Review of fexofenadine in the treatment of chronic idiopathic urticaria.

作者: Makoto Kawashima , Shotaro Harada , Toshiro Tango

DOI: 10.1046/J.1365-4362.2002.01599.X

关键词:

摘要: Chronic idiopathic urticaria (CIU), characterized by the appearance of itchy wheals unknown etiology, can be extremely debilitating and significantly reduce a patient's quality life (QOL). Fexofenadine, non-sedating, H1-receptor selective, long-acting antihistamine, is licensed worldwide for treatment CIU. A number dose-ranging studies have evaluated efficacy safety fexofenadine In two similar North American studies, patients received either HCI (20, 60, 120, or 240 mg bid) placebo. All four doses fexofendine were statistically superior to placebo at reducing pruritus (P < = 0.0238). dose-finding study undertaken in Japanese confirmed that (60 120 an effective dose response was shown all three when results compared. Furthermore, health outcome analyses indicated 60 bid improved QOL. these had consistently comparable profile placebo, with no dose-related trends incidence adverse events. conclusion, well-tolerated CIU, wide therapeutic window. Importantly, lack ethnic differences between from America Asia indicate demonstrated are cross-culturally applicable.

参考文章(44)
Peter H. Howarth, Monique M. L. Janssens, The antihistamines of the nineties Clinical Reviews in Allergy. ,vol. 11, pp. 111- 153 ,(1993) , 10.1007/BF02802296
I. Hindmarch, Z. Shamsi, N. Stanley, D. B. Fairweather, A double-blind, placebo-controlled investigation of the effects of fexofenadine, loratadine and promethazine on cognitive and psychomotor function British Journal of Clinical Pharmacology. ,vol. 48, pp. 200- 206 ,(1999) , 10.1046/J.1365-2125.1999.00993.X
Massimo Triggiani, Marco Gentile, Agnese Secondo, Francescopaolo Granata, Alfonso Oriente, Maurizio Taglialatela, Lucio Annunziato, Gianni Marone, Histamine Induces Exocytosis and IL-6 Production from Human Lung Macrophages Through Interaction with H1 Receptors Journal of Immunology. ,vol. 166, pp. 4083- 4091 ,(2001) , 10.4049/JIMMUNOL.166.6.4083
Nicholas A. Soter, Urticaria: Current therapy The Journal of Allergy and Clinical Immunology. ,vol. 86, pp. 1009- 1014 ,(1990) , 10.1016/S0091-6749(05)80245-3
Harold S. Nelson, Robert Reynolds, Jolene Mason, Fexofenadine HCl is safe and effective for treatment of chronic idiopathic urticaria. Annals of Allergy Asthma & Immunology. ,vol. 84, pp. 517- 522 ,(2000) , 10.1016/S1081-1206(10)62515-X
R. Gary Sibbald, Amarjit S Cheema, Ala Lozinski, Susan Tarlo, Chronic Urticaria. International Journal of Dermatology. ,vol. 30, pp. 381- 386 ,(1991) , 10.1111/J.1365-4362.1991.TB03891.X
Albert F. Finn Jr, Allen P. Kaplan, Richard Fretwell, Roger Qu, Joseph Long, A double-blind, placebo-controlled trial of fexofenadine HCl in the treatment of chronic idiopathic urticaria The Journal of Allergy and Clinical Immunology. ,vol. 104, pp. 1071- 1078 ,(1999) , 10.1016/S0091-6749(99)70091-6
F Estelle R Simons, Keith J Simons, Peripheral H1-blockade Effect of Fexofenadine Annals of Allergy Asthma & Immunology. ,vol. 79, pp. 530- 532 ,(1997) , 10.1016/S1081-1206(10)63061-X