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Azelastine was patented in 1971 and came into medical use in 1986. [10] It is available as a generic medication . [ 3 ] [ 11 ] In 2022, it was the 124th most commonly prescribed medication in the United States, with more than 5 million prescriptions.
Several different types of medications reduce allergic symptoms, including nasal steroids, intranasal antihistamines such as olopatadine or azelastine, 2nd generation oral antihistamines such as loratadine, desloratadine, cetirizine, or fexofenadine; the mast cell stabilizer cromolyn sodium, and leukotriene receptor antagonists such as montelukast.
Older people are more likely to experience drowsiness from antihistamine use than younger people. [1] Continuous and/or cumulative use of anticholinergic medications, including first-generation antihistamines, is associated with higher risk for cognitive decline and dementia in older people. [31] [32]
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Causes Narcolepsy , idiopathic hypersomnia , circadian rhythm sleep disorder , sleep apnea , others Excessive daytime sleepiness ( EDS ) is characterized by persistent sleepiness and often a general lack of energy, even during the day after apparently adequate or even prolonged nighttime sleep.
Unknown cause: Vasomotor rhinitis and nonallergic rhinitis with eosinophilia: Occupational: Caused by work: Inflammatory disease of the nose causing intermittent and persistent symptoms arising out of causes and conditions attributable to a particular work environment; can be elicited by single or multiple exposures. Corrosive rhinitis is the ...
The use of sedating drugs alongside hydroxyzine can cause oversedation and confusion if administered at high doses—any form of hydroxyzine treatment alongside sedatives should be done under the supervision of a doctor. [28] [25] Because of the potential for more severe side effects, this drug is on the list to avoid in the elderly. [29]
Pseudoparkinsonism: drug-induced parkinsonism (rigidity, bradykinesia, tremor, masked facies, shuffling gait, stooped posture, sialorrhoea, and seborrhoea; greater risk in the elderly). [2] Although Parkinson's disease is primarily a disease of the nigrostriatal pathway and not the extrapyramidal system, loss of dopaminergic neurons in the ...