loratadine and pseudoephedrine (Alavert Allergy & Sinus, Claritin-D, Claritin-D 24 hour)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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What is loratadine and pseudoephedrine, and how does it work (mechanism of action)?

Loratadine/pseudoephedrine is a combination of two drugs, an antihistamine (loratadine) and a decongestant (pseudoephedrine). Loratadine is a long-acting antihistamine that blocks the actions of histamine that causes some of the symptoms of allergic reactions. Histamine is released from histamine-storing cells (mast cells) and attaches to other cells that have receptors for histamine on their surfaces. Histamine stimulates the cells to release chemicals that produce effects that are associated with allergy symptoms. Loratadine blocks one type of histamine receptor (the H1 receptor) and thus prevents activation of cells with H1 receptors by histamine. Unlike some antihistamines, loratadine does not enter the brain from the blood and, therefore, does not cause drowsiness when taken at recommended doses. It is one of a few antihistamines that do not cause sedation. Pseudoephedrine decongests tissues by causing blood vessels to constrict.

What brand names are available for loratadine and pseudoephedrine?

Alavert Allergy & Sinus, Claritin-D, Claritin-D 24 hour, and many others

Is loratadine and pseudoephedrine available as a generic drug?

Yes

Do I need a prescription for loratadine and pseudoephedrine?

No

What are the side effects of loratadine and pseudoephedrine?

Side effects of loratadine/pseudoephedrine include:

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What is the dosage for loratadine and pseudoephedrine?

  • Loratadine/pseudoephedrine may be taken with or without food.
  • It must be used cautiously in patients with heart (coronary artery) disease and angina (because pseudoephedrine can stimulate the heart) as well as in patients with diabetes (because there is a small chance that pseudoephedrine can raise the level of blood sugar).
  • The dose for children older than 12 years and adults is 1 tablet every 12 hours of immediate release tablets or 1 tablet every 24 hours for extended release tablets.

Which drugs or supplements interact with loratadine and pseudoephedrine?

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Is loratadine and pseudoephedrine safe to take if I'm pregnant or breastfeeding?

Pseudoephedrine is secreted in breast milk. The American Academy of Pediatrics considers pseudoephedrine to be compatible with nursing.

What else should I know about loratadine and pseudoephedrine?

What preparations of loratadine and pseudoephedrine are available?

Tablets containing 5 mg loratadine and 120 mg pseudoephedrine (12 hour formulation) and tablets containing 10 mg loratadine and 240 mg pseudoephedrine (24 hour formulation) are available.

How should I keep loratadine and pseudoephedrine stored?

Tablets should be stored at 15 C to 30 C (59 F to 86 F).

Medically reviewed by Eni Williams; PharmD., Ph.D. REFERENCE:

FDA Prescribing Information

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Reviewed on 5/11/2017
References
Medically reviewed by Eni Williams; PharmD., Ph.D. REFERENCE:

FDA Prescribing Information

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