Rupatadine

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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second-generation antihistamine, which has been approved in Germany since mid-2008 for the symptomatic treatment of allergic rhinitis and chronic urticaria in adults and adolescents (12 years and older).

Pharmacodynamics (Effect)
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Rupatadine has a dual mechanism of action with its specific antihistaminergic and PAF-antagonistic effects. Comparative studies have shown an equally effective effect as the antihistamines cetirizine and ebastine with comparable therapeutic safety.

Indication
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Rhinitis allergica, chronic urticaria, cold urticaria.

Dosage and method of use
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once/day 10 mg p.o.

Undesirable effects
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The most frequently observed side effects are somnolence (9.5%), headache (6.9%), exhaustion (3.2%).

Preparations
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Rupafin, Urtimed

Note(s)
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Rupatadine should be used with caution in patients with a known long QT interval, uncorrected hypokalemia and pre-existing cardiac arrhythmias, and in clinically significant bradycardia or acute myocardial ischemia.

Note: Advantages over other antihistamines such as cetirizine are not well established.

Literature
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  1. Medication Telegram (2015) Pupatadine for allergic symptoms. Medication telegram 46: 47
  2. Fantin, S. et al (2008) A 12-week placebo-controlled study of rupatadine 10 mg once daily compared with cetirizine 10 mg once daily, in the treatment of persistent allergic rhinitis. Allergy: 63: 924-31
  3. Martinez-Cocera et al (2005) Rupatadine 10 mg and cetirizine 10 mg in seasonal allergic rhinitis: a randomised, double-blind parallel study.1: J Investig Allergol Clin Immunol: 15: 22-29

Outgoing links (3)

Cetirizine; Ebastine; Paf;

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Last updated on: 29.10.2020