal congestion scores compared with component monotherapy (p < 0.01), indicating not only superior efficacy but also a full 24-hour effect. Desloratadine monotherapy reduced all mean nasal congestion scores to a similar degree as compared with pseudoephedrine monotherapy (p = NS). No unusual or unexpected adverse events were reported in any group. It was concluded that desloratadine/pseudoephedrine offers additional benefit to patients with moderate-to-severe SAR-associated nasal congestion compared with pseudoephedrine therapy alone.
authors.affiliation: Valley Clinical Research Center, 3729 Easton-Nazareth Highway, Suite 202, Easton, PA 18045, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Schenkel
authors.forename: Jonathan
authors.initials: J
authors.lastname: Corren
authors.forename: John J
authors.initials: JJ
authors.lastname: Murray
mesh_terms: D000328:Adult; D004311:Double-Blind Method; D004334:Drug Administration Schedule; D004338:Drug Combinations; D004809:Ephedrine / Q000008:administration & dosage* / Q000627:therapeutic use*; D005260:Female; D006634:Histamine H1 Antagonists / Q000008:administration & dosage* / Q000627:therapeutic use*; D006801:Humans; D017336:Loratadine / Q000008:administration & dosage* / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D008297:Male; D015508:Nasal Obstruction / Q000188:drug therapy* / Q000209:etiology*; D006255:Rhinitis, Allergic, Seasonal / Q000150:complications* / Q000188:drug therapy*; D012720:Severity of Illness Index; D013566:Sympathomimetics / Q000008:administration & dosage* / Q000627:therapeutic use*
chemical_list: D004338:Drug Combinations; D006634:Histamine H1 Antagonists; D013566:Sympathomimetics; D017336:Loratadine; C121345:desloratadine; D004809:Ephedrine