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Levocetirizine, sold under the brand name Xyzal, among others, is a second-generation antihistamine used for the treatment of allergic rhinitis (hay fever) and long-term hives of unclear cause. [3] It is less sedating than older antihistamines. [ 4 ]
Levocetirizine (Xyzal) Levomepromazine (low-potency typical antipsychotic) Loratadine (Claritin) Maprotiline (tetracyclic antidepressant) Meclizine (most commonly used as an antiemetic) Mianserin (tetracyclic antidepressant) Mirtazapine (tetracyclic antidepressant, also has antiemetic and appetite-stimulating effects; trade name: Remeron)
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Adverse drug reactions are most commonly associated with the first-generation H 1-antihistamines. This is due to their relative lack of selectivity for the H 1-receptor and their ability to cross the blood–brain barrier. The most common adverse effect is sedation; this "side-effect" is utilized in many OTC sleeping-aid preparations.
The drug is bound to albumin with high affinity, while α 1-acid glycoprotein and lipoproteins contribute much less to total plasma protein binding. [7] The unbound or free fraction of levocetirizine has been reported to be 8%. [7] The true volume of distribution of cetirizine is unknown but is estimated to be 0.3 to 0.45 L/kg.
An equianalgesic chart is a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. [1]